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06-1816 (RPL)t.. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 06-00001816 51355 CALLE KALIMA 770-166-017-5 -000000- POOL - RESIDENTIAL MEDIUM DENSITY RES 15000 Architect or Engineer: P,A" LICENSED CONTRACTOR'S DECLARATION a-vl 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 s: C53 ense No.: 672850 -bate: i� Contractdr:_ - SV K 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 Contiactor'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.). (_) 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. , 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: LQPERMIT Owner: POWER FINANCE P.O. BOX 134 LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/05/06 Contractor: GATTUSO POOL.CORPORATIO 0 667 S. EUGENE ROAD PALM SPRINGS, CA 92264 (760)327-7592 Lic. No.: 672850 MAY o 9 �OA6 --------------------------- ----- WORKER'S COMPENSATION DECLAI IO I hereby affirm under penalty of perjury one of the following declarations: - _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, a prnvided for by Section 37OU 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 Numbdr 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 fry 3770/0 of the Labor e, hall forthwith co Iy with those visions. Dv !/%Applican WAIN NG: 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 ($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 buildi construction, and hereby authorize rep ntatives of this co ty to enter upon the above-mentioned prop fo inspection ses. Dat �� Signature (Applicant or Agen Application Number . . . . 06-00001816 Permit . . _ BLDG POOL PERMIT Additional desc . Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation, 15000 Expiration Date 11/01/06 Qty Unit Charge Per Extension BASE FEE 45.00 13.00. 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 117.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/01/06 «� 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 11/01/06 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 17.25 Issue Date . . . . Valuation 0 Expiration Date 11/01/06 ' 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 ONLY. ALARMS/BARRIERS SHALL LQPERMIT Application Number . . . . . 06-00001816 Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INLCUDED IN PERMIT. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 266.00 .00 .00 266.00 Plan Check Total 140.30 .00 .00 140.30 Grand Total 406.30 .00 .00 406.30 . LQPERMIT 05/05/2006 10:10 1784920 GATTUSO POOL CORPORT PAGE 01 Teicphone:7 (�'S COUSUUetton Type. zs Projert type (circle one} New Add'n Alter Repair Aetna Name of Contact Person: C aiZ Sq. Ft : # Stone it Ucits: Telobone = of Conract Person: 3z7- 7 Fstitaated Vatae oiPmjea: �5' O� yfA lipof q.1 .. ,.... +y'y�`•'f' .,'•Y.rnr,Y+[' v'',1•.w�i,•>:i/X.•'�aT,,i',.•sa•;F+1V.ti:�i71`fiu!..„ ' ��sf :r+f.•:�i:l;:': {;t:: '�,�;.,ss: ;13:�p.�;;,,, :�'r'�,•t��, ';.,� •��:.. eFl��E5'�:�:`...:: M City of La Quinta ;S;f.: �[ /.. :.i,lel�, :;!£ :,);".� r:��Vr�r:.f.:lSf•;: �.�e,Q}.,i'x s�<:'r;Fy,,::.;� �£ Building st Safety pinrWOn PhD Stu P.O. Box 1 SO4 ,permit78-495 Calle Tampico , 'r[1tl9 C4iC6. '�1.71YCARX:�i �� s' .. La Quints, CA 92253 Building Permit Application and Tracking Sheet iii'+ xk.,.:;?: ,ii Project Address: X3,5 % �� . ll'1 R� Owner's Name 20 414�i�-- .�:f°f?>i$�;•r.4i �iYr7ii'.'•:. :•:o`:>; �.; evio:f'`'>sr', . c,:.: . Add/ 370 dr £ N . 0 4" A. P. Number: City.ST, Zip' "•Ci!- �- ��:{I;' •�>X•%•'k,:`•'.:'::,` Legal Description: , ,, Contractor: 4=k--rWSp Telephone: � ��• Address: (o l; %J 0,VI✓ e.::;;:f'i?;:Y•.by:' �!i;;; '<'.. '•.;i'S:y,.. Pmjett Description: •c� t,:� �'•:� :rildr ;.i:,•,. Cin.ST. Zip: t.1•L— GAa ZZ t' V4 -R— Ile ':it, i's: ..Y..ls':c• :f — Coflttat00t'.i�6�" �'�{Aatt'.r Telephone: $ . 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'�iie, :4 � �� p .•i..:.,r.x.. oto>: �„� .,•'¢�'f, �� 0,S„ ..i E::fe::. tt<r'% 'ik',k:P! �i x, .1� ,ye;"'Si:Y 'd,li '•><' 0:•:r ' f' vffs;?': ">y .a ]Elite 1 t: wh 1�1 s.. y} .t fi r ;z ��,! Vii:: ,y�.,� !f:z>ir::..>:. •f :. IL 'An fC•. xv:>• .fs ,f f .�Y ""`A' •sift'• .,>�'r� f. �... A lt)Vfi.•. ;:>:..;•'.,,;; ,;; �� PP W 05/05/2006 10:10 1784920 /0 GATTUSO POOL CORPORATION' 667 Eugene Ad Palm Springs, Ca 92264 (760)327-7592 Fax 778-4920 Lic # 672850 GATTUSO POOL CORPORT PAGE 02 CI OFLAQUIN"', BUILHD NG & SAFETY DEf PROVED FO CONSTRUCT101',a BATE o4 BY ?o.,,i , 2_ -�i? 0 V--g-p-