The URL can be used to link to this page

RPL (04-6414)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760) .777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application.Number Property Address APN: Application description . . . Property Zoning . . . . .. Application valuation 04=00006414 Date 7 9 3-9 4—MIS-S I ON DR W 649-590-020- -- POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 15000- Owner Contractor ------------ ----- --•-- ---- -.--- ----- --_ -- MCCLUE REMBRANDT POOLS & SPAS 79394 MISSION DRIVE WEST 78910 VIA VENTANA 9/23/04 LA QUINTA C 922$3 LA QUINTA CA 92253 D(760) 771-2121 WCC: STATE FUND SEP 28 2004 WC: 1744664 10/01/04 CSLB: 800680 10/31/05 -- - - CITY OF LA QUINTA FINAPICEDERT CCC: C53 - - - - - - - - - -- - - - - - Permit . . . . - ---- . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date Valuation 15000 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 24.00 Plan Check Fee 6.00 Issue Date Valuation, ` 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 Permit ELEC POOL PERMIT -RES Additional desc Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 P.O. BOC 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Architect or Engineer: VOICE (760) 777-701 FAX (760) 777-701 1 INSPECTIONS (760) 777-7153 Date: Architect or Engineer's Address: Lic. No.: MUILUINU PERMIT DECLARATIONS A 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 m nse,"s- ull force and effect. cense Class .-2 cense No. ontrac ate �O tor k -X a, "4 JY VKL t OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sep. 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 Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec. . B.& P.C. for this reason Date Owner WORKERS' 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. 71, 1 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 worms rrier tJ/�7 1Gy rK Aensationrance carrier Pcy ar�d�glic nu bar Number_ _ I certify that, in the performance of the work for which this permitlis 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, 1 shall forthwith comply with those provisions. � �- hG /-. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE S 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. I herebyaffirm under CONSTRUCTION LENDING AGENCY 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 APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Buildingand SafetyA 1. Each person upon whose behalf this application is made. each person at whose request Permit a foto theorr whonditlse benefit work sons andnperfo setfm 11 under or puh on his applrsuaM to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Ouinta, 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date . Sign uat re (Applicant or Agent): Page 2 Application Number . . . . . 04-00006414 ---------------------------------------------------------------------------- Date 9/23/04 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 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 Special Notes and Comments POOL/SPA, BBQ(ANSI Z21-58-1995). ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- Permit Fee Total 264.00 .00 .00 ---- ------ 264.00 Plan Check Total 130.80 .00 .00 130.80 Grand Total 394.80 .00 .00 394.80 P/L 30" HIGH WALL --,-I 4'6" HIGH WALL co d 6' HIGH WALL -\ EQUIP. WALL - WILL BE MOVED TO CORNER SPA EQUIP. OLD WALL - LOCATION ...........cM ��q\\\\\11111':111fllllllllllf, 4' DIA. PLANTER 30" HIGH WALL P/L 36" HIGH BBQ 6' -0" 4'6" HIGH WALL 00 6' HIGH WALL 9 y' EMBRAND POOLS & SPAS INC CA. LIC. 800680 C-53 78-910 VIA VENTANA STEL (760A,71-21221 FAX (760) 771-2181 POOL & SPA SPECS SPA SIZE: 8'X 12' SPA AREA: 120 SF SPA PER: 32 DECK AREA: 686 SF COLOR/FINISH: PUMP: 2 HP FILTER: 460 SF HEATER: 400K BTU CONTROL: AQUA SWITCH CHLOR: AQUA RITE CLEANER: NAVIGATOR PLASTER: PEBBLE TILE: GROUP 1-3 SPA LIGHT: 1-100 W MISC: McCLUE RES. ADDRESS: 79394 MISSION DR CITY: LA QUINTA CA, RLQ C.C. LOT #: 54 DATE: SCALE: 1 "=8' DRAWN BY: JOB : LANDSCAPE NOT INCLUDED