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BPOL2015-010478-495 CALLE TAMPICO, LA QUINTA, CALIFORNIA 92253 Application Number: BPOL2015-0104 V 4.4 cu COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address:, 56365 RIVIERA' APN: 762022014 Application Description: . GRAY RESIDENCE POOL, SPA, AND FI Property Zoning: compensation, as provided for by Section 3700 of the Labor Code, for the performance Application Valuation: $35,000:00 Applicant:- MC pplicantsMC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO,•CA 92201 VOICE (760) 777-7125 FAX (760).777-7011 INSPECTIONS (760) 777-7153 Dater 5/20/2015 Owner: 'GRAY, RANDY A 12008 GRIGSBY CHAPEL ROAD KNOXVILLE, TN 37934 Contractor: MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO, CA 92201 (760)342-3612 - Llc. No.: 614611 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury.that I am licensed under provisions of Chapter I hereby -affirm under penalty of perjury one of the following declarations: 9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate Df consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance `License Class: 53 License No.:.614611 of the work for which this permit is issued. - �i �5 6/)C/1//_. �Rate:(� `� Cont�etor: / 1 have and will maintain workers'.conpensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit I% is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUILDER DECLARATION Carrier: Polity Number: - I hereby affirm under penalty of perjury that'1 am exempt from the Contractor's State d—I certify that in the performance of tie work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in,any manner so as to become subject to the workers' ' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3770 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with tho apro sions. 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 Date:/ App,' icant: basis for the alleged exemption. Any violation of Section 1031:5 by any applicant fora S permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_)1, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,00Q. IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The. Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have.the burden of proving that the conditions and restrictions set forth on this application. he or she did.not build or improve for the purpose of sale.). ' 1. Each person upon whose behalf this appliotion is made, each person at whose (_) I, as owner of the property, am exclusively contracting with licensed contractors. request and for whose benefit work is performed under or pursuant to any permit . to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application, the owned, and the applicant,. each.agrees to, and State License Law does not apply to an owner of property who builds or impioves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance -of this permit. (� I am exempt under Sec. . B.&P.C. for this reason 2. Any permit issued as a result of this applic: tion becomes null and void if work is Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relatinodo building construction, and he eby authorize representa•ives of this city to enter u n the above. men ti/o!/ne/yc��ppe for inspection purposes. r Datei `' [ Signature (Appliwet 'r A.Z, i Fl 1 --------------- x ,DESCRIPTION y* `'ACCOUNT ;QTY , AMOUNTaRAPAID mow. DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY a METHODSA "` 3 RECEIPT # a"� CHECK # CLTD BY, Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 DESCRIPTION ", VACCOUNT? 'x ''QTY < :` AMOUNT PAID , ` 3 PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 METHOD Y n A>RECEIPT # $ ` CHECK # t CLTD BY {�4. eDESCRIP.,TION ACCOUNT tQTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 ,PAID`BY^ s ',� a g$ k a s x ? METHOD`'RECEIPT #x ry ° a 3 CIiECK # �_> zh r CLTD BY Total Paid for PLUMBING FEES: $36.26 $0.00 ,e� ;.,DESCRIPTION- .gam � � ACCOUNTS � k 3 QTY "; � AMOUNT �A�� PAID � �_ PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 PAID BY " �* METHOD :RECEIPT # ` `CHECK #�� CLTD BY ,A DESCRIPTIONh ACCOUNT ' uQTY AMOUNT `t PAID' x �; `PAID DATE SWIMMING POOL/SPA PC 101-0000742600 0 $98.62 $0.00 PAID'BY r METHOD r 6 `YRECEIP.T #' CHECK # CLTD BY. Total Paid for POOL/ SPA: $279.91 $0.00 TOTALS:i0 Description: GRAY RESIDENCE POOL, SPA, AND FIRE PIT Type: POOL Subtype: Status: APPROVED Applied: 5/19/2015 SKH Approved: 5/20/2015 MFA* Parcel No: 762022014 Site Address: 56365 RIVIERA LA QUINTA,CA 92253 Subdivision: TR 24801 Block: Lot:,8 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $35,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ,.... - .. e.. ... _.. ... .._ .. . w .. , ... -:, .. - ..,gyp Details:. POOL, SPA, FIRE PIT EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. A ied to A . r Pp: pl ed: Printed: Wednesday, May 20, 2015,3:16:22 PM 1 of 2 sysTenns CHRONOLOGY • CHRONOLCIGY TYPE STAFF.NAfVIE ACTION.DATE, '� jCOMPLETI,ON:DATE y ,._4,=# ,.... - .. e.. ... _.. ... .._ .. . w .. , ... -:, .. - ..,gyp ..... x. sent back to angelica NOTE ANGELICA ZARCO 5/20/2015 5/20/2015 PREOCESSED AND PRINTED PERMIT/JOB CARD CONDITIONS • + NAME TYPE t s' . :NAME ! ADDRESSi? CITY ESTATE ZIP $PHONE ' FAX `. EMAIL'". `:g Av.'MNIbRffA .lJi ii 4L, 2,lJM,M'MM Yt� :- _�.cn.V!!!!h'P1M,k.Y b�... ^.:.i'F55AVM1hWf,VMiVA :'� F. VV�M��lMx it lA..—.— •••,�;• .n a...... .a. APPLICANT MC INTYRE POOLS & SPAS INC' 83-695 AVENUE 45 INDIO CA 92201 CONTRACTOR MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO CA 92201 OWNER GRAY, RANDY A 12008 GRIGSBY CHAPEL KNOXVILLE TN 37934 ROAD Printed: Wednesday, May 20, 2015,3:16:22 PM 1 of 2 sysTenns - DESC.RIPTION.:; ACCOUNT QTY AMOUNT PAID.: PAID DATE RECEIPT # CHECK # ;METHOD PAID BY a r BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $2.00 $0.00. BSA: GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00 OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $0.00 OUTLETS PC Total Paid for PLUMBING FEES: $36.26 $0.00 SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 SWIMMING POOL/SPA 42 101-0000-600 0 $98.62 $0.00 PC Total Paid for POOL/ SPA: $279.91 $0.00 • • 00 _ ATTACHMENTS - - - - - - - - - - --- ----, Printed: Wednesday, May 20, 2015 3:16:22 PM' 2 of 2 ORWIMEMS Telephone: Construction Type: Occupmcy: State Lic. #: Name of Contact Person: e Project type (circle one): New Add'n Alter Repair. Demo Sq. Ft.: #Stories: #.Units: Telephone # of Contact Person: U — S Estimated value of Project: 3 S 010 - APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACE3NG PERMIT FEES Plan Sets Plan Check submitted Item Amount ` Structural Calcs.: Reviewed, ready for corrections Plan Check Deposit Truss Calcs. . Called Contact Person Plan Check Balance Tide 24 Cales. Plans.picked up Construction Flood plata plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing , Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN-HOUSE:- ''a Review, ready for correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. -Pub. Wks. APpr Date of permit issue School Fees .Total Permit Fees PGAWESTr May 18, 2015 Randy A. Gray 12008 Grigsby Chapel Rd. Knoxville, TN 37934 . Reference: 56-365 Riviera, La Quinta, CA 92253 Architectural Change Request — Pool/Spa, Pavers, Firepit Dear Randy A. Gray: The Architectural Committee met on May 14, 2015 and reviewed and approved your architectural plans with the following conditions being met. The contractor shall ensure the make-up water for the automatic water feed device be tapped ahead of the main dwelling shutoff. Existing hose bibs cannot be used for this purpose. A Covenant and Maintenance Agreement will be required, one will be sant to you for proper execution as soon as it is prepared by counsel • Your contractor must meet with Bob Pantanella, Director of Community Services prior to any work commencing on this project, Mr. Pantanella's phone number is 766-5641032. • Your contractor must meet with the Golf Course Superintendent, Ton Maddern; 7oanne Rose, Association Manager, 'Luis Umana with Sunshine Landscape prior to any work commencing on this property, please call 7oanne Rose to arrange this meeting at 760-346-1161 ext.. 147. • All other PGA WEST II Residential Association Architectural Rules & Re_culations dated May 20, 2013 pertain to this project. Review by the Committee is on/ ry for genera/ conformance with the Architectural Ru/es, It is the responsibility of the owner to fuljlunderstand and conform to the Architectural Ru/es criteria whether or not a// deRciencies are noted dw4ig review, 1t is also the owner's fu// responsibility to field verify a// existing conditions The Committee's decision with regard to protect design will be final. Please refer to the Architectural Ru/es for a// r eqt~ submittals. Please contact Luis Umana, Sunshine Landscape at 760/346-3999 and Joanne Rose, Association Manager at 760/346-1161 ext. 147 prior to any irrigation modifications associated with this change. Damage to the landscaping, i.e. shrubs, trees, flowers and turf is the responsibility of the contractor. The original landscaping must be brought back to its original concition when the project is completed. Approvals given by the Architectural Committee are good for only six months: from the date on the approval letter. If construction has not commenced within sic months after the project approval date, a new application must be submitted. Page II PGA WEST II Residential Association Architectural Committee Approval Gray Pool/Spa, Pavers & Firepit Upon completion of your project, please complete and return The Notice of Completion of Architectural Change, along with the Permit from the City of LaQuinta sign off. For additional information or questions, the Board has directed that you contact .Joanne Rose, CCAM, Association Manager, at 760/346-1161, Ext. 147. Sincerely, PGA WEST II Residential Association Joanne Rose, CCAM Association Manager for Architectural Committee Cc: unit Peters & Freedman J i I