SOTB (08-1252)57231 Medinah
08-1252
P.O. BOX 1504 4
78-495 CALLE TAMPICO
LA QUINTA„ CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
L1
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153.
Date: 7/23/08,
0
I. JUL 2'8 2005
-----------------------------------
- LICENSED CONTRACTOR'S DECLARATION
GC_
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Application Number:
08-00001252
_ T
Owner: ,
Property Address:
57231-MEDINAH
STEARNS/RYAN
APN:-
762-'110-014-
- -
57231 MEDINAH
Application description:
STRUCTURES OTHER THAN BUILDINGS
LA QUINTA, CA .92253 '
Property Zoning:
LOW DENSITY
RESIDENTIAL 4
Application valuation:
5000
-
Carrier E2JEMPT Policy Number EXEMPT
- following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
.
Contractor:
Applicant:
person in any manner so as to become subject to the workers' compensation laws of California, '
Architect or Engineer:
REMBRANDT POOLS & SPAS I
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
P.O. BOX 6411
3700 of the Lab cde, 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
LA QUINTA, CA 92253
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate: V scant: —'
(760)771-2121
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Lic- No.: 800680
L1
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153.
Date: 7/23/08,
0
I. JUL 2'8 2005
-----------------------------------
- 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
issued.
ate: ntractov
_ 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 penal erjury that I am exempt from. the Contractor's State License Law for the
Carrier E2JEMPT Policy Number EXEMPT
- following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
I certify that, in the performance of the work for which 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 Lab cde, 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
'
_ CIVIL
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate: V scant: —'
(_ 1 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
WARNING: FAIL RE T Cu ORKERS' COMPENSERAGE IS UNLAWFUL, •AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOY CRIMINAL PENALTIES ANDS UP TO ONE HUNDRED THOUSAND "
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS 1$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'4.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 1, 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 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 ..
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
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 county ordinances and spte laws relating to building construction, and hereby authorize representatives
of thi' , o—f 1 enter upon t above-mentioned property for inspection purposes.
ate: A•YT fl Si ature (Applicant or g
LQPERMIT
Application Number
. . . . 08-00001252
Permit . .
BUILDING PERMIT
Additional desc .,.
Permit Fee . . .
72.00 Plan Check Fee ..
46.80
Issue Date . . . .
Valuation
5000
Expiration Date
1/19/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
- 3.00 9.0000
THOU BLDG 2,001-25,000
27.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
17.25 Plan Check Fee'.'.
4.31
Issue Date
Valuation
.0.-
0 'Expiration
Expiration Date
1/19/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
2:25 ;
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
18.00 Plan Check Fee
4.50
Issue Date . . . .
_ Valuation ".
0
Expiration Date
1/19/09
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
BBQ (ANSI #3020914),
FIREPIT (Z21581990)
AND TOTAL OF 170 L.F.
OF 1/12" GAS LINE
BETWEEN THE TWO, PER
APPROVED PLANS.
-----------------------------------------------------------------------
Other Fees . . .
ENERGY REVIEW FEE
4.68
STRONG MOTION (SMI) - RES
.50
Fee summary Charged
Paid Credited
Due
Permit Fee Total
.107.25 ..00 .00
107.25
Plan Check Total
55.61 .00 .00
55.61
Other Fee Total
5.18 .00 .00
5.18
Grand Total
168.04 .00 .00
168.04
LQPERMIT
CITY OFJLA QUINTq
BUILDING & SAFETY DEPT.
APPROVE® - {,
I
FOR CONSTRUCTION
A DATE 3 0 BY A a y
! — +36" Raised
> . Property Line' `, Water Feature
+18' Raised Spa ,
VV/Quartzite Cascade
Raised Deck a !
,:'. • ` - +24° Raised Bond Beam.
+12" Raised
•
Fire Pit
ok-_ __ _ ____
• —
..
G
V/ Lava Rock
11' ;8 7/8"
., '. 4' High Pool
4 Equipment
Wall
: f N -X16'-1 3/8" -
>,
' f ti • ii'r" A.
x
8'X4' BBQ ` `. „ ` I x '.." A * !; F ' • f r $
W/Quartzite Top ,., : f ^ • ` ' r:
and Stucco Sides E : F B j + Sf t/
By Owner .'
a A P/E
Existing d , •k `. .• I
ax r• / - +:.• r ,. d d s, •a r _ rt d .'k / .q" d d alit F !
w,^- ._.cam• d.2 J•t rhda ✓. . /;. 1_'_y d'` T..y .-7 Ad' -d.,• L' :
• ! : 41-911
SIDE E
t -
f El
87' To PE
O
` r
`.9
POOLS &SPAS INC.
ke
"A IMa*terpkce`
CA. LIC. 800680 C•53
77-564 CounClub Dr. Ste.#127, Palm Desert, Ca 92211
office7so> 771-2121 •Fax: (760) 771-2181
POOL & SPA SPECS
POOL SIZE: 26'X 14'
POOL AREA: 264 SF •.
POOL PER: 73 FT
POOL DEPTH: 3'6" TO 6'
SPA SIZE: 7' DIA.
SPA AREA: 39 SF
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
LEANER: NAVIGATOR
PLASTER: PEBBLE
ILE: GROUP 1-3
POOL LIGHTS: 2-50OW
SPA LIGHTS: 1-250 W
MISCO
All Equipment is Jandy
Starns Residence
ADDRESS: 57231 Madinah
CITY: La Quinta, CA
DEV: PGA Palmer LOTM
DATE: 11:13 AM 7/11 /08
SCALE: 1 "= 8'
DRAWN BY: LUIS
LANDSCAPE NOT INCLUDED
•
e
`.9
POOLS &SPAS INC.
ke
"A IMa*terpkce`
CA. LIC. 800680 C•53
77-564 CounClub Dr. Ste.#127, Palm Desert, Ca 92211
office7so> 771-2121 •Fax: (760) 771-2181
POOL & SPA SPECS
POOL SIZE: 26'X 14'
POOL AREA: 264 SF •.
POOL PER: 73 FT
POOL DEPTH: 3'6" TO 6'
SPA SIZE: 7' DIA.
SPA AREA: 39 SF
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
LEANER: NAVIGATOR
PLASTER: PEBBLE
ILE: GROUP 1-3
POOL LIGHTS: 2-50OW
SPA LIGHTS: 1-250 W
MISCO
All Equipment is Jandy
Starns Residence
ADDRESS: 57231 Madinah
CITY: La Quinta, CA
DEV: PGA Palmer LOTM
DATE: 11:13 AM 7/11 /08
SCALE: 1 "= 8'
DRAWN BY: LUIS
LANDSCAPE NOT INCLUDED
x r
Bin #
_
City of La .uinta
Q
Building ex Safety Division
P.O. Box 1504, 78 -495 -Calle Tampico
- •.
0) , La QuintaCA 92253 - (76 7777012
Building Permit Application and Tracking Sheet
Permit.#
L! J
Qom'
Project Address:
Owner's Name:
A. P. Number:
Address:3
Legal. Description:
City, ST, Zip:
Contractor: (ZIA hs wf a d 13
Address: rbc 4 1 e
Telephone:
Pro ect p
j Descri tion: ; LX L W ), 3
City, ST, Zip: I '
.{'
q
Telephone: lee
City Lic. #:
State Lic. #
Arch., Engr.,:Designer:
Address:
.City, ST, Zip:
Telephone: '' v
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle, one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project#5-. - oo _
APPLICANT: DO NOT WRITE BELOW THIS LINE l
#
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 correctionsolissue
Electrical
Subcontactor List
Called, Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.0' 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