BPOL2015-008978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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t COMMUNITY DEVELOPMENT DEPARTMENT
Applicant:
MC INTYRE POOLS & SPAS INC
83-695 AVE N U E 45
INDIO, CA 92201
BUILDING PERMIT
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: C533 License No.: 614611
DV��� f S Contractor:/
OWNER -BUILDER DECLARATION
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
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:
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
GARCZYNSKI
79864 MORRIS AVENUE
LA QUINTA, CA 92253
= Contractor:
MC INTYRE POOLS & SPAS INC
83-695 AVENUE 45
INDIO, CA 92201
(760)342-3612
Llc. No.: 614611
Date: 5/6/2015
t
Application Number:
BPOL2015-0089
Property Address:
79864 MORRIS AVE
APN:
604512001
Application Description:
GARCZYNSKI / POOL SPA AND BBQ
Property Zoning: .
U_9
Application Valuation:
$20,124.00
Applicant:
MC INTYRE POOLS & SPAS INC
83-695 AVE N U E 45
INDIO, CA 92201
BUILDING PERMIT
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: C533 License No.: 614611
DV��� f S Contractor:/
OWNER -BUILDER DECLARATION
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
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:
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
GARCZYNSKI
79864 MORRIS AVENUE
LA QUINTA, CA 92253
= Contractor:
MC INTYRE POOLS & SPAS INC
83-695 AVENUE 45
INDIO, CA 92201
(760)342-3612
Llc. No.: 614611
Date: 5/6/2015
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'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the k for which this permit is issued.
E�r'I 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: _ Policy Number: _
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 provisions.
Dates/� Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIOWCOVERAGE 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.
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 relating to building
construction, and hereby authorize representatives of this city to enter upon the above•
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
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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'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the k for which this permit is issued.
E�r'I 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: _ Policy Number: _
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 provisions.
Dates/� Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIOWCOVERAGE 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.
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 relating to building
construction, and hereby authorize representatives of this city to enter upon the above•
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
FINANCIAL INFORMATION
.3'4' ;; DESCRIPTION= ;' �'� z�
, ., t ACCOUNT, �* r:QTY, q 'AMOUNT'`" ;PAID `
DATE
,, ,
:PAID
BSAS SB1473 FEE
101-0000-20306 0
$1.00 $0.00
By, {
� c r
ETHOD r.` °_t, ::RECEIRT # i • CIiECK #
t r CLTD BY
,
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA; $1.00 $0.00
DESCRIP,TION'.
j ACCOUNT fi'.�„,QTY
AMOUNT
`t ;, PAID,r
RAID DATE
,t:�'`
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
' PAID BY~a W '. ,r
; MET `,
''�t7 u y Vf2ECEIPT #r
CHECK #
CLTD BY
.HOD
,
.;DESCRIPTION 11 -'.;ACCOUNT,
QTY
' e AMOUNT -,7
PAID �,
DATE
:.'
y
..,
. ,PAID
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
- �” .• ti' =ti -PAID BYRECEIPT
# *n i�
"wCHECK #.tT."
aCLTD BY '
Total Paid for ELECTRICAL: $48.34 $0.00
' `}DESCRIPTION rs= "
tACCOUNT a
QTY "'��
AMOUNT
',PAID
PAID DATE
:
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
PAIDBY � ..� N,
i=. ,� METHOD '�a,
»: RECEIPT#
';
3 CLTD BY
-"CHECK#
t`^�t•. -'DESCRIPTION' `
ACCOUNT" �y .
"{QTY`
"°AMOUNT ',"
FPAID�
4PAID.DATE
p ,_,
F
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
T �,.s • z , j^ PAID BY
METHOD { +'
r 'sa; RECEIPT #
`'CHECK #
3CLTD BY,
,
Total Paid for POOL/ SPAS: $279.91 $0.00
TOTALS:$0.00
r
,
Description: GARCZYNSKI POOL SPA AND BBQ
Type: POOL Subtype: Status: UNDER REVIEW
Applied: 5/6/201S SKH
Approved -
Parcel- No: 604512001 Site Address: 70864 MORRIS AVE LA QUiNTACA 922S3
Subdivision: TR 24197-4 Block: Lot: 7
issued:
Valuation: $20,124.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No.. Stories: 0 No. Unites: 0
Details: POOL, SPAj AND BBQ. THIS PERMIT DOES NOT INCLUDE WALL OR FIRE PIT. EQUIPMENT SHALL BEINSTALLED IN ACCORDANCE WITH
MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013
CALIFORNIA BUILDING CODE.
.Printed: Wednesday, May N6,2O151O:3Z:16AM `. 1of2 . ' _ ^CRWIYSTEMS
.
CHRONOLOGY
CONDITIONS
CONTACTS
cl
APPLICANT
MC INTYRE POOLS & SPAS INC
83-695 AVENUE 45
INDIO
CA
92201
(760)964-7135
CONTRACTOR
MC INTYRE POOLS & SPAS INC
83-695 AVENUE 45
INDIO
CA
92201
(760)964-7135
OWNER
GARCZYNSKI
79864MORRIS AVENUE
LA QU I NTA
CA
92253
(760)964-7135
.Printed: Wednesday, May N6,2O151O:3Z:16AM `. 1of2 . ' _ ^CRWIYSTEMS
.
BOND INFORMATION I
. .
`
Printed: vvednesday, May 06, 2015 10:32:16 AM ' 2 of .
_-_ _ _ -- ---- .
'
CLTD
N
QTY
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0;00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid forELECTRICAL: $48.34 $0.00
SWIMMING POOL/SPA
101-0000-42404
0
$0.00
SWIMMING POOL/SPA
101-0000-42600
0
$98.62
$0.00
PC
Total Paid for'.POOL SPA: $279.91 $0..00
TOTALS: $329.25 $0.00
BOND INFORMATION I
. .
`
Printed: vvednesday, May 06, 2015 10:32:16 AM ' 2 of .
_-_ _ _ -- ---- .
'
CIS}/Of . a QU@: to
Bullding or Safety Division
P.O. Box 1504,-78-495 Calle Tamplco
14.Qulnta, CA 92253 - (760) 777-7012
Building Permit -Application and Tracking Sheet
Permit #
Project Address: _
Owna's Name: .
A. P. Number. ,
Address:
Legal Description:
City, ST, Zip: U
Telephone:
Contractor. 'C ` S
Address: 3 _ _
Project Description: S
,City, ST, Zip: Z4-L 22o 1
e.
Telephone:Z ?� o
:Y {
State Lia #: devCity Lie. #;
,
Arch., Eng., Designer.LT)�-Co it i.
Address:
City, ST. Zip: ' A_
Telephone: %
State Lia M R
Construction . ancy:
Project type (circle one): ew Add'n Alter Repan Demo
Name of Contact Person: I
Sq. Ft.: Cl
# Stories:
# Units:
Telephone # of Contact Petsan ( ,Q0
Estimated Value of Project go
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
'Req'd'Rec'd
TRACKING
PERM[TFEES
Plan Sete
Pian Check submitted
Item Amount
Strudurai Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calca.
Called Contact Person
Plan CheckBalancs.
Title 24 Calm
Plans picked up
Construction
`
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2' Review, ready for correctionsrasue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
&1YLL
&Or1 Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review; ready for corrections/issue
Devdoper Impact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
MONTICELLO' COMMUNITY
C/O Rose Guzzetta, ARC Chairperson
79822 Morris Avenue
LA Quinta, California 92253
760-772-9949
April 24, 2015
Dear Mr. and Mrs. Garczynski,
Your request to install a pool has been reviewed by the Architectural Committee and
approved as submitted:
It is understood that you will repair any damage caused by this construction in a timely
manner. We trust that all necessary city permits will be obtained prior to the
commencement of work and that the materials and workmanship are of good quality. .
Thank you for your cooperation in filing for architectural approval: If you should have
any questions or need further assistance, please feel free to contact me.
Sincerely,
Rose Guzzetta
Architectural Committee Chairperson
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201-6"
5'
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COLOR CONCRETE
OMAHA TAN LIGHT
BROOM FINISH 1(1'
3'-C
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6' BBQ
GARCZYNSKI RESIDENCE o)
79-864 MORRIS AVE.
LA QUINTA, CA 92257
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_(760) 964-7135
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CONSTRUCTION SPECIALIST
76o342-3612
GAS
GENERAL SCOPE OF WORK
STRUCTURAL ENGINEERING & PERMITS
LAYOUT OF POOL PRIOR TO SCAVATION
STEEL/REBAR
GUNITE SHELL
PVC PLUMBING
(1) 400 WATT LIGHT
(1) 60 WATT LIGHT
DEPTH TO 5' IN POOL
STONESCAPES PEBBLE FINISH (GROUP 1 COLOR)
TILE (GROUP 3)
PENTAIR EQUIPMENT (3 YEAR WARRANTY)
ACCESS REPAIR
START-UP, ONE MONTH POOL SERVICE
PENTAIR EQUIPMENT SPECIrICATIONS
VS 3050 PUMP
400,000 BTU HEATER
320 CCP FILTER
1-20 SALT CELL
EASY TOUCH 4 W/SP=-SDE REMOTE
1-400 WATT LIGHT
1-60 WATT LIGHT
AUTO FILL/DEDICATED VAC. LINE
* G()S t.. tf %R 3BQ uiowz-
�m
POOL SM
28'-6" x 14'
POOL SA 449 SQ. FT.
POOL PM 98 L.F.
DEPTHS 3'-6" TO 5'
POOL RM VS 3050
HEMER 400,000 BTU
FILJM CCP 320
Lim t-400 WATT
t-60 WATT
CONTROM EZ -4 CONTROLLER
SPA SIX 6' X 6'
I
A pER. 24 LN. FT.
A S& 36 SQ. FT. {
A DEPTH 3'-6„
JETS 6
JET PUMP
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