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09-1091 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tjhf " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 09-00001091 Property Address: 80435 WEISKOPF APN: 762-090-011- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15000 Applicant: Architect or Engineer: -------------------------------------------------- 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 my License is in full force and effect. License Class: C53 License No.: 800680 r�"t ate: V actor: `—" ' 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 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 . 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 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.). I—) I am exempt under Sec. , BAP.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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: I� i LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/13/09 Owner: ROD INGRAM 80435 WEISKOPF LA QUINTA, CA 92253 — nD Contractor: � ZJJ9 REMBRANDT POOLS & SPAS NC P.O. BOX 6411 CITY 4',F I..A Q,�;INTA LA QUINTA, CA 92253 c!(af 7�"~ (;,�r�-• (760)771-2121 ------ Lic. No.: 800680. ----------------------------------------------- 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. WARNING: FAILURE TO URE WORKERS' COMPENSATION COVERAGE IS 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. 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 oofft%hjs county to enter �pon the above-mentioned property for inspection purposes. Date: / V� �� nature (Applicant or Agentl: --" Application Number . . . . . 09-00001091 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation . . . . 15000 Expiration Date . . 4/11/10 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 . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . 0 Expiration Date 4/11/10 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 4/11/10 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 4/.11/10 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 Permit . . . . . . WALL/FENCE PERMIT LQPERMIT Application Number . . . . . 09-00001091 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 80 Expiration Date . . 4/11/10 Qty Unit Charge Per Extension BASE FEE 15.00 -------=-------------------------------------------------------------------- Special Notes and Comments POOL/SPA, 5 L.F. 4' EQUIPMENT ENCLOSURE, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged ---------- Paid ---------- Credited -------------------- Due ----------------- Permit Fee Total 281.00 .00 .00 281.00 Plan Check Total 131.30 .00 .00 131.30 Other Fee Total 1.00 .00 .00 1.00 Grand Total 413..30 .00 .00 413.30 LQPERMIT OCT/09/2009/FRl 02:56 PRI The Monarch Croup FAX No. -760-776 5111 i FAIRWAYS ASSOCIATION October 8, 2009 Mr. Rod Ingram 80-435 Weiskopf La Quinta, CA 92253 Re: Architectural Application Approval P. 001/001 Dear Mr. Ingham: The Architectural Committee has reviewed your plans submitted for the addition of a pool and spa in your backyard. I am pleased to inform you the Architectural Committee has approved your application with the following conditions: Receipt of the Adjaceaat Neighbor Form from 80455 Weiskopf (Received I0-07-09) Construction of a wall on the side of the home where the pool equipment will be housed to block the view of the pool equipment. Please submit plans showing construction of a wall on the side of the home to hide the pool equipment'. Enclosed is )Exhibit C --the Compliance Review Request form. Please complete that form after the work is completed and return it by mail or fax to the address below so the project can be inspected. If you have'any questions, please contact Joe Cribbs, Operations Manager at 760-'x`16-5100 Ext. 345.. Sinceirely, For the.4rc)iiteetural Committee J�Al EST Fairways Association cD ald, P5non anagenCompliance Review Request Form cc: Lot File Architectural Coitainittee Post Office B6x-1690 • La Quinta, Cali£omia 92247 • Phone (760) 776-5100 • Fax (760) 776-5111 i. Bin # City of La Quinta Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # n\ \O�l A' l Project Address: b -43 1 Wt'5Y . Owner's Name: A. P. Number: Address: o LI 3 W1.6 Sv-v Legal Description: City, ST, Zip: a Contractor: nn -- A� ` ` 1 1°� J���GT POA -5 R' SS Telephone: F1:�>��;y:�.k;�:• li;:.'':"S:y::h�rk Address: 7 �� �� Project Description: J J City, ST, Zip: if ` u� Telephone: 1 7 I I ?zz,.::..s� r„F;sFt:<?:z::,'"✓ ,,u,.::n>:h,,;�; 1•::rY� \;:.G:; <+.;%:r.:;:1.{Ftif48i.::tF E� : iii, State Lie. #: City Lie. #: (obi y Arch., Engr., Designer. Address: City., ST, Zip: Telephone: ,.;:.�.:.:.:>:.>:....<.>....,�.;. State Lie. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one)•ew Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: L)&() 7— APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Stiuctuml Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Coles. Called Contact Person Plan Check Balance Title 24 Calcs.. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for corrections/issue Electrical Subcontaetor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 30 Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CITY- OF LA QUINTA SUB -CONTRACTOR LIST /� JOB ADDRESS Ddb -'13 Wz'5�� PERMIT NUMBER OWNER v� BUILDER. (°`ec^ This form shall be posted on the job with the Building Inspection Cardt at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to wort 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 voidanc( of huildinn nPrmit_ For each annlicahle trarle- all information renuested helnw must he camnleted by annlicant_ "nn File" is not an acceptable response. Trade / Classification .. Contractor Work�isGity.. Busigeys lkense:..:: Company Name Classification (e.g. A. B, C-8) License Number (xxxxxx) Exp. Date (xxlxxlxx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xxlxx) License Number (icxxx) Exp, Date Ixx/xx/xx) EARTHWORK (C' 2) :Z; 4 1 L' ���?` cl jv'(U luS S (� S KcM 2a ) %.3 -IU. dl7� 7-31-10 CON Ur �6eC�j�u� C -a l �17��IJ �I-3c-�1 J)� ftnS r4'ccc. 0a DKA/'�. 6017$ 1� 1-10 lo,ag�l 11-3�-�i FRAMING _(.0-5) :sYEEL- iC,5 ,� - Si`I L1- o- sM 2d.w'-105 -_s 7 7- 31-1 oSTRucT .MASONRY (C• p(U� ,Ii31, 0.2 �l lit) �'� °�� : ��vv�/ �1 U-�-it�.. � SS � `I' -1 o PLUMBING (C -36j �QG(I�� j OJts. ��� `����� I 1I-310 /�t�/ �,. tJcl �i''j ��1�1 6 .� /.©r� 0�1 .iAST> (us) H Yds 5,� F A `o S`l�S 1`I !0 7 t 7 DRYWALL (C-9)...., lO'3D HVAC. (C-20)` ELECTRICAL (C40f :... s SHEET.METAL FLOORING (C: -:TS); GLAZING (C-171;. INSULATION::(C-2) .-' SEWAGE DISP 1P.-- . PAINTING (C=33) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) ` l LANDSCAPING IC=271, POOL (C-53)