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BELC2019-005678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: ELECTRICAL/ BELC2019-0056 49783 CANDELERIA DR 646240008 PINTO / PANEL UPGRADE T,iht 4 4 Qm�t& DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: JOE PINTO 49783 CANDELERIA CIR LA QUINTA, CA 92253 Date: 4/29/2019 Applicant: J A DOLAN GENERAL CONTRACTOR INC D / L � \ (/"— �,Contractor: 7479442NDAVE STE 6 1 DJ A DOLAN GENERAL CONTRACTOR INC PALM DESERT, CA 92260-7910 APR 2 9 2019 74794 42ND AVE STE 6 PALM DESERT, CA 92260-7910 CITY OF LA QUINTA (76 DESIGN & DEVELOPMENT DEPARTMENT Lic. No.: 6450369 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter! (commencing with Section 70001 of Division 3 of the Business and Professions Code, ant my License is in full force and effect. License Class• 8 License No,: 4 Date: z�i Contractors' OWNER- ILDER 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.). (_) 1, 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 forwhich this permit is Issued (Sec. 3097, Civ. C.). Lender's Name, Lender's Address WORKER'S COMPENSATION DECLARATION I 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 Oft rk for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by ct n 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: NORG DAR D r Id q I I Q A r4rc C Y Policy Number; � J_A � - I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner $o as to become subject to the workers' compensation laws of California, and agree that, if s Yl become subject to the workers' compensation provisions of Sacs 3700 the�abor Code, I shall Forthwith comply wi thas provisions. �� r Date: Applicant: WARNING: FAILURE TO SECURE WOKERS' 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 :ommenced within 180 days from date of issuance of such permit, or cessation of work or 180 days will subject permit to cancellation. certify that I have read this application and state that the above information is correct. agree to comply with all city and county ordinances and state laws rela �n to building onstruction, and hereby authorize representatives of this t• er up�n the a bove- rientionqpropery for inspection purposes. f late: Signature,(Applicant or Age t): Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: BELC2019-0056 49783 CANDELERIA DR 646240008 PINTO / PANEL UPGRADE Applicant - 1 A DOLAN GENERAL CONTRACTOR INC 74794 42ND AVE STE 6 PALM DESERT, CA 92260-7910 Date: 4/29/2019 Owner: JOE PINTO 49783 CANDELERIA CIR LA QUINTA, CA 92253 Contractor: J A DOLAN GENERAL CONTRACTOR INC 7479442ND AVE STE 6 PALM DESERT, CA 92260-7910 (760)340-0905 Li[. No.: 645369 D- - - PANEL CHANGEOUT REPLACE EXISITING 125 AMP WItH 200 AMP -.:SAME LOCATION PER 2,016 CALIFORNIA BUILDING CODES FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT SERVICE CHANGEOUT/UPGRADE 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT SERVICE CHANGEOUT/UPGRADE PC 101-0000-42600 0 $26.68 Total Paid for ELECTRICAL: $53.36 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $101.40 Total Paid for PERMIT ISSUANCE: $101.40 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 ta%r , PERMIT # L� -2 � "00 PLAN LOCATION: Project Address: Project Description: APN #: 1 Z -1 d ocgF"( ? 1p Telephone: (06� -3z4p�©t� Patio/Porch SF Email: Applicant Name: State Lic; City Bus Lic: Address: State Lic: City Bus Lic: City, ST, Zip: Telephone: Email: Valuation of Project $_�t „) Contractor Name: , 4, D91 New SFD Construction: Address: 7-7?L � J ��t Conditioned Space SF City, St, Zip ��( Garage SF Telephone: (06� -3z4p�©t� Patio/Porch SF Email: Fire Sprinklers 5F State Lic; City Bus Lic: Architect/Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Construction Type: Occupancy: Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: �3;6 ?,,L-T<D New Commercial / Tenant Improvements: Address: ` j C4OGi Total Building SF City, ST, Zip I d -� Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Required Received Pian 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