12-0401 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO '
LA QUINTA, CALIFORNIA 92253
Applicatjon-Number,-----12 - 0000040-1
Property Address: 50865 fCALLE QUITO
APN: t 770 -103 -009 -57 -000000 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY_ RESIDENTIAL
.Application valuation: 18000
Tit VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date:, 4/16/12
Owner:
NICK & LINDA ZUCCARO' Q
5.0865 CALLE QUITO D
LA QUINTA, CA 92253
- APR 9.6.2012
Applicant: Architect or Engineer:
A.
Contractor,
GATTUSO POOL CORPORATI
667 S. EUGENE ROAD
PALM SPRINGS, CA 92264
(760)327-7592
CITY OF LAS QUINT
FINANCE DEPT,
LQPERMIT
1
LiC. No.: 672850
.- LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION ..
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations: -
Section 7000) of Division 3 of the Business and P ssionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C53 License No.: 672850
for by Section 3700 of the Labor Code,'for the performance of the work for which this permit is
Date: �,_/ /L-�r Contractor:
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
OWNER -BUILDER DECLARATION -
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier EVEREST NATL Policy Number - 7600006501121 -
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ ,I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section '
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, 1 shall 12abwith comply with those provisions.
' 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 1$500).:
Date: -�6-IZ. Applic '
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,
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.).
APPLICANT ACKNOWLEDGEMENT '
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application, is hereby made to the Director of Building. and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' -State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). " -
whose benefit 'work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
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. '
Date: Owner:
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
` CONSTRUCTION LENDING AGENCY
permit to cancellation.
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.).
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for i purposes. -
Lender's Name:
// n '
��V k/C� Signature (Applicant or Agent • '
Lender's. Address:
`
LQPERMIT
Application Number
. . . . . 12-00000401
--------=-------------------------------------------------------------------
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE
NOT INCLUDED.
2010
CODES.
---------------------------------------
Other Fees ..
. . BLDG STDS ADMIN (SB1413)
1.00
Fee summary.
Charged
Paid
Credited
Due
Permit r-ee votal
293.00
.uu
.00
293.00
Plan Check Total
148.85
:00
.00
148.85
Other Fee Total
1.00
.00
.00
1.00'
Grand Total
442.85
.00
.00
442.85
LQPERMIT
Application Number 12-00000401
Permit BLDG POOL -PERMIT
• Additional desc .
Permit Fee 189.00 Plan.Check Fee
122.85
Issue Date . . . . Valuation
18000
Expiration Date 10/10/12
Qty Unit Charge Per
Extension
BASE FEE '
45.00
16.00 9.0000 THOU- BLDG.2,001-25,000
144.00
Permit MECH-POOL
Additional desc .
- Permit Fee 26.00 Plan Check Fee
6.50
Issue Date . . . . Valuation
0
Expiration Date 10/10/12
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 10/10/12
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
$.25..
Issue Date Valuation . . . .
0
Expiration Date •. 10/10/12
Qty Unit Charge- Per
Extension
BASE FEE
15.00
2.00 6.0000 EA PLB FIXTURE
12.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000 EA PLB-GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
POOL/SPA. ALARMS./BARRIERS SHALL BE IN
LQPERA7IT
-
1$in>lF -
City of LaQ uilnta .. ` :...�,.
Building at Safety Division '
P.O. Box 1504
Permit # �
78-495 Calle Tampico
La
Quinta; CA 92253 ,
Building
n
Permit Application.and Tracking Sheet
Project Address:
Cnsier•s Name: IV ! C
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Legal Description:
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Contractor: G�-R VSD 960L X:, RP
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Telephone: L 7[�Oa
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Address:u
Project Description:
Ci.r.ST. Zip: L
f2 lJ-L—S GN ZZ (0
7
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Telephone:':5Z-7 75
7 Z
State Lic. _ : LV72—
5.o
City Lic. ii: p p
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Arch.. En_r.. Designer. -6U-T iz s
Address:. 7 3 (.D 6
Cin. ST. Zip: PALM
DV-'StZl CA qZUp0
Telephone: 7 _
o 5
Construction Type: -Dccupancy
State Lic. =: 3?j
Project type (circle one): New Addn Alter Repair
Dem
Name of Contact Person:
C A CZ
Sq. Ft.:
#Stories:
#Units:
Telephone = of Contact Person: 3Z7— 75 Z
Estimated Value of Project
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. Prepared 11/15/13,
8:40:37
Application Inquiry-(BPN200I001)
Page 2
- Program HTDFTAL
Screen detail for Program: BP BPN200I, Inspection history
User ID PJUAREZ
------------------------------------------------------------------------------------------------------------------------------------
Application 12-00000401
Str/Seq Permit/Seq.
Inspection type
Insp Seq Inspector
Schedule date
'Results
Results date
Confirmation Nbr
(Continued)
000 000 Pool 00
._PERIMETER SURFACE BONDING 0001 ST
5/01/2012
AP.
5/01/2012
..- 64020118
-
000 000 Pool 00
PRE -PLASTER
0001 AO
11/26/2012
AE
31/26/2012 -
64060692
000 000 Pool 00
FINAL
- 0001 AO
12/06/2012
,AP
12/06/2012 _
64063670
000 000 P002 00
UNDERGROUND ELECTRICAL
0001 ST _
4/23/2012
AP
4/23/2012
64018955
'
000 000_P002 00
ELECTRICAL FINAL .
0001 AO
12/06/2012
AP.
12/06/2012
64063.688
000 000 P003 00
UNDERGROUND PLUMBING
0001 ST
4/23/2012
AP
4/23/2012
64018963
000 000 P003 00
UNDERGROUND GAS
0001 ST
4/23/2012
AP
4/23/2012
- 64018971
000 000 P003 00
PLUMBING FINAL.
0001 . AO
12/06/2012
AP.
12/06/2012
64063696