BPOL2017-007678-495 CALLE TAMPICO 4.4to N h.VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92.253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760)777-7153
BUILDING PERMIT
Date: 6/2/2017
Application Number: BPOL2017-0076 Owner:
Property Address: 51380. CALLE TAMAZULA JAMES DAVIS
APN: 77017400451380 CALLE TAMAZULA
Application Description: DAVIS / SPLIT MAIN DRAIN ® LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $9,580.00 JUN 0 2 2017
Applicant: CITY OF LA QUINTA Contractor:
MC INTYRE POOLS & SPAS INC DESIGN AND'DEVELOPMENT UE,4Jrt(UJ€NT MC INTYRE POOLS & SPAS INC .
83-695 AVENUE 45 83-695 AVENUE 45
INDIO, CA 92201 INDIO, CA 92201
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that 1 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 �JC� ��1r Contracto .
OWNER -BUILDER ECLARATION
1 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, orrepair 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 I, 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 I 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 Name:
Lender's Address:
(760)342-3612
Lic. No.: 614611
WORKER'S COMPENSATION DECLARATION
1 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-th0ork for which this permit is issued.
I✓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: WESCO INSURANCE COMPANY Policy Number: WWC325615
_ I certify that in the performance of the work for which this permit is issued, l
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.
Dat1X—QC_/F Applic '
WARNING: FAILURE TO SECURE WORKERS' OMPENSATION 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. i
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 upon the above-
mentioned property for inspection purposes.
DatecI6- Signature (Applicant or Age
"
Date: 6/2/2017 .
Application Number:
BPOL2017-0076
Owner:
Property Address:
51380 CALLE TAMAZULA
JAMES DAVIS
APN:
770174004
51380 CALLE TAIVIAZULA .
Application Description:
DAVIS / SPLIT MAIN DRAIN
LA QUINTA, CA 92253
. Property Zoning:
Application Valuation:
$9,580.00
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 PLASTER DEMO
OVER WORK AREA ONLY - SPLIT MAIN DRAIN PER
2016 CALIFORNIA PLUMBING CODES
FINANCIAL INFORMATION
DESCRIPTION. ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 .$1.00
Total Paid for,BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT,
WATER. SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.67
Total Paid for PLUMBING FEES: $25.34
DESCRIPTION
ACCOUNT
CITY ,
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ern.
Cit}/ Of is . Qi11t1td
Building & 5aky Division
P.O: Box 1504,78-495 Calle Tamplco
14.Quinta, CA 92253 - (760) 777-7012
Building Pennit Application and Tracking Sheet
Permit #
Project Address- _ fes.
wner's Name:. A. � NQ C
FAddress:
C1`J 1^ "
A. "P. Number.
rep Ca/
Q
Legal Description: L Dyoo n r � Alert it d[I'gn City. ST, Zip:
_ a d G.
Contractor. C '� 2e'' Telephon : -O
w
Address:
rL
Project Description: POOL gcl-lo
IC&- kr
City, ST, Zip: 17YH�'
G-RJ AJe(J tka.\Yl '
�� 14
Telephon
,L
d.
TI,1
State Lic. 4: C I� City Lic. #:
Arcfi., Engr., Designer..
AZA
Address:
City, ST, Zip:
Telephone:
State Lia #:
t,/..... ' s
Constriction Type: Occupancy:
Project type (circle one): New Add'n Alter
Repair Demo
Name of Contact Person:
Sq. Ft.: ��
# Stories:
#Units:
Telephone #.of Contact Person:
Estimated Value of Project 75so
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Recd
TRACKING
PERMiT FEES
Plan Sets
Plan Check submitted
Item
Amount
Strgctuial Ca1cs
Reviewed, ready for corrections
Plan Check Deposit.
.
Truss Cales.
Called Contact Pcrsoa
Plan Check Balancq.
Title 24 Cates.
Plans picked up
Construction "
Flood plain plan
Plans resubmitted
Meeharileal.
Grading plan
2a6 Revicw,.ready for correctionsfissue
Electrical
Sabeontactor List
Called Contact Person
Ylumbiag
Graut.Deed
Plans picked up
S 1VLL
H.O.A. Approval
Plans resubmitted
Grading
4 HOUSE:-
''" Review; ready for correctionslissac
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr "
Date of permit issue
School Fees "
Total Permit Fees
a.' .: 1:f �.+ yr. % s..t s t...!`_f ',"i"5 r . : ,� . Fy. w .5. -1 �.vl per.. a. y..� .:,F ,.v "': s.: �.. '.'i a;{. nr..:'b ?'2: s`,�.s(�.'l., Ftc.3s ' S }'• i $n
J
Y. f�
Q
400