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05-0055 (RPL)0.I G d & SAFETY DEPARTMENT P.O. 'Box 1504 D - (760),777-7012 78-495 CALLE TAMPICO A1 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 9225 U �AS�Affio QUESTS (760) 777-7153 BUILDIN RAIN ECE LADEP7TA PT + Application Number '105--000-00-055 Date 1/06/05 Property'Address . . . . . . 78.915 DULCE DEL MAR_. APN: 643-100-033= - - Application.description . . . POOL - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 17000 Owner Contractor. BT DEVELOPMENT COMPANY GATTUSO POOL CORPORATION 30342 ESPERANZA 667 S. EUGENE ROAD RANCHO SANTA MARGARITA, CA PALM SPRINGS, CA 92264 RCH SANTA MARGARITA, CA 92688 (760)327-,7592 (949)350-8647 WCC: HRH INS WC: 16150742005 01/01/06 CSLB: 6728.50 06/30/05 --------------- ---------------------------------------------------------- CCC: C53 P.O. Box 1504ICE VOICE (760) 777-7012 75-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 05 -0055 - Applicant: 5 -0055 - Applicant: Applicant's Mailing Address: A ON Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 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 and my License full force and _-,0--eff z icense C{a s '� nse No. /��3 Bate /Contractor OWNS DECLARATION I hereby affirm under penalty of perjury that I am exempt fro the Co ors' 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, improv olish, 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 provisio f the Contractors' 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 theretr d 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).): U 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 or 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' 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. )9N, 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 S d. workers' compensation insu a carrier and policy number are: artier icy 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 forth,#ith comply with those provisigpc, WARNING: FAILURE TO SECURE WORKERS' COM PENS COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL S $100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, A RNEY'S FEES. — CONSTRUCTION LENDING AGENCY 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 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 Ouinta, 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 constructio and hereby authorize representatives of this county t enter upon the above-mentioned property for inspection purposes. ate L ignature (Applicant or Agent): ---------------------------------------------------------------------------- Application Number . . . . . 05-00000055 ---------------------------------------------------------------------------- Permit . . . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 180.00 Plan Check Fee 117.00 Issue Date . . . . Valuation . . . . 17000 Qty Unit Charge Per Extension BASE 'FEE 45.00 15.00 9.0000 THOU BLDG 2,001-25,000 135.00 Permit . . . . . . MECH POOL Additional desc . . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 ---------------------------------------------------------------------------- Permit . . . . . . Additional desc . . Permit Fee . . . . Issue Date . . . . ELEC POOL PERMIT -RES 45.00 Plan Check Fee . . 11.25 Valuation . . . . 0 Qty Unit Charge Per Extension - BASE FEE 15.00 1.00 30.0000 ----------------7----------------------------------------------------------- EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . 0 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 BE IN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 282.00 .00 .00 282.00 Plan Check Total 142.50 .00 .00 142.50 Grand Total 424.50 .00 .00 424.50 01/06/2005 09:01 1784920 GATTUSO FOOL CORPORT PAGE 06 1 tx GATTUSO POOL CORP L 667 EUGENE ROAD PALM, SPRINGS, CA 92261 . 6"C-141. 1 CIS, OF BUILDING a � QUINTA Fo Ppli®� DEPT CONSTRVC�� eY GATTUSO POOL CORP 667 EUGENE ROAD PALM SPRINGS, CA 92264 _ aT v� yy �,;<� � q 789/5 avie ,Harz LA QW r�Ea, cR g 53 i I -S \yob i iE �l t r t LA QUINTA PT. &SAF �E -'L",-ppBovED V;lF vR CONSTRUCTION DATA ��