BPOL2016-0088•'t l� 78-495 CALLE TAMPICO Q,�i
D VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/22/2016
Application Number: BPOL2016-0088 Owner:
Property Address: 53240 AVE NIDA NAVARRO PEPE BUILDS LLC
APN: 774065011 P 0 BOX 447
Application Description: PEPE BUILDS LLC / POOL ONLY AT FRONT COURTYARD LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $15,000.00
Applicant:D n Contractor:
GATTUSO POOL CORPORATION �� GATTUSO POOL CORPORATION
667 EUGENE ROAD 667 EUGENE ROAD
PALM SPRINGS, CA 92264JUN 216 PALM SPRINGS, CA 92264
U U
CtiyOF'` (760)327-7592
COMg'�NlTypt-IELp NOUINT, Llc. No.: 672850
r'NTDE RTMENT
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 Professions Code,
and my License is in full force and effect.
License Class: C53 License No.: 672850
Date_ `�• 2� a� Contractor:l-
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).:
(_) 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 net
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 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:
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 she 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: _ Policy Number: _
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.
4a 2-3 '—
Date: '� Applicants
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 ($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 Building Official 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 city to enter upon the
above-mentioned property for inspection purposes.
Date: 4& L23 ' I -e Signature (Applicant or Agentj:-dam
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
$0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for POOL / SPA:
•$280.91i
$279.91
$0.00•
•�
Permit Details PERMIT NUMBER
City of La_Quinta BPOL�201(60088
Description: PEPE BUILDS LLC / POOL ONLY AT FRONT COURTYARD ,
Type: POOL Subtype: Status: APPROVED
Applied: 6/20/2016 RSE
Approved: 6/21/2016 DCL
Parcel No: 774065011 Site Address: 53240 AVENIDA NAVARRO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 204 Lot: 13
Issued:
UNIT 20
CHRONOLOGY TYPE STAFF NAME
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $15,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL AT FRONT COURTYARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS
AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
J, MppllC lu Mppi uvC
} t:
FINANCIAL INFORMATION
Printed: Wednesday, lune 22, 2016 9:42:50 AM 1 of 2 Cg?NAJFsysTEms
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
COMPLETION DATE NOTES
CONTACTED CONTRACTOR AND LET HIM KNOW THAT THAT
TELEPHONE CALL
DUANE CLAYTON
6/21/2016
6/21/2016
PLANS ARE APPROVED AND READY FOR PICK UP.
CONDITIONS
CONTACTS
NAME TYPE NAME
ADDRESSI
CITY STATE
ZIP PHONE FAX EMAIL
APPLICANT GATTUSO POOL CORPORATION
667 EUGENE ROAD
PALM SPRINGS CA
92264
CONTRACTOR GATTUSO POOL CORPORATION
667 EUGENE ROAD
PALM SPRINGS CA
92264
OWNER PEPE BUILDS LLC
P O BOX 447
LA QUINTA CA
92253
,
FINANCIAL INFORMATION
Printed: Wednesday, lune 22, 2016 9:42:50 AM 1 of 2 Cg?NAJFsysTEms
Permit Det�aiis PERMIT NUMBER
T � B RG02016-0088
t City Of la Qu i nta
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- -
-CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
SWIMMING POOL/SPA
101-0000-42600
0
$98.62
$0.00
PC
Total Paid for POOL / SPA: $279.91 $0.00
i..
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City of La QUinta
Building a Safety Division
P.O. Box 1504
I'ermh #78-495
Calle Tampico
La Quinta, CA 92253
6=00
20
Building Permit Application and Tracking Sheet
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Project .Address:
ner's Name:
A. P. Number:
Address:
Leal Description:
Ciq,.ST. Zip:
Contractor. Gk-R-USD 9t>pL
cn P—P
Telephone:
Address: (,,(,>7 U OF 0 E-
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Project Description:
7
City.ST. Zip: AL 2 IJ LTL_GiY ZZ to
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Telephone:Z 5' Z
State Lic. =: L072— 4R 5:>
City Lic. #: p p
Arch.. Engr.. Designer: FL/0
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Address: % 3 (D (o
Cin'. ST. Zip: PA OT CA z, co c>
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Telephone: 7 _ d 5
Construction Type: Occupancy: a
State Lic.
Project type (circle on New Add'n Alter Repair Demo
N of Contact Person: C A,t2�
Sq. Ft.:
# Stories:
# Units:
Telephone = of Contact Person: 37-7— 75 Z
Estimated Value of Project: `�
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QUINTA PUBLIC WOWO RKS n
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APIC.: