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BPOL2018-0189OWNER -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 of county that requires a permit to construct, after. Improve, demolish, or repair any structure, prior to Its issuance, also requlres the appllcant 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 !s 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 ($S00).: (_) 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 huildlng 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.). () 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 78-495 CALLE TAMPICO D 1� VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 DESIGN &DEVELOPMENT DEPARTMENT FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/11/2018 Permit Type/Subtype: POOL/PRIVATE Owner: Application Number: BPOL2018-0189 MC LENDON Property Address: 79195 TOM FAZIO LANE NORTH Application Description: MC CLENDON / POOL, SPA, FIRE PIT, AND FRONT WATER FEATURE Property Zoning: Application Valuation: $50,000.00 Applicant: Contractor: MC INTYRE POOLS & SPAS INC MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 D n 83-695 AVENUE 45 INDIO, CA 92201 OCT 1 2O1U INDIO, CA 92201 0F LAOU NTA 342-3612 CITY (760 ) DESIGN & UEVELGPMI NT DEPARTMENT Llc. No.: 614611 --------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation,:as provided for by Section 3700 of the Labor Code, for the performance License Class: CS License No.: 614611 of the work for which this permit is issued. G � I have and will maintain workers' compensation insurance, as required by Dat-i:er % d Contractor: Section 3700 of the Labor Code, for the performance of the work for which this permit r Is issued. My workers' compensation insurance carrier and policy number are: Carrier: SOUTHERN IN$URANCE COMPANY Policy Number; QDWC100. 25 _ 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. Dite: 017 Apli t: 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 upon• e above-menti a property for inspection purposes. q / Signature (Applicant or Agent Date: 10/11/2018 Application Number: BPOL2018-0189 Property Address: 79195 TOM FAZIO LANE NORTH APN: 766032027 Application Description: MC CLENDON / POOL, SPA, FIRE PIT, AND FRONT WATER FEATURE Property Zoning: Application Valuation: $50,000.00 Applicant: MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO, CA 92201 Owner: MC LENDON Contractor: MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO, CA 92201 (760)342-3612 Llc. No.: 614611 ------------------------------------------- ------------------- --------------- Detail: MC LENDON / POOL,SPA,[1] GAS OUTLET AT REAR YARD AND [2] WATER FEATURE AT ENTRY COURT YARD[TODD L LACHER]. TWO DROWNING SAFETY FEATURES AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION.. NEW EQUIPMENT MUST BE LOCATED IN AN APPROVED LOCATION EITHER WITHIN THE REAR YARD SETBACK OR 5' MINIMUM FROM THE SIDE P/L FIELD VERIFY. THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. 2016 CALIFORNIA BUILDING CODE. DESCRIPTION BSAS SB1473 FEE DESCRIPTION GAS SYSTEM, 1-4 OUTLETS DESCRIPTION GAS SYSTEM, 1-4 OUTLETS PC ACCOUNT CITY 101-0000-20306 p Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: ACCOUNT CITY 101-0000-42401 p DESCRIPTION DETACHED SPA/WATER FEATURE/OTHER DESCRIPTION SWIMMING POOL/SPA DESCRIPTION SWIMMING POOL/SPA PC DESCRIPTION RECORDS MANAGEMENT FEE DESCRIPTION TECHNOLOGY ENHANCEMENT FEE ACCOUNT CITY 101-0000-42600 0 Total Paid for PLUMBING FEES: ACCOUNT CITY 101-0000-42404 p ACCOUNT CITY 101-0000-42404 0 ACCOUNT =] CITY 101-0000-42600 p Total Paid for POOL / SPA: ACCOUNT CITY 101-0000-42416 0 Total Paid for RECORDS MANAGEMENT FEE: ACCOUNT QTY 502-0000-43611 p Total Paid for TECHNOLOGY ENHANCEMENT FEE AMOUNT $2.00 $2.00 AMOUNT $13.00 AMOUNT $ 26.01 $39.01 AMOUNT $200.12 AMOUNT $200.12 AMOUNT $108.87 $509.11 AMOUNT $10.00 $10.00 AMOUNT $5.00 $5.00 ( OF LA OUINTA JILDING DIVISION -- 3E-viEWED FOR CODE COMPLIANCE Ib 6Y r— PEPE.W/CCF. G 1�EL M7i�W W 1107 7a1 1 Q ,Y R 14DH FILTER i�'!i i� f ■ ■1TlVtiTT{R PARCEL 1 r. (PMB 238/84-85) � PARCEL MAP NO. 36602 1Q7.4s is (PE=112.0} \ ? I VACANT 'rp r I 107.15 UP I . nra iaeuw SCALE 1`=I0' ll� 1 � (OLD LOT .58N Q 5 l° 20 (TRACT MAP NO. 27728) 3° pa�LOB 249/1-13) \/0"7.w '107 70TG 4 107.7 1 1 7.74 1 105.69 TC I I aa�r wm Am "A 1 f 1 \ 2:1 - ,!A„ FA 10 . O1G 1 CEL 2 2 I PARC L " NO. 38602 {EOm LOT 57) _ (TRACT MAP N0, 27728) FOYE (MB 249/1-13) I �� I FF=108.50 , I PE=108.0) r CLO l .___. 107.90TG 31 iD?.79 PANTRY DINING KITCHEN PR BUTLERS N7 _FP HALL ROOM 4 SH014'LR r + I p WGI3B P I II . v. :ce'. wn"m.+— H0021'28'W 21Q,40' I —y— f {r Z 1 G ! LI . — — — lL EXIST. 8" CURB I f AND cum I I 107.yDTG I 2 Z rTELE�Ak I I yrs 105.9D TC a I II 0e __ . — ;-. �I I 10b 57 UP J - o I f 1 4 4 �ING' } i05.16 TC I 2 i�Q.' 5' _ O jCLOSET I 104-8911P CU£ST CA5i1A L-- BhI- I 00 cm 1 148.DFG I •' � '�- 2� L cm 2 Z l� �' i CIF of I F-- ,�7 z 2 ' 2 '� i t I Z T f I 104.45 TC 108'� 1' I I 104.12 LIP I 1 t it 108. 10&4VS 107 1 1 7.70T 1 NNN 'S" IN CURB .4 BATH OFf10E BEDROOM 13 r ! } L 111 05)' i I j 1R3.6 TC I I 103.36 LIP., _. I 1a7.sarc 101:4H;tIP } CLO. 107SOTG .` I CIA, GARAGE f 1 1 ; 18.50, t8 50 11 108.3CART 2 10.00 I 1 4 10 YFJ%A 1 7 QO F 1 BATH BEDROOM 12- LAUNDRY 2a, wv re '- •'•-- GLtA4 nJ"riie 1�>4i.Sls"k"C -- Project Address: APN #: Applicant Name:�������� Address: City, ST, Zip: Telephone: Email: ° Contractor Name: t r/ Address: Lt r City, St, Zip + �7 Telephone: 0 �i. � "j '2 J C I0� Ernail: l� State Lic:�+GJ3 �l1 JII City Bus Lie: `( Arch/Eng. Name: Address: City, St, Zip ° Telephone: Email: State Lic: City Bus Lic: Property Owner's Nam Address: City, ST, Zip Telephone: Email: PERMIT # f PLAN LOCATION: • �" Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech i� .• Cur" . Valuation of Project $ So New SFD Construction: Conditioned -Space SF Garage SF Patio/Porch SF Fire Sprinklers SF Construction Type: Occupancy: Grading: _. Bedrooms: Stories: # Units: New Commercial / Tenant Improvements: Total Building SF Construction Type: Occupancy: 78495 CALLE TAMPICO LA QUINTA, CA 92253' 760-777-7000