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