BPOL2015-018878-495 CALLE TAM PICO
LA QUINTA; CALIFORNIA 92253 ,COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number: BPOL2015-0188 Owner:
Property Address: 53601 AVENIDA VILLA SHAWN PACMAHON
APN: 774133017 53601 AVENIDA VILLA
Application Description: MCMAHON SHAWN POOL SPA BLOCKWALL LA QUIN—A, CA 92253
Property Zoning:,
Application Valuation: $20,000.00
Applicant: Contracbr:,
ALEX TORRES OWNER 3UILDER
Llc. No.:
Date: 9/1/2015
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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: _ License No.:
Date: 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
permRa,
bjects the applicant to a civil penalty of not more than five hundred dollars
($50
��� owner of the property, or my employees with wages as their sole
pensation, 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
die or a did not build or improve for the purpose of sale.).
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
Own
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:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of per ury 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 :he performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carri � Policy Number:
_
aertify that in the perfo mance 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, an j agree that, if I should become subject to the
workers' compensation provisions d Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Appli:ant—
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLAFS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PRGVIDED FOR,IN SECTION 3706 OF THE LABOR CODE;
INTEREST, AND ATTORNEY'S FEES.
APPLICA AT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby .made to the Building Official for a permit subject to
the conditions and restrictions set f-brth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit wort: is performed under or pursuant to any permit
issued as a result of this applicatior. , 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 : elated to the work being performed under or
following issuance of this permit.
I Any permit issued as a result cf 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 :ounty ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspectionpurposes. /J
Dat�r Signature (Applicant or Agen : �!,
FINANciALINFORMATION'.,
'-� .DESCRIPTION"=fir f` Xk�a_
r ACCOUNTr Y
$QTY.
AMOUNT
K # ¢ `PAID�s x PAID DATE.
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
f'{ r.Ez.:r3e {` •E:34X
£ `4
�"'s-
METH OD?,RECEIP,T
#. :`>
g CHECK #�� q CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA ' $1.00 $0.00
t,z:
ACCOUNT tse,3
TY
AMUNT�a
PAIDn
DATEDESCRIPTION
D
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
P � PAID_$Y f + ' � �
.. .
{', fr� jhMETHOD f y.. � r .
r RECEIPT # # ` ,
; CHECK #_
CLTD BY:
DESCRIPTION]
$ Yp gACCOUNTQTYk
kAMOUN.
PAID'
xPAIDDATEx
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00
} PAID BY
: nu
fi METHOD <s' ..c a' 1
~RECEIP..T #x
y. -.
CHECK #
Total Paid forFENCE OR FREESTANDING WALL $108.77 $0.00-
0.00" .
J.�' * DESCRIPTION' 9i
_>: .L. %..>£ " ..«- --.... ..� a w, -.-{ m T, -..
-:-
' : ACCOUNT
. -';-a ...w.• ..T S F it�, a:.. _, «i. " 4
QTY
-
AM0UN x�x
r PAID,:b"
.'� '�s/s+�
�PAID'.DATE
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
i r �. ofaEPAID aBY, ":<" i`
'0 4METHOD'k # �'kRECEIPT
# s.:
k CHECK # a"
CLTD BY
t;DESCRIPTION
ACCOUNTOa, �eF
QTY
id'AMOUNT a 3$
s.'' g� PAID E
40AID DATE!
SWIMMING POOL/SPA PC
101-0000-42600,
0
$98.62
$0.00
•ryPAIDBYx� y`` ?
`METHOD' I`-
'RECEIPT#
CHECK#CLTDBY
Total Paid for POOL / SPA $279.91 $0.00
TOTALS:••
f\
..
Description: MCMAHON SHAWN POOL SPA BLOCKWALL
Type: POOL Subtype: Status: APPROVED
Applied: 8/31/2015 PJU
Approved: 8/31/2015 KKI .
Parcel No: 774133017 Site Address: 53601 AVENIDA VILLA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 242 Lot:'S
Issued:
UNIT 23
Lot Scl Ft: 0 Building S l Ft: 0 Zoning:
Finaled: ,
Valuation: $20,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
�,
Details: POOL, SPA, WITH 60 LF AT 5 FOOT HIGH EQUIPMENT WALL. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH
MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013
CALIFORNIA BUILDING CODE.
n ADDITIONAI`IiES
FINANCIAL INFORMATION
Printed: Tuesday, September 01, 2015 4:54:09' PM 1 of 3
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ACTION DATE OMPLETIO.N NOTES
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PLAN CHECK SUBMITTAL
PHILIP JUAREZ
8/31/2015
8/31/2015 sent back to philip 8-31-15
RECEIVED
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CONTACTS
NAMETYPEz_
NAME
ADDRESSI>. rt CITY STATE ZIP EFAX EMAIL,
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APPLICANT
ALEX TORRES
CONTRACTOR OWNER BUILDER
OWNER SHAWN MCMAHON
53601 AVENIDA VILLA
LA QUINTA CA 92253
FINANCIAL INFORMATION
Printed: Tuesday, September 01, 2015 4:54:09' PM 1 of 3
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Printed: Tuesday, September O1,ZO154:54:09PN1 ` ~ 2of3
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BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$0.00
100 LF PC
Total Paid forFENCE OR FREESTANDING WALL- $108.77 $0.00
SWIMMING PCICIL/SPA
101-0000-42404
0
$181.29-
$0.00
SWIMMING POCIL/SPA
101-0000-42600
0
$98.62
$0.00
PC
Total Paid for POOL SPA: $279.91 $0.00
TOTALS: $389.68 $0.00
` -
'
.
Printed: Tuesday, September O1,ZO154:54:09PN1 ` ~ 2of3
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Bin City of La Quinta
Cj Building 8t Safety Division
Perm' 1 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
v Building Permit Application and Tracking Sheet '
Project Address: - (O b V i La Owner's Name: A H b4
A. P. Number:
Address: ^ 4,G 1 'V 1 L L
Legal Descriptions
City, ST, Zip: 0-vt /k
Contractor:i s,
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Telephone:
Address:
Project Description:
City, ST, Zip:
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Telephone:
State Lic. # :
City Lic. #.:
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Arch., Engr.; Designer:
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Address:
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e one:
Constructit n Type: aneY
Occupancy:
:
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Pr J'eet tYPa (circle one • New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone #, of Contact Person:
—24
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Estimated Value of Project: �6 �O d d
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APPLICANT: DO NOT WRITE BELOW THIS LINE
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Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
3
Item
Amount .
Structural Calcs.
Reviewed, ready for corrections
Plan Cbeck Deposit
Truss Cates.
Called Contact Person
Plan Cbeck Balance
Title 24 Calcs.
Plans picked up
Constraction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for-corrections/issue
Electrical
Subcontactor List
Called Contact Person
PlumbLzg
Grant Deed
Plans picked up
S.M.I.
I-I.O.A. Approval
Plans resubmitted
Grading
1N HOUSE:-
'"! Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
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777
v
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r.o. ftx 104
4012
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'�CITY`OF LA QUINTA SUB -CONTRACTOR LIST
JOB ADDRESS r//
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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 are authorized to work
,on this job. Any changes to this list must be approved by the Building .Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance .
of building permit. F.or each applicable trade, all information -requested below must be completed by. applicant. "On File" is not an acceptable response.
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