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06-2414 (RPL)P.O. BOX 1504 78495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-iht 4 4 Q" Application Number: 06-00002414 Property Address: 78815 W HARLAND DR APN: 60.4-232-008-137'-23268 - ApplicatiFn,valuation: bscription: POOL - RESIDENTIAL Propertying: LOW DENSITY RESIDENTIAL_ Applicat' 220.0:0 A licant Architect or Engineer: BUILDING &.SAFETY DEPARTMENT BUILDING PERMIT ---------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that am licensed under provisions,of Chopter,.9 (commencing with Section 7000) of Dry ion 3;of the Business and Professionals Code,,and'my License Is in full force and effect. License Clase CS License,No.: 612850 Da _ J6.-ntractor' OWNER -BUILDER DECLARATION f,hereby affirm under penalty of perjury thatl am,exempt,from the;Contractor's;State License Law for the foilowing reason (Sec. 7031.5,.Business:and:Professions Codes 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.forthe permit to:file e.signed'"statement that he or she is licensed pursuant to,the provisions of the Contracto'r's State License Law (Chapter9 (commencing with Section 7000) of Division 1of the Business and Professions Code) or that he;or'she'Is exempt therefrom and the.basis for ihe.alleged,exemption. Any violation of Section•7031.5 by any,applicantfora permit subjects the applicamto a civil penaltyiof.not more thanfive hundred dollars ($500).: (_ I I, as owner of the property„or'my,employees with wages as their sole compensetion,: will do the work,and the structure is not intended'or offered' for. _sale'(Set; 70441 Business and Professions;Code: The Contractors' State License Law does not.apply to an owner of,property who builds orimproves thereon, and who doesthe work -himself or herself through his or her own employees, provided that.the improvements are not intended of offered for sale. If, however, the building of 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 thepurpose of'sele.). 1, as owner of the property, am exclusively con tracting,with1ioansed contractorsto 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 thereoni;and who contracts for the projects with a coritrector(s) licensed pursuant to; the Contractors' State License Lew.). C_ 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 ofithe work for which this permitis issued (Sec. 3087, Civ. C.). Lender's:Nanie:. Lander's' Address: LQPERMIT Owner: PAM HOUSEHOLDER. 78-815 W HARLAND DR. LA QUINTA, CA 92253 (760)567-4965 VOICE (760) 777-7012: FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/16/06 v Contractor: JUN 19 2006 GATTUSO POOL CORPORATION 66,7 S. EUGENE' ROAD ofLAD�� - PALM SPRINGS', CA 92264 CIF1 'ANCE DEPT (760)3,27-7592 Lica. No.: 672850 WORKER'S COMPENSATION DECLARATION Thereby 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 ofthe Labor Code, for the performance, of the work for which this permit is issued:. _ I have and will maintain workers' compensation insurance, asrequired by Section 3700 of the -Labor Code, for the performance of the work for which this permlt is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE BUND Policy Number 161`50742006 _. 1 certify that, in the performance of the work for which this permit is issued, I,shall not,employ any person in any manner so:aafo become subject 4o, the workers' compensation laws of California, and, that, if I should become subject.to the workers' oompensation,provisiens of Section 3 ,o 7 f the LeborCode; I shall,forthwith:comply with those provisions. Date• 'cant: _. _ .._ .. , . _ ._ - _ "WARN G: FA URE.?O. SECURE WORKERS` COMPENSATION COVERAGE IS'UNLAWFUL, AND SHALL SUBJECT ANEMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES.UP`TO ONE HUNDRED THOUSAND DOLLARS (6100,000). IN ADDITION TO THE.COST OF COMPENSATION, DAMAGES AS, PROVIDED,FORdN SECTION 3708 OFTHE LABOR'CODE, INTEREST,. AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is,hereby made to the Director O 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`ls performed under or pursuant to any permit Issued as a result�of this,application, the owner, arid`ihe applicant, each agrees to, and shall defend,, indemnify and hold harmless the City of La Quints, 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 ceasation of work for. 190 days will subject -- permit to cancellation. I certify that;l 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, andhereby authorize representatives outhis cou ' 'to en upon the above-mentioned,property for, inspection purposes. Date: gprw(ApplicantorAgent): f. LQPE DW Application Number . . 06-00002414 Permit . . . BLDG POOL PERMIT Addie°ional desc . Permit Fee 225.00 Plan Check Fee 146.:25 Issue Date . . Valuation . . 22000 Expiration Date 12/13/06 Qty Unit Charge Per Extension BASE FEE 45.00 20.00 9.0000 THOU BLDG -2,001--25,000 180.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Exp r, -tion Date 12/1:3/'06. Qty Unit Charge Per Extension BASE FEE 15.1100 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 12/13,/06. Qty Unit Charge Per Extension BASE FEE, 15:00 1.00 3.0.0000 -EA ELEC PRIVAT-E SWIMMING POOL 30.00 Permit . . PLUMBING Additional desc . Permit Fee 27.00 Plan Check Fee 6.7-5 Issue. Date . . . Valuation 0 Expiration Date 12/'13/06 Qty Unit Charge Per Extension BASE FEE 15.00 1-00 6..0000 'EA PLB FIXTURE 6.00 1.00 3-0'000 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 ALARMS.,BARRIERS.SHALL BE IN PLACE. Application Number . . . . . 06-00002414 -- ------------------------------------ Special Notes and Comments AT PRE -PLASTER INSPECTION EQUIPMENT ENCLOSURES NOT .INCLUDED. .Fee summary Charged Paid Credited Due ------------- ------------------------------------------- Permit :Fee Total 323.00 .00 .00 323.00 Plan Check Total 170.75 .00 .00 .170.75 Grand Total 493.75 .00 .00 493.75 (fo ca LQPERMff Z0 39Gd z WN I XXS TING P ATIo GNuc`K/R qNl 79VE WUST HARLAND LA. QuiNTA) CA GAS'fU50 POOL COiiPPiiA7wN 667IFUGENE;R W AALM SPRINGS; CA -82264 A RE -INSPECTION FEE OF WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT F TH,E SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! iaoc 109 300d osniiv9 '�( �� QjjjN"T "� ,I Fes( pEPT' gU1Lp1NG �� ®�f) E TRACTION FOR CON / _ I+ Z4 By 0Z6b8LT Lb -ZT 900Z/5T/90 ' City of La Quints 9011ding & Saf'ew Divisirnt P.O. DOXL 1504 Pernd� +� 787495 Calle Tamocbo f„� �!'1 !a Quints, CA 92253 ;. -' . Building Permit Application and Tracking Sheet Pmjea Aftun: 15 Ia¢, Owner's Nsaae: CH t,C.K, A. P. Numb= +°id6=L . Lr�al,Desrnpuon: Cuy.ST. Zip:. contractor Gro 9baL caQ . r� <w Asa: r:uc-,►a R oL, W. Cin;ST. Zip: 'ALm, SFWLIJ.. G6� ZZ-1 75 state Lio: a : L07L A 5:0 City Ult: O'a Axch : Ene..nesisa . F S . �►edrlss: 7 3to N Chy.' U. Zip; ftM Qg4reir 4aA zz.&o Tdepbone:'7 ., a d S w ;: 3 Coatocoat Type: c�' �� r•rY✓�•J i - 11MR Aker Rcor D=w Name of Contact Perron: Sq. 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