The URL can be used to link to this page

07-0673 (RPL)P.O. BOX 1504 - - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - WORKER'S COMPENSATION DECLARATION 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: (07-.00000673 Property Address: 77420 VISTA`ROSA APN: .658 -220 -022 -- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 18000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: MULLIN JOHN F C/O GREEN ACRES -TRUST 2033 MONTEREY RD SOUTH PASADENA; CA 91 Contractor: GATTUSO POOL CORPORATI 2 667 S. EUGENE ROAD PALM SPRINGS, CA 92264 (760)327-759 'Lic. No.: 672850 VOICE(760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/02/07 BAR � 5 20®1 F�Q�la FCIN OEO LICENSED CONTRACTOR'S DECLARATION - - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - WORKER'S COMPENSATION DECLARATION ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C53 License No.: 672850 _ for by Section 3700 of the Labor Code, foi the performance of the work for which this permit is e� S �' . C ractor: - issued.. I have and will maintain. workers' compensation insurance, as required by Section 3700 of the Labor 101, Code, for the performance of the work for which this permit is issued. My workers_ compensation OWNER -BUILDER DECLARATION _ - insurance carrier and policy number are: - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND • ' Policy Number 0461600002007 .following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued,'( shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or • 3700 of the Labor Code, I shall forthwith comply with those provisions. " 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).: ' - Date. plicant: 1 _ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees; provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are.not intended or offered for sale. If, however, the building or improvement is sold within "SECTION 3706 OF THE LABOR CODE, INTEREST,AND. ATTORNEY'S FEES. " 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.). / APPLICANT ACKNOWLEDGEMENT - 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the _ 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of " conditions and restrictions set forth on this application. ' property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, . I—) I am exempt under Sec. " , 8.&P.C. for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all . work for which this permit is issued (Sec. 3097, Civ. C.). 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. ' Lender's Name:. _ nature (Applicant or Agent): !jam Lender's Address: LQPERMIT Application Number . . . . . 07-00000673 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 189.00 Plan Check Fee 122.85 Issue Date Valuation 18000 Expiration Date 8/29/07 Qty Unit Charge Per Extension BASE. FEE 45.00 16.00 9.0000 THOU- BLDG 2,001-25,000 ------------------------------------------------------------------------- 144.00 Permit ELEC POOL PERMIT -RES Additional desc .. . Permit Fee 45.00 Plan Check Fee 11.25 Issue Date. Valuation 0 Expiration Date 8/29/07 Qty `Unit Charge Per Extension BASE FEE 15.00" ". 1.00 30.000O'EA ELEC PRIVATE SWIMMING POOL 30.00 Permit. . . PLUMBING..;. Additional desc . Permit Fee 24.00 Plan Check Fee 6_00 Issue•Date Valuation 0 ' Expiration Date 8/29/07 Qty Unit Charge Per Extension - BASE FEE 15.00, 1.00 6.0000 EA PLB FIXTURE 6.00 <1:00 ." 3.0000 EA PLB GAS -PIPE -1-4 OUTLETS 3..00 - -------------------------- Special Notes and Comments --------------- ADD SPA TO EXISTING POOL. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION.EQUIPMENT` . ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due -------- Permit Fee Total 258.00 .00 :00 ---------- 258.00 Plan Check Total 140.10 .00 .00 .140.,10 Grand Total 398.10 .00 .00 398.10 . LQPERMIT Din City of •La Quiinta Building BE Safety Division P.O. Box 1504 Perntit# 78-495 Calle Tampico �� La Quinta; CA 92253 a jBuilding Permit Application. and Tracking Sheet ' Project Address: 7 `(�2 e VO Owner's -Name: GA S oiv A. P. Number. Address:�3'9� 4/✓V Sv�� t Le!_al Description: City.ST: Zip: Y ` Contractor: Gk-rt'USD POOL C.t) QP Telephone: •3q-!'— :<5i Address:(0 G7 C.tl VF E R Project Description: a ' Cin -.ST. Zip' t?A 5 R 1�%.L , G� � ZZ ID O o z--.. Telephone: z 51 Z � �. State Lic. _ : (.V72 5.r.> City Lic. #: p p Arch.. En --T.. Desiemer'•,L 0 .T S / i I Address: 7 3 U (p ... s _ Citj. ST. Zip: P%�L/rl &5Ee,T r—A LTiCvD y l� ofIV ��!/ /w .1r2' Telephone: 7-7?— O 05 _ Construction Type: ��, } State Lic. Project type (circle one): New 'n Alter Repair Demo ' Name of Contact Person: Sq. Ft.: # Stories: # Units: s , Telephone = of Contact Person: 37-7— 73 Z Esiinmed Value of Project: (g o0 �o OD.NOT:iNR>�E':BELflId(5:;£fH�'::>:;=:;�:z-:�><�:::<;<>:;.;.;::;:;�:>:><>:::::::>:z:::>;:::>;:;.::;::.>' Submittal .::..::....;.:.. >............. -7 [/ Plan Sots Ylas. Iseeeiistthmia Strnctn ...... ' <� :.: •:�' �:':" .. . ed;:reai :aer:eocrcdsons:•>: r �.:::.� Truss C :.> ': ;:.:.: :.:::...::.::::.:.::•;:: .;.:.:.::.:':;'•'.<':.:::•;:::'.::.;::":.:;:�':; :.... :Cslled:�atttacGPtccses:.;:;;:.:;�::.::;r:' :. ::::ELati;I�xtic:Babta Titk 24 Cala. • D 8 .C�iiststici5o� Grant. Deed laait:rea bmttted ::.''>`:::>School. Frm:::'.'::';.;::' . :ittYltiRtdrtia>}J!:1u:i9siY4:'::. ";: 'i�.;':;':':'>:::.::. ... Sobcentaeter>t ist s,>; .;q :<..>:':> %;•;;;;< :>:;>:< ::::> ?: ' Ca1te�:Contset>P. ::::.:... :.. . _ .:........fit ....:. .>:.::::::;.:.:s..........;:::......::::>:....:....::»;::::.:.:.. Civ B Aft:.::.......:::.:..... orate .::. �.:• �::>' :.:::.:.;:;�:::;�;:>: .::............ �..::..::..;..:.>::::::..:::�:::: . �..:: ;:•;..:::.::::.: �:::::::::: �:....., .:..:::::.::...:.. .... ....::::... .......::::: Plasarob ............. .:::..:.:.. .... ......................... ::::..�:::::::.:: �;:: ..:....:..:.::.. c Pub. 7cs.:A [l .......:... w :.....::..:......: 6P!�......:::::.... ::.... r ....::..::::..:.:: Fire Mar. A plug....::.:::.::.:.:. :; > :: :...:::' ........... ..................... ....:.... . F" H Dept A BP tavl .`�' 'PPov .A r >' ,.'.'.. ;:'lrota>Psrasif>Frs»-:::::::::>: >: 78-105 CALLE ESTADO' LA QUINTA, CALIFORNIA 92253 = (619) 564-2246 FAX (619) 564-5617 May 6, 1991 Mr. Andrzej Weber Subject:. „ 80-720 Jasmine Lane Setback Adjustment: 91-056 .Indio,' CA 92201 Location Santa _Rosa"Cove 77-420 Vista Rosa Legal: Lot 46, Tract 2"52LL37 Dear Mr. Weber: This letter is to report approval of your recent -application for a setback adjustment,' pursuant to Chapter 9.188 of the City of La Quinta Planning & Zoning Regulations. The following setback adjustment has been approved.subject to conditions and in accordance with attached -Exhibit A. SETBACK ADJUSTMENT: Rear 10 -foot setback.reduced:to 6.5 feet side 5 -feet setback reduced to 1.5 feet.- FOR: eet.FOR: Pool equipment NOTE: A letter from the owner of the lake area to the north and east of this property has been submitted approving the location of the.pool equipment in the setback.area.. After review it was determined that: 1-. This adjustment is consistent+with the intent and purpose of the zoning ordinance 2. There are special circumstances applicable to the property, including such factors as site, shape, topography, location or surroundings that justify approval of the adjustment. These special circumstances are: This lot is located alongside .a lake.Ar c� v 3. This adjustment will not.be detrimental tc" health, safety, and, general welfare oftkJA �-� community or be detrimental to property in the - vicinity of the parcel for which the adjustment is requested. MAILING ADDRESS P.O. BOX 1504—LA QUINTA, CALIFORNIA 92253 FORM.SBA/BJ. - 1 - if tt x 6 Pj_�T15R5 FRERY LINE Id .................. . E - L2.0 C) 5' SWIMMING FOOL li L2 01, Lo SITTING/ OFFIGE L-7 --T IT' ---- ------------- 4 ----------- ----------- I- ----- ------ ------ ---- -------- ------ --- --------------- -- ----------------------------- - r ----- ------- --------- ------- --w ------------- ---------------- ------ ---- -------- ------- ------------------------ --- ------------- -------- ------- w- ---- --------------`— w "t ----------- --- w ---------------- ------------------ b -------- ------------------------ LAKE ----------- ------- ---- --------------- ------------ — --------- — ii ------ --------- - ---------- ------------- ---- -- --- ----------------- I rrr ----------- ------------ rwr yr -- ----- -- ------ --- -------- ----—,-- ----- — — --------------------- ------------------- --- ----- ---------------------------- -- ---------------------------------- ---- -------------------------- --- ---------- ------------------- -- --------------- ------------------ Hrr i ----------- ----- ----------- ------ ------------- --- ------------- ------- --------- ----------------- -------------- ------- -------------- ----------------------- -------------- ----------- ------ ---------------- ---------- -LAWN 77 x 6 Pj_�T15R5 FRERY LINE Id .................. . E - L2.0 C) 5' SWIMMING FOOL li L2 01, Lo SITTING/ OFFIGE L-7 --T IT'