BPOL2015-019278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BPOL2615=0192
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Owner:
ELIA GENTRY
79818:PARKWAY ESPLA
LA QUINTA; CA 92253
Contractor:
MCRAE POOLS & SPAS
79 105 DESERT STREAM
LA QUINTA, CA 92253
VOICE (760) 777-7125
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Property Address:
79818 S -PARKWAY ESPLANADE
AM:
609600020; !,
Application Description:
GENTRY / POOL AND SPA ONLY
Property Zoning:
Application Valuation:
$16,000.00
Y'
Applicant:
MCRAE POOLS & SPAS
79 105 DESERT STREAM DRIVE
LA QUINTA, CA 92253
Date: 9/16/2015
((760)774-6343
jr Llc. No.: 823017
1. r�
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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, C27 License No.: 823017 �1
Da l ^/&—/S— Contractor nm
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
Lender's Address:
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 '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 Code, I shall forthwith
comply with,those provisions.
+
-D' ate /�^ �J Applicanrt-_5'M� At-, 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.
-4. 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 upon the above-
mentioned property for inspection purposes.
Date Signature -(Applicant or Agent):+
f
Y S= v)im`. W4,5=e"��N�UU�m'. N�a*Ta.Ma� .,ll"I g y'.jfo3Y;,YPyXfA� I`DKvD.A�.T�E?Yp DESCRIPTION�-3=,yaam«aF ' .31a
BSA501473 FEE' 101 0000; 20306 `
0 $1 00 ,.. ' $0.00
7 � + , f
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RECEIPT #j"��CHE K #' CLTDBIfy
CES`'""-.:u:i87$'w&"Y.I%r.s:'aY.ES r<.5.�;.vA',#X.{"r.�
Total Paid'forBUILDING STANDARDS ADMINISTRATION BSA $0.00
: �"2 '°'4:
DESCRIPTION
t;' azo ", ."7�°-; sem.° ,'. �. :-"- p - }
-E. kACCOUNT�
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TY ` ENTER;~AMOUNT,>
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PAID
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PAID DATE
SWIMMINGPOOL/SPA
,"-101 0000-42404,'•
0 $18129
$0.00
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#.'`..,,_
QTLY AMOUNT
$
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`MPAID
PAIUOATEx
SWIMMING POOL/SPA PC.
-101 0000-42600 `
$0.00'
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tea,
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CLTD BY
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Total Paid forPOOL /SPA $279 91= $0.00".
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Description: GENTRY / POOL AND SPA ONLY
Type: POOL Subtype: Status:. APPROVED
Applied: 9/2/2015 SKH
Approved: 9/16/2015 SKH
Parcel No: 609600020. Site Address: 79818 S PARKWAY ESPLANADELA QUINTA,CA 92253
Subdivision: TR 29323-1 Block: Lot: 55
Issued:
Lot Scl Ft:.0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $16,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0. No. Unites: 0 ,
Details: POOL --AND SPA ONLY.. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER:SP,,ECIFICATIONS. ALARIVIS'AND
BARRIERS REQUIRED TO REINSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
APPLICANT:
MCRAEPOOLS &SPAS .
79 105 DESERT STREAM
LA QUINTA
CA 92253
DRIVE.
CONTRACTOR
MCRAE POOLS & SPAS
79:105 DESERT STREAM
LA QUINTA
CA 92253
DRIVE
OWNER
ELIA GENTRY
79818 PARKWAY
LA QUINTA
CA 92253 .
ESPLANDE S
Printed: Wednesday, September 16, 2015 2:49:35 PM
1 of 2
SYSTEMS
a Permit Details PERMIT NUMBER
�.r BPOE2,015 0f., µ ;
City of La Quinta
INSPECTIONS
PARENT PROJECTS
BOND INFORMATION
ATTACH M E NTS
Printed: Wednesday, September 16, 2015 2:49:35 PM 2 of 2
SYSTEMS
FINANCIAL
INFORMATION
DESCRIPTION K
:. ACCOUNTS FpY QTY
AMOUNT
PAID
t.: CLTD
PAID BATE rRECEIP,T # .CHECK # ! `METHOD , .; ,.PAID BY fi
T
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION,
$1.00
$0.00
BSA:
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 forPOOL / SPA:
$279.91
$0.00
TOTALS::•
0.0•
INSPECTIONS
PARENT PROJECTS
BOND INFORMATION
ATTACH M E NTS
Printed: Wednesday, September 16, 2015 2:49:35 PM 2 of 2
SYSTEMS
4, .
Bin# ., ...
. , ., .. .. ��ty of La"..:Qurnta
Bulding:8r Safety: Qiliision
P.O. Box?1504, 70.495 Calle Tampico
La Qutnaa, CA` 92253 ., (760) 777-701.2 `
x
Building Permit App6catian arad Tracking Sheet
Permit #
Project Address: — 8 Q A '
, Owner's .77
A. P. Number: X,Address:PAkW&AX.S
Legal Descr' tion:
C�ty'ST, Zip:
LAIy 22
Contractor
Ci S S'
T F.lephone: •<<%v?:.:.:w�:>..;. >3
l ojec+ Descrinr:c;�: 7—/
L..
Address 7 S'
City, S
Zip:CA LA
ry
Telephon :760. y'
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{!i:\\ ti Yi:: :i:::J:•:J::4.'::}:!J:i:vf\''•
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State Lic. #.. •. 7 City. Lie. #: .
Arch., Engr., Des' er:
Address:
City, ST, Zip:
Telephone:
.'�:i\l: .Y•i ...:�'.`�::�•t::��••:�+�:
`•'<>. :'#:z<^'v<si:: #>iConstruction
(�'iyjii�:�;�>:r�W ;�: firijG�%y}f ij'? i �.\�•:9fn
yi�i}•<v:.CvC .... ... :'.: •Y ii/.: :C:!^i:Cvvn:C.
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-
Type: Occupancy:
.
State Lic. #:
�'
ZPrqject 'type (circle one) ., New Add'n Alter Repair 'Demo
Name of Contact Person:Sp / Y 1 �'
Sq. Ft.:
#. Stories:
# Units:
Telephone # of Contact Person: -
Estimated Value ofProjecta,
APPLICANT:•DO NOT WRITE BELOW. THIS, LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
PIan,Check Deposit
Truss Cafes.
Called Contact Person
Plan,Check Balance.
Title 24 Cafes.
..Plans
-picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
20° Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact PersonPlumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
-Grading,
IN HOUSE:-
'rd Review, ready for correctiousrssue
`
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
.Date of permit issue
School Fees
Total:Permit Fees
i
-7 ?-gig >QtaRX&Ay esplA+va6c CITY OF LA QUINTA SUB-CONI_RACTOR. LLS' ��� Y�
e _
PERMIT NUMBER M�am. 'OL�I%WNER ��_�" �rw G
JOB ADDRESS_'.:.,.. = _ . work
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing ::on this list or their employees
work ' nd/oor thedvoidance.
.. L.:.. 1; + mllc+ he 'nnnrnvcri by the Ri ildina Division -prior to commencement of work. Failure to comply- will, result in a stoppage .
on this Job. .Any cnanyes w L1110 11A1
:. requested below must be completed by applicant. "On File" is not an acceptable response.
t ion
Fo ch a licable trade, all information
it. r.ea
of building m permit
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