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BPOL2016-008178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 1. `&tit44Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2016-0081 Property Address: 52560 DEL GATO DR APN: 770290004 Application Description: BIHARI / POOL, SPA, FIRE PIT, BBQ, AND FRONT WATER FEATURE Property Zoning: z C_� w Contractor: i cn c s a W MC INTYRE POOLS & SPAS INC�I W 83-695 AVENUE 45 co g INDIO, CA 92201 C (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 thk for which this permit is issued. 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 l•should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith complywith �� G6 pfovisions. Date: Aoolicant: 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 sdbject 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 u on the above me{ntio/ed Goperty for inspection purposes. Signature (Applicant or Agent DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY METHOD RECEIPT # 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 RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID, PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY :DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY . Total Paid for PLUMBING FEES: $36.26 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $0.00 PAID BY METHOD RECEIPT #, CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER FEATURE 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD RECEIPT.# CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID . PAID DATE WATER FEATURE PC .101-0000-42600 0 $98.62 $0,00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for POOL / SPA: $559.82 $0.00 Description: BIHARI / POOL, SPA, FIRE PIT, BBQ, AND FRONT WATER FEATURE Type: POOL Subtype: Status: APPROVED Applied: 5/26/2016 SKH Approved: 6/1/2016 JJO Parcel No: 770290004 Site Address: 52560 DEL GATO DR LA QUINTA,CA 92253 Subdivision: TR 28470-2 Block: Lot: 4 Issued: Lot Sq Ft:.O Building Sq Ft: 0 Zoning: Finaled: Valuation: $50,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 MC INTYRE POOLS & SPAS INC Details: POOL, SPA, FIRE PIT, BBA, AND WATER FEATURE. GAS LINE TO BE SLEEVED WHERE REQUIRED AND DECK TO DRAIN PER APPROVED GRADING PLAN. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. CHRONOLOGY q��I liq 11111111111 11 NAME,,, TYPE,..,...;, ... ,,,.. IVAIVIE,,,,., A6�iitLS�1 CONTACTS11111111111 CITY STATE , ... ZIP ......... PHONE FAX EMAIL 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 A DOMS 101 N POINSETTIA AVE MANHATTAN BEACH CA 0 Printed: Wednesday, June 01, 2016 2:00:46 PM 1 of 2 SYS TENiS DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY 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 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 101-0000-42600 0 $98.62 $0.00 PC WATER FEATURE 101-0000-42404 0 $181.29 $0.00 WATER FEATURE PC 101-0000-42600 0. $98.62 $0.00 Total Paid for POOL / SPA: $559.82 $0.00 TOTALS:.4. 0i INSPECTIONS BOND INFORMATION ATTACHMENTS Printed: Wednesday, June 01, 2016 2:00:46 PM 2 of 2 SYSTEMS Bin # iPe�mft�# inI 52y(�p City of La Quhta. Building 8t Safety Division. P.O. Box 1504, 78-495 Calle Tampico . . � 4 Quinta, CA 92253 - (760) 777-70 t2 Building Permit Application and Tracking Sheet Project Address: _ ��. Owner's Name: A. P. Number. Address: Legal Description: City, ST, Zip: Contractor:Cry S S Telephone: Address: Project Description: ' /-� n City, ST,.Zip: Q);0-6 .114 .9)g,01. Telephone: 7M -Yl l L, 3G X State Lie. # : C SS - I. Lf t I City Lic: #: I qS Arch., Engr., Designer .. . Address: City.; ST, Zip: Telephone: State Lic. #: Name of Contact Person:0 VP 'Construction Type: Occupancy: Project type (circle one): New Add'b. Alter Repair Demo e Sq. Ft.: # Stories: #.Units: Telephone # of Contact Person: -76() - S . ` Estimated Value of Project: t% APPLICANT: DO NOT WFirrE BELOW THIS LINE # Submittal Req'd Rec'•d TRACMG PERMIT FEES Plaa Sets Plan Check submitted Item Amount Structural Calcs., Reviewed, ready for corrections Plan Check Deposit Truss Cales.•Called Contact Person Plan Check Balance Title 24 Cales. Plaw picked UP ' Flood plain plan Plans resubmitted ru' Grading plan tad Review, ready for corrections/issye rElectHchl Subcontactor List Called Contact Person Grant DEed Plans 6icked nn Total Permit FeesED MAY 2 6 2016 CITY OF LA QUINTA COMMUNITY DEVELOPMENT A.O.A. Approval Plans resubmitted Grading IN-HOUSE:- '"' Review, ready for correctionsfissue Developer Impact Planning Approval Called Contact Person A.LP.P. -Pub. Wks. Appr Date of permit issue School Fees Total Permit FeesED MAY 2 6 2016 CITY OF LA QUINTA COMMUNITY DEVELOPMENT