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BPOL2014-101278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BPOL2014-1012 T4 4 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 53306 VIA DONA . APN: 777420001 Application Description: POOL/SPA AT REAR YARD W/COURTYARD WF r Property Zoning: Application Valuation: $38,900.00 Applicant: MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO, CA 92201 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/15/2014 Owner: MICHAELTOWNSEND 6925 ADERA ST VANCOUVER BC CANADA V6P, C2 0 Contractor: MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45� INDIO, CA 92201 IIn1 (760)342-3612 Llc. No.: 614611 JUL 15 2014 -------------------------------------------------------- COMMUNFf'r UEVELCPMENTDEPARTMENT LICENSED CONTRACTOR'S DECLARATIO I hereby affirm under penalty of perjury that I am licens4l unde ovisions.of Chapter 9 {commencing with Section 7000) of Division 3 of the B siness d Professions Code, and my License is in full force and effect. License Class: C53 License No.: 614611-- Date: ? .—( k contractor: OWNER -BUILDER ECLAR TION I hereby affirm under penalty of perjury that I m exe pt from the Contractor's State License Law for the following reason (Sec. 703 .5, B iness and Professions Code: Any city or county that requires a permit to constru er, 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.). (_) 1 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 WORKER'S COMPENSATION DECLARATIO 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 Sect on`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 ofthe work or which t i permit is issued, I shall not employ any person in any manner so as to be me sub o the workers' compensation laws of California, and agree that, if I sh uld beco subject to the workers' compensation provisions of Section 3700 of a Labgf C de, I shall forthwith comply with those provisions. 62 Applicant:� v --7';C- WARNING: FAILURE TO SECURE WORKER' COMP SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TOC IMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1q000y IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED Mfft 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 in /rp 6 is correct. I agree to comply with all city and county ordinances and state la o building construction, and hereby authorize representatives of J_to tthe above- mentioned property Viection purposes. nature (Applicant or Age FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 7/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MC INTYRE POOLS & SPAS INC CHECK R386 20799 AOR Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $2.00 $2.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DETACHED SPA/WATER FEATURE/OTHER 101-0000-42404 0 $178.75 $178.75 7/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MC INTYRE POOLS & SPAS INC CHECK R386 20799 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE 'SWIMMING POOL/SPA 101-0000-42404 0 $178.75 $178.75 7/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MOINTYRE POOLS & SPAS INC CHECK R386 20799 AOR ` ESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE = -SWIMMING POOL/SPA PC 101-0000-42600 0 $97.24 $97.24 7/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MC INTYRE POOLS & SPAS INC CHECK R386 20799 AOR Total Paid for POOL/ SPA. $454.74 $454.74 TOTALS: Bin # Permit # Pr9jecA1ddress:a3- 306 Via Qty 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 Owner's Name: Donn' A. P. Number: Address: _ 3 1,c, DoyiQ Legal. Description: Pr, ml 3 QCA City, ST, Zip: Contractor:ee' PC) t7 J Telephone:r '•.>:<':k`.>->><^< s%i; Address: g36 2 51A15 • Project Description: I City, ST, Zip: Z� r Telephone: (760) 3 State Lic. # :4053 .614,611City Lic. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: ;;;;;< .. ':"> ='.::''; :State Construction Type: Occupancy Lic. # roJPect nPa circle one): New Add'n Alter Repair Demo Name of Contact Person:Za% SGL • Sq. Ft.:. # Stories: # Units: Telephone #,of Contact Person: C d 2-S-0- Estimated Value of Project: APPLICANT:. DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Rec'd TRACKING PERMIT FEES. Plan Sets Pian Check submitted Item Amount Structural Calcs. 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 2" Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Gradin IN HOUSE: '`" Review, ready for corrections(ssue 1 Dcvelo r c e Planning Approval Called Contact Person Ab I.P.P. Pub. Wks. Appr Date of permit issue JUL School Fees C ITY coMMUNrp, n Ila 01044�0 Total Permit Fees