05-2758 (RPL)P.O. BOX 1504-
78-495 CALLE tAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application, valuation:
j
Applicant:
01D NT'01 A
OS -00002758
80350- TORREON WY
772-250-997-102 -3134.9 -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
20000
Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
Owner:
HERRERA
80-350 TORREON WAY
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
JUL 0$ REMBRANDT POOLS & SPAS, INC
�J WCC: STATE FUND
20
WC: 1744664 10/01/05
CIYONCSLB: 800680 11/30/06
1NAIN � QU"N.pA
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: License No.:
Date: ) Contractor/ 7
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):
(' ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure isnot 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.).
` (_) I, as owner of the property, amexclusively 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.).
I _ ) 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
Date: 7/06/05
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
Yissued.
l 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 C53 Policy Number - - - - - - - - - - - - - - -
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' co ensation provisions of Section
430
, f the Labor e I shall foL 'th plly wit thos -visions.-Plate: , Applicant: V __
WARNIN FAILURE TO SECURE WORKERS' COMPENSATION COVE AGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE P 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 agr a to comply with all
city and_county ordinances and state jaws relating to building construction, and hereby authori a representatives
ott
Couy to e r upon the above-mentioned prop? y for inspecU'pn purp ses.
0 Signature (Applicant or Agent):
Application Number .
. . . . 05=00002758
" Permit
BLDG POOL PERMIT
Additional desc
-
Permit Fee . . . .
207.00 Plan Check Fee
134.55
Issue Date . . . .
Valuation . . .
. 20000
Expiration Date
1/02/06
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
1/02/06
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
1/02/06.
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
1/02/.06
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 ONLY. ALARMS/BARRIERS SHALL
LQPERMIT
Application Number . . . . 05-00002758
-------.-----------------------------------------------------------
Special Notes and Comments-
BE.IN PLACE PRIOR TO PRE -PLASTER
- INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT'. -
Fee summary Charged Paia Credited Due
------- - ----- ---------- ----------
Permit Fee Total 311.00 .00 .00 311.00
Plan Check -Total 160.55 .00 .00 160.55
Grand Total 471.55 .00 .00 471.55
i
F
f
i
I
. RENE AND LAURA HERRER
5'-10 1/4" R
m
SKIMMER
.-1
PN
6'DEEP
0
0
EXISTING PATIO
8'-0" R
AUTOFILL
3'611 DEEP
5'-0 8" R,
5' -5"
I
I
I
P/L
I
I
1
- POOL EQUIP.
1 -AC UNIT TO MOVE
TO MAKE ROOM FOR P.E.
ADD 2- / AC WALLS
CITY OF LA QUiixi-r `,
BUILDING & SAFETY DEP .
APPROVED
FORCONSTRUCTION
DA // s- asBY C14
TANNING LEDGE
W / UMBRELLA
SLEEVE
,1
Ln 8'-2 5/8" R '
————P/L— — —— —— N— — —— ——-
5' -0" R 34'-6"
+36" HIGH WATERFALL +18 ' SPA, QUARTZITE CASCADE & FACE
EMBRAND
POOLS & SPAS INC
CA. LIC.'800680 C-53
78-910 VIA VENTANA
LA ()7A1253
TEL (760)
FAX (760) 771-2181
POOL & SPA SPECS
POOL SIZE: 34'6" X 15'
POOL AREA: 430 SF
POOL PER: 94 FT
POOL DEPTH: 3'6" TO 6'
SPA SIZE: 7 ' DIA.
SPA RE
SPA PER:.22 FT
DECK AREA: 403 SF
COLOR/FINISH: TAN
PUMP: 2 HP
.FILTER: 460 SF
HEATER: 400K BTU
CONTROL: RS4
CHLOR: SALT
CLEANER: NAVIGATOR
PLASTER: TO BE DECIDED
TILE: 1-3
POOL LIGHT: 2-40OW
SPA LIGHT: 1-100 W
DR. HERRERA
803 50 ON WAY
CITya LA QUINTA
LOT: 257 MTN. VIEW
SCALE: 1 "= 8'
x
X
A
A
x
Bin #
City of La Quinta
Building aL Safety Division
P.O. Box 1504, 78.495 Cale Tampico
La Quinta, CA 92253 • (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 0 3JD rC12 e✓DN 4..J
Owner's Name: 2t A
A. P. Number Lm'rA)
Address: sD 2
Leal Dcscription:
City. ST. Zip: yf}" G)U tj —7�r
Contractor. fjkAA D / �(��� t SPA
Address ''f 87 Q U/ A 0 C—(�j(),4
ITclephone: Z 2 -"-
ject Description:
City, ST, Zip:
/A)
elephone:
T 0 - -7 -7 I Z ! ZA�CityLic.#: = } # ° _ - :` _
_..�.
C7 O T-
State Lic. # : o o C S�
Arch.. Engr., Designer.
Address:
City. ST. Zip:
Tclepbone:
State Lic #:
Name of Contact Person: L) --A
Construction Type: Occupancy:
Project" (circle one): New Add'n Alter Repair Dara
Sq. FL: YJ L) # Stones: # Units,.
Telephone # of Contact Person: C
imatcd Value of Project: Zo v ss a
APPLICANT: DO NOT WRITE BELOW THIS UNE
X
Submittal
Req'd
Rev'd
TRACKING
PEP-%IfT FEES
Z
Plan Sets
Platt Cbeck submitted
S
Item
Amonal
Structural Cake.
Reviewed. ready for corrections
Plan Cbeck Deposit
Truss Calm
Called Contact Person
Plan Cbeck Balance
Energy Calm
Plats picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading pian
V Review%, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.0-A.Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. APpr
Date of permit issue
Scbooi Fees
Total Permit Fees