05-1491 (RPL)V
BUILDING & SAFETY.;DEPARTMENT'
P.O. Box 1504
9 (760) 777-7012 =
FoS 78-495 CALLE TAMPICO FAX (760) 777-7011
610 A QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
pedQV�ptR° BUILDING PERMIT
FNP -
Application Number -05 _._0:000:1.4.91. _= Date 4/2,0/05
Property Address 54955 WINGED FOOT
APN: 775-330-013 - _.
Application description POOL - RESIDENTIAL
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation . . . 20000
Owner Contractor
------------------------ --------- ---------------------------------
KNIGHT REMBRANDT POOLS & SPAS INC
54-955 WINGED -FOOT WCC: STATE FUND
LA QUINTA, CA 92253 WC: 1744664 10/01/05
CSLB: 800680 11/30/06
CCC: C53
P.O. Box 1504 • VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Os-_ / 34 q/
Applicant:
Applicant's Mailing Address:
00/. 7_,4fAG7_0'1; -
. Date:
Architect or Engineer:
Architect or Engineer's Address:; ' r
Lic. No.:
BUILDING PERMIT DECLARATIONS
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
ode, and my License is in full force and effect. /
License Class License No°�
i
av to � S o ` Contractor ✓ � l/ O�C� b`
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 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. , BA P.C. for this reason
Date
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.
X 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
issu My.y kers' compensation insurance carri and policy nu be are:
arrier ..�s�=,� Policy Number / ) 0r. C/
_ I certify that, in the performance of the work for which this permit is issued, I shall not emp_loy 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.
atD e Applicant"/
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERA E 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.
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 A /„
Lender's Address
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 purposes.
✓ /
Signature (Applicant or Agent G
fA
,
' Application Number . 05-00001491
-------------------------------------------------------------------------------
Permit . . BLDG.POOL PERMIT
Additional desc
.Permit Fee . . . 207.00 Plan --heck
Fee
134.55
Issue Date Valuation
. . .
. 20000
Expiration Date 10/17/05
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 24.00 Plan Check
Fee
6.00
. Issue Date Valua-ion
0
Expiration Date 10/17/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
-1.00 9.0000 EA, - MECH FURNACE <=10.i,DK
9.00"
Permit ELEC POOL PERMIT -RES
Additional desc
Permit Fee 45.00 Plan check
Fee
11.25
Issue.Date Valuation
. . .
0
Expiration Date 10/17/05
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 . . . .c Valuation
. . .
. 0
Expiration Date,. 10/17/05
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/AL'='/REP
3-.00
1.00 3.0000 EA PLB GAS PIPE 1-4, OUTLETS
3..00
Special- Notes and Comments
POOL '& SPA. FIREPIT #OC -34 (P) .
ALARMS/BARRIERS SHALL BE IN PLACE PRIOR
TO PRE -PLASTER INSPECTION. EQUIPMENT
ENCLSOURE NOT`INCLUDED IN PERMIT:
Fee summary Charged Paid Credited
Due
Permit Fee Total 309.00 .00
.00.
309.00
Plan Check Total 160.05 .00
.00
160.05
Grand Total 469.05 .00
.00
469.'05
Bin #
City of La QUinta
Building &r Safety Di&.,'on
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Od'
Project Address:
A. P. Number: A -)q—
Legal Description:
Owner's Name:
'Address: 6141115T
City, ST, Zip:
Contractor: -3 1
AT�Iephone: 2-,) P4
Address:YI
Project Description:
City, ST, Zip:
Telephone:
.... .. .......
. ........... .................
....... .... ............
A—I 7�
State Lic. # J"DO&ZO e"S-�
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Tvpe: OccupancN
StateLic. #:
Project h -pe (circle one) New Add' n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: ho)Stories:
Units:
Telephone # of Contact Person:
Estimated Value of Proj.-:ct:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rec'd
TRACKING
PER -MIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural CaIcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss- - CaIcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2ndReview, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
Developer Impact Fee
IN HOUSE:-
''d ready for corrections/issue
Planning Approval
Called Contact Person—
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
5' -01r
G&E64' w
TO CORNER ,
EM -BRAND
POOLS & SPAS INC
CA. LIC. 800680 C-53
78-910 VIA VENTANA
TEL(760) � -2121 ..
FAX (760) 771-2181:
POOL & SPA SPECS
POOL`SIZE: ' 30' X 16'
jPOOL AREA: .437 SF
POOL PER:.95 FT
POOL DEPTH: 3'6" TO 5'
SPA SIZE: _7', X. R'
SPA AREA: 53 SF
SPA PER: 28 FT
DECK AREA: 1100 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
POOL LIGHTS: 2-400 W
SPA LIGHT: 1-100 W
RBB: +6" AS PER PLAN
MISC.
`
KNIGHT RES:
ADDRESS: 54955WINGED FOOT
CITY: LA QUINTA . 3
LOT #: 13, , PGA WEST
DATE: 06/15/04 -
SCALE: 1 "=8'
DRAWN BY:
JOB
NOTE:
LANDSCAPE NOT INCLUDED
.
_
KNIGHT
/
= 7 X76 SPA +18
_
STACKED -QUARTZITE
- SPILLWAY r Yzc
+6" RBB
P/L,
FLn;
, r
30' -0"
8,-5„
-
UMBRELLA -SLEEVE
co
TANNING LEDGE
1010" .
10'0"
s'-0..
(+12)TIRE PIT 4' DIA
(QUARTZITE)
P/L "
1 o'o"
N
_
EQUIPMENT
m
WALL
5' -01r
G&E64' w
TO CORNER ,
EM -BRAND
POOLS & SPAS INC
CA. LIC. 800680 C-53
78-910 VIA VENTANA
TEL(760) � -2121 ..
FAX (760) 771-2181:
POOL & SPA SPECS
POOL`SIZE: ' 30' X 16'
jPOOL AREA: .437 SF
POOL PER:.95 FT
POOL DEPTH: 3'6" TO 5'
SPA SIZE: _7', X. R'
SPA AREA: 53 SF
SPA PER: 28 FT
DECK AREA: 1100 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
POOL LIGHTS: 2-400 W
SPA LIGHT: 1-100 W
RBB: +6" AS PER PLAN
MISC.
`
KNIGHT RES:
ADDRESS: 54955WINGED FOOT
CITY: LA QUINTA . 3
LOT #: 13, , PGA WEST
DATE: 06/15/04 -
SCALE: 1 "=8'
DRAWN BY:
JOB
NOTE:
LANDSCAPE NOT INCLUDED