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BPOL2016-013878-495 CALLE TAMPICO C 0 D i4�IlfCl/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2016-0138 Property Address: 78571 DEACON DR E APN: 770220007 Application Description: SUN VISTA DEVELOPMENT/ POOL AND SPA Property Zoning: Application Valuation: $30,000.00 Applicant: MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO, CA 92201 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 /-? DaterContractor:!%6'""C 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 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).: (_) 1, 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 Lender's 0 0 Owner: SUN VISTA DEVELOP Iq Coftp P 0 BOX 1144 C/3 LA QUINTA, CA 9224 Contractor: MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO, CA 92201 (760)342-3612 Llc. No.: 614611 7-7125 7-7011 7-7153 8/2016 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 tOwfor 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: WESCO INSURANCE COMPANY Policy Number: WWC3081632 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 t se pr visions. Date: q12A111 Applicant: Ay 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. 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 up the above -mention fpr erty for inspection purposes. Date: t/ ` Signature (Applicant or Age Date: 9/28/2016 Application Number: BPOL2016-0138 Owner: Property Address:' 78571 DEACON DR E SUN VISTA DEVELOPMENT CORPORATION APN: 770220007 P 0 BOX 1144 Application Description: SUN VISTA DEVELOPMENT/ POOL AND SPA . LA QUINTA, CA 92247 Prolierty Zoning: Application Valuation: $30,000.00 Applicant: Contractor: MC INTYRE POOLS & SPAS INC MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 83-695 AVENUE 45 . INDIO, CA 92201 INDIO, CA 92201 (760)342-3612 --------------------------------------------------------------------------------------------- Llc. No.: 614611 Detail: POOL AND SPA ONY. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. i v � r•►�x a��st.yt FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY 'AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STAN DARDS'ADMINISTRATION BSA: $2.00 DESCRIPTION ACCOUNT QTY AMOUNT SWIMMING POOL/SPA 101-0000-42404 0 $181.29 DESCRIPTION ACCOUNT QTY AMOUNT SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 Total Paid for POOL / SPA: $279.91 i v � r•►�x a��st.yt Bin # City Of -La Qillnta Req'd Reed TRACKING PERMIT FEES 6 - Building eZ Safety Division Plan Sets 'Box 1504, 78-495 Calle Tampico �Pertnit # ✓r`UL 2010%� La Quilita, CA 92253 - (760) 777-7012 -Tracking Sheet Reviewed, ready for corrections Plan Check Deposit Building Permit Application and Project Address: ` r Irl Owner's Name: A. P. Number: Address: ^ lap- a --Legal -LegalDescription: City, ST, Zip: t-,,ca);VJ0 - Contractor: Clvi te odSS43 Telephone: Address: — 05 Project Description: S City, ST,.Zip:La Q;04a C14 07;!o 1. Telephone: 70 — H �,3 (1. . Called Contact Person Plumbing - State tic. # :CTS ` ,%. • 1 • City Lic: #,.'Iq.qS Arch., Engr., Designer. :. . Address: Plans resubmitted Grading ; City.; ST, Zip: IN Telephone: :'Construction Type: Occupancy: St£te Lk. #: µ - a a . Project type (circle one): New Add'a Alter Repair Demo Name of Contact Person:C Sq. Ft.: # Stories: #.Units: Telephone # of Contact Person: () —S' Estimated Value of Project• . , APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets PIan Check submitted Item Amount Structural Calcs.. Reviewed, ready for corrections Plan Check Deposit Truss Cnlcs. ..Called Confect Person Plait Check Balance 1.11de 24 Calcs. Plans picked up Construction, Flood plaln plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionsfissye Electrical Subcontactor List Called Contact Person Plumbing - Grant Deed Plans.picked up S.M.I. H.O.A. Approval Plans resubmitted Grading ; IN 3d Review, ready for correctionsiissue Developer Impact Fee Planning Approval • Called Contact Person A.LP.P. -rub. Wks. Appr ` Date of permit issue School Fees , jotal Permit Fees