RPL (06-3066)60890 Living Stone Dr
06-3066
Property Address: 60890 LIVING STONE DR
APN: 764-270-999-124 -300234-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES'
Application valuation: 15000
Applicant: Architect or Engineer:
MI
- G & SAFETY
DEPARTMENT -
D ILDI�I
IT
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Owner:
AUG 2 5 2006
HOFFMAN
License Class: C53 License No.: 800680 (
60890 LIVING STONE DRIVE
CITY OFLA
QUINTA, CA 92253
'AICE ,DELTA
I have and will maintain workers' compensation insurance, as required by Section 3700 -of the Labor
.0
Contractor:
- OWNER -BUILDER DECLARATION
REMBRANDT POOLS & SPAS INC
I hereby affirm under pi perjury that I am exempt from the Contractor's State License Law for the
78910 VIA VENTANA
following reason (Sec. 7 1.5, Business and Professions Code: Any city or county that requires a permit to_
LA QUINTA., CA 92253
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
(760)771-2121
permit to file a signed statement that he of sheds licensed pursuant to the provisions of the Contractor's State
Lic. No.: 800680
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: .8/23/06
LQPERMIT
' 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.: 800680 (
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
��c _
_ ��O/
issued.
�
Date: Contractor:
I have and will maintain workers' compensation insurance, as required by Section 3700 -of the Labor
.0
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 pi perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND. Policy Number 1744664 ,
following reason (Sec. 7 1.5, Business and Professions Code: Any city or county that requires a permit to_
I certify that, in the performance of the work for which thispermitis 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 inany manner so as to become subject to the workers' compensation laws. of California, -
permit to file a signed statement that he of sheds 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 ofthe L or 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 a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.:
oo--.-
ate: plicant: _ -
• (_ 1 I, as owner of the property, or myemployees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sate (Sec: 7044, Business and Professions Code: The
WARNING: FAIL RE TO SE ORKERS' 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 EMPLOYE CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, providedthat 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_) 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 am exempt under Sec. , B.&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 t 11 have read this applic on 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 a county ordinances and p6te laws relating to building construction, and hereby authorize representatives
of s county to enter upon above-mentioned property for inspection purpo a•�, _�.
Lender's Name: och
.
Date:O Si a[ure (Applicant or Agent): -
Lender's Address
LQPERMIT
Application Number ..
. . . . 06-00003066
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee'
162.00 Plan Check Fee
105.30
Issue Date
Valuation . . .
. 15000
Expiration Date
2/19/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
13'.00 9.0000
THOU BLDG 2,001-25,000
117.00
Permit . . .
MECH POOL
Additional desc:.
Permit Fee . . . .
26_00 Plan Check Fee
6.50
Issue Date . . .
Valuation
0
Expiration Date
2/19/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
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
2/19/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
EA ELEC PRIVATE SWIMMING POOL
30.00
Permit . .
PLUMBING
Additional desc .
Permit Fee
27.00 Plan Check Fee
6.75
Issue Date . . .
Valuation
0
Expiration Date
2/19/07
Qty Unit Charge'
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
SPA. ALARMS/BARRIERS
SHALL BE IN PLACE
LQPERMIT
Bin #
City of La Quints
Building & Safety Division "
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�J
Project Address:' D� Ci fi/ (//�(T S7�{tJL
Owner's Name:
rF�
A. P. Number:
/`A
Address: (o Gf
Legal Description:
Contractor: f(m,, 7;66-;-f /ti(L
Address:0 U� f)
Ci q
h', ST Zip: ��' I GIC(/,v ;'9 AIA-
Telephone: _Won�"�S,"��°.
P �%��' 7//Z�
Project Description:
City, ST; Zip: �� u//� 7— j
Telephone: 7,/2
State Lic. # �'-ity Lic. #: '
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter , Repair Demo
$q. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: % �` 1p� j a
Estimated Value of Project:L
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P:
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
iI, .
I,-
EMBRAND
POOLS & SPAS INC
CA. LIC. 800680 C-53
78-910 VIA VENTANA
r E(60X722253TL7) 1-121
FAX (760) 771-2181
POOL & SPA SPECS
P E: 1 TV X 0'
SPA AREA: 89 SF -
SPA PER: 34 FT
DECK AREA: 745 SF
COLOR/FINISH: TO CHOOSE
PUMP: 1-2 HP
FILTER: 460 S
HEATER: 400K BTU
CONTROL: JANDY RS4
CHLOR: SALT
CLEANER:
PLASTER: TO BE DECIDED
TILE: GROUP 1-3
SPA LIGHT: 1-100 W
MISC: 1-1.5 AUX. WATER
FEATURE PUMP
HOFFMAN
ADDRESS: 60890 LIVINGSTONE
CITY: LA QUINTA
DEV: TRILOGY LOT#:
DATE: 1:18 PM 8/7/06
SCALE: 1 "= 8'
DRAWN BY: JASON
LANDSCAPE NOT INCLUDED