BPOL2019-020578-495 CALLE TAMPICO
C 0 D��tl�i4J
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: POOL/PRIVATE
Application Number:
BPOL2019-0205
Property Address:
54295 RESIDENCE CLUB COVE
APN:
775380067
Application Description:
NCP TRC / POOL, SPA, AND FIRE PIT AT REAR YARD
Property Zoning:
Application Valuation:
$30,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
NCP TRC
54295 RESIDENCE CLUB COVE
LA QUINTA, CA 92253
Applicant: Contractor:
MC INTYRE POOLS & SPAS INC F
MC INTYRE POOLS & SPAS INC
83-695 AVENUE 45 83-695 AVENUE 45
INDIO, CA 92201 DEC 16 2019 D INDIO, CA 92201
0
CITY OF LA QUINTA (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 7000) of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class�: j- License No.: 614611
Date: IR II J,161; Contractor: AMP
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
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
Date: 12/10/2019
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 the ar or� permit Is Issued.
ave nd dl maintain workers' compensation insurance, as required by
Sec an 700 of the Labor Cade, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: SECURITY NATIONALINSURANCE s[Q1yfRANY Policy Number:
I certify that in the performance of the work for which this permit is issued,
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 tho p isions. /44
Date: lr3` Applicant://I/�
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 u on the above-
mentionfedd pf9perty for inspection purposes.
Date: Signature (Applicant or Agen
Date: 12/10/2019
Application Number:
BPOL2019-0205
Property Address:
54295 RESIDENCE CLUB COVE
APN:
775380067
Application Description:
NCP TRC / POOL, SPA, AND FIRE PIT AT REAR YARD
Property Zoning:
Application Valuation:
$30,000.00
Applicant:
MC INTYRE POOLS & SPAS INC
83-695 AVENUE 45
I N DI O, CA 92201
Owner:
NCP TRC
54295 RESIDENCE CLUB COVE
LA QUINTA, CA 92253
Contractor:
MC INTYRE POOLS & SPAS INC
83-695 AVENUE 45
INDIO, CA 92201
(760)342-3612
Llc. No.: 614611
Detail: PGA WEST RESIDENCE CLUB / POOL, SPA, FIRE PIT AT REAR YARD [POOLiENGINEERING INS.] THIS PERMIT DOES NOT INCLUDE EQUIPMENT
ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.68
Total Paid for PLUMBING FEES: $40.02
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
-PO L20(9 —02-OV
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tpq*rt # .
ProjectAddress: ]
A. P. Number.
Legai Description:
Contractor-. �I te
Address: — 6R S
City, 'ST,.Zip-- Q;049.
Telephone: 70 - 3L9 a-3G
State Lic.
Arch-, Engr., Designer.
Address:
L
T, Zip:
one:it. #:
Name of Contact Person:
Tedsnhone # of Contact person:
# subwAhl
Plan Sets
Structural Calcs..
Truss Ca16.
'Tide 24 Cale s.
Flood plain plan
Grading plan
Subcontactor Last
GrautDeed
ELO-AApproval
IN HOUSE:=
Planning Approval
Pub. Wks. Appr
Schodl Fees
City of La Quienta
Btu%1mg 8t Safety Dn+isiorl -
P.O. Box 1504, 78-495 Cale Tampico
La Qtdnta, CA 92253 . (760) 777-7012
Builcring Permit Application and Tracidng Sheet
Owner's Name:
Address.
City, ST, Zip:
Telephone: '
Rnject Description:
201
Lic. &- 14,13
Conduction Type:
Occupancy:
project We (circle one): New Acid'tt Alter Repair Demo
yr C sq. Ft : #Stories: #-Units:
L] Esd*�+ d Value of Project
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rec'd 'TRACEI NG
F]ERNM FEES
Plan Cheek submitted
item Amount
Reviewed, ready for corrections
Plan Check Deposit
Called Confact Peso
Plan Check Balance;
Plans picked up
CoustmCdon ,
Plans resubmitted
Mechanical
2'd Review, ready for correctious/issue
Electrical
Called Contact Person
Plumbing,
Plaus.picked up
S hu
Plans resubmitted
Grading
3" Review, ready for correctionsfissne
Developer Im.pact Fee
Called Contact Person
A.LP.P.
Date of permit issae"d
Total PermitFees
0
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