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10-0044 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 , Application Number: 10-00000044 T. .Property Address: 53145 AVENIDA VELASCO APN: 774-054-020-7 -000000- Application description: POOL - RESIDENTIAL Property Zoning: . COVE .RESIDENTIAL Application valuation: 25500 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 :TIONS (760) 777-7153 Date: 1/22/10 Owner: - CHRISTINE R 53145 AVENI LA 'QUINTA, CA 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 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of/thjo county to enter upon the above-mentioned prope=fo�ur oses. Date: ature (Applicant or Agent): Contractor: Applicant: Architect or Engineer: GATTUSO POOL CORPORATION, 667 S. EUGENE ROAD PALM SPRINGS, CA 92,264 t, (760)327-7592 Lic. No.: 672850 ---------------------------------- - - LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I 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 Professionals Code, and my License is in full force and effect. r _ I have and will maintain a certificate of consent to self -insure for workers' comperisation, 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 I �Z te: ntractor: 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 OW -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 DELOS INS CO Policy Number 02DKRM12002478 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 shall forthwith comply wit hose provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by _ - ��A�plt'cant: any applicant for a permit subjects the applicant to a civil penalty. of not more than five hundred dollars (5500).: Date: r . z? (_ 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 WARNING: FA RE TO SECURE WORKERS' COMPEN ATION COVERAGE IS UNLAWFUL, AND SHALL �j/ 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 (_) I, 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 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 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of/thjo county to enter upon the above-mentioned prope=fo�ur oses. Date: ature (Applicant or Agent): Application Number. . . . . . 10-00000044 Permit . . . BLDG POOL PERMIT Additional-desc Permit Fee 258.50 Plan Check Fee 168.03 Issue Date . . . Valuation 25500 Expiration Date . 7/21/10 Qty Unit Charge, Per Extension BASE'FEE 252.00 1.00 6.5000 THOU BLDG 25,001-50,000 6.50 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . Permit Fee . . 26.00 Plan Check Fee 6:50 .Issue Date Valuation 0 Expiration Date 7/21/10 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 7/21/10 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 7/21/10 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 . . . . . 10-00000044 -------------------------------------------------=-------------------------- Special Notes and Comments PLACE AT PRE-PLASTER,INSPECTION. 2007 CODES. EQUIPMENTENCLOSURENOT INCLUDED., 2007 CODES. -----------------_-------------------------------------------------- Other Fees . . . I . . . . BLDG STDS ADMIN (SB1473) 2.00. Fee summary Charged Paid Credited Due Permit Fee Total 362.50 .00 .00 362.50 Plan Check Total 194.03 .00 .00 194.03 Other Fee Total 2.00 00 .00 2.00 Grand Total 558.53 .00 .00 558.53 . LQPERMIT Din #`i City cif La u>>nta Building a Safety Division P.O. Box 1504 Permit •# 78-495 Calle Tampico La Quinta, CA 92253 Building. Permit Application. and Tracking Sheet Project .Address:. vEN,-O • VELASCO Owne s Name: C A. P. Number: Address: -j3-I SA Vf--NXM V I—Sc•o Legal Description: Ci ST. Zi Contractor:Qpol_ C.bRP i Telephone. ®— / Address:N (o (c C�l% � E ' R Project Description: ? Cir% -.ST. Zip: ?AL 5 2 fJ•is G(Y 7 Lo Telephone: Z. 5 Z State Lic: = (.p 2. 5:O City Lic. t;: p p Arch.. En_r.. Designer: E1.4 /Ili 'j' eS S Address: Cite: ST. Zip: PALM &5tZT CA LZiGPO • a Telephone:ffi�'t 7 — ..D Q S Construction Type: Occupancy � State Lic. Project type (circle one): New Add'n Alter Repair Demo '\ante ofContact Person: C ar� Sq. Ft.: #Stories: # Units: Telephone = of Contaa Person: '3Z_7- 73 Z Estimated Value of Project' : .. ... ,.. , :.. :..... ... t Av�.r��A VEII�E� GATTUSO POOL CORPORATION 667 EUGENE ROAD PALM SPRINGS, CA92264