BPOL2014-104578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BPOL2014-1045
80165 VIA CAPRI
Td., 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
777100060
POOL SPA WATER FEATURE FIR
$40,000.00
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
Date: Contractors
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).:
(_) 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 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/25/2014
Owner:
KELLEY ENTERPRISES INC
5042 COOPER PT RD NW
OLYMPIA, WA 0
Contractor:
MC INTYRE POOLS & SPAS INC
83-695 AVENUE 45
INDIO, CA 92201
(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
the work 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 I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Cod I shall forthwith
comply with thh77 a prov/ons. '
Date OL/ l% Applicant:
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 he above-
mentioned pro erty f r inspection purposes.
Date:.. Signature (Applicant or A ear ti. _
DESCRIPTION' «. ` .
FINANCIAL INFORMATION
_- ACCOUNT
QTY AMOUNT
PAID'
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $2.00
$0.00
PAID BY, .
METHOD `: Y
-RECEIPT.# ,r
'CHECK # :
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00
_ rDESCRIPTION
v 'ACCOUNT
QTY
AMOUNT
PAID ''''.
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$11.92
$0.00
PAID. BY _
METHOD
RECEIPT,#`
..,CHECK #"p
-CLTD BY
DESCRIPTION '
ACCOUNT
QTY
AMOUNT'
PAID ` '; '.
PAID DATE'
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$23.83
$0.00
z ' • . ` PAID BY -.
METHOD
RECEIPT# -' ti`
CHECK #,-`
"CLTD BY",
Total Paid for PLUMBING FEES: $35.75 $0.00
-DESCRIPTION
ACCOUNT.
QTY_
AMOUNT
"PAID. .� ' ` `
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$178.75
$0.00
PAID BY
,
r' METHOD
RECEIPT #
CHECK #'
-.CLTD BY.
x DESCRIPTION. t ':
'ACCOUNT
QTY
AMOUNT,
PAID ..
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$97.24
$0.00
PAID BY z-
METHOD',
RECEIPT -#CHECK
#`t'_
CLTD BY
Total Paid for POOL/ SPA: $275.99 $0.00
TOTALS:00
,u,
Description: POOL SPA WATER FEATURE FIRE PIT
Type: POOL Subtype:
Status: SUBMITTED
Applied: 8/20/2014 PJU
Approved:
Parcel No: 777100060 Site Address: 80165 VIA CAPRI LA QUINTA,CA 92253
Subdivision: TR 29894-2 Block:
Lot: 29
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $40,000.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
INDIO CA
Details: POOL SPA WATER FEATURE, AND FIREPIT. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010
CALIFORNIA BUILDING CODE.
CONDITIONS
FAX x
EMAIL
NAME TYPE
NAME
.- . ADDRESSI . `
CONTACTS
CITY STATE
ZIP'-
PHONE
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
KELLEY ENTERPRISES INC
5042 COOPER PT RD
NW
OLYMPIA WA
0
Printed: Monday, August 25, 2014 4:25:16 PM 1 of 2PW
RWVCTF-C
Description: POOL SPA WATER FEATURE FIRE PIT
Type: POOL Subtype:
Status: SUBMITTED
Applied: 8/20/2014 PJU
Approved:
Parcel No: 777100060 Site Address: 80165 VIA CAPRI LA QUINTA,CA 92253
Subdivision: TR 29894-2 Block:
Lot: 29
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $40,000.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: POOL SPA WATER FEATURE, AND FIREPIT. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010
CALIFORNIA BUILDING CODE.
ADDITIONAL SITES
CONDITIONS
DESCRIPTION ? ACCOUNT . , ., ' , `QTY, AMOUNT PAID" PAID DATE' -RECEIPT #. CHECK # METHOD_ PAID BY CLTD
BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $2,00 $0.00
BSA:
Printed: Monday, August 25, 2014 4:25:16 PM 1 of 2 CRW"' .
Bin #
7 City of La Quinta
�' \�� Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # �b
Project Address: r 'I C4
Owner's Name:Ife
A. P. Number: (9
Address:
Legal Description:
City, ST, Zip:
Contractor: C'T� f� S S
Telephone:�`N "'��
Project Description: l�
Address: — 015 Jf 1�_S_
n
City,ST,.Zip: (J�Jifl CO20.
Telephone: 7ff) - 9
State Lic. # : C 5� - City Lic: # �5
Reviewed, ready for corrections
Arch., Engr., Designer . .
Plan Check Deposit
Address:
Truss Calcs.
City., ST, Zip:
Telephone:
State Lic: #:
Name of Contact Person: a
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories: #.Units:
Telephone # of Contact Person: 7 KJ() - S
Estimated Value of Project:
' APPLICANT- Dn NAT WRITr- RFI nW Tum 1 INF /
H
Submittal
Req'd
Recd
TRACKING
PERMTr FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales..
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2i° Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing .
Grant Deed
Plans.picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
WHOM-
''' Review, ready for correction ue
_ �
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
T tICn
-�our
AUG 1 9 2014
Cn Y ®F IA'.QUXNTA
COMMUNM DEVELOPMENT