06-0467 (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:
06-00000467
46224 POINT HAPPY WY
643-170-999-12 -31348 -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTI�
18000 01
Architect
1
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LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
PH RANCH LLC
78370 HIGHWAY 111 STE 200
0 LA QUINTA, CA 92253
JAN 3 0 2006 Contractor:
:er: GATTUSO POOL CORPORATION
CITY OF LA QUINTd! 667 S . - EUGENE ROAD
FINANCEDEPT. PALM SPRINGS, CA 92264
'(760)327-7592
Lic. No.: 672850
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 forceandeffect.
License/Class: C53 / LicenseNo.: 672850
�te: G' Contractoty
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 applicantfor a permit subjects the applicant to a civil penalty of notmore 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 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
VOICE (760) 777-7012:.
FAX (760) 777-7011'
INSPECTIONS• (760) 777-7153
Date: 1/27/06
----------------------------------------------—
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 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 STATE FUND Policy Number 16150742006
_ 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 sho become subject to @ workers' compensation provisions of Section
3700 of the Labor de, I shall forthwith omyyfy with those prov' ions.
Dmf ` ,31 C6 Applican . (/
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 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 a e information is correct. I agree to comply with all
city and c unty ordinances and state laws relating to bu' in - structio nd hereby authorize representatives
of this unty to enter upon the above-mentioned pro rt ori specti pur oses.
Da e1 : �f" Signature (Applicant or A ent):
a
Application Number . . . . . 06-00000467
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
189.00 Plan Check Fee
122.85
Issue Date
Valuation . . .
. 18000
Expiration Date
7/26/06
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
7/26/06
Qty Unit Charge
Per
Extension j
'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
7/26/06
Qty Unit Charge
Per
Extension .
BASE FEE
15.00
1.00 30".0000
EA ELEC PRIVATE SWIMMING POOL
3.0.00:
Permit
PLUMBING
Additional desc
Permit Fee
33.00 Plan Check Fee
8.25
Issue Date
Valuation . .
0
Expiration Date
7/26/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00,
2.00 6.00'00
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 . . . . . 06-00000467
------
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 293.00 .00.
.00
293.00
Plan Check Total 148.85 .00
.00
148.85
Grand Total 441.85 .00
.00
441.85
LQPERMIT
-
'
01/27/2006 12:14 1784920
1 \
GATTUSO POOL CORPORT
PAGE 01
CITY OF LA QUINT
BUILDING & SAFEiY DEPT,
.APPROVED
OVE
FOR CONSTRUCTION
DATE 1 12BY
GATT6so Pool CORP .
�'�! 667 EugegQ Rd DRAT, ,IV
(760)327.759gS' Ca 92264
Pax
Lic # 67285078 4920
01/27/2006 11:41- 1784920 GATTUSO POOL CORPORT PAGE 01 '
' Din � Q .
ty Of La Quiiflta .
Building ar Safety Division
• P.O. Box 1504
Permit # 78-495 Calle Tampico
FLa Quinta, CA 92253 1
-t4jL&
? 'Building Permit APPlication-and Tracking Sheet
Project Add Owner's Name:
A. P. Number Addreow
Legal Description: ILIr, o / 2 Ciry,ST. Zip �vx, r -
Contractor: 6k-M,$b PvOt, CORP Telephone: i<
Addresr- to �,u Cyr N F R Project Description:
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stttlttitJtl Type: O=Upancy:
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