BPOL2017-0017,
78-495 CALLE TAMPICO Q�i D VOICE (760) 777-7125
'
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT FAX (760) 777-7011
FAX
(760) 777-7153
BUILDING PERMIT
m2 17
M 1116
Application Number: BPOL2017-0017 Owner:
Property Address: 54240 AVE NIDA ALVARADO EDWARD CRESPI
APN: 774203012
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Property Zoning: O
Application Valuation: $20,000.00 M T
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Applicant: Contractor: Z Z o
GATTUSO POOL CORPORATION GATTUSO POOL CORPORAB,O5!
667 EUGENE ROAD 667 EUGENE ROAD M
PALM SPRINGS, CA 92264 PALM SPRINGS, CA 92264
(760)327-7592
Llc. No.: 672850
'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: 'a� fi7 Contract"o�
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 not
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 contractors) 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 Na
Lender's Address:
WORKER'S COMPENSATON-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 370C of the Labor Code, for the performance
of the work f which this permit is issued.
have and will maintain workers' compensation insurance, as required by
90oonn 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: MIDWEST EMPLOYERS CASUALTY COM PANY Policy Number:
I certify that in the performance of :he work for which this permit is issued, I
shall not employ any person in any manner so 3s to become subject to the workers'
compensation laws of California, and agree thct, if I should become subject to the
workers' compensation provisions of Section 3.700 of the Labor Code, I shall forthwith
comply with those provisions.
Date:2 " A- 11 Applicant--
WARNING: FAILURE TO SECURE WORKERS' CO.APENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,00D). 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 cancel ation.
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 ordi lances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes. nn
Datre�o7'o�� ' ��1 Signature (Applicant:or Agent=, =LN �N
Dater 2/23/2017
Application Number: BPOL2017-0017
Owner:
Property Address: 54240 AVENIDA ALVARADO
EDWARD CRESPI
APN: 774203012
Property Zoning:
Application Valuation: $20,000.00
Applicant:
Contractor:
GATTUSO POOL CORPORATION
GATTUSO POOL CORPORATION
667 EUGENE ROAD
667 EUGENE ROA.
PALM SPRINGS, CA 92264
PALM SPRINGS, C4 92264
(760)327-7592
Llc. No.: 672850
Detail: POOL AND SPA AT COURTYARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES
NOT INCLUDE POOL BARRIER OR EQUIPMENT ENCLOSURE.
ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016
CALIFORNIA BUILDING CODE.
C
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$190:00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$103.36
Total Paid for POOL f SPA: $293.36
DESCRIPTION ACCOUNT QTY AMOUNT
TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
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:. City of La Quilnta a
Building Fz Safety Division
P.O. Box 1504
Permit #78-495 Calle Tampico ,
La Quinta, CA 92253
Building Permit Application. and Tracking Sheet
Project Address: _
Owruer's Name: C
A. P. Number:
Address:
Leal Description:
Ciry.ST. Zip:
Contractor:O=KrrUlst) 4noL-
C-D2P
Telephone:
Address: E V C-1;�7 N E
RD
Project Description:
Cin'.ST. Zip: ?ALM S(>2 ti1.L CN ZZ to
Telephone: 37 5 Z
State Lic. = : L072 f)5:p
I City Lic. ii: p p
Arch.. En_r.. Desizter. 1",I..
6u- 5 S
Address: 7 3 (D G (
Citi'. ST. Zip: P/ I -m CA 7zzcvc>
Telephone:
Construction Type: Occupancy.
State Lic. _.: 33
Project type (circle one): New Add'n Alter Repair Demo
!game of Contact Person: C aZ�
Sq. Ft.:
# Stories:
#Units:
Telephone= of Contact Person: 3 Z'7 - 7,3 Z
Estimated Value of Project:
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GATTUSO POOL CORPORATION `
667 Eugene Rd _
~ Palm Springs, ,Ca 92264 -RECEIVED
® (760)327-7592 Fax 778-4920
C 672850 - FEB 2,2 20i7 _.
CITY OF LA QUINTA
COMMUNITY nsvct nta■,rL.—
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