BPOL2015-0016.
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VOICE (760) 777-7125
78-495 G-ALLE TAIVIPICO *rco.
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/15/2015
Application Number: BPOL2015-0016 Owner:
Property Address: 78815 PINA ST MAYLE, LARRY A
APN: 776080020 611 LIDO PARK DR APT 2C
Application Description: POOL, SPA, BBQ, & WATER FEATURE NEWPORT BEACH, CA 926
Property Zoning:
Application Valuation: $40,000.00 D
c Z D
Applicant: Contractor: t-+
MC INTYRE POOLS & SPAS INC MC INTYRE POOLS & SPAS I S C�
83-695 AVENUE 45 83-695 AVENUE 45 �' o
INDIO, CA 92201 INDIO, CA 92201 > n cr
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.: 614611
Date f Contractor:-, �^?
OWNER-BUILDERDECLARATION
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 exem'ption. 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).: n
(_) I, as ownerof 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 doh the work
himself or herself through his or her own employees, provided that the improvement's
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 contractors) licensed pursuant to
the Contractors' State License Law.).
(_) I am exempt under Sec. B.&P.C. for this reason
Date:
Owner:
(760)342-3612
Llc. No.: 614611
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 thework for which this permit is issued.
iZx�%.l have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, forthe 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 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.
Dace Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMP,LOYER'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.
CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and state laws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency for: construction, and hereby authorize representatives of this city to enter upon t e above
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). mentioned property, or inspection purposes.
Lender's Name: Date�� `.L` Signature (Applicant or Agent)%
Lender's Address:
,. DESCRIPTION ACCOUNT QTY < AMOUNT, PAID PAID DATE':
BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00
�.._PAID.BY ;'- x METHOD RECEIPT#n .' 3 ;CHECK# ". CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00
DESCRIPTION , ACCOUNT.QTY`; AMOUNT 'PAID, PAID DATE
DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00
PAID BY METHOD RECELPT.# CHECK # CLTD BY
DESCRIPTION s. ACCOUNT'. QTY AMOUNT PAID `PAID DATE.
DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00
PAID.•BY "METHOD e:.. RECEIPT # ~ :y
CHECK;# :.CLTD.BY..
Total Paid forEL'ECTRICAL: $48.34 $0.00
DESCRIPTION -
t ACCOUNT.
QTY.•
AMOUNT
- PAID
PAID DATE:
SWIMMING POOL/SPA
101-0000-42404
0
$181.29.
$0.00
$181.29
r PAID BY
METHOD
RECEIPT #
CHECK# ,..
CLTD BY
RECEIPT #,
ECK # �
CH .
:
�; CLTDBY;°
DESCRIPTION :_
t ACCOUNTQTY
AMOUNT
PAIQ
PAID DATE:
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
x -PAID BY, »
t • ...
.. METHOD
RECEIPT #
; ` CHECK #
CLTD BY �..
:DESCRIPTION
ACCOUNT
QTY
•AMOUNT
.� y :PAID
<.
;PAID DATE;
WATER FEATURE ONLY
101-0000-42404
0
$181.29
$0.00
.• . PAID BY
METHOD.
RECEIPT #,
ECK # �
CH .
:
�; CLTDBY;°
DESCRIPTION °'ACCOUNT QTY AMOUNT.;,PAID .' PAID. DATE,
WATER FEATURE ONLY PC 101-0000-42600 0 $98.62 $0.00
PAID BY METHOD RECEIPT # i CHECK # CLTD BY,
Total Paid for POOL / SPA: $559.82 $0.00
Description: POOL, SPA, BBQ & WATER FEATURE
Type: POOL Subtype: Status: APPROVED
Applied: 1/13/2015 PJU
Approved: 1/14/2015 JFU
Parcel No: 776080020 Site Address: 78815 PINA ST LA QUINTA,CA 92253
Subdivision: TR 24890-4 Block: Lot: 48
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $40,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL, SPA, BBQ AND WATER FEATURE [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE.
ALL FUEL PIPING INSTALLED UNDER A STRUCTURE TO BE SLEEVED AND VENTED. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED
AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. J Applied to Approved
�.
CHR N* L Y.TYPE ''STAFF ?NAME<. ACTION DATE,'
. O O OG
COMPLETION DATE` NOTES
PLAN CHECK SUBMITTAL
PHILIP-JUAREZ
1/13/2015
1/13/2015
RECEIVED
NOTIFIED MIKE W/ MCINTYRE POOLS PLANS WERE
TELEPHONE CALL
JAKE FUSON 1/14/2015
1/14/2015
APPROVED AND PERMIT READY TO ISSUE.
NAME TYPE-
APPLICANT
CONTRACTOR
OWNER
NAME ADDRES51;' CITY
MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO
MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO
MAYLE, LARRY A 611 LIDO PARK DR APT NEWPORT
2C - BEACH
FATE ` ZIP z PHONE FAX EMAIL°
CA 92201
CA 92201
CA 92663
Printed: Thursday, January 15, 2015 10:59:46 AM 1 of 3
CV.STFM.S
FINANCIAL INFORMATION 11
ZATE,
BY"
BSAS SB1473 FEE 101-0000-20306
0 $2.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $0.00
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 for ELECTRICAL: $48.34 $0.00
SWIMMING PCIOL/SPA
101-0000-42404
0
$181.29
$0.00
SW IMMING PCIOL/SPA
101-0000-42600
0
$98.62
$0.00
PC
WATER FEATURE ONLY
101-0000-42404
0
$1.81.29
$0.00
WATER FEATURE ONLY
101-0000-42600
0
$98.62
$0.00
PC
Total Paid for POOL/ SPA., $559.82 $0.00
TOTALS: $610.16 $0.00
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Printed: Thursday, January 15,2U1S1O:59:46AM 2of3 CR&W,Y.q,=AS
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City of La Quin to
Building 8Z Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
b�
Project Address:-
��
Owner's Name:
A. P. Number:
Address: - lufkll
Legal Description:cL-
'-9LU�
City, ST, Zip: 62wo rd
Contractor: C7o
PbdSS)q3
Telephone:Y�.;
Address:
Project Description: S
City, ST,.Zip: aci/1. C9
. oc lZo .
...
Telephone:
State tic. #_:C5'3-6tqt
I I
City Lic: #: I q SOS
Arch., Engr., Designer: ..
.
Address:
City.; ST, Zip:
Telephone:
State Lic: #:
:.Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair, Demo
Name of Contact Person:
(
C
Sq. Ft.:
# Stories: :Iff
Units:
Telephone # of Contact Person: Q -
S'
Estimated Value of Project: d
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
TReq'd
Recd.
TRACIONG '
FERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.:
Reviewed, ready for eerreeftne I t:Sutr
VN.
Plan Check Deposit
-Twss Calcs.
Called Contact Person
I
Plan Check Balance
Title 24 Calcs.
Plans .picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°d Review, ready for corrections/issue
Electrical
Subcontactoe List
Called Contact Person
Plumbing .
Grant Deed
Plans.picked up
S.M.I.
H.O.A Approval
Plans resubmitted
Grading
IN
''" Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees