12-1327 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: L_ -12-00 0013 2 i-3 Owner:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/07/12
Property Address: 54 -400. -RIVIERA
WEAVER
APN: 775-031-054- - -
54400 RIVIERA
Application description: STRUCTURES OTHER THAN BUILDINGS
LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL .
Application valuation: 10000
Contractor:
Applicant: Architect or Engineer:
REMBRANDT POOLS & SP
C
P.O. BOX 6411
LA QUINTA, CA 92253 NOV„�A
NO
(760)771-2121 U `
h
1”
Lic. No.: 800680-
CITY
QF LA QUINTA
FINANCE DEPT
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 :800680
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/Date: If�� ontractor:
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 workers' compensation
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under pe perjury that I am exempt from the Contractor's State License Law for the
Carrier EXEMPT Policy Number EXEMPT
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
c=at, in the performance of the work for which this permit is issued, I 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 (Chapter 9 (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).:
�'�,.
e: I pplicanL•,
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
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.).
(_ 1 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.).
(_ ) 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 Name: Ah,
Lender's Address:
LQPERMIT
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). 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 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 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 aresult 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 construction, and hereby auth ' e•r resentatives
of this c ty to en�upon th ove-mentioned property for inspection purpo
' f�nature (Applicant or Agent):
1
Application Number . . . . . 12-00001327
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
15.00 Plan Check Fee
9.75
Issue Date . . . .
Valuation . . .
. 238
Expiration Date
5/06/13
Qty Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE FEE
15.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
16.50 Plan Check Fee
4.13'
Issue.Date
Valuation . . .
. 0
Expiration Date
5/06/13
Qty' Unit Charge
Per
Extension
BASE FEE
15.00
2.00 .7500
----------------------------------------------------------------------------
PER ELEC DEVICE/FIXTURE 1ST 20
1.50
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . .
18.00 Plan Check Fee
4.50
Issue Date
Valuation . . .
. 0
Expiration Date
5/06/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
FIREPLACE,. (2) FIREPITS, (1) BBQ
STRUCTURE, 115 L.F.2'
GAS LINE FROM
METER. 11 L.F. 5' BLOCK
WALL, CITY
STANDARD. 2010 CODES.
----------------------------------------------------------------------------
Other Fees . .
. . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
.98
STRONG MOTION (SMI) - RES
.50
Fee summary Charged Paid Credited..
Due
Permit Fee Total
49.50 .00 .00
49.50
Plan Check Total
18.38 .00 .00
18.38
Other Fee Total
2.48 .00 .00
2.48
Grand Total
70.36 .00 .00
. 70.36
LQPERMIT
ern.#
Cit}/ Of La Quinta
Builift &,- Safety Division '
P.O. Box 1504,76-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit -Application and Tracking Sheet
Permit # A
' 0 '
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Project Address: C _j ' �.i
Owner's Name:. r
A. P. Number.
Address: ��l _ C(U6 llp l Vr,.
Legal Description: Mui i•lkj
City, ST, Zip:
Contractor. Atn 10004 x J
Telephone
.6r,*L7
Address:
Project Description0 N CO ' . t (
I��K
City, ST, Zip: : CA
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t i-( r+ ) {kC4rt
Telephone: GO
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Ajw V.
UM
State Lic. # City Lio. C
Arch., Engr., Designer.
Address:
C
City, ST, Zip:
Tele hone:
P � 'r �
State Lic. #: �'�"� `�� ~� J
r...,,„q�
Name of Contact Person:p( 1 IV
Construction Type• . Occupancy:
Project type (circle one): New Add' Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project Cg UGa
�7G�1 AP LICUT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES-
Plan Sets
Plan Check submitted
Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calks.
Plans picked up
Construction 69T6
Flood plain pion
Plans resubmitted
Mechanical
Grading plan
2'' Review, ready for correctionsfissue
Electrical Bpi
Subeontactor List
Called Contact Person
Plumbing A.
Grant Deed
Pians picked up
S.M.L
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:-
''' Review; ready for corrections/'issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P-
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVE®
FOR .CONSTRUCTION
I
New Pebble -Tec
Aqua Blue & new waterline Tile
6" x6" color Tan
New BBQ Structure DA Y BY �� Existing Pool and Spa
13LF x 3' h x3' w tile top
& stucco sides to match house
ement Block stucture
1
New Concrete pavers (2) New Fire -Pits
Orco Villa Color Tan Tile veneer 5'L x 2'. high
Cement Block Structure
New +18" Raised planter
extension 5 LF material
cement block
Planter
New 2" Polymeric 1
gas line
1
1 ,
1 �
Existing Pool
Equipment 1
1
1 P/E `� R id
1 \
Gas & Elec
Meter
1
Bench
New Fireplace
natural Gas with Tile bands
and stucco to match house
11' Lx 2'6" d x 5' h Fireplace
will not exceed top height of
side property wall from zero
grade /cement block structure
POOLS MSPAS INC.
ue
Af
"A 7Vnrrcrpiece"
CA. LIC. 800680 C-53
77-564 Country Club Dr. Ste.#127, Palm Desert, Ca 92211
Office: (760) 771-2121 • Fax: (760) 771-2181
POOL & SPA SPECS
POOL SIZE: 30'X 15'
POOL AREA: 354 SF
POOL PER: 86 FT
POOL DEPTH: 3'6" TO 6'
SPA SIZE: Tx 7'
SPA AREA: 38SF
SPA PER: 24 FT
CONCRETE AREA: 980 SQFT
PUMP: 2HP Variable S eed
FILTER: 420 SF
HEATER: 400K BTU
CONTROL: Easy Touch
CHLOR: SALT SYSTEM
LEANER: N/A
PLASTER: PEBBLE
ILE: GROUP 1-3
POOL LIGHTS: 2-40OW
SPA LIGHTS: 1-250 W
Residence
ADDRESS: 54-400 Riviera
CITY: La Quinta CA
DEV: PGA West CC Niklause LOT*
DATE: 12:41 PM 10/16/12
SCALE: V= 8'
DRAWN BY: Jorge
LANDSCAPE NOT INCLUDED