BPOL2019-008278-495 CALLE TAMPICO
C&tyl 010( 4& Q"KM
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: POOL/PRIVATE
Application Number: BPOL2019-0082
Property Address: 79934 WILLIAM STONE WAY
APN: 604492007
Application Description: YOST/ANDERSON / POOL AND SPA
Property Zoning:
Application Valuation: $27,900.00
Applicant:
MC CALLUM POOLS
46-576 VIA CELESTE
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.: 81
Date: r Contracto
OWNER -BUILDER ECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 70315, Business and Professions Cade: 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 70001 of Divislan
3 of the Business and Professions Code) 0 that he or she Is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant €ar a
permit subjects the applicant to a civil penally of not more than five hundred dollars
(_) 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 empfoyCeS, provided that the improvements APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the bulidirig or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden Df proving that the conditions and restrictions set forth on this application. •
he or she did not build or improve for the purppse of sale.]. 1. Each person upon whose behalf this application is made, each person at whose
() I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors' State License Law.). following issuance of this permit.
(_) I am exempt under Sec. B.&P.C. for this reason 2. Any permit issued asa 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.
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/22/2019
Owner:
YOST DANIEL/ ANDERSON REBECCA
79934 WILLIAM STONE
LA QUINTA, CA 92253
Contractor:
MC CALLUM POOL jD
46-576 VIA CELE ST. s
INDIO, CA 92201 APR 2 2 2019
]D
(760)275-6403 CITY OF LA 0;,WNTA
Llc. No.: 818835 DESIGN & DEVELOPMEN I u`PARTMENT
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.
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:
C EXEMPT Policy Number:
that in the performance of the work for which this permit Is issued, I
ShWot employ any person in any manner so as to become subject to theworkers'
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. �j�f� �
Date: i — 2-7 1 Applicant• 1 i
WARNING: FAILURE TO SECURE WORK MPEN5AT(ON 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.
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
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 041ding
construction, and hereby authorize representatives of this city to enter upon e
above-mentioned property for inspection purposes.�� __-,
Date: I2 2- ( Signature (Applicant or
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
MC CALLUM POOLS
46-576 VIA CELESTE
INDIO, CA 92201
BPOL2019-0082
79934 WILLIAM STONE WAY
604492007
YOST/ANDERSON / POOL AND SPA
$27,900.00
Date: 4/22/2019
Owner:
YOST DANIEL/ ANDERSON REBECCA
79934 WILLIAM STONE
LA QUINTA, CA 92253
Contractor:
MC CALLUM POOLS
46-576 VIA CELESTE
INDIO, CA 92201
(760)275-6403
LIc. No.: 818835
Detail: POOL AND SPA WITH 10 LF OF EQUIPMENT WALL (CITY STANDARD) AT REAR YARD [DENISE POELTLER ENGINEERING] ALARMS AND BARRIERS
REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 0
$53.37
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 1 0
$66.71
Total Paid for BLOCK WALL:
$120.08
DESCRIPTION
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$2.00
DESCRIPTION
ACCOUNT QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404 0
$200.12
DESCRIPTION
ACCOUNT QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600 0
$108.87
Total Paid for POOL / SPA:
$308.99
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
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
Contractor Name- �� f
Address: 1, to 'S -)
City, St, Zip T,jcl 5-120 f
Telephone:
Email:
c7 G0� . a�
State Lic:&gQ�1 City Bus Lic:
Architect/ Engineer Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic
City Bus Lic:
Property Owner's Name:
Address:
City, ST, Zip
Telephone:
Email:
New SFD Construction:
Conditioned Space SF
Garage SF
Patio/Porch SF
Fire Sprinklers SF
Construction Occupancy:
Grading:
Bedrooms: j Stories: j # Units:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
# Submittal Required Received
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
P \L
NORTH
TANNING SHELVE 12" WATER
WITH 3 IMBRELLA SLEEVES
WL'rl& ' 3' M JA/I M%IM
6'D&* of P&M— —C o
SOU TH
P/L
C t,&mzjwcC- F&M wA--r w -s
�*f-- 4f n
P \L
�-CALLUM POOLS
40576 VIA CELESTE
INDIO CA 92201
7602756403
T
U
`t CITY OF LA QUINTA SUB-CONTRACTOR_L�I,ST {
JOB ADDRESS 7 �`�If�"" `� �— PERMIT NUMBERWOLO-01��'V'ZOWNER sV � _--_ „BUILDEli 1 �a A. Vv.,
This form shall be posted on the iob with the Building Inspection Card at all tims i
es in a concuoE�splace. Only pe sons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
oT hi1,4;- r,nrmi4 F- -i, nnnlirnWo trarlP all infnrmatinn rpm ipctPri hPln\A/ mi iqt ho rmmniatarl hv annlieant_ "On File" is not an acceptable response.
Trade i Classification
Co.ntra..ct.o.r:....
Sta..te._Contractnr's. License
Workers. Compensation Insurance City Business License
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number Exp. Date License Number
(Format Varies) (xx/xx/xx) (xxxx)
Exp. Date
(xx/xx/xx)
EARTHWORK (C-12):
CONCRETE (C-8)
L'o--G O 6 �-e
U
FRAMING: (C-5)
STRUCT. STEEL. (C -5T).
_ li.r }�
l.� '�/
Zl�
�S {t E
5 C1Z020
13a
MASONRY (C-29)
PLUMBING (C -3.6)l
�pU` arv,rt
S S(
kc3(03 1-i C - '?&2-)4J
y 3a 7
LATH. PLAS'T'ER (C-35)
DRYWALL (C=9.)
HVAC (C-20}
ELECTRICAL (C -10);
M e "�,> �o s w
, u \ l u
'��
uC-'�
fiQCFING (C-39)
SHEET METAL (C-43)
FLOORING (C-75)
GLAZING (C=17)
INSULATION (C•2)
SEWAGE D{SP. (C-42)
PAINTING (C-33)
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING .(C•9 31
LANDSCAPING (C-27).
POOL (C-53)
1/"MC )l u Poo/
5
c�
v I Q U 9 �s-S
`! Z'
C
uC,
�