BPOL2014-110358380 Aracena
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
I I I I I I II VIII III VIII SII 05
IE
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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 Professions Code,
and my License is in full force and effect.
License Class: _ License No.: :LIC -0000816
Date:.,- 6776 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).:
( ) 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.).
(_) 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.).
(_) 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:
(760)327-7590
Llc. No.: :LIC -0000816
14
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 wo 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 issued. My workers' compensation insurance carrier and policy number are:
Carrier:_ 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 subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: _ G Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 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 city to enter upon the above-
mentioned property for inspection purposes.
Date: 11-6 r Signature (Applicant or Ag
BUILDING PERMIT
•
o
Application Number:
BPOL2014-1103
Owner:
3
Property Address:
58380 ARACENA
T D DESERT DEV
7 c
Z
APN:
764610040
81570 CARBONERAS
m 7
C
Application Description:
POOL, SPA, FIRE PIT, AND BBQ
LA QUINTA, CA 92253
-n
<
Property Zoning:
iF
Application Valuation:
$15,000.00
z c
rn D
ry
O
Applicant:
Contractor:
a
-p
GATTUSO POOL CORPORATION
GATTUSO POOL CORP
ATIO
0 OUTSIDE CITY LIMITS
0 OUTSIDE CITY LIMIT
C
LA QUINTA, CA 92253
LA QUINTA, CA 92253
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 Professions Code,
and my License is in full force and effect.
License Class: _ License No.: :LIC -0000816
Date:.,- 6776 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).:
( ) 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.).
(_) 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.).
(_) 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:
(760)327-7590
Llc. No.: :LIC -0000816
14
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 wo 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 issued. My workers' compensation insurance carrier and policy number are:
Carrier:_ 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 subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: _ G Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 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 city to enter upon the above-
mentioned property for inspection purposes.
Date: 11-6 r Signature (Applicant or Ag
DESCRIPTION -
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT` PAID `
PAID DATE
BSAS SB1473 FEE
101-0000-20306 0
$1.00 $0.00
PAID.BY
METHOD RECEIPT #..: CHECK #
:CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
',DESCRIPTION `'
ACCOUNT
QTY
AMOUNT. :, .
PAID- -:
PAID DATE'
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
PAID'BY :
METHOD ' .
RECEIPT #..
CHECK JV-,
CLTD BY
DESCRIPTION
ACCOUNTQTY
AMOUNT ...ti
` PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
`CHECK #
CLTD:BY.
Total Paid for ELECTRICAL: $48.34 $0.00
DESCRIPTION:ACCOUNT
QTY
AMOUNT
PAID
.PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
:CHECK #
CLTD BY :•
DESCRIPTION-..:
ACCOUNT
QTYIAMOUNT
PAI
PAID DATE:
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID BYMETHOD
RECEIPT#
CHECK #
CLTD BY
Total Paid forPLUMBING FEES: $36.26 $0.00
DESCRIPTION
ACCOUNT - `
QTY
.AMOUNT
:PAID.:
PAID:DATE
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
PAID BY
METHOD -
RECEIPT`#
CHECK #
CLTD BY::
DESCRIPTIONACCOUNT
QTY
AMOUNT
PAID::
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
PAID BY
METHOD
RECEIPT.#.
CHECK#
CLTD BY
Total Paid for POOL / SPA: $279.91 $0.00
TOTALS:00
Description: POOL, SPA, FIRE PIT, AND BBQ
Type: POOL
Subtype: Status: SUBMITTED
Applied: 10/29/2014 SKH
Approved:
Parcel No: 764610040 Site Address: 58380 ARACENA LA QUINTA,CA 92253
Subdivision: TR 31681-2
Block: Lot: 40
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $15,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
GATTUSO POOL CORPORATION
Details: POOL., SPA, FIRE PIT, AND BBQ. 2013CODES. "NO FINAL INSPECTION UNTIL LOT LINE ADJUSTMENT IS APPROVED & RECORDED"
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
- CLTD
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD: PAID BY
BY
BSAS SB1473 FEE 1 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Thursday, November 06, 2014 4:03:48 PM 1 of 3 C
ww Sys -rims
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY �STATE
ZIP
.PHONE
-. -' FAX EMAIL
APPLICANT
GATTUSO POOL CORPORATION
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(760)327-7590
CONTRACTOR
GATTUSO POOL CORPORATION
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(760)327-7590
OWNER
T D DESERT DEV
81570 CARBONERAS
LA QUINTA
CA
92253
(760)327-7590
- CLTD
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD: PAID BY
BY
BSAS SB1473 FEE 1 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Thursday, November 06, 2014 4:03:48 PM 1 of 3 C
ww Sys -rims
Permit Details PERMIT NUMBER f
City of La Quinta BPOL2014-1163 �
a
. . . .... ....
DESCRIPTION -
ACCOUNT
QTY
AMOUNT
PAID . `
PAID DATE.
RECEIPT #
CHECK #
METHOD .
Y PAID BY
CLTD Y
BY
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
Total Paid for PLUMBING FEES: $36.26 $0.00
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
SWIMMING POOL/SPA
PC
101-0000-42600
0
$98.62
$0.00
Total Paid for POOL/ SPA: $279.91 $0.00
TOTALS:00
SEQID I INSPECTION TYPE I INSPECTOR
(` SCHEDULED I CO TE DATE ED I RESULT ( REMARKS
NOTES
FINAL** I I I I I I NO FINAL INSPECTION UNTIL.LOT LINE
ADJUSTMENT IS APPROVED AND RECORDED.
PARENT PROJECTS
BOND INFORMATION 7
Printed: Thursday, November 06, 2014 4:03:48 PM 2 of 3 l?SYSTEMS
M
O
M
CL