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BPOL2016-004478-495 CALLE TAMPICO 4 aw VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/7/2016 Application Number: 8POL2016-0044 Owner: Property Address: 53750 DEL GATO DR ALAN & DONNA KINSEL APN: 770370009 Property Zoning: Application Valuation: $50,000.00Applicant: F�- Contractor:MC INTYRE POOLS & SPAS INCMC INTYRE POOLS& SPAS INC 83-695 AVENUE 45 83-695 AVENUE 45 m INDIO, CA 92201 INDIO, CA 92201 a•3 G 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: 3 License No.: 614611 Dat /` G' 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 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 net apply to an owner of property who builds br 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.). (_) 1, 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 (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 th or for which this permit is issued. A Yhave and will maintain workers' compensation insurance, as required by Se on 700 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 complywith ose rovisions. Date: Applicant: C 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 relay to building construction, and hereby authorize representatives of this city to ent pon the above- menth a /property for inspection. purposes. Date: ��� 1 Signature (Applicant or Agent DESCRIPTION - FINANCIAL 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 ACCOUNTQTY. AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 i 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 AMOUNTPAID 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 . Total Paid for POOL / SPA: $279.91 $0.00 TOTALS: $318.17 00 Permit Details PERMIT NUMBER City of La Quinta BPGL'@201"6,*0044 Description: KENSEL / POOL, SPA, AND FIRE PIT . Type: POOL Subtype:. Status: APPROVED Applied: 4/5/2016 SKH Approved: 4/7/2016 JJO Parcel No: 770370009 Site Address: 53750 DEL GATO DR LA QUINTA,CA 92253 Subdivision: TR 28867 Block: Lot: 108 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $50,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 $2.00 Details: POOL, SPA, AND 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. ADDITIONAL CHRONOLOGY CONDITIONS FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: CONTACTS $0.00 NAME TYPE NAME ADDRESSI 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 ALAN & DONNA KINSEL 1001 NW LOVEJOY ST #PH3 PORTLAND OR 97209 Printed: Thursday, April 07, 2016 5:25:11 PM 1 of 2 J SYSTEti1S FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00 Printed: Thursday, April 07, 2016 5:25:11 PM 1 of 2 J SYSTEti1S PARENT PROJECTS Printed: Thursday, April 07, 2016 5:25:11 PM 2 of 2 SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY 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 Total Paid for POOL / SPA: $279.91 $0.00 TOTALS:$0.00 INSPECTIONS PARENT PROJECTS Printed: Thursday, April 07, 2016 5:25:11 PM 2 of 2 SYSTEMS F � t Bin # o Sq. Ft.: City of La Quints 9 #.Units: Telephone* of Contact Person: 760 — SO Building 81' Safety Division P.O:'Box 1504, 78-495 Calle Tampico . ipqrrnit�# # Submittal La Quinta, CA 92253 - (760) 777-701.2 Building Permit -Tracking Reed TRACMG Application and Sheet Project Address: '� J '— Owner's Name: .,e A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: S 3 Telephone: . •< :,:: Address: — 05 Project Description: . City, ST,.Zip: �Jil/1 I I�J� oZ0 Telephone: 7M — -3e a . . 192 Plan Check Deposit City Lic: #t ' qS Arch., Engr., Designer .. . Address: .Called Contact Person City.; ST, Zip: Plait Check Balance Telephone: :'Construction Type: Occupancy: State Lia. #: Project type (circle one): New Add'rt Alter Repair Demo Name of Contact Person:C Sq. Ft.: #Stories: #.Units: Telephone* of Contact Person: 760 — SO Estimated Value of Project: ('21 _. . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACMG PERMIT FEES Pian Sets Plan Check submitted Item Amount .Structural Calcs., Reviewed, ready for corrections Plan Check Deposit Truss Calcs. .Called Contact Person Plait Check Balance 1.IYfle 24 Calcs. Plans .picked up Construction, Flood plain plan Plans resubmitted Mechanical Grading plan 2n1 Review, ready for correctious!ussye ElectPical Subcontactor Ust Called Contact Person Plumbing . Graut Deed Plaas.picked up S M.L A.O.A. Approval Plans resubmitted Grading IN-HOUSE::.' Reyiew, ready for correctionsfissue Developer Impact Fee ' Planning Approval Called'Contact Person A.LP.P. Pub. Wks. Appr Date of permit issueEQ, 11Fw I — School Fees APR.. 5 Total Permit Fees If UF COMMMYDEVELOPMENT