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05-5099 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 0.5-00 05099 Property Addressi X512"00 CALL ALOMA APN: 770-143-004-104 -000000- Application description: POOL.- RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 35.0,00. T -i'4 t440" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT • . LICENSED CONTRACTOR'S DECLARATION - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 [commencing with Section 7060):of Division 3 of the Business nd Professionals Code, and my'License'is in full force and effect. •License Class: C53 License No.: 672850 S D�te—L�� Contrac[yf .. .% IER-BUILDER DECLARATION .� I hereby affirm under penalty of perjury jthal,�.Pfmex pt from theContractor'sState License Law for the following reason (Sec. 7031:5,BusinesProfess ons Code: Any city or county that requires a permit to construct, alter, improve; demolish, or r tructure, 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.pr'ovisions of. the`C.ontractor's State .LicenseLaw•;(Chapter 9 (commencing with Section 7000) of -Division 3 of the Business andProfessionsCode) or that lie or she is -exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ari 'applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _) I, as owner of the property, or my employees.with wages .as, their sole compensation, will do the work,.and thestructure 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 impiovements are not intendea 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.l. (_ 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.l. (_ 1 I am exempt under Sec. , BAP.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: 11/21/05 Owner: ROPER 47-601 MANTECA COURT --INDIO, CA 92201 Contractor: GATTUSO_ POOL COR TION 667.S. EUGENE RIO DEC 0 5 100J PALM SPRINGS, CA. 2 64-- (760)327-7592 Lic. No.: 6728501, CITY OF LAGUINTE elllAUAlk nFID ' 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. 1 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 1615074 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 _ omej subject to the.workers'.compensation laws of California, and agree that, if I sho __subject to the workers' compensation provisions of Section 3700 of the Labor de; I shall forthwith comply with those provisions. QaAPPlicant/,- ' - WARNING: FAILURE TO SECURE WORKEa'O NSATIONCOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL -PND CIVIL FINESUP TO ONE HUNDREO.THOUSAND DOLLARS 1$100,000). IN.ADDITION TOF 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 th bove information is correct. I agree to comply with all city and county ordinances and state laws relating t uildin onstruction, and hereby authorize representatives of this county I ter upon the above-mentioned prope cr inspection purposes. )� Signature (AppREant or Agent . LQPERMIT Application Number 05-00005099 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 317.00 Plan Check Fee 206.05 Issue Date . . . . - Valuation 35000 Expiration Date 5/.20/06 Qty Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 THOU BLDG 25,001-50,000 65..00 ----------` ----------.--------.------,---.-------"--.-c---------.------------------ Permit . . MECH POOL Additional desc.. Permit: Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 `Expiraticn'Date 5/20/06 Qty Unit Charge, Per. Extension. BASE 'FEE . "15.00 1:00 •11.0000 EA MECH FURNACE >100K. 11.00 J Permit .;, ELEC.:POOL PERMIT -RES Additional desc . Permit Fe`e . . . . J 45.'00 Plan Check Fee 11 .25. Issue Date' Valuation . . . . 0• Expiration_bate 5/20/.06 -1 Qty Unit Charge•:Per ". Extension BASE FEE 15.00 1.00 30.0000 EA'- ELEC..PRIVATE SWIMMING POOL J 30.00 Permit . . . PLUMBING Additional desc . Permit .Fee . . 33.00 Plan'Check Fee 8.25' Issue Date Valuation 0 Expiration Date 5/20/06. 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 N 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 Application Number . . . . . 05-00005099 ---------------------------------------------------------------------------- Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged ----------------- ---------- Permit Fee Total 421.00 Plan Check Total 232.05 Grand Total 653.05 LQPERMir Paid Credited Due ---------- ---------- ---------- .00 .00 421.00 .00 .00 232.05 .00 .00 653.05 IN co IQ Ul 3j' wGt 00 LO ai5s� J ! e Ln •;! _ CA c'Zi ut�;STAr-GP. iLZ5.3 ' � � ' 667 EUCa1E m. ; Ii .O O ' r �I ; 0 D G) m . CS) W i I _ _ ' , R _ ._,.,. _. ___._._. �� '� "-' i i � °i i � 1 ��--- 11/18/2005 11:52 1784920 GATTUSO POOL CORPORT PAGE 01 Gln Cit% Id :k" Q ' Inta ...... 4611ding;st3afety Division - P .-. Box $04 Permit # 78=49S Calle Tampfco La Quinta, CA)+9 253; Building Permit Application, WTrickiog Sheet Project Addms-s Nav% Owner � ' S• s � O�c 12 O �'2';L! •! A. P. dumber:7 p . / t j Address: 7 D ( MA( IC6L . Legal Description, i4T V ,rte' bt; c ,r-�u�>, Ci '-ST. ZtP= /PjQO.'1` r Contractor: ak..".Usx PbOL' Telephone: C-0 9- - , Address:. (067 C V VIF9 R Project Dcscri0ow, Ciq'.57.2ip: ?AL04 r1:L: GA4jZ=ZjVA L- . 9 'Tcicphonc: Z s State Lic. - Arch- Enrsr.. Designer L E -75t S - Address: City. ST. zip: PAzm Dl+ EZ?- CA z-? &0 7cicphone: 0 n 5 Consiruction Type: `OCCttpaacy. State tic. - 3 `:s, Project type (Tarek one): 'New : Add'n Alter Repair Demo Name of Contact Person: Sq- Ft.: N Stories; 0 Units: Telephone =of Contact Person: 3Z S toa,.�Value;ec: s`x7' ;. 'APPCG4N.DQ< ��:A< �,. ...::s;<;;�,:•, 0 Sabmirta ('fie .Stb i; :•s1.�1• :'�4kt'!tt>fiYhmi �� �y� ,s{ '•*� ry 6,?. ' .'��Vts � st. � Tr SHOCtnesalGlCi'!'' 'jtrvit:taYdp�tnfi:t� s-;', 3:R �y� :) i34 i :Ssi< .zk1i Syil>,r.! .. ..<e.. ;!;. Truss Cala t KX: �Ca :•,g 1 ° :;y %:iii%(C. 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