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BPOL2017-007078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 . T-itit 4 4 Q" DESIGN & DEVELOPMENT DEPARTMENT . BUILDING PERMIT Application Number: BPOL2017-0070 Property Address: 52285 AVENIDA JUAREZ APN: 773242016 Application Description: BARAY /POOL AND SPA AT BACKYARD Property Zoning: Application Valuation: $28,000.00 Applicant: DAVID ROGERS POOL CONSTRUCTION INC DBA DMAY 2 6 2017 42-280 BEACON HILL SUITE D2 P . D PALM DESERT, CA 92211 CITY OF LA QUINTA DESIGN AND 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 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: _ License No.: 572256 i Date: S 2t Cont Tactor: 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.). (_j 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 ) 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 .Narhe: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/26/2017 ✓ Owner: ARMANDO BARAY 52285 AVENIDA JUAREZ LA QUINTA, CA 0 Contractor: DAVID ROGERS POOL CONSTRUCTION INC DBA D 42-280 BEACON HILL SUITE D2' PALM DESERT, CA 92211 (760)568-0852 Llc. No.: 572256 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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. 1 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: EXEMPT Polity Number: _ 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: WARNING: FAILURE TO SECURE WORKERS' COMPENSA ION 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. M1 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. / Date: 5/26/2017 Application Number: BPOL2017-0070 Owner: Property Address: 52285 AVENIDA JUAREZ ARMANDO BARAY APN: 773242016 52285 AVENIDAJUAREZ Application Description: BARAY / POOL•AND SPA AT BACKYARD LA QUINTA, CA 0 Property Zoning: Application Valuation: $28,000.00 Applicant: Contractor: DAVID ROGERS POOL CONSTRUCTION INC DBA D DAVID ROGERS POOL CONSTRUCTION INC DBA D 42-280 BEACON HILL SUITE D2 42-280 BEACON HILL SUITE D2 PALM DESERT, CA 92211 PALM DESERT, CA 92211 (760)568-0852 LIc. No.: 572256 -----------------------------------------------------------------------------------------=-- Detail: POOL AND SPA COMBINATION AT REAR YARD (DENISE POELTLER 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 SWIMMING POOL/SPA 101-0000-42404 FINANCIAL INFORMATION DESCRIPTION ACCOUNT 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 $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 $300.3 r ' Bin # Permit # expo L, x,017-0 7 Project Address: Z . -� / a'r`ty of La Q ui e to Building 8t Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application aild Tracking Sheet i/!Z /2.L" Owner's Name: A *% A , 2A A. P. Number: Address: _6- • 2,8 -S' ✓o2+l, A,A -_XvA/L it Z_ Legal Description: City, ST, Zip: x, e.A �7' ZZ�3 Contractor: Gfh- "' 6� L. 6 i G v �-R 3 S Telephone: Address: yZ .. o . 71CZ Project Description: o n LkW City, ST, Zip: -A Lyu C A g Telephone: ne• Po . h G 0 Y � State Lic. # : 7 ZZ SSG City Lie. #; C300 Arch., Engr., Designer: Address: City, ST, Zip: Telephone : Con aneY tructiYPe• Oecu n Slate Lie. /< • Project type (circle one):: New Add'n Alter Repair. DcMo 0 Natne of Contact Person: Ax.// - GO t.� N Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 7G U . 4 O / . j!'7 s gEstimated",Valu of�Pyroject: Q� v APPLICANT: DO NOT WRITE BELOW THIS LINE k Submittal Rcq'd Rec'd TRACKING • PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calci. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Gradipg plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IfOUSE:- 'rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. \Vks. Appr Dale of permit issue School Fees, I Total Permit Fees 0 e _ , t r , -. { 0 Ile ._ .. .. 1 .jam ... r. _y _ ,� t_//�� ` 1_ _ , __ _ __ . ' •_ + " • ' ~' ' r � � • 1 ^ ; . { i I HANK COLMAN f I otvit SPAS •POOLS U: } WATERFALLS ? - REMODELS REPAIRS LICENSE #572256 PH: 760 568-0852 _- t } 280 BEACON HIL SUITE D2 FX. (760) 640 9977' 42- HILL, 760 30 - C 1-4789 • �� , I r { PALM DESERT, CA 92211 hank@desertmiragepool.com r r i f i r i C Awl , Vj* Ail , i NA