07-3090 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
ApplicationAumber:
07�0.OQ03090
Property Address:
81712 RUSTIC CANYON DR
APN:
764-280-999-130 -300237-
Application description:
STRUCTURES OTHER THAN BUILDINGS
Property Zoning:
MEDIUM HIGH DENSITY RES
-Application valuation:
5000
Applicant: Architect or Engineer: -
fo l>�
��
a
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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:
C5�3^ License No.: 800680
Date: ^ i� / r / Contractor. !�
OWNER -BUILDER DECLARATION
I hereby 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).:
(_ 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 _ 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.).
(_ 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:
Owner:
MEZA RESIDENCE
81-712 RUSTIC
LA QUINTA, CA
CAI;
922
Contractor:
REMBRANDT POOLS d
P.O. BOX 6411
LA QUINTA, CA 922
(760)771-2121
Lic. No.: 800680
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/05/07
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 EXEMPT 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.
Date:�A�Applican'
WARNING: FAILURE -TOS WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER!"00 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 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 purpose '
Date:!'/"I-I Signature (Applicant dr Agent):
LQPERMIT
. 1
Application Number .
. . 07-00003090
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
72.00 Plan Check Fee
46.80
Issue Date
Valuation .
. 5000
Expiration Date
6/02/08
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
Expiration Date
6/02/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00. .7500
PER ELEC DEVICE/FIXTURE 1ST 20
2.25
Special Notes.and Comments
-- - - - - - - - -
- -- - - - - - - - - - - - -
BBQ/FIREPIT PER APPROVED PLAN ONLY
Fee summary Charged
Paid Credited
Due
Permit Fee Total
-89.25 .00 00
89.25
Plan Check Total
51.11 .00 .00
51.11
Grand Total
140.36 .00 .00
140.36
{
Bin #
City 0 f La Quinta
Building U Safety Division
P.Q. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�•��.
Project Address: c �wWC Cy,r utJ
Owner's Name:
A. P. Number:
Address: 1-1 fi'C
Legal Description:
City, ST, Zip:
OS s,
S.INNOZZ
Telephone:Contractor:
,r.
Address: 7 C ti %
Project Description: 1 r t
City, ST, Zip: P `� i/i �!'� ���
ri .j
4 IX
Telephone:nos
'M
State Lic. # : O
City Lic. #:
L
Arch., Engr., Designer:
Address:
City, ST, Zip:
` i tjV.
Telephone:
a
Construction Type: Occupancy:
State Lia. #:
Project type (circle one N Add'a Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: ou .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
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 bicked up
Construction
Floodplain plan '
Plans resubmitted
Mechanical
Grading. plan'
2" Review, ready for corrections/issue
Electrical
••� 7J
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 Lnpact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
V
If HIGH
BLOCK
WALL Wl.
STUCCO
X la`rs
a
oCPUd�
Nov 3 0 2007 D
By
— +18" RAISED SPA W/
STACKED STONE CASCADE
C',0 Cows
+1 T'. RAISED
E0i FIRE PIT
y r
storm U 6' LF BBQ
ONGfRETE' `.
OPTIONAL TILE BAND
�DClSTING�gQNCRETE ; � ,
CITY OF LA QUINTA
UILDING & SAFETY DEPT.
APPROVE®
FOR CONSTRUCTION
\ DATE,/ Z.,f u7 BY
o
POOLS & SPAS INC
•n n.+u ip..•
CA. LIC. 800880 C•53
77.56=,try dun 01, SWAIF7, Palm Dema, Da 97211
: u) 771.2121 • F.: (790) 7713181
POOL & SPA SPECS
POOL SIZE: 390" X 14'0"
POOL AREA: 321 SF
POOL PER: 79 FT
POOL DEPTH: 3'6" TO 5'
SPA SIZE: 71 UTA.''
SPA AREA: 36 SF
SPA PER: 22 FT
CONCRETE'AREA: 700 SQFT
COLORIFINISH: TO CHOOSE
PUMP: 2 HP'STEALTH
FILTER: 460 SF
HEATER: 400K BTU
CONTROL: RS 4
CHLOR: SALT SYSTEM
CLEANER: NAVIGATOR
PLASTER: PEBBLE
TILE: GROUP 1-3
POOL LIGHTS: 2-50OW
SPA LIGHTS: 1=250 W
MISCI FIRE PIT. BBQ
MEZA Residence
ADDRESS: 81-712 RUSTIC CANYON
CITY: LA QUINTA
DEV: TRIOLGY LOTM
DATE: 2:49 PM 11/30/07.
SCALE: 1"= 8'
DRAWN BY: JASON r
LANDSCAPE NOT INCLUDED
I�
`CITY OF LA aUINTA; SUB-CONTRAC"I-(JK u5 r - n
JOB• R DDRESS i �z n b� zT �uuL
PERMIT: NUMBER OWNER n BUILDER
is iorm shallbe p6sted ob With e Building Card at all times in &s-4nsplcuous 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
of building permit For each applicable trade all information requested below must be corilpleted by applicant "On File" is not an acceptable response.
..1_.7t_ n..77,77_7771-... F`itvRuunwte Ficanew5:+.:
Company Name
Classification' License Number.
.(e.g.'A, B, C-8) (xxxxxx)
E.P.:Data
;(xx/xx/xxl
Carrler.Name
(e.g. SSiate Fund, CalComp)
Policy Number
(Format Varies)
Exp. Data
(xxlxx/xx)
License Number
(xxxx)
Exp. Date
Fxx/xx/xx1
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C,
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SEWAGE QISP;: (C 421'
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PAINTING (C-33)'-:.
CERAMIC TILE (C-54) '
CABINETS IC -6)
FENCING (CA 3).
LANDSCAPING (0=27).'.:°i
POOL (C-53) ' ' -