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BPOL2016-0080I - r 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: g53 if License No.: 614611 /moi D�� a �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).: (_) 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 Ad 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 wor for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Secti.A 00 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 th a pr isions. . P Date: /G 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 lawsrelating o building construction, and hereby authorize representatives of this city to enter u n the above -men ' n property for inspectionpurposes. Da4// 4 6 Signature (Applicant or Ageloo 78-495 CALLE TAMPICO 4aw VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX Q760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Da 6/1/2016 Application Number: BPOL2016-0080 Owner: Property Address: 80750 VIA MONTECITO CATHY & SCOTT SPEHAR APN: 777400020 Property Zoning: Application Valuation: $50,000.00 _ a Applicant: Contractor: <'� z n MC INTYRE POOLS & SPAS INC MC INTYREYOOLS & SPAS INC v i_ 83-695 AVENUE 45 83-695 AV E 45 INDIO, CA 92201 INDIO, CA 92201 : o U (760)342-3612 Llc. No.: 614611 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: g53 if License No.: 614611 /moi D�� a �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).: (_) 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 Ad 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 wor for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Secti.A 00 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 th a pr isions. . P Date: /G 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 lawsrelating o building construction, and hereby authorize representatives of this city to enter u n the above -men ' n property for inspectionpurposes. Da4// 4 6 Signature (Applicant or Ageloo T DESCRIPTION FINANCIAL INFORMATION 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 ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE- DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # : CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNTQTY AMOUNT'. PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 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 CITYAMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD RECEIPT q 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 DESCRIPTION ACCOUNT CITY AMOUNT " PAID PAID DATE •WATER FEATURE 101-0000-42404 0 $362.S8 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY -. • ,AMOUNT PAID PAID DATE WATER FEATURE PC 101-0000-42600 0 $197.24 $0.00. PAID. BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for POOL / SPA: $839.73 $0.00 ` Permit Details PERMIT NUMBER City of La Quinta BP00016.'oo 0 e Description: SPEHAR / POOL, SPA, FIRE PIT, BBQ AND (2) WATER FEATURES Type: POOL Subtype: Status: APPROVED Applied: 5/19/2016 SKH Approved: 6/1/2016 JJO Parcel No: 777400020 Site Address: 80750 VIA MONTECITO LA QUINTA,CA 92253 Subdivision: TR 29894-4 Block: Lot: 74 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $50,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ADDRESSI Details: POOL, SPA, FIRE PIT, BBQ, AND TWO WATER FEARURES. GAS LINES SHALL BE SLEEVED WHERE REQUIRED, DECK SHALL DRAIN PER APPROVED GRADING PLANS. 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 SITES CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO CA 92201 (925)324-5387 CONTRACTOR MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO CA 92201 (925)324-5387 OWNER CATHY & SCOTT SPEHAR 118 DEER RIDGE PLACE DANVILLE 94506 (925)324-5387 OWNER 1 CATHY & SCOTT SPEHAR 118 DEER RIDGE PLACE DANVILLE 94506 (925)324-5387 FINANCIAL INFORMATION Printed: Wednesday, lune 01, 2016 1:57:54 PM 1 of 3 CI?W.IYSTEMS DESCRIPTION ACCOUNT CITY 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 $2.00 $0.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0- $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 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 PC 101-0000-42600 0 $98.62 $0.00 WATER FEATURE 101-0000-42404 0 $362.58 $0.00 WATER FEATURE PC 101-0000-42600 0 $197.24 j $0.00 Total Paid for POOL / SPA: $839.73 $0.00 TOTALS:00 Printed: Wednesday, June 01, 2016 1:57:54 PM 2 of 3 CRWlYSTEMS BOND INFORMATION Printed: Wednesday, June 01, 2016 1:57:54 PM 3 of 3 J SYST[MS IR Bin # , , City of .La Quinta. Building 8t Safety Division iPelmh�# P.O. Box 1504, 78-495 Calle Tampico . �✓✓�� dd La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: a V — 5 V.r' � ( Wo Uh per's Name: e Or A. P. Number: Address:12 SU . Ul Legal Description: City, ST, Zip: Contractor:C Telephone: r �� f� 5 S eP Address: —.05ninf Project Description:PA City—ST-1—ZipST-1-Zip ta QJ 0 09W 020 . Telephone: 70 — ILI 2-3G X..4 State Lie. # : C 53 - I. [ City Lic_ #; qS Arch., Fngr., Designer . . Address: City; ST, Zip: Telephone: Const action Type: Occupancy: State Lie. #:„ Project type (circle one): New Add'n' Alter Repair Demo Name of Contact Person: e Sq. Ft : #Stories: #.Units: Telephone # of Contact Person: Estimates Value of Project - API il rojectADPI ICA IUr. nf% nlr►T 1AMr 1 --'bo ^ur r1 —'2 wr 4 Submittal Req'd Rec'd TRACENG. PBRwrFm 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 2nd Review, ready for correctionslissye Electrical Subcontactor List Called Contact Person Plumbing. Grant Deed Plans.picked up S.M L I•LO.A. Approval Plans resubmitted Grading INHOUSF,:= '”' Review, ready for correctionsfissue Developer Impact Fee Planning Approval ' Called Contact Person A.LP.P. Pub. Wks. Appi Date of permit issue School Fees Total Perini MAy 2 g 2016 L CITY OF �'�EL pMENT r►rMMUtJjV D