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BPOL2019-003378-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: T;t,r 4 .fwQa;.& DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT POOL/PRIVATE BPOL2019-0033 51975 AVENIDA OBREGON 773163023 GUZMAN / POOL ONLY $10,980.00 Applicant: MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 I N DI O, CA 92201 FEB- P D z s zoos BL CITY OF LA QUINTA DESIGN & 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 DataZ�:�4 Contract571 or: OWNER -BUILDER pECLARR ON I hereby affirm under penalty of perjury that I am exem t 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 N Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/26/2019 Owner: GRETCHEN GUZMAN LA QUINTA, CA 92253 Contractor: MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO, CA 92201 (760)342-3612 LIc. No.: 614611 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one ofthe 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 I�k for which this permit is issued. I 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: QWC1007325 _ 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 3700fr Code, I shall forthwith comply with those provisions. Date: l/ "; - �r Appli WARNING: FAILURE TO SECURE WORKERS' MPENSATION 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 the above - mentioned property for inspection purposes. Date�'2�' Signature(Applicant orAg Date: 2/26/2019 Application Number: BPOL2019-0033 Property Address: 51975 AVENIDA OBREGON APN: 773163023 Application Description- GUZMAN / POOL ONLY Property Zoning: Application Valuation: $10,980.00 Applicant: MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO, CA 92201 Owner: GRETCHEN GUZMAN LA QUINTA, CA 92253 Contractor: MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO, CA 92201 (760)342-3612 Llc. No.: 614611 Detail: POOL ONLY IN REAR YARD [POOL ENGINEERING.] OVERHEAD CONDUCTORS TO COMPLY WITH CEC 680.0 INSPECTOR TO VERIFY 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. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. SPECIAL INSPECTION REPORT REQUIRED AT PRE PLASTER. 2016 CALIFORNIA BUILDING CODE FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA 101-0000-42404 0 $200.12 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA PC 101-0000-42600 0 $108.87 Total Paid for POOL / SPA: $308.99 DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $324.99 �rl $9°` "'GM**o/5. Bin # City. of La Quir'ta Budding 8E Safety Division Permit # P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 4P0�- W j Building Permit Application and Tracking Sheet Project Address: - �'— �; Owner's Name: Y S i*�� +� Cif. A. P. N.umber. L Address: Legal Description: PG n n 5 City, ST, Zip: ' t Contractor. j7 S e' CA Tcl ho zP ( /— Address: 3 - r Ls C C>� Project Description: City, ST, Zip: 0 (�A- T 2 Z. b 1 TeIephont7,-, ) , 4/ Z-3 Z C State Lic. # City Lia #: ��~ q - Arc(t., Engr., I]esigngrr el t�rL-._. 2 S • �� Bev Address: i Q( N_ CjS J i� V e City, ST, Zip: h 'A Cl • W- eo �z Lwcpuvi�n a U Co9shvclion Type: Occupancy: State Lic. #: !TM --- M Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: 4 7 7G, Sq. Ft.: j # Stories: # Unity: Telephone # of Contact Petso C)) . �j [ Estimated Value of project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PER1 UT FEFS Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Coles. COW Conrad Perron Plan Check Balance_ Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2•! Review, ready for correctionsfissue Electrical SubeontactorList Called Contact Person Plumbing Grant Deed Plans picked up WYLL H.O.A. Approval Plans resubmitted Grading IN HOUSE:" ''" RtAcw, ready for correctionsAssae Developer Impact Fee Planning Approval Called Contact Person A,I.P.P. Pub. Wks. Appr Date or Permit issue School Fees Total Permit Fees 7M •11/Tii*1 T{ 1 va ✓f.I iy a v a4 a+ [ i<a/y_ a a}S., CONSTRUCTION SPEO0ILIST NOlnlyL . 0614611 Inc 3-695 INi tu. Yt 93A95 I— 2 Iix76 Ca2-'M1 02201 750:i12-39I2I.1 78(1-342-38321.. Pn*CI Ink m•llon Pool .¢O 25 . 10' Pool area 2W w. tt POW P..*. Ill In It Equip-1, P.nb9—.n PmW pump P—b. (;b n 6 Db•r 320 Poor 11) Wbl. LED ligNs D.rxopmg l� . brunllad r n.n, oPPIO.:105.q It Z oa9-ra f m r wctftr ka& yr C: O M q: O 0') Cu `c -0Q C11 E v 4 CD C6 N Lo J a 0 U c LL m co tm C X W b. ^- va 330 CITY OF LA QUINTA BUILDING DIVISION REVIEWED FOR CODE L. COMPLIANCE _V DATE 20p* BY G �PaC�Cs -AT L New Lawn - r Utility Pole ` Nam; t vr-t- 'ice Cowrwvfoo-4 ,me3s>p - •r']v -t-leLt) WWI` New Cori .e D9ckm4t New Concrete Deckirig y'New Concrete Decking, s rn o ;Split Main Drain a� 25' = I �• .15" Concrete qbpjng Aere,�or wafer F{e,7lvre,, ✓�/v a Lorlfrr�//e.a/ r fC a 0 a k � I� I L) O m 03 In W