05-4864 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
05-00004864
79881 BARCELONA DR
609-380-999-54 -293234-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
20000
Tay/ °f:WQ"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011 _
INSPECTIONS (760) 777-7153
Owner:
HARPER
79-981 BARCELONA DRIVE
LA QUINTA, CA
LA QUINTA, CA 92253
G Contractor:
O MCINTYRE POOLS & SPAS, INC.
n! WCC: STATE FUND
q WC: 1769111 01/01/06
m G CSLB: 614611 09/30/07
-------------------------------------- - - - - -- -
tom
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 Professionals Code,.and my License is in full force and effect.
License Clas License No.:
GJ Contract
OWNER -BUILDER DECLARATION
I reby 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, 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.).
( 1 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 Address:
LQPERMIT
Date: 11/01/05
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.
IxI 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 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 become sub' ct to the work' compensation provisions of Section
3700 of the Labor Code, I II for ith comply vy f those rovisions.
tel/ 'f Applican
WA IN : FAILURE TO SECURE W ERS' COMPEN TION COVERAGE IS UNLAWFUL, AND SHALL
S JECT AN EMPLOYER TO CRI AL PENALTIES D CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDI ON TO THE CO 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.
1 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 auth a representatives
of this county o enter upon the above-mentioned propertyyfffooar ipns'ceE[io Brposes.
Dat / r/1 Signature (Applicant or Agen ,� ,, �✓ % �—
Application Number . . . . . 05-00004864
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
207.00 Plan Check Fee
134.55
Issue Date . . . .
Valuation . . .
. 20000
Expiration Date
4/30/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
--------------=-------------------------------------------------------------
THOU BLDG 2,001-25,000
162.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50'
Issue Date
Valuation . . .
. 0
Expiration Date
4/30/06
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
4/30/06
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
4/30/06
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
LQPERMIT
Application
Number . . . . . 05-00004864
----------------------------------------------------------------------------
Special Notes
and Comments
BE IN PLACE
PRIOR TO PRE -PLASTER
INSPECTION.
EQUIPMENT ENCLOSURE NOT
INCLUDED IN
PERMIT.
Fee summary
-----------------
Charged Paid
--------------------
Credited
---------=
Due
Permit Fee
Total 311.00 .00
----------
.00
311.00
Plan Check
Total 160.55 .00
.00
160.55
Grand Total
471.55 .00
.00
471.55
LQPERMIT
RECEIPT FOR ARCHITECTURAL SUBMI AL
Owner Name: —� Date:
Association Name: l�
;F j4
Association Addre s / Lot Number:
terns Submitted: Mgr. Notes:
r Blueprints / Drawings - 2 �sets
Application
Color / Material board
Fees
,rte g�
= Circle One - Check(s) #�J�— "' Y
Cash Receipt #:
Other Explain:
It is the responsibility of the owner to ensure that this submittal is complete. If it is determined any
part of this architectural request is incomplete, submittal date is void, and submittal may be returned.
Until required criteria.has been met (i.. eighbor sign -off, review fees, grading plans, etc.).
f
Dropped Off,13y: Received B
PP Y� Y: �LrYIi.%
1
Grant Deed
Plans picked up
S.M.1.
II.O.A.Approval
ein,a
Grading
Cit} Of La Quinti
Review eady for corrcctionslissuey
Developer Impact Fee
Planning Approval
Building 8i' Safety Division
Permit #
Date of permit.issuc
P.O. Box 1504, 78-495 Calle Tampico
School Fees
La Quinta, CA 92.253 - (760) 777.7012
Building Permit Application and Tracking Sheet
Total Permit Fees
Project Address:
Z-.
Owner's Mame:
A. P. Number:
v r
Address:'
Legal -Description:
City, ST, Zip:
Contractor:
Telephone:
Address: —
Project Description:
Cit}•, ST, Zip:
Telephone:
State Lic. # : L
City Lic. #: 4
Arch., Engr., Designer: .
Address:
City, ST, Zip:
Telephone:
>RM%'•a}r;$ �;z�u .�<s:;c
Construction Type: Occupancy:
State Lic. #:
l%;r +; ijr �ii�, �i;l:i: $;i:;:j::ii::4� �i.•i'i:'l rf::.fryi:
:,.•: 'z"<>< > `"'' Project type (circle on cw Add'n Alter Repair
Demo
Name of Contact Person:
Sq. Ft.: # Stories: # Units:.
Telephone # of Contact Person:
Estimated Value of Project
APPLICANT: DO *NOT WRITE. BELOW THIS LINE
0 Submittal
Rcq'd
Recd TRACKING PERMIT VEF.S
Plan Sets
Plan Check submitted Item
Amount
Structural Cala.
Reviewed, ready for corrections Plan Check Deposit
Truss'Calcs.
Called Contact Person Plan Check Balance
Title 24 Calcs.
Plans picked up Construction
Flood plaid plan
Plans resubmitted 1ltechanical
..Grading plan
2"4 Review, ready for correctionslissue Electrical
Subcontactor List
Called Contact Person Plumbing,
Grant Deed
Plans picked up
S.M.1.
II.O.A.Approval
Pians.resubmitted
Grading
IN IIOUSE:-
Review eady for corrcctionslissuey
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit.issuc
School Fees
Total Permit Fees
Ag jW0
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