RPL (08-1181)57231 Medinah
08-1181
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00001181
Property Address: C-- 57231 MEDINAH
APN: 762 -110 -014 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application. valuation: 20000.
TA -ht 4 4 Q"
Architect or Engineer:
.
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/14/08
Owner:
STEARNS/RYAN
57231 MEDINAH
LA QUINTA, CA 92253
Contractor.
REMBRANDT POOLS & SPAS
JUL 28 208
INC C7
P.O. BOX 6411
LA QUINTA, CA 92253
CITYOFLAQUINTA
(760)771-2121
FINANCE DEPT. '
Zic. No.: 800680
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 Professionals Code, and my License is in full force and effect.
License Class: C53 License No.: 800680
ate: Z r ntractar:
OWNER -BUILDER DECLARATION
Ihereby 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.).
(_) 1, 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.). -
(_ 1 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:
Lender's Address:
LQPERMIT
WORKER'S 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 workers' compensation -
insurance carrier and policy number are:
Carrier EX MPT Policy Number EXEMPT
I certify that, in the performance of the work for which this permit is issued, I shall 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.
ate: pplicant:
WARNING: FAILURE SE ORKERS' COMPEN CIVIL
UP
DNE
AWFUL, AND SHALL _
SUBJECT AN EMPLO O CRIMINAL PENALTIES ANHUNDRED THOUSAND
DOLLARS 1$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 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.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and unty ordinances and state laws relating to building construction,, and hereby authorize representatives
of t county to enter upon the above-mentioned property for inspection purposes.
Date: :;2 ture (Applicant or Agentl:
Application Number .
. . . . 08-00001181
Permit . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
207.00 Plan Check Fee
134.55
Issue Date . .
Valuation
19740
Expiration Date,.`
1/10/09
Qty Unit Charge
Per
Extension '
BASE FEE
45.00
18.00 • 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001=25;000
162.00
Permit . . .
MECH POOL
Additional.desc .
Permit Fee
26.00 Plan Check Fee
6.50
Issue,Date
Valuation
0
Expiration Date
1/10/09.
,Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0.000
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
1/10/09
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 . . . .
33.00 Plan Check Fee
8.25
Issue Date . . .
Valuation
0
"Expiration Date
1/10/09
Qty Unit Charge
Per
Extension
BASE FEE
1:5.00
2.00. 6.0000
EA PLB FIXTURE
12.00
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
Permit . . . . . . WALL/FENCE PERMIT.
LQPERMIT
Application Number 08-00001181
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . 15.00 Plan Check
Fee
.. .00
Issue Date j -.'Valuation .•
260
Expiration Date 1/10/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
----- --------------------------------
----------------
Special
Special Notes and Comments -
--
-
--- -I--- 7
POOL/SPA, 12 L.F. 5' EQUIPMENT WALL,
CITY STANDARD. ALARMS/BARRIERS SHALL BE
IN PLACE AT PRE -PLASTER INSPECTION.
Fee summary Charged Paid Credited
Due
Permit Fee Total 326.00 .00
.00'
326.00
Plan Check Total 160.55 .00
.00
160.55
Grand Total 486.55 .00
.00
486.55
LQPERMFr
PGA WEST II RESIDENTIAL ASSOCIATION, INC.
.42-600 CAR-OLINE' COURT, SUITE 101 -
h
.. PALM DPSERT, CALIFORNIA 92211
F
PHONE (76.0) 77 5100 = .FAX (760) ?76-5111
S
July 3, 2008
Lorraine Ryan & David Steams -
1740 W. Selby lane '
Redwood City, CA 94061 '
Reference: 57-231 Medinah, La Quinta ,
Architectural Change Request — Pool/Spa/Decking/Barbecue/Firepit "
paves -
Dear Ms. Ryan & Mr. Stearns: r '
The Architectural Committee met on July 2, 2008, reviewed and approved ` yqur -
ardiiteectural change request to add a pool/spa/barbecue/firepit and patio at your Flbme
at 57-231 Medinah, La Quinta, CA.
t
Please refer to all the pertinent sections 2.3.13. and 16. of the Architectural Rules &
-Regulations as well as all of the. general Rules- and Regulations- of PGA WEST H
-
Residential Association. Please note that boulder size is limited W 24" only, not the 36" 5,
indicated on the plans and all improvements must be 5 feet from side and. rear property -
lines. The contractor installing the Pool/Spa shall ensure that the -make-up water for the' ..
automatic water feed device be tapped ahead_ of the main dwelling shutoff. Existing
hose bibs cannot be used for this purpose. i
Quiet pumps shall be utilized for all pool and spa installations and shall meet the
minimum requirement of the industry's quiet" pump standard --s— Barbecue —.height of,
countertop cannot exceed 36w Molal height including countertop cannot. exceed, 54".; '
Please note: -A -M+ iritenai 66,Agfeemen Will ill one will be sent t6you for '
proper execution as soon as it is prepared by legal counsel. - -
Re few r the Conpmitfm Is on MffWAF_i-
grimmm. Pt ks the D7;/ifv of me 4"RWF to, flar
un e staita! r 4_civ [o dle ariafi eraLqgftm czffwfR wftffiff or
not a// d9ffl9WffMm "00ftif k ri rr s a0-- a 0 .7"af gr//
GlafieW V—e—rft allv a m' 's efecais/o
ii 1i see eat tri ropest des&rn wi//.be final Please defer fb t 1ie Arcfiite brira/
Ry/es for as rraepe ,f WbM- aO .
' ...
. '
. . .
—
P POOL & SPA SPECS
OC
P POOL SIZE: 26'X 14'
POOL AREA: 264 SF
POOL PER: 73 FT
SPA PER: 22 FT
CONCRETE AREA: 866 SQFT
COLOR/FINISH: TO CHOOSE
PUMP: JANDY 2 HP
FILTER: 460 SF
HEATER: 400K BTU
CONTROL: RS4
CHLOR: SALT SYSTEM
CLEANER: NAVIGATOR
PLASTER: PEBBLE
TILE: GROUP 1-3
POOL LIGHTS: 2-50OW
SPA LIGHTS: 1-250 W
MISCa
All Equipment is Jandly
Starns Residence
ADDRESS: 57231 Medinah
CITY: La Quinta, CA
DEV: PGA Palmer LOTM
DATE: 9:53 AM 7/11/08
DRAWN BY: LUIS
LANDSCAPE NOT INCLUDED
CITY OF LA QUINTA SUB -CONTRACTOR LIST RZA,&A J7 102X115- �r
JOB ADDRESS PERMIT NUMBER OWNER BUILDER
This form shall be posted on the job with the Building Inspection Card at all times in a con"spicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
f •Id• mit For each an licable trade all information requested below must be completed by applicant. "On File" is not an acceptable response.
o bui ing per
p
Workers Com ensation:lrisurance: `..:' ` ><
City Business License` > .:
Trade / Class�ficat�on
Contractor
,.
«; :;`;:.:<:;::State::Contractor s Vice�se
Company Name
Classification
(e.g. A. B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp. Date
Ixx/xx/xx)
EARTHWORK IC -121
PL^d
-7t 3 lit
1(4-01
og0a61711-3,00
CONCRETE (C78) '
Sc- �Jsrf /,-,A`.,,
�.
Co,I 3s �
1�-31'J�i
J�h�C. �c u��-
Oo "S S'd o`'%
FRAMING YC -51
STRUCT. STEEL (C4.)
(ltil L N� T
��� �
Cyl%�-� (���
[-H-4
! C�a�U7
MASONRY (C-291 ..
RUS �s.
L' a"
�a`� 1
(4• j1' 04
�'l'1C_ � /
%7N<< 7
I6 -(-off
1 ��
-3C1a`�
PLUMBING (C-36)
c f L-) k\ !��1
6v
la'31 ��
Q� G�ir
GL�1 L %O(v l
t(
LATH, PLASTER (C-35)p�
f �a.S
e'�Sv
��'� vt i`
�t 5 �►�'
10 6v
DRYWALL (C-9) . >.
HVAC. (C-20) :
ELECTRICAL.(C=10) :..:
I �"�
C�ZS(LJ�.^r�r outs
�S
- -.
p
f c}2 Co,RQPFING
GLW(,7 �i�'71 0
(Z'li'`�
I�OOI�
:.
SHEET METAL (C43)
FLOORING (C=:15); :..
1
GLAZING (C-17) . ` .
INSULATION `(C-2) .
SEWAGE DISP, (C-42) .
PAINTING (C=33)
CERAMIC TILE (C-54)
CABINETS (C-6)
'
FENCING (C-13)
LANDSCAPING (C=271.
POOL (C-53)
-
Bin #.
City. of La Q.uinta
.
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinia, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # \
Project Address:' a3 ( M%b,, aq(
Owner's Name: 1"45, : •/ r _
A. P. Number:
Address:
Legal. Description:
Contractor:
/ UJs
City, ST, Zip: (
_
Telephone:
Address: 77 `t( C6" G(t- y Or.
Project Description:. UDl
City, ST, Zip: Al. f
Telephone: %(ilk ra i a e
State Lic. # : City Lic. #:
u C. nlC/-C f(J' l E / x_+ L)a
C.tX:
Arch., Engr., Designer:
Address:
.City, ST, Zip:
Telephone:
State Lic. #: a
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle, one . `Ne Add'n Alter Repair- Demo
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: G O
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 correctionstissue
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
C20 ®0 0
-
260.
1A 1174-0
a