13-1133 (RPL)P.O..BOX 1504
78495 CALLE TAMPICO
LA QUINTA, CALIFORNIA'- 92253
4 1
BUILDING & SAFETY DEPARTMENT
BUILDING -.PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011 .
v INSPECTIONS (760) 777-7153
Date: 9/12/13
Application Number: 13-00001133- - Owner:
Property Address: 51735 AVENIDA VALLEJO LEILA MC CAULLEY
APN: 773-131-•026-12 -000000-• 51735 AVENIDA VALLEJO
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL (760) 327-7592 a
Application valuation: 28600' D A
Contractor:
Applicant: , Architect or Engineer: GATTUSO POOL .CORPORATION �•�� �-
667 S. EUGENE ROAD
PALM SPRINGS, CA 92264 rgty6FLA QUINTA
760•)327-7 592 FINANCEDEPT-
Lic. No.: 672850
LICENSED CONTRACTOR'S DECLARATION -
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professionalse, mmy License is in full force and effect.
License Class: C53 License No.: 6728_50
Date: T Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury t at 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 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 impro'vement-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.).
(_ 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: j
Lender's Address: '
LQPERMIT
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 QBE INSURANCE - Policy Number EQB0201282
_ I certify that, in the performance of the work for which this permit is issued,.l 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 becomesubject to the workers' compensation provisions of Section
3700 of the Labor. Code, I shall forthwith comply with those provisions.
Date: n,� s Applicant: 's
WARNING: FAILURE TO SECURE W091KE I20MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO RI1' ENALTIES 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 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 this county to enter upon the above-mentioned property for inspection purposes.
Dat a: (Z.i' S Signature (Applicant or Agentl:
Application Number . . . 13-00001133
' PermitPOOL 2013
.Permit Fee 178.75 Plan Check Fee.
.00
Issue Date Valuation
0'
' Expiration Date 3/11/14
Qty Unit Charge Per
Extension
1.0.0' 178.7500 EA, MISC POOL/SPA' '
178.75,
Special Notes and Comments
POOL & SPA [36.L.F. OF 1 1/4 INCH GAS -
PIPING). EQUIPMENT SHALL BE INSTALLED IN
ACCORDANCE WITH MANUFACTURER
SPECIFICATIONS. ALARMS AND BARRIERS -
REQUIRED TO BE INSTALLED AT PRE -PLASTER.
INSPECTION.. 2010 CALIFORNIA'BUILDING
;
CODE.
-----------------_-_--------------------------------------------
Other Fees: BLDG STDS ADMIN (SB1.47,3)
------------
1.00'
PLAN CHECK, POOL
97.24
Fee summary Charged Paid. Credited
Due
Permit Fee Total 178.75 .00 .00
178.75
Plan Check Total .00 .00 .00
.00.
Other Fee Total 98.24 .00 .00-
98..24
Grand -Total' 276•.99 .00 . 00 .
276.99
LQPERMIT
Wood Fence
Vallejo
0
POOL SPECS
2ND PUMP: NA
SIZE: 27' x 16'
SQFT: 325 Sq. Ft,
DEPTH: 31/2'- 6'
PERIMETER: 85 Linear Feet
EST TOTAL GALLONS: NA
SKIMMERS: 1
RETURNS: 3 @ 11/2"
INTERIOR MATERIAL: White Plaster
SPECIAL: NA
TILE: $5.00 Sq. Ft. Allowance
NOTES: NA
LIGHTS IN SPA: 1- 60 Watt
SPA SPECS
SIZE: 7' x 7'
SQFT: 47 Sq. R.
DEPTH: 42"
PERIMETER: 27 Linear Feet
EST TOTAL GALLONS: NA
SPILLWAY: 24"
RAISED HEIGHT: +18"
SKIMMERS: NA
RETURNS: 4 - Jets
TILE: $5.00 Sq. Ft. Allowance
INTERIOR MATERIAL: White Plaster
SPECIAL: NA
NOTES: NA
PLUMBING
2ND PUMP: NA
RETURNS: 3 @ 11/2"
SKIMMERS: 21/2" PVC
POOL MAIN DRAINS: Split
SPA MAIN DRAINS: Split
CLEANING SYSTEM: NA
HEADS: NA
VAC LINES: 2" PVC
ROBOT VAC: NA
WATER FEATURES: NA
SPA SPILLWAY! 24" Tile
LIGHTS IN POOL: 1- 400 Watt
LIGHTS IN SPA: 1- 60 Watt
TOTAL PIPE: NA
SPECIAL: NA
NOTES: NA
DECK
2ND PUMP: NA
DECK TYPE: Common Concrete
ELEVATION: 0"
TOTAL DECK SQFT: 700 Sq. Ft.
PERIMETER: NA
RAISED BEAM: NA
LIP STYLE: Square
MATERIAL 1: Common Concrete
MATERIAL 2:
SPECIAL: NA
NOTES: NA
EQUIPMENT
POOL PUMP: 1 HP - 2 Speed
2ND PUMP: NA
FILTRATION: Cartridge
FILTER SIZE: 225 Sq. R.
HEATER: 250,000
INLINE: Salt
ice
TIMER: Aqua Plus
GAS: 11/4" Poly Pipe - 50'
SPECIAL: NA
NOTES: NA
CITY OF LA QU111-41"A
BUILDING & SAFETYDEPT.
APPROVED
FOR CONSTRUCTION
Dffd�-3 10y
CD# DESCRIPTION DATE
EXISTING HOME: Yes
BUILDER INFO: 667 Eugene Road Palm Springs CA 92264
NAME: Gattuso Pools
SUPER: Gary Gattuso —
PHONE: 760-327-7592
PAGER: NA
IOB NOTES:
NAME: Leila McCaulley
ADDRESS: 51735 Vallejo
CITY: La Qulnta STATE: CA
PHONE: 310-460-9255 ZIP:
WORK: NA
CELL: 310-460-9255
JOB#.
OTE
I have reviewed and I give my approval to proceed with the
construction of this project.
x
Customer Date