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BPOL2015-0109FA, 4 Applicant: GATTUSO POOL CORPORATION 667 EUGENE ROAD PALM SPRINGS, CA 92264 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.: 672850 Date:'_6--2- -( contract - T 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.). (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 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 N Lender's Address: Contractor: GATTUSO POOL CORPORATION 667 EUGENE ROAD PALM SPRINGS, CA 92264 (760)327-7592 Llc. No.: 672850 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 Sect n 700 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. 'r�Z� r —�-�c Date: Applicant:.- =2-� 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 ($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: --� Signature (Applicant or Agent): Ta � 44 Q" VOICE (760) 777-7125 78-495 CALLE TAMPICO FAX (760) 777-7011 FAX LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT (760) 777-7153 BUILDING PERMIT Date: 6/3/2015 Application Number: BPOL2015-0109 Owner: Property Address: 54640 AVENIDA CARRANZA ZEKE CORONEL APN: 774275007 54640 AVENIDA CARRANZA Application Description: CORONEL/ POOL AND SPA LA QUINTA, CA 92253 Property Zoning: Application Valuation: $28,600.00 Applicant: GATTUSO POOL CORPORATION 667 EUGENE ROAD PALM SPRINGS, CA 92264 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.: 672850 Date:'_6--2- -( contract - T 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.). (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 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 N Lender's Address: Contractor: GATTUSO POOL CORPORATION 667 EUGENE ROAD PALM SPRINGS, CA 92264 (760)327-7592 Llc. No.: 672850 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 Sect n 700 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. 'r�Z� r —�-�c Date: Applicant:.- =2-� 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 ($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: --� Signature (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY METHOD RECEIPT # ;CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY 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 , • • •• Description: CORONEL / POOL AND SPA Type: POOL Subtype: Status: APPROVED Applied: 6/1/2015 SKH Approved: Parcel No: 774275007 Site Address: 54640 AVENIDA CARRANZA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 307 Lot: 18 Issued: UNIT 28 CHRONOLOGY COMPLETION DATE Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $28,600.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 6/2/2015 Details: POOL & SPA ONLY. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. FINANCIAL INFORMATION Printed: Wednesday, June 03, 2015 9:34:40 AM 1 of 2 CRESYSTEMS ADDITIONAL CHRONOLOGY TYPE STAFF NAME ACTION DATE CHRONOLOGY COMPLETION DATE NOTES NOTE MARY FASANO 6/2/2015 6/2/2015 CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT GATTUSO POOL CORPORATION 667 EUGENE ROAD PALM SPRINGS CA 92264 (760)775-1234 CONTRACTOR GATTUSO POOL CORPORATION 667 EUGENE ROAD PALM SPRINGS CA 92264 (760)775-1234 OWNER ZEKE CORONEL 54640 AVENIDA CARRANZA LA QUINTA CA 92253 (760)775-1234 FINANCIAL INFORMATION Printed: Wednesday, June 03, 2015 9:34:40 AM 1 of 2 CRESYSTEMS M INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULEDCOMPLETED DATE DATE RESULT REMARKS NOTES FINAL*" BLD CL TD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $0.00 BSA: SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 SWIMMING POOL/SPA 101-0000-42600 0 $98.62 $0.00 PC Total Paid forPOOL / SPA: $279.91 $0.00 TOTALS:00 Printed: Wednesday, June 03, 2015 9:34:40 AM 2 of 2 C�� SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULEDCOMPLETED DATE DATE RESULT REMARKS NOTES FINAL*" BLD Printed: Wednesday, June 03, 2015 9:34:40 AM 2 of 2 C�� SYSTEMS t CONC. ` v + lEJ' X 4.+ wevrvrrnutvoc NO LESS THAN T` AHOVE ORAD BLOCK A'ALL 50.00 4 VEL Oral HIGH BLOCK WALL i HIGH POINT 5 v' r IdIN� • TELEPHONE GRASS 12-7' O . o I, I _ 2, AhIP �` y 1 t CONC. ` v + b l T XUNCTION VEL Oral • TELEPHONE . JUNCTION BOX I, 2, AhIP ELECT. PANEL—'! y It y aLOCK 1 ! (E)B.p• RESIDENCE y HIGH M1i ` I 1 :.�2 SO.FT. ' 0 11 I c WALL . c of ! r'� I o r 8 b HIGH !�-{ 3LOCKWALL ! U I 1 84'4IGH {E18-0' HIGH ) BLOCK V+v1L aiOCX %MALL ::X3 CCNC. � { PAD L 'C'PAJlj� GARAGE PA 433 SBFT. I. 3G°:60" r----------------- 4 IBJ. GATE i 6.0` HIGH i BLOCK WALL (- . 5-0' HIGH BLOCK WALL- ALL 150 150 GALLON PROPANETANK 1 ! BO' LEG SP.tiCING Y g0' DIAl1lETF-1 ! !11 J ANNUAL FLOWERS I ,� 0 1 tv 7-10 LENGTSi t 3.3' HEIGHT t " III 'n GAS LAA -C- LO I wl HOOD 314 LOS. A%:GHT F CONC. DRIVEWAY I �� TY O�` { 3,T HIGH 2LOCK WALL L 1 U ILL ' L E j-` 0 V,-MWAY APPROACH t — REOUIRESASEPERAT£ t IL. P` -RU Nb NP&*h6N�j 00 i M 5fi HIGH FROM CITY OF LA OUINTA FOR aLOCKWALL PUBLIL• WORKS n( 3 3• DE?ARTPdENT. 3g y SETBACI j � EXISTING DATUM (1) 24' BOX ACACIA • CLAO AND POINT STENOPHLIA �^ GUTTER (8110E3TERIN3 ACACIA) Elly {� ��Q� �!'\ 'a :rli <<I2Q'`BOX tLERGDIURA ..conn Bin #City of La Quinta Building at Safety Division P.O. Box 1504 , Permit # 78-495 Calle Tampico La Quinta, CA 92253 f2,'RDL_a-QIS7. 1c� Building -Permit Application and Tracking Sheet Project Address: 4E; — '6; IAA_,7 Owner's Name: Z �� A. P. !umber. Address: ; S — i0 � z Legal Description: City.ST. Zip: [,j4, Contractor. ��-�-U evD QDQL QE] Telephone: ' Address: E U VF M E RD Project Description: Cit\•.ST. Zip: ?At- 5 2 lJ L GN'17-7-to Telephone:Z757Z LCiic. State Lic. _ : (p Z, 5.d : Q O Arch.. En_r.. Designer: FL /o -vP_ Address: 7 3 (0 Cin. ST. Zip: PAI -#t Oi'SteT" CALT�(oo Telephone: '7 _ © 5 Construction Type: Occupancy: State Lic.=: 33 Project type (circle one): New Add'n Alter Repair Demo tune of Contact Person: Sq. Ft.: # Stories: # Units: Telephone = of Contact Person: 3Z' - %'3 Z Estimated Value of Project: 2� L(eno0—�_ PF i iCAAiTc>IIO'.NOT::- . . tt Submittal <:: Re 'd':' 'Roc's Plan Sets y. ..uhmitted ..,.:. .s. aoaat:>.s>::> Structural talcs <:'.';Riviegt8:rcair°for TrwsCaks. :'<:;:.::.»::::::;::Gttiid:'.Ccatact:. :... :..... a;;:::..':::;sr:-, Page .::. ::i!iaa be'c M 7aecc>: Title 24 Cates. :: ::: _ > :'P1Yas: `icked:e GnDTDcedP .:.....::. u^a' iauii'res b Wed'' .:..:.. :.:.;.:.:..:..:::: School Feit n :...:..: .. .:..::,.RBidsid ;..:..::. .:.:......... _ : : <i::;. ':. •;:><�;' ?:; :::.:... <>:.>:s:::'.>:.Caked:�t+ntaet:P.vsnnS�::'si:::..:::;:..-: ,.. ::......::,;:•.:;:;:�::::�:<.: ;:.�::::.:: >::�::: Contractor"Ib :...., .....bats:: C' Business n:Lic. :> ��orke» es Co® P ::;i;?:: < iiaiilia tx<s Plaani PIS Pnb �yks:: Appy. ::. 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