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BPOL2017-013578-495 CALLE TAMRJCO 'Ji• LA QUINTA, CALIFORNIA 92253 Twr4 4-, Qa&ro DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2017-0135 Property. Address: 79840 REMINGTON DR. APN: 766060039 Application Description: ADAMS / POOL AND SPA AT SIDE YARD Property Zoning: Application Valuation: $45,000.00 Applicant:. /-, 'a�4 J A DOLAN GENERAL CONTRACTOR INC 74040 HIGHWAY 111 #L-226 AUG 8 2017 PALM DESERT, CA 92260 CITY OF 1A 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 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class:License No.: 645369 / (a/� Contractor: �- 0- tDal Date: OWNER -BUILDER DECLARATION 1 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 700 0) 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 11, 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.). ( 11, 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 Na Lender's Address:. VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS .(760) 777-7153 Date: 8/18/2017 Owner: ADAMS FAMILY TRUST 79840 REMIN3TON DR LA QUINTA, C_> 92253 Contractor: J A DOLAN GENERALCONTRACTOR'INC 74040 HIGHWAY 111 #L-226 PALM DESERT, CA 92260 (760)340-0905 Llc. No.: 645359 WORKER'S COMPENiATION 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 wcJpli 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 perliormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: NORGUARD INSURANCE COMPANY! Policy Number: JAWC891475 _ 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 agrrthat, becomesubjecttothe workers' compensation provisions of Sech Lab Code, I shallforthwith comply with those provisions. Date: Applicant: WARNING: FAILURE TO SECURE WOR ETION 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 IOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made tc the Building Official for a permit subject to the conditions and restrictions set forth on -his 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, amd the applicant, each agrees to, and shall defend, indemnify and hold harmless the Ci -.y of La Quinta, its officers, agents, and employees for any act or omission related t•D 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 anc state that the above information is correct. I agree to comply with all city and county ordinances and state laws re g o)building construction, and hereby authorize re,presemtatives of this cit to pon t e above- mentioned property for inspection purpose:.. Date: I Signature (Applicant or Agent): Date: 8/18/2017 Application Number: BPOL2017-0135 Owner: Propeity'Address- ` '° ` 79840 REMINGTON DR ADAMS FAMILY TRUST APN: 766060039 79840 REMIN43TON DR Application Description: ADAMS / POOL AND SPA AT SIDE YARD LA QUINTA, CA 92253 Property Zoning: Application Valuation: $45,000.00 Applicant: Contractor: J A DOLAN GENERAL CONTRACTOR INC J A DOLAN GE IERAL CONTRACTOR INC 74040 HIGHWAY 111 #L-226 74040 HIGHWAY 111 #L-226 PALM DESERT, CA 92260 PALM DESERT, CA 92260 (760)340-090° Llc. No.: 645369 Detail: POOL AND SPA AT REAR YARD [BENJAMIN D. ROGERS ENGINEERING] THIS PERMIT -DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS.REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE. FINANCIAL INFORMATION .g DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $50.67 DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100 LF PC 101-0000-42600• 0 $63.33 Total Paid for BLOCK WALL: $114.00 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 ENHANCEM ENT FEE: '$5.00 •$414.3 lain# City of La Quinta Building & Safety Division 78-495 Calle Tampico La Quinia, CA. 92253 - (760) 777-7012 Building Permit Application and Tracking. She-et Permit# Project Address: F�J l �� r'�2 J/ Owner's Name: /A 0K�� rA�1 f T�IfrF/v� A.P. Number O 0 3,7 i2 •� f2a Address: Legal Description: Gb f Zr0 City, ST, Zip: Contractor: - A 0 /' C � Telephone: Address:%401�a l 2 Project Description: Iq City, ST, Zip: p4cvc Telephone- 71ev 3LEo —o State Lic. #: LC� 6 �' City Lic #: Arch, Engr., Designer: Address: City, ST, Zip: �l �� CA, q7�1 Telephone/,, ^ Construction Type:C Proj. Type New Add'n Occupancy: Alter Repair Demo State Lic. #: n r �' '('Q Name of Contact: v SgFt: #Stories # Units: Telephone of Contact: `! .q&d> Estimated Value of Project: ;5-'Q> APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check Submitted Item Amount Structural Calcs Reviewed, ready for corrections Plan Check Deposit: Truss Calcs Called Contact Person Plan Check Balance: Title 24 Calcs Plans Picked Up Construction: Flood Plain Plan Plans Resubmitted Mechanical: Grading Plan 2nd Rev, Ready for corrections / Electrical: Subcontractor List Called Contact Person Plumbing: Grant Deed Plans Picked Up S.M.I. HOA Approval Plans Resubmitted Grading IN-HOUSE 3rd Rev, Ready for corrections / Developer Impact Fee Planning Approval Called Contact Person A.I.P.P_ .Pub. Wks. Apps Date of permit issue School Fees Total Permit Fees