BPOL2017-0124f ,
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LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury. that I am licensed under provisions of Chapter 9 thereby affirm under penalty of perjury one of the following declarations:
{commencing with Section 7000) of Division 3 of the Business and Professions Code, and _ I have and will maintain a certificate of consent to self -insure for workers'
my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance.
License Class: C53 License No.: 614611 ofrk 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: WESCO INSURANCE COMPANY Policy Number: WWC325615
_ 1 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.
Qpte:'L/�o>- 1 / Applicant:�L Y f l
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.
VOICE (760) 777-7125
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN &DEVELOPMENT DEPARTMENT INSPECTIONS {760) 777-7153
BUILDING PERMIT .
Date: 8/3/2017
Application Number: BPOL2017-0124 Owner:
Property Address: 81701 ULRICH DR BOB AND MARYANN NOLAN
APIV: 764450015. 81701 ULRICH DR ��� g
Application Description: NOLAN /POOL SPA BBQ AND GAS LINE FOR EXISTING FIRE PIT LA QUINTA, CA 92253 a
Propert
Date: 08 � S - I F Contractors ,(t
V . t
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 Add
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 the above-
mentioned property for inspection purposes.
Dater`'/. Signature(ApplicantorAgent):
y Zoning:
o
Application Valuation: $35,360.00
C3
Applicant:
Contractor:
® o w
MC INTYRE POOLS &SPAS INC.
MC INTYRE POOLS & SPAS IN�
83-695 AVENUE 45
83-695 AVENUE 45
v Q
INDIO, CA 92201
INDIO, CA 92201
o
U
(760)342-3612
1-
Llc. No.: 614611
Date: 08 � S - I F Contractors ,(t
V . t
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 Add
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 the above-
mentioned property for inspection purposes.
Dater`'/. Signature(ApplicantorAgent):
Date: 8/3/2017
Application Number: BPOL2017-0124
Owner:
Property Address: 81701 ULRICH DR
BOB AND MARYANN NOLAN
APN: 764450015
81701'ULRICH DR
Application Description: NOLAN / POOL SPA BBQ AND GAS LINE FOR EXISTING FIRE PIT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $35,360.00
„ Applicant:
Contractor:
MC INTYRE POOLS & SPAS INC
MC INTYRE POOLS & SPAS INC
83-695 AVENUE 45
83-695 AVENUE 45
INDIO,.CA 92201
INDIO, CA 92201
(760)342-3612
Llc. No.: 614611
Detail: POOL, SPA, BBQ, AND GAS LINE FOR EXISTING FIRE PIT AT REAR YARD [JEFFERY A COLLINS ENGINEERING] THIS PERMIT- DOES NOT INCLUDE
EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2016 CALIFORNIA BUILDING CODE.
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
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS.
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
J GAS SYSTEM,, 1-4 OUTLETS PC
101-0000-42600
0
$25.33
•. Total Paid for PLUMBING FEES: $38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
.0
$103.36
Total Paid for POOL / SPA: $293.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Trilogy at La Quinta
60-750 Trilogy Pkwy
La Quinta, CA 92253
Ph: 760-777-6059
Fax: 760-777-1620
July 25, 2017
ROBERT NOLAN / MARYANN NOLAN
36 Catalina Dr
Sherwood Park AB T8H 1R2 CAN
RE: Design Review Modification Conditionally Approved
81701 Ulrich Dr / Customer ID #: TRLAQ-0596-02
Dear Robert Nolan / Maryann Nolan :
rrril 3
ai-I (juinia
We are pleased to inform you that your plans for installation of a pool, spa, bbq, paver decking, tie drains to
existing ones and for repairing any damages to the irrigation and landscape received on July 17, 2017, has been
approved by the Design Review Committee with the following conditions: #7,-#8, #10, #20 (see attached
sheet).
Please note:: Any damages caused by, contractors due to construction must.be.reo6ired all irrigation and.
landscape. shall be. restoreclAo the>oridinal, condition.
This approval does not constitute consent by the Association for the applicant to encroach, trespass, or build on
any property other than that of the applicant. This approval is related solely to the items reserved for approval
by the CC&R's in accordance with the Design Review Guidelines. The approval does not extend to the quality of
work done by your architect, or contractor, or to any structural engineering, soils engineering, or site grading
and drainage design. You are urged to obtain the services of a state licensed professional for consultation as
needed.
The Design Review Committee is composed of volunteers. As such, it does not review applications to ensure
compliance with building codes, or -other local or state laws. Please be advised that this approval does not relieve
you from obtaining any necessary building permits from the governmental agencies involved to ensure
compliance with these codes. Any violations of these ordinances will be your responsibility to correct. Thank you
for your patience in this matter and for complying with the Association's policies and standards.
Sincerely,
For the Design Review Committee,
Sierra Fasano
Comptroller
Enclosures
cc: Board of Directors
Design Review Committee
sin.
City. of La Quinta
Buildlpg u Safety Division
P.O. Box 1504,78-495 Calfe Tampico
I.a.Quinta, CA 92253 -:(760) 777-7012
Building Permit -Application and Tracking Sheet
Permit #
Project Address: •_XQ
Owner's Name:. O,
A'P. Number.
Address: 8 �— Q 0
Legal Description: Von
G -City,
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STZi- O� L.U1 -U.ZS73"
Telephone: � — % S .a x •;w �'•'. ::;:,�
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Contractor';t
Address: '3 -6
Project Description: 08 S
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City, ST, Zip: J
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Telephon"'ME
State Vic. #: City Lic
Arch.,P.ngn, Designer. C
Address: JjJ
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City., ST, Zip: A {
Telephon . C 3o
State Lic. #: ?
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Construction Type:. Occupancy:
Project type (circle one):New Add'n Alter Repair Demo
Sq: FL: 3 # Stories: #Units:
Name of Contact Person:
0�
Telephone # of Contact Perse . ..6O'2aLb
6
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
M
Submittal!
Req'd
Rcc'd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calfs.
Reviewed, ready for corrections
Plan Check Deposit. .
Ttnu Cates.
Called Contact Person
Plan Check Balencs.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2i° Rtvlew, ready for corrections/issue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
•S M:L
H.O.A. Approval
Plans resubmitted
Grading
rX IiOIISE:-
'^' Review; ready for correctionslissae
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
^
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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'SPA HEIGHT 18"
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Deck 1,700 sq.ft.
Pool Per: 82 In.tL
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Pool Area 356 sq.ft.
Pool Coping 71 In.ft.
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'CONSTRUCTION SPECIALIST .
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LICENSE.A 614611
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Pool Per: 82 In.tL
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Pool Coping 71 In.ft.
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Spa Area 58 sq.ft.
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LICENSE.A 614611
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La. Quinta,"CA 9.2253-_ _ _____.
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