BPOL2018-002078-495 CALLE TAMPICO . D
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
POOL/PRIVATE
BPOL2018-0020
53714 VIA DONA
777420013
CENSORIO /POOL, SPA, AND FIRE PIT AT REAR YARD
$80,000.00 ;
Applicant:
MC INTYRE POOLS & SPAS INC
83-695 AVENUE 45
INDIO, CA 92201
FEB 2 7 2018 10
CITY OF LA QUINTA,
COMMUNITY DEVELOPMENT DEPARTMENT
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, 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
qr 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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760),777-7011
INSPECTIONS (760) 777-7153.
Date: 2/27/2018
Owner:
CENSORIO
53714 VIA DONA
LA QUINTA, CA 92253
Contractor:
MC INTYRE POOLS & SPAS INC
83-695 AVENUE 45
INDIO, CA 92201
(760)342-3612'
Llc. No.: 614611
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 the work for which this permit is issued.
444L 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: SOUTHERN INSURANCE COMPANY Policy Number: OWC1007325
_ 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' 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 laws relating to building
construction, and hereby authorize representatives of this city to enter up the above-
mentioned propert for inspection purposes.
Date: Signature (Applicant or Agen
Date: 2/2.7/2018
Application Number: BPOL2018-0020
Owner:
Property Address: 53714 VIA DONA
CENSORIO
APN: 777420013
53714 VIA DONA
Application Description: CENSORIO / POOL, SPA, AND FIRE PIT AT REAR YARD
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $80,000.00
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 [TODD LACHER ENGINEERING] THIS PERMIT DOES NOT INCLUDE RELOCATION OF MECHANICAL CONDENSER. ALARMS
AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA
BUILDING CODE.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $4.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $4.00
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.01
Total Paid for PLUMBING FEES: $39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$195.05
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$106.11
Total .Paid for POOL / SPA: $301.16
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
t
Total Paid for TECHNOLOGY ENHANCEMENT FEE:. $5.00
TOTALS: $359.1
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Bin # City Of La Quinta..
,p - Building 8r Safety Division
iPelirlh # P.O. Box 1504, 78-495 Caiie Tampico
La Quinta, CA 92253 - (760) 777-701.2
9f 01,149 • oo Building Permit Application and Tracking Sheet .
Project Address: 5-7/"/VG( Owner's Name: CCy/ ,,�
A. P. Number:a Addrm:
Legal Description: City, ST, Zip:
~ �Y
Contractor: M C-10 i
Address: — 6� S
S S
Telephone:
Project Description:
City, ST,.Zip: Q);0. Cra
02 020 .
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Telephone: 7M - . Lf `d 3(j
Truss Calm
Called Confect Person Plan Check Balance ,
City Lio: #,j
q.-1
Arch., Engr., Designer-
esignerAddress:
Plans resubmitted Mechanical
Grading plan,2"
Address:
Subcontactor Last
Called Contact Person Plumbing.
City.; ST, Zip:
Telephone:Construction
Grantpeed
Type: Occupancy:
State Lic_ #:
Plans resubmitted Grading
Project type (circle one): New Add'd Alter
Repair Demo
Name of Contact Person:09 1 C
e
Sq. Ft :
#Stories:
#.Units:
Telephone # of Contact Person: Q
- So.
Estimated Value of Project:
School Fees
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd Recd TRACING PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Calcs..
Reviewed, ready"for corrections Plan Check Deposit
Truss Calm
Called Confect Person Plan Check Balance ,
nde 24 Cales.
Pland pickid up Constriction
Flood plain plan
Plans resubmitted Mechanical
Grading plan,2"
Review, ready for correctionsrssge Electrical
Subcontactor Last
Called Contact Person Plumbing.
Grantpeed
Plans.picked up S.M I.
IiO.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''a Review, ready for correctionslissue Developer Impact Fee
Planning Approval
Called Contact Person A.LP.P.
Pub. Wks. Appr
Date of permit issued
School Fees
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Total Permit Fees,
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Safety Features - New pools or spas shall be equipped with at
least two of the following drowning prevention safety features.
(H&S §115922 - SB No. 442)
Enclosure that isolates the pool or spa from Dwelling.
R bl mesh fencin a ate that is self -latching and
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closing and can accommodate a key lockable device.
• Safety Pool Cover.
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direct access to pool or spa.
• An alarm that when places in a pool or spa, will sound upon
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detection. (Surface Motion, Pressure, sonar, Laser)
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Safety Features - New pools or spas shall be equipped with at
least two of the following drowning prevention safety features.
(H&S §115922 - SB No. 442)
Enclosure that isolates the pool or spa from Dwelling.
R bl mesh fencin a ate that is self -latching and
• emova a g, g
closing and can accommodate a key lockable device.
• Safety Pool Cover.
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Exit alarms on doors that provide direct access to pool or spa.
• A self-closing, self -latching device placed on doors providing
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direct access to pool or spa.
• An alarm that when places in a pool or spa, will sound upon
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detection. (Surface Motion, Pressure, sonar, Laser)
CENSORIO RESIDENCE
LOT 30D
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PROJECT DATA
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OWNER: DEBRA WATSON
OWNER ADDRESS: 850 MATHEWS ROAD, LAKEPORT. CA 9,5453
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SITE ADDRESS: 50-825 CALLE GUAYMASifi92 OUIMA. CA92253
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PROJECT DATA
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OWNER: DEBRA WATSON
OWNER ADDRESS: 850 MATHEWS ROAD, LAKEPORT. CA 9,5453
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SITE ADDRESS: 50-825 CALLE GUAYMASifi92 OUIMA. CA92253
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BUILDING DESIGNER - GONSt1LTAM
3720 MAN STREET KELSEYVILLE CA 95451
`PHONE (707)279-2525 CELL (707)469-0766 - VpO90pecific.net
17'-6"
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REVIEW INITIAL DATE DATE: OCT 2016
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CONSTRUCTION SXEE7 1 OF 1
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