BPOL2017-009878-495 CALLE TAMPICO. 4
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPOL2017-0098
Property Address: 48670 VIA SIERRA .
APN: 658200018
Application Description: MCKINNEY RESIDENCE / POOL/SPA REMODEL AT REAR YARD
Property Zoning:
Application Valuation: $40,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
STEWERT MCKINNEY
48670 VIA SIERRA
LA QUINTA, CA 92253
Date: 7/7/2017
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Applicant: Contractor:
F P D SERVICES INC DBA STOKER POOLS F P D SERVICES INC DBA STOKER POOI_
43653 PARKWAY ESPLANADE EAST 43653 PARKWAY ESPLANA�
�.
LA QUINTA, CA 92253 LA QUINTA, CA 92253 �
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: B. C53 License No.: 820
Date:. Contractor.
�i _
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.).
(_) 1, 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:
(760)772-1111
Llc. No.: 820132
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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
ol�nk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Sect 700 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: EVEREST NATIONAL INSURANCE COMPANY 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.
Date: Applicant:/
WARNING: FAILURE TO SECURE WORKERS' COM ENSATION 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 thi o enter upon the
above-mentioned property for inspection purposes.
Dater Signature (Applicant or Agent):
N
L Date: 7/7/2017
Application Number: BPOL2017-0098 Owner:
Property Address: 48670 VIA SIERRA STEWERT MCKINNEY
APN: 65820.0018 48670 VIA SIERRA
Application Description: MCKINNEY RESIDENCE / POOL/SPA REMODEL AT REAR YARD LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $40,000.00 1
Applicant: Contractor:'
F P D SERVICES INC DBA STOKER POOLS F P D SERVICES INC DBA STOKER POOLS
43653 PARKWAY ESPLANAOE EAST 43653 PARKWAY ESPLANADE EAST
t LA QUINTA, CA 92253 LA QUINTA, CA 92253
(760)772-1111
Llc. No.: 820132
•Detail: POOL AND SPA REMODEL AT REAR YARD. DEMO EXISTING BAR STOOLS AND SPA, SPLIT MAIN DRAINS, AND CONSTRUCT NEW RASIED ATTACHED
SPA. [DENISE POELTLER ENGINEERING) THIS PERMIT DOES NOT INCLUDE ALTERATION OR REPLACEMENT OF EXISTING POOL EQUIPMENT. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
- K
DESCRIPTION
ACCOUNT
I
QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $2.00
Total Paid.for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GUNITE ALTERATION
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GUNITE ALTERATION PC
101-0000-42600
0.
• $103.36
Total Paid for POOL / SPA: $293.36
DESCRIPTION
; ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0.
$5.00
Bin #
qf-Building
.City�f LQ QuinLa
81• Safety Division
78-495 Calle Tampico.
La Quinta, CA 92-253.- (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # (�
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Project Address: '7 D ' A
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Owner's Name: G 1 (,o. n
A. P. Number:.' .
Address:t-f?.&F70 ` '
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Legal Description:
City, ST, Zip: (.f_�� z'In
Contractor: f
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Telephone: Phone: �. LO 1
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Address: 433 RAeyIR�OCcProject
Description:
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City, Zip: ST, 01 QU 1-4 l Q'L%J53 .'
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State Lic. # : .a O .'3'�--
City Lic. #;
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Arch., Engr., Designer.(��
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Address:
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City, ST, Zip:
Telephone:
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Construction Type: Occupancy -
State e Lic. #
Project a circle one): New Add'n Alter
J type � ) Repair Demo
Name of Contact Person: TA-O
Sq. Ft:
#Stories:
#Units:
Telephone # of Contact Person: a S 0, 1 Z�-'�j
Estimated Value of Project:4a, coo
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan 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 corrections/issue
Electrical
Subcontactor, List
Contact Person
Plumbing
Grant Deed
FCalled
icked up
S.M.I.
H.O A: Approval
esubmitted
Grading '
IN HOUSE:-
3,d 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