07-2699 (RPL)P.O. BOX. 1504., VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253. yY . BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
;. -. - BUILDING PERMIT _
_ Date: 10/04/07
Applica4ion Number: 07-00002699`-- Owner:
PropertyAddress:'� -61700 TOPAZ DR PLATEL RESIDENCE
APN: 764-280-999-137 -300237- 61-700` TOPAZ DR.
Application de'scription: POOL - RESIDENTIAL LA QUINTA, , CA 92253
Property Zoning: MEDIUM HIGH DENSITY RES,
Application valuation: 15000
Contractor:
`Applicant: ' Architect or Engineer: REMBRANDT POOL PA INC
P.O. BOX 641
LA QUINTA, 9 253' 4
►/�,/
- .(-760)771- 21' 0
LiC. No.: 800
--—------------------------------------------------ -------------- —tis�9 --- --- ------
LICENSED CONTRACTOR'S DECLARATION WORKER'S CR N DEC
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one of the follows a n
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 self -ins re for orkers' compensation, as provided
License Class: C53 License No.: 800680 for by Section 3700 of the Labor Code, for the rforman of the work for which this permit is ,
_ - issued. '
Date: ! Contractor: - _ I have and will maintain workers' compensation insuranc 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 _ ' s• - insurance carrier and. policy number are:
I hereby affirm under penalty of perjury'that I am exempt from the Contractor's State License Law for the - Carrier EXEMPT 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 Divisi6n 3 of the Business and Professions Code) or - 3700 of the Labor Code, I shall forthwith compI with those' provisions. `
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).: Date: 1 •` Applicant: - -
(_ 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 WARNING: FAILURE T CURE WORKERS' COMPENSATION COVERAGE.IS UNLAWFUL, AND SHALL .
.Contractors' State License Law does not apply to an owner of pioperty.who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES OF
CIVIL FINES UP TO ONE HUNDRED THOUSAND
-- -
and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,0001. 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'S 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
a ( 1 I, 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 C _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,
(_ 1 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 tothe work being
! - performed under or following issuance of this permit.
Date: Owner:. 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
d CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. , I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). r cityandcounty 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.
Lender's Name: --`r- -
' Date• Signature (Applicant or Agent):-_
Lender's Address: _.
LQPERMIT
Application Number
07-00002699
Permit
BLDG POOL PERMIT,
_.
-,Additional -desc .:
Permit Fee -..
162.00 Plan Check Fee ..
105.30
Issue Date .:
- Valuation . . . .
14762
Expiration'Date
4/01/08 1
Qty Unit Charge
Per.
Extension
BASE FEE
`'45.00..
1.3.00 9,..000.0
-------------------------------------------------------------------------
-.THOU BLDG "2, 001-25-, 000
` 117. 00
Permit
MECH POOL
Additional desc
Permit -Fee •.
26:00 Plan Check Fee
Issue Date
Valuation
0
Expiration Date
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
4/0,1/08
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
Valuation_ -
_. 0 -
-Date ._•. _•
Expiration Date
-4/01/08.
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 3:00.00
EA PLB GAS PIPE 1,-4 OUTLETS.
3.00
Permit
WALL/FENCE PERMIT .. _
' LQPERMIT
Application. Number. .07700d021699
r` Permit WALL/FENCE PERMIT
Additional desc
_.-- _.,: -_-.•- - Permit -Fee;; `. 15.00
Plan Check Fee
00
Issue :Date
•Valuation
238
Expiration Date .. 4/01/08
Qty Unit Charge Per.
Extension,:.
BASE:
FEE .
15.00
----------------
- Special Notes and Comments:
POOL, SPA, ALARMS/BARRIERS SHALL
BE IN
• PLACE AT PRE -PLASTER INSPECTION.
5' X
.
,'. 11 L.F. CITY 'STANDARD BLOCK -WALL:
Feer summary. Charged-
Paid
Credited
Due
" Permit Fee Total 281.00
00 .00
281.00
Plan Check Total 131.3000•
•. 00
131.30
Grand Total 412.30,
.00 .00.
412..30
LQPERMIT •. -
_ _ -
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heuoayoA pwmq aM e p s»ulas aip q�qo ca P" as aa� wrap a�eapatp pns $08
ROOM
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-' CI I -Y OF LA UUIN I A; 5Ut5-I:UN I KAL; I Utl i sa I
JOB ADDRESS,' %Q� °PAZ` " PERMIT NUMBER OWNER__:' C`"` r ,�':"kI�'Y� BUILDER�%IwJZ I CuuL�
A`.."_
This o shall be posted ob .w' a Id' C a I c I s ' lac . 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 err -hit. For each ,applicable trade, all information requested below must be com leted by applicant. 'On File' is not an acceptable response.
. :.:::,.>:,... ,.:. .:. . ...: :......:.....:......: Cit . Busia Lleensei:'.`.
.c. ....._ _.._ , s.. Werlters+Gomnensation:tnsuranee;°'` Y 0 5s
IMUCI I
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•.vnua.,a•n ..: ... ..,.;
Company Name
....,:..._..- ..:.::::.....a•�::...,....
Clas5iRcation
le.g. A. B, C-8)
o...•n .... .,.....•--...-:
License Number.
Ixxxxxx)
!Exp. Date
;licx/xx/xxl
-
Carrier.Name
(e.g.•LSfate Fund,.CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
Ucense Number
Ixxxx)
Exp. Date
Ixx/xx/xx)
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STRUCT."5TEEL•(C,5j) .
MASONRY (C-2 "
UMBING" (C -36j
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LECTRICAL. (C=10)' :-,.',
Gk./�,� S t S� 3
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R0OFING',IC=391
SHEET. METAL'( .4 ..4.),
FEOORING
GLAZING (C;17)
iNSULAnO .IC-ij. .:• •.
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PAINTING IG=33)
CERAMIC T)LE (C-54)
!0"INETS•(C-6I
-
FENCING (CAM.
LANDSCAPING (2=27.1.'?°:
POOL (C-53)
is
Bin #
City of La Quinta
Building U Safety Division
P.O: Box 1504,'78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
T-619 lk
Owner's Name:
A. P. Number:
Address:
Legal Description:
Contractor:
City, ST; Zip:
Telephone: 10.11-11.l ffl— z
Address: ��
u,,,�y
4(J
Project Description: GU(„ v.
City, ST, Zip: AV,
Telephone: 760 7 7l — } a'
J
State Lic. #
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
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 Cates.'
Plans picked up
Construction'
Floodplain plan
Plans resubmitted.
Mechanical
Grading plan
2"d Review,.ready for corrections/issue
Electrical
Subcontact6r List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.1.
H.O.A.Approval
Plans resubmitted •
Grading
IN HOUSE:-.
''d 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
(VO
k
OCT -,941-2007 08:11 STAMBAR OF CALIF.
213 .765.. 1318 P.001
.�---� � .tam . ,
TW09Y at U Quinta MaIntmmnm Assodation
Septonber 28, 2007
J
Richard Platel
n5s.Olive st#1501
Lm Angela., CA 90012 A
Fmp".Addm&- 61700 Topaz Drivg
CONDTMNALLY APPROVED
Dew Mr. Plaml:
D
We Amku
Ped to inform you tbxt your plan ff i for a pool, SPA. *flcrJwmn'vm1k mcived on 09/2212007, have
been SMW-md by dw Design Rovww Camimw per yaw subidw and the attached noted condition no -9 8, 9,
11, 12, 13,17,19,20,21,23,24 and Mate.
This approval does not cowt&ft cmmt Ev the Association for dw applicant w cnamck
on any 00peny other titan thatd r trespass, or build
R 7his qpmm*A is nbmd MW to ft items reserved for
approval by the CC&R% in ma*me L-71*=6chi d (W dh. V. approval dcftiron aftd to to
quality of vmfk done by yaw Awlitect or-Annwor, or to AM SMfthtf oWnerring soils engineering; or site
grading&IhIW dcOW YOU site wid to obftin the servicesof a slate licensed pjoj6WojW.far
emmablaim as 2xv,*&
The: Design Rr4cw Qmmifte is eon Of VohMtWM AS W& ft r&W not review to M%
revieww M
cmplimw Wah bumime =ft or G&W &d or stale lawn PEM W_ be A&W VM this appmW does not
MUM you ficin obakift my nee mmy"'
W'Iftg PMift ficin the pr MMeUW MMCM r&Voh'ed to aLq=
=nplmft WM *eft codes !Any VfWafiaA of *M6 wdiwn Will be Your mVQmvfibH1ty to correct. nark
You fur your Patiow in this matter and for 4ftTbing with the Association's policies and standards.
Sincerely, iI
F(w*c Delisa RcWew Committee
ftTisft"
Assodatm Business MimmaM
cc: Board GfDhwfts
I
Design Review edf5mtme
SEP -28-2007 16:-61
60-75021
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JV 800400.2284 764777-6097far
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