BPOL2017-0033J\ .
78-495 CALLE TAMPICO D
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number: BPOL2017-0033 Owner:
Property Address: 81127 COLUMBUS WY������ CHANG
APN: 767670029
Application Description: CHANGE / POOL SPA WATER FP
NDMWI-3 12017 LA QUINTA, CA 0
Property Zoning:
Application Valuation: $70,000.00
CITY OF LA (QUINTA
Applicant: DESIGN AND DEVELOPMENT DEPARTMEN Contractor:
MC INTYRE POOLS & SPAS INC MC INTYRE POOLS & SPAS INC
83-695 AVENUE 45 83-695 AVENUE 45
INDIO, CA 92201 INDIO, CA 92201
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class -,C53 License No.: 614611
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, after, 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 contractors) 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
Lender's Address:
(760)342-3612
Llc. No.: 614611
Date: 3/30/2017
WORKER'S COMPENSAT.ON 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 370C of the Labor Code, for the performance
of the work for which this permit is issued.
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: WESCO INSURANCE COMPANY Polity Number: WWC325615
I certify that in the performance of -he work for which this permit is issued, I
shall not employ any person in any manner so 35 to become subject to the workers'
compensation laws of California, and agree thed, if I should become subject to the
workers' compensation provisions of Section 3 700 of the Labor Code, I shall forthwith
comply with ose pr isions.
Date: Applicant:
JF
WARNING: FAILURE TO SECURE WORKERS' COLA PENSATION COVERAGE IS;UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIML PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOF 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 owne-, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the --ity 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 applic-ition becomes null and void if work is
not commenced within 180 days from date of lasuance 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 upo he
above -menti ned pr erty for inspection purposes.
Date: Signature (Applicant �3r Age
Date: 3/30/2017
Application Number:
BPOL2017-0033 Owner:
Property Address:
81127 COLUMBUS WY CHANG
APN:
767670029
Application Description:
CHANGE / POOL SPA WATER FEATURE AND FIRE PIT LA QUINTA, CA 01
Property Zoning:
Application Valuation:
$70,000.00
Applicant: Contractor:
MC INTYRE POOLS & SPAS INC MC INTYRE POOLS & SPAS INC
83-695 AVENUE 45 83-695 AVENUE 45
INDIO, CA 92201 INDIO, CA 92201
(760)342-3612
Llc. No.: 614611
---------------------------------------------------------------------------------------------
Detail: POOL, SPA, AND FIRE PIT AT REAR YARD WITH WATER FEATURE AT FRONT COURTYARD [DENISE POELTLER ENGINEERING]. THIS PERMIT DOES NOT
INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
FINANCIAL INFf)RMATInN
DESCRIPTION
ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 .0 $3.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $3.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$25.33
Total Paid for PLUMBING FEES: $38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DETACHED SPA/WATER FEATURE/OTHER
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
IQTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
1QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$103.36
Total Paid for POOL; SPA: $483.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00'
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin # City of La Quinta
Building 8z Safety Division
Pelmit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:
U
Owner's Name: C GllGks
A. P. Number.
Req'd
Address:
Legal Description: 2 4S
PERMIT FEES
City, ST, Zip:
Contractor: C-jo to
S S
�
Telephone: y 4.` �..•:�c' ..a` °'s
Address: Irc
Project Description: S
n
City, ST,.Zip: Q);0 Cts
) 020
: /Y
Telephone: 70 - 9 a -3C
c
statetic. # : C S3 -61., t
City Lie: #; �S
Arch., Engr., Designer .
Truss Calcs.
Address:
Called Contact Person
City.; ST, Zip:
Telephone:
State Lic: #:
Name of Contact Person:e
1•
r�
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
#.Units:
Telephone # of Contact Person: 7 U -
S . `
Estimated Value of Project:
APPLICANT:
DO NOT WRITE BELOW THIS LINE /
#
Submittal
Req'd
Recd
TRACIGNG
PERMIT FEES
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 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2id Review, ready for correctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN-HOUSE:-
"d Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
AXP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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