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06-2307 (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: 06-00002307 78385 CLARKE CT 643-170-999-29 -31348 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 20000 T4`i�l 4 4 Q" Architect or Engineer: rIpr 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 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License ss: C53 License No.: 672850 ate Otractor: o2��'� 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).: (_ 1 1, 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 1, 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: 0 LQPERMIT Owner: PH RANCH LLC 78370 HIGHWAY 111 STE LA QUINTA, CA 92253 Contractor: ' GATTUSO POOL CORPORA; I 667 S. EUGENE ROAD PALM SPRINGS, CA 92264 (760)327-7592 Lic. No.: 672850 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/08/06 JUS 0 91006 CFnoFv+QUINTA t MANCE pjFpr 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 should become subject to the workers' compensation provisions of Section 3700 of the L Code, I shall forthwith comply with those provisions. Datplicant: WARilLURE 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 Quirita, 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 ounty ordinances and state laws relating to building construction, and hereby authorize representatives oft count to enter upon the above-mentioned property for inspection purposes. Date: 0 nature (Applicant or Agent): Application Number . . . . . 06-00002307 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26'.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00 Permit . . . BLDG POOL PERMIT INV FEE Additional desc . Permit Fee . . . . 414.00 Plan Check Fee 134.55 Issue Date Valuation . . 2.0000 Expiration Date 12/05/06 Qty Unit Charge Per Extension BASE FEE 90.00 18.00 18.0000 ----------------=------------------------------------------------------------ THOU BLDG 2,001-25,000 324.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date . .. 12/05/06 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 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/05/06 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 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 LQPERMIT Application Number 06-00002307 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. INVESTIGATION FEE ASSESSED PER 1997 UNIFORM ADMINISTRATIVE CODE §304.5 FOR WORK BEGUN WITHOUT BUILDING PERMIT. Fee summary ----------------- Permit Fee Total Plan Check Total Grand Total LQPERMIT Charged 518.00 160.55 678.55 Paid Credited Due ---------- ---------- ---------- .00 .00 518.00 .00 .00 160.55 .00 .00 678.55 Bin City of La Q uinta Building 8c Safety Division ' P.O. Box 1504 Pwnk N 78-495 Calle Tampico La Quinta, CA 92253 Building Permit Application. and Tracking Sheet Projea Address: 7 — 3$ ,�4 r Owner's Name: -- P4 L +1.•/V A. P. Nwnber, Address: 7 oAVE- r *t- 4e<-1 Description: QtYsT_ Zip: Contractor. (=timet) I>flpL Cb RP Telephone: ;; Address: (o (o G.V &V E R Project De=iptiew Cttv.ST_ zip: '� 5 Y2 tJ'Cs Gid ZZ r Telephone State Lie (p J`':O City Lic. ti: p 0 Arch..l=nu..De'sigter FL 'i" �S Address: 7 (� Cin', ST. 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