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BPOL2019-003478-495 CALLE TAMPICO Ce 0 D LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: POOL/PRIVATE Application Number: BPOL2019-0034 Property Address: 43675 CALLE ESPADA APN: 609580003 Application Description: RUFSVOLD / POOL AND SPA AT REAR YARD Property Zoning: Application Valuation: $16,900.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: 1ANELLE RUFSVOLD 43675 CALLE ESPADA LA QQUINTA, CA 92253 Applicant: Contractor: MC INTYRE POOLS & SPAS INCD z�� 0 MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 83-695 AVENUE 45 INDIO, CA 92201 FEB 14 2019 D INDIO, CA 92201 CITY OF LAQUINTA (760)342-3612 DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 614611 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.: 614x611 Date:® ' / Contract OWNER -BUILDER DECLARA ION 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.). (_) 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 Add Date: 2/14/2019 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 t Irh ork 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: 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:'0 Z ' ppltcant: 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 en �n the above -mentioned property for inspection purposes. y Date:® Signature (Applicant or Agent Date: 2/14/2019 Application Number: BPOL2019-0034 Property Address: 43675 CALLE ESPADA APN: 609580003 Application Description: RUFSVOLD / POOL AND SPA AT REAR YARD Property Zoning: Application Valuation: $16,900.00 Applicant: MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO, CA 92201 Owner: JANELLE RUFSVOLD 43675 CALLE ESPADA LA QQUINTA, CA 92253 Contractor: MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 INDIO, CA 92201 (760)342-3612 Llc. No.: 614611 Detail: POOL AND SPA AT REAR YARD [POOL ENGINEERING.] 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. 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 QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY 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 City of La Quinta BuiW ff $z Safety Division Permit # P.O. Box 1504,76-495 Caife Tampico 1a.Quinta, CA 92253 - (760) 777 7012 ,� AOLI-C) Building Permit Application and Tracking Sheet Project Address: G Ste` I Ovinces Name: . A. P. Number. Address: C Legal Desraipdon: City, ST. Zip: contractor. T Telephon - Address: 7 _ Pra ect Descri Lion: City, ST, Zip:i] Telephone 3 2_mc,( • C `� co � r Cl Y7 State Lic. # : LI � City Li li,r - Arch., Grgr., Designer Address-_ City, ST, Zip: b. M C �► P, O Telephnn . f C ❑ _4 /d Q Construction Type: Occupancy: State Li a #: Project type (circle one): Ncw Add'n Alter Repair Demo Name of Contact Person: Sq, t : 7 # Stories: #Units _y 1`(' F Ccicl:honc # ofContact Person:Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS LINE M Submittal Req'd Reed 'TRACKING PERMIT FEES Plan SNs Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance. Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2". Review, ready for corrections/rssue Electrical Subcoatactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.T. 1.0.A. Approval Plans resubmitted Gradlog IN SOUSE:- 3" Review, ready for correctionvIssae Developer Impact Fee Planning Approval Called Contact Person Aix P. Pub. Wka. Appr Date of permit issue School Fees Total Permit Fees Esplanade c/o Desert Resort Management, Inc. 42635 Melanie Place Palm Desert, CA 92211 Customer Care: 760-346-1 161 Fax: 760-346-9918 Website: www.drminternet.corn Date: 2/1 1/2019 9:40:12 AM Project Ref: [51252117] 43675 Calle Espada G. & J. Rufsvold E11059 Wynsong Dr Baraboo WI 53913 Dear G. & J. Rufsvold, For the listed project item(s): Pool and Add DG to east side of house and front co Thank you for submitting an Architectural Application for your improvement request. We are happy to inform you that the Esplanade Architectural Committee has approved your application for the listed project item(s) with the following stipulations: Approved once city permit is approved. The approval is contingent upon compliance with the specifications set forth in the approved application. Esplanade acknowledges that any and all agreed changes to the original design that may be a condition of this approval will be at the homeowner's expense. The correction of any damage caused by this agreed construction will also be at the homeowner's expense. Homeowner shall henceforth agree to maintain the improvement in accordance with the guidelines and aesthetics of the community. It is the homeowner's responsibility to obtain any permits, which may be required. Please be aware this application approval does not supersede City Building Codes. You should contact the City Planning Department to determine what, if any, permits may be required. Additionally, the Board of Directors encourages that you use a licensed and insured contractor. This approval does not release the homeowner from meeting any county, state or federal requirements such as building permits, workmen's compensation, or other waivers or permits. Thank you for submitting an application in advance. Please retain this letter in your files. We ask that you contact Management upon completion and submit photos of the completed improvement so that the committee and/or management can inspect and verify that all work is as agreed before the final sign -off. Again, we appreciate your cooperation. If you have any questions regarding this matter, please contact Desert Resort Management on TownSq (online at https://apn.towmq.io/login or via the Android or iOS app). You may also email fzeiyel(iridrminternet.com or mespitiozar(kirinintet'llet.com or call 760-346-1161. Sincerely, Jennifer Zeivel Community Association Manager ,lzeivel.Lddrminternet.com On behalf of Esplanade m m Cn -0 0 A 0FF tto. AnkAP -OW-91, Rufsvold Residence 43675 Calle Espada La Quinta, CA 92253 &WO)