04-7765 (RPL)ce
zye,444
BUILDING &SAFETY DEPARTMENT
1504
X7'8 49'5 CALLE TAMPICO (760) 777-7012
- �' FAX (760) 777-7011
-��;� LAzQutrl A, CALIFORNIA 92253 INSPECTION REQUESTS (760),777-7153
BUILDING PERMIT
App\lic a,
on Number . . . . . X04 0`00.07765 i Date 12/14/04
Property Address . . . 50350 VISTA MONTANA .
APN: 772-260-012-12 -14-104 -
Application description POOL - •RESIDENTIAL
Property Zoning VERY LOW DENSITY RES
Applicationevaluation,.. 40000
Owner Contractor.
- — — — — — — — — — — — — — — — — — — — — — H a — — t — — — —
PATRICK MUNDT GATTUSO POOL .CORPORATION
P 0 BOX '5433 667 S. EUGENE ROAD
:PALM SPRINGS CA 92263 PALM SPRINGS CA 92264
(760) 323_1600' (760) 327-7592
WCC: STATE FUND
WC: 161507404 01/01/05
CSLB: 6.72850 06/30/05
CCC:. C53-
Permit . . MECH POOL
Additional des'c
Permit Fee . . . . •24.00 Plan Check Fee 6.00
Issue Date . . . . Valuation . . . 0
Expiration Date 12/14/05
Qty Unit Charge Per Extension
BASE, .FEE 15.00
1.00 9.0000 EA MECH''FURNACE <=100Ko 9.00
----------------------------------------------------------------------------
Permit . . BLDG POOL PERMIT
Additional desc
Permit Fee. 349.50 Plan Check Fee 227.18
Issue Date Valuation 40000
Expiration Date •12/14%05
Qty Unit Charge Per Extension
BASE FEE 252.00-
15.00 6.5000 THOU BLDG.25,001-50,000 97.80
Permit . . . . ELEC POOL PERMIT -RES
Additional desc
Permit Fee 45.00, Plan Check Fee 11.25
Issue`Date . . . . Valuation . . 0
Expiration. Date-..'. 12/14/05
Qty Unit Charge Per ,Extension'
BASE FEE
.1..15 . 0 0
1.00 30.0000 EA ELEC"PRIVATE SWIMMING POOL 30.00
Q
P.O. BOX 1504
78-495 CALLE TAMPICO VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
• INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: V -
Date:
Applicant: Architect or Erigineer:
Applicant's Mailing Addre
Architect or Engineer's Address:
Lic. No.:
MUILUINU PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION 1
1 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 myen rim full force and effect.
License Class �' 7 '� License No.
Ire
�7i � Contractor 64 0114a-
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 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 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).):
U 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 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.
_ 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�orlk ' ompensation insurance carrier aqd p�lic ribera
..Carrier Is AIN Ml ' Policy Number _ PCO 1 & /Y
_ I certify that, in the performance of the work for which this permit is issued, Fall 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.
Date �� -7 Applicant
WARNING: FAILURE TO SECURE WORKERS' COMP S ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND TTORNEY'S FEES.
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
IMPORTANT Application is hereby made to the Director of BuildingAPPLICANT CKNOWLEDGEMENT
Safety armit subject to the
1. on this
Each person upon whose behalf this application is made, each person at whose request and foorr wholse benefit ork sand rnperfo setfmred under or pulrsuant 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.
1 certify that I have read this application and state that the aboyciALormation 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 cou to Nter upon the above-mentioned property for inspection purposes.
Date d Signature (Applicant or Agent): \
Page 2
. Application.Number
04=00007765
Date 12/14/04
Permit ...
. . PLUMBING
Additional
desc
Permit°Fee.
33.00 Plan Check Fee
8.25
Issue Date
Valuation
0
Expiration
Date 12/14%05
Qty Unit'Charge
Per
.Extension
BASE FEE
15..00
2.00
6.`0000 EA PLB FIXTURE
12.00
5.00
3..0000 .EA PLB-WATER'INS.T/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 IN
PERMIT..
-
Fee summary
Charged, Paid Credited
Due
Permit Fee
Total -451.50 :00 .00
451.5.0.
Plan Check
Total. 252.68: .00 .00
252.68
Grand Total'
704.18 .00; .00
704.18
Oct 09 04 10:46a RAYMOND FRANGIE 760 836 0856 pot
14.F STRUCTURAL CONSULTANTS, INC..
75-153 MERLE DRIVE, STE, B, PALM DESERT. CA 92211
PHONE (760) 836-1000 FAX. (760) 836-0836
E- MAIL R. FRANGlE@bERIZUN.NET'
OCTOBER 9, 2004
PATRICK MUNDT
73318'SHADOW MOUNTAIN DR [)NIT B ,
PALM DESERT, CA. 92260
Ann.: MR. PATRICK MUNDT
Re.: THE AIUNDT / LEVINE.-RESIDENCE
<:507-35(1 `VISTA MONTANA `S
LA QUINTA, CA, 92253
FOLLOW-UP TO WALK THROUGH
JOB NO.: 4123 .
DEAR PATRICK
THIS LETTIER ADVISES THAT WE HAVE OBSERVED THE STRUCTURAL
QUIREL`r1[ENTS THAT ARE VISIBLE DURING. CONSTRUCTION AT THE TIME. OF
OUR SITE VISIT.
WE BELIEVE THAT THE AS-BUILT CONSTRUCTION AT THE TIME OF OUR VISIT IS
IN GENERAL CONFORMANCE WITH OUR STRUCTURAL PLANS AND RELEVANT
CORRESP(_)NDENCE ISSUED BY OUR OFFICE.
WE OBSERVED THE BUILDING IN ITS FRAMED CONDITION PRIOR TO
INSTALLATION OF DRYWALL AND STUCCO. WE OBSERVED THE VISUAL. AND
ACCESSIBLE STRUCTURAL REQUIREMENTS. ( EXCLUSIONS ARE ITEMS UCH AS:,
FOOTING SIZE AND REINFORCEMENT, TOP PLATT SPLICES, ROOF SHEATHING;
AND ANY STRAPS ABOVE THE ROOF SHEATHING).
RESPECTFUL a
- Q F
R
w•
'NO. 57958
06_3D-0
CIV
a.
SgTE OF
ZEYAD FAQIH, PE