The URL can be used to link to this page

11-0254 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING.& SAFETY DEPARTMENT BUILDING PERMIT Application Number: 11-00000254 Property Address: 52060 AVENIDA JUAREZ APN: 773-211-034- - - Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 25000 Applicant: _� Architect or Engineer: ------------------------------------------------- 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 Class: C53 Licerise No.: 672850 Date: ZZ • it ntractor: V 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's (commencing with Sectiori 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.). ( ') 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—) 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: I Ix L:QPERMIT Owner: HACIENDA GROUP, INC, 42760 MADIO STREET VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/18/11 INDIO, CA 92201. 1 o l Contractor:11�-- GATTUSO POOL CORPORATIO}N,, 1�tt 667 S. EUGENE ROAD PALM SPRINGS, CA 92264 (760) 327-7592 Lic. No.: 672850 t' ----------------------------------------------- WORKER'S COMPENSATION DECLARATION y 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. VAI 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 EVEREST NATL Policy Number 7660006561111 _ 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. D e: �J•Applicant: -i] n. —"- • —p 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 1$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, indemnity 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 a 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 oft ' county to enter upo the above-mentioned property for inspection purposes. Date: °J - 2Z • it nature (Applicant or Agentl:�'r>,.�`��n-- A V Application Number, . . 11-00000254 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 252.00 Plan Check Fee ". 163.80 Issue Date Valuation . . . . 25000 Expiration Date 9/14/11 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 ------=--------------------------------------------------- THOU BLDG 2,001-25,000 ------------------ 207.00 Permit MECH POOL . Additional desc Permit Fee 26.00 Plan Check Fee .6.50 Issue Date Valuation . . . . 0 Expiration Date 9/14/11 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 9/14/11 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 9/14/11 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 . . . . . 11-00000254 -------------------------=--------=--------- Special Notes and Comments . -------------------------------- ' e PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2010. CODES. -----7 ------------------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged ---------- Paid ---------- Credited' Due , ----------------- Permit Fee Total 356.00 .00 .00 356.00 Plan Check Total 189.80 .00 .00 189.80 Other Fee Total 1.00 .00 .00 1.00 Grand Total 546.80 .00 .00 546.80 LQPERMIT r , W CITY OF LA QUINTA � BUILDING & SAFETY DEPT. �. APPROVED FOR CONSTRUCTION DATE o uj I in Bin # City of La Quinta Building a Safety Division P P ermli # P.O.. BOX 1504 78-495 Calle Tampico La Quintai CA 92-253 Building Permit Application and Tracking Sheet Project Addrcs O'Amcr"s Name: A. P.)444mtcr- Addr=- a A Lq,al Description; City'ST. 1& 0 Zip. _;r/_1 , __. 0= Contractor: K-rro-st> 9 100L Cz�, 0-0 Telephone: Address. Ero}eCt Descriptioix Cin -.ST- Zip; Telephone. 'A7 2:5 State Lic. g: cirf Lie.: C) Arch- Enrr,A)C3ivn"- ._f Address:----------------- 7:3 (0 (fl _-City- ST. Zip: D (P 0 Telephone: ,7 Congnicuou Type: 0=pancr -slatt Lic. Ica rAx (Citc1c O-TcX New Add'n Alta Repair Demo N-Inic of Contact Person- C . AtZ Sq. fL: T# #S�tories::� # units: Telephone Of Contact Person: Estizuted Value Project of .9; � A P P L I CA UaW_ N it submilal Plan Seft A n.z .......... Tntq9 Cik&'. .7 7. Titk 24 C.Im Gran ........... sthaq].Fm it ------------ — .9V . 0 .............. i.xx- CAttirnCt9r, .4F T Workml C. Pub. VVk3L. Fire Mvr. Ap. 0 IL TO/TO 39Vd S -100d osniivg Oz6V8z109t Et):El TTOZ/5T/60 I