BPOL2020-0038a-495 CALLE TAMPICO Ce4h, D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/20/2020
Permit Type/Subtype: POOL/WATER FEATURE Owner:
Application Number: BPOL2020-0038 RICHARD C. & MICHELINE A. VARNUM
Property Address: 56185 VILLAGE DR 56185 VILLAGE DRIVE
APN: 764030016 LA QUINTA, CA 92253
Application Description: VARNUM / WATER FEATURE AT COURTYARD
Property Zoning:
Application Valuation: $10,000.00
Applicant: I 1 y l Contractor:
MAUI POOL SERVICE �J MAUI POOL SERVICE
P 0 BOX 5639 P 0 BOX 5639
LA QUINTA, CA 92248 FEB 2 n 2020 LA QUINTA, CA 92248
DESIGN & DEVECITY O LA QUINTA (760)400-9967
NTDRMTMEffl- Llc. No.: 1030478
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C53 License No.:1030478
Cnnlracto . -
OWNER-BUILDERDECLA ION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
() I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
(_) I am exempt under Sec. B.&P.C. for this reason
Date.,
Owner: —
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
com ensatian, as provided for by Section 3700 of the Labor Code, for the performance
of th wark for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9212027
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those prorvIsions.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this 'ty to enter upon the
above -mentioned property for inspection purposes.
Lender's Name:
''S N*ure (Applicant or en --
Lender's Address:
Date:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
MAUI POOL SERVICE
P 0 BOX 5639
LA QUINTA, CA 92248
BPOL2020-0038
56185 VILLAGE DR
764030016
VARNUM / WATER FEATURE AT COURTYARD
$10,000.00
Owner:
RICHARD C. & MICHELINE A. VARNUM
56185 VILLAGE DRIVE
LA QUINTA, CA 92253
Contractor:
MAUI POOL SERVICE
P O BOX 5639
LA QUINTA, CA 92248
(760)400-9967
Llc. No.: 1030478
Detail: WATER FEATURE AT COURTYARD WATER PARTS [DENISE POELTLER ENGINEERING]TWO DROWNING SAFETY FEATURES AND BARRIERS REQUIRED TO
BE INSTALLED AT PRE -PLASTER INSPECTION. PLEASE PROVIDE WET STAMPED POOL ENGINEERING SHEET ON SITE FOR INSPECTION. NEW EQUIPMENT MUST
BE LOCATED IN AN APPROVED LOCATION EITHER WITHIN THE REAR YARD SETBACK OR 5' MINIMUM FROM THE SIDE P/L FIELD VERIFY. THIS PERMIT DOES
NOT INCLUDE EQUIPMENT ENCLOSURE. 2019 CALIFORNIA BUILDING CODE
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DETACHED SPA/WATER FEATURE/OTHER
101-0000-42404
0
$201.25
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER FEATURE
101-0000-42404
0
$201.25
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER FEATURE PC
101-0000-42600
0
$109.48
Total Paid for POOL / SPA 2019: $511.98
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611 0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
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PERMIT # D
PLAN LOCATION:
Project Address: S V) �1 1�' i' 1 _�
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
7 /A ( 5 r I
('i Y �� l
Applicant Name:✓0U1
Address:
I }
City, ST, Zip:
Telephone:
Email:
Valuation of Project $ —o J� •�''
Contractor Name: i V�� 2
New SFD Construction:
Address: �� �� t _
Conditioned Space SF
City, St, Zip U, �j7� •� G �� L1c6 . (� 3G�
Garage SF
Telephone: �� �0? v�� �!�
Patio/Porch SF
Email: / IV d %P SZ rV 1 Ci(, Fj -, 1 C
Fire Sprinklers SF
State Lic: 7 City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms: Stories:
# Units:
Email;
State Lic: City Bus Lic:
Property Owner's Name: G rYl �-yy�
New Commercial / Tenant Improvements:
Address: S—L, l �,-S� \r, ►1 h r
Total Building SF
City, ST, Zip�_�— trlh 4 G p�-3
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
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SLOPE ALL EARTHEN AREAS AT A MINIMUM - 2% PREFERRED
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VERIFY WITH THE PROJECT SOILS E I�EfR THE NEED FOR 6.
SLOPE ALL FINISH SURFAGCS AT A MINH*N
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ALL CONCRETE PAVING TO BE A MINIMUM OF 3 1/2 THICK, 6OLORED 9.
HOLD FINISH GRADE A MINIMUM OF 4' BELOW T WALL5, 6" BELOW FIN15H
CONCRETE -INTEGRAL COLOR, EXPAN51ON JOINTS, AT V-0`
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ALLOW FOR ADJOINING TRUCTION "'\AN
PROVIDE DRAINLINE GLEANOUTS AND/OR GATGH BA51N5 A MINIMIM OF 50'
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8.
PAVING AND GON ONTAGTOR5 ARE TO GOORDID IL
HOLD INVERTS ON DRAIN LINES A MINIMUM OF 8" BELOW FINISHCOOPERATE
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GROUT ALL CELLS KITH 5TEEL SOLID - IF RETAINING, 5RCUT CELLS SOLID
5ROVr SHALL SE PLAID aM15TEN6Y WITH A RATIO OF ART CEMENT M)
PARTS 5AND. (2) PARTS PEA GRAVEL
�ORTAR 5NALL BE FRE51LY PREPARED AND UNIF Y MIXED IN TIE RATIO
PART CEMENT, F CS) PART LIME. PJTTY, (4-I/ ARTS SAND AND
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ALL WORKMANSHIP AND MI TO CONFORM TO 6OVE-RNn15 GORES AND
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ALL STUCCO OR SLUMPBL66K WALL5 TO NAVE OPEN HEN WINTS AT 32' OL.
AT FIRST COJR5E ABOVE 6RNE FOR DRAiNA&E
ALL 5OOTIN65 SHALL BE POURED ON UNDSTURNED NATURAL SOIL OR CAPIPACTEJ
FILL 695% RELA
/A�Lfll,ob,ING WALLS TO HAVE A MINIF9M OF 40 GAR DIAFDT OVERLAPRETAINING WAIL 5PLIGE5 TO BE A MINIMA+ OF 43 BAR
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SHALL EE GRADE N-I CONFORMI TO AS.T.M. C-90N11.11AT
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CONCRETE SHALL NAVE A MINIMUM G014PRE55IVE STREWTH OF 35D
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