04-7042 (RPL)79800 Amalfi Dr
04-7042
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BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number 04-00007042 Date 11/03/04
Property Address . . . . 79800.AMALFI DR
APN: 609 -600 -029 -
Application description . . . POOL RESIDENTIAL a
Property Zoning . . . . . . . LOW DENSITY RESIDENTI
Application valuation 23000
NOV 0 4 2004
Owner------------------- Contractor.
-----------------C ryOFLA QUIFITA
FIPIAM F 7
PONDEROSA HOMES II, LLC GATTUSO POOL COR PO EPT.,
400 S. FARRELL DRIVE, B103 667 S. EUGENE ROAD,
PALM SPRINGS, CA 92264 PALM SPRINGS CA 92264
LA QUINTA CA 92253 (760) 327-7592
> WCC: STATE FUND
WC: 161507404 01/01/05
CSLB: 672850 06/30/05
CCC: C53
--------------------------------=-------------------------------------------
Permit . . . . . . BLDG POOL PERMIT
Additional desc
Permit Fee . . . . 234.00 Plan Check Fee 152.10
Issue Date . . . . Valuation . . . . 23000
Qty Unit Charge Per Extension
BASE FEE 45.00
21.00 9.0000 THOU BLDG 2,001-25,000 189.00
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Permit .'. . . . . MECH POOL
Additional desc
.Permit Fee 24.00 Plan Check Fee,. 6.00
Issue Date Valuation . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.*00
1.00 9.0000 EA MECH FURNACE <=100K 9.00
-7 --------------------------------------------------------------------------
Permit . . . . . . ELEC POOL PERMIT -RES
Additional desc
Permit Fee . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . . Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
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Permit . . . . . PLUMBING
.Additional desc
P.O. BOC 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
0
Z
Applicant's Mailing Address:
t d TKi -c o L
Architect or Engineer:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 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 myLfi n . full force and effect. . /
License Class J 7 License No.
Date ff ' 0 Contractor p P007 / py ,4,-2
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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.).
U 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' 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 Code, for the -performance of the work for which this permit is
j sged. ly> workers' compensation insrance carrier arA policy nu e1 r a
Carrier G /"(/yto -PolicyNumber / V / _ ]
_ I certify that, in the performance of the work for which this permit is issued, I shall notemploy 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 pr ii s.
Date /(. -
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO SOVERAG S-tlRt FUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1000 ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNa FEES.
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
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 county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter u on the above-mentioned property for inspection purposes.
Date ^ Signature (Applicant or Agent):
Page 2
Application
Number 04-00007042
Date 11/03/04
Permit Fee
. . . . 33.00 Plan Check Fee
8.25
Issue Date
. . . . Valuation
0
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
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Special Notes
and Comments
POOL AND SPA ONLY. ALARMS/ BARRIERS
SHALL BE IN
PLACE PRIOR TO PREPLASTER
INSPECTION.
EQUIPMENT ENCLOSURE NOT
INCLUDED IN
PERMIT.
Fee summary
-----------------
Charged Paid Credited
------- - ----------------------
Due
Permit Fee
Total 336.00 .00 .00
----------.
336.00
Plan Check
Total 177.60 .00 .00
177.60
Grand Total
513.60 .00 .00'
513.60
11/01/2004 18:37 1784920
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79900 AMA;LFI DRIVE
I.A. QUINTA CA 92253
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GAMSO POOL CORPORATION
667 EUGENE ROAD
PALM SPRINGS, CA 92264
760-327-7592
LIC # 672850
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PAGE 02