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05-4970 (RPL)
;1 1, P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 05-00004970 79897 BARCELONA DR 609-380-999-55 .-293234- POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 35000 T-ii!t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: ® \ NS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 o Division 3 of the Business and Professionals Code, and my License is in full force and effect. License CI ss: -ense No.: Date, 17 5 Contractor: ../ 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).: 1 _ 1 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 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 contrictor(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.1. Lender's Name: _ Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/08/05 Owner: LANARTH 79-897 BARCELONA DRIVE LA QUINTA, CA LA QUINTA, CA 92253 ICAN POOL CONSTRUCTION INC STATE FUND 0001188-2005 09/22/06 518742 06/30/06 ------------------ 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 work for which this permit is issued. �( I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor T Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier C53 Policy 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 becom subject to the workers' compensation provisions of Section !7 3700 of the Labor Code, shall orthwit with those provisions. ate: ` Q S Applicant 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 J$1 00,000). 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 Director of Building and Safety 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 cou y ordinances and state laws relating to buildin co truction, and hereby authorize representatives of this co t t enter upon the above-mentioned prope for i ection purposes. !l 4 �S Date: Signature (Applicant or Agent): P1 cw LQPERMIT Application Number . . . . . •05-00004970 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . 317.00 Plan Check Fee 206.05 Issue Date . . . . Valuation . . . . 35000 Expiration Date 5/07/06 Qty Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 ----------------------7----------------------------------------------------- THOU BLDG 25,001-50,000 65.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/07/06 Qty Unit Charge Per Extension BASE FEE 15.00" 1.00 11.0000 ---------------------------------------------------------------------------- EA . MECH FURNACE >100K 11.00 Permit . . . ELEC POOL'PERMIT-RES Additional desc . . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 ---------------------------------------------------------------------------- EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/07/06 Qty Unit Charge Per Extension BASE FEE 15:00 2.00 6.0000 EA PLB FIXTURE 12.00 1..00 3..0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL Application Number . . . 05-00004970 ----------------------------------------------------7----------------------- Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary = ---------------- Charged Paid ---------- ---------- Credited. -7 -------- Due Permit Fee Total 421.00 .00 ---------- .00 421.00 Plan Check Total 232.05 .00 .00 232.05 Grand Total 653.05 .00 .00 653.05 LQPERMIT CITY OF LA QLINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION crlgl,t' Tom, DATES : . Lr "'I'l 24'� + v r ,y Pbd#tr Bed V it I! --- - PROPERTY LfF © UTLffy PQEJJ JN CTM WX ®lO6E.dB �` samAm 0mK*0lw -- -- -- UTLTTY EASEMENT EIEC AWEL ® I&MIN R - FT -L LK -i LISM AREA GRAJIN - FOCE omrr,Tym d GAS WrEi? Q +rrrEx fl FLIER :�caR£TU�! •-- MC MAN -E-f- UNOERGt110" EIECIs - ' --G- tKIE KiROUND GAS �1LH Wla( /� ElUTE 54LYE & R N WATER -+ TKWJ'T GRU RATS OVER1fJW.7F!E -- ` 51rrTCfi @ P TRAP - o PLOW -- - g GAS GRILL E$ Et EC PEOESTAL A ccs5c:% 0 FEMPTAEL.F STUB Iy OLP A :)m & SEE #OTES NOTES- Foal : 13 0-S' 1"V,1 sly w/ sleeve SPS: 3'd"a rS;$& + R"ejcWl..i I W/ C+c.iitz: +t t4ulPb ' zo dq; � 1 4,rc l,.,,,. • D�— J .�,/ Som 5�.ft 4.. AREA MAP KEY MW n0- C E LIC.'' S 1 874 7 L.OT ELL�G( �- ��ysl,m.9sMf .. AMERICAN o IPML coaTMI(;TICN ow- Pe06 1129p� (754) 340-2588 PCM* f ?a pmjeee A.P.N 0 UtY of L, QUIM3 arWeq alp P.O. Boat 1SO4, 78.495 Ca* TwVkc La Qflirim CA 92233 - (760) 777.7012 Buliftg Permit A.Wicadon and Tracking Sheet Oww's Nwae:� SS! l4 dt City, ST. Zlp: � CDl- 7�zrS Telaphone( — 1'pjact Description. f —5 /T.. 77775 --is Caaslntatoe Type: ocaunnnc.: PF -Rico type (cirolt ont , HQi1' Add'n Aitcr Rcp�ir Demo Sq. BL: N Stories: w Units; EAimwed Value of Pf est: .APP1f,^,ANT: 00 NOT WfUT9 BELOW TIOG LINE Rbe'V 7RACKINC PERMIT FEES MR co mlL ertltttitkd ileal Rev%—d, randy for torrecoo+a R e CbeeL 11eyoNt ,calltd Comm Perm Pl em Cbcek Balance Mal plcltad tip C9.utructioo Mare reanbm►ettd I+ta+t+toic■� r, lu%.a.r, rady for •orreatloWltaue £lectrket Cm 1144 Contact Person Membint SUN pkkO V11 Niu u rasbatttled Cndini 11Rwerr, ready for earrecdoiame Developar Impact Fee Cbl ed Coota" Paean O+t► of Fortnit.imme Total rmnit