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RPL-14-86578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: RPL -14-865 TAtyl 4 4a" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 53408 VIA PISA APN: 772530064 Application Description: POOL,SPA,FIREPIT, FREESTANDING WATER FEATURE Property Zoning: Application Valuation: $61-e0 o%d7 01*0 Applicant: REMBRANDT POOLS & SPAS 77564 COUNTRY CLUB DRIVE PALM DESERT, CA 92211 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class:Sr License No.: D e: U' t� Contractor: t OWNE -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 allege% 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 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.). (_) 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 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 Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/7/2014 Owner: JEHA RESIDENCE 53408 VIA PISA LA QUINTA, CA 92253 Contractor: REMBRANDT POOLS & SPAS 77564 COUNTRY CLUB DRIVE PALM DESERT, CA 92211 (760)771-2121 Llc. No.: 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: _ 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 7 �� Applicant: . WARNING: FAILURE TO SECURE 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 Building Official 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 city to enter upon the above- mentioned property for inspection purposes. Ce: , 4�/ `/ Signature (Applicant or cJ FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00' $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $23.83 $0.00 DESCRIPTION ACCOUNT QTY AMOUN— PAID PAID DATE PLAN CHECK, ELECTRICAL 10160003428200 $23.83 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLAN CHECK, ELECTRICAL: $23.83 DESCRIPTION ACCOUNT QTY AMOUNT_ PAID PAID DATE PLAN CHECK, PLUMBING 10160003428200 $23.83 PAID BY METHOD RECEIPT # = CHECK # CLTD BY Total Paid forPLAN CHECK, PLUMBING: $23.83 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PLAN CHECK, POOL 10160003428200 $97.24 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLAN CHECK, POOL: $97.24 DESCRIPTION ACCOUNT QTY AMOUNT = PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $11.92 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $178.75 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for POOL/ SPA. $178.75 $0.00 TOTALS:$360.40 $0.00 DESCRIPTION ACCOUNT CITY PAID PermitTRAK $360.40 RPL-14-865 Address: 53408 VIA PISA Apn: 772530064 $360.40 BUILDING STANDARDS ADMINISTRATION BSA $1.00 BSAS SB1473 FEE 101-0000-20306 0 $1.00 ELECTRICAL $23.83 DEVICES, FIRST 20 101=0000-42403 0 $23.83 PLAN CHECK, ELECTRICAL $23.83 PLAN CHECK, ELECTRICAL 10160003428200 $23.83 PLAN CHECK, PLUMBING $23.83 PLAN CHECK, PLUMBING 10160003428200 $23.83 PLAN CHECK, POOL $97.24 PLAN CHECK, POOL 10160003428200 $97.24 PLUMBING FEES $11.92 GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $11.92 POOL/SPA $178.75 SWIMMING POOL/SPA TOTAL 101-0000-42404 0 $178.75 $360.40 Date Paid: Wednesday, July 09, 2014 Paid By: REMBRANDT POOLS & SPAS Cashier: PJU Pay Method: CHECK 2822 Printed: Tuesday, July 08, 2014 3:26 PM 1 of 1 ��CYC7FAAC 4 1.. rte. Bin # Oty of La Quinta "Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico. La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit ✓1 1 Project Address: S 3 - 110% t 4 PIS C1 Owner's Name: J Qti S t �� A. P. Number: Address: T3 - L( 01 i S Legal Description: (,t„► ?047( X City, ST, Zip: L� Contractor: ,(e L ( Telephone: -)Co Address:7 (I ( CO CA J+ G'wb `• Project Description: City, ST, Zip: ^ ( rl &3e/4 CAC! Y+. ,' � S . �,�d W.04/ �4 Telephone:(moo 77'1 ........................:........................ State Lic. # : 100W'O City Lie. #.. 3G D g75 .S d I Ms�'c I Arch., Engr., Designer. �, 7 Address: City, ST, Zip: Telephone: »;<z:s:»:.<;rr:;;,>'•<><>',;::t::s:;: Construction Type:- f4W Occupancy: State Lic. #: 'i'v >:":<<<t<:>`'>`siz><>::": Projectcircle one • N Addis Alter Repair typa ( )v p Demo Name of Contact Person: Sdi 's, 1 J Ci Sq. Ft.: # Stories: # Units: Telephone ilof Contact Person: '7&,o S'% a- 6a-6 y Estimated Value of Projcctk o' APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted 1013 Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person ' Title 24 Calcs. Plans picked up Construction f6k. Flood plain plan Plans resubmitted Mechanical swr — . Grading plan 2" Review, ready for corrections/issue Electrical 1 tsT Yry� j Subcontactor List Called Contact Person PlumbingalI .q Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionsrtssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees EE Total Permit- ees 011sl 1q.- 60 fvfw CITY OF LA SUB-CONTRACTORLIST . - OWNER ti� - aBUILDER 2Mb�a,✓��rlv�lJ Spc.J PERMIT NUMBER l ' g(oS - - JOB ADDRESS This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous 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. ildin permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. f9 r a � - r• 3r•IitY"""' � � i via ....................:....................:....:..........................................................: ..............:.::.......... ......... Contractor ,..... _....................:..:........:::.................. 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CN BUILI A 0; MCV � My FOR C ;A' C\2 O L DATE b Il� BY�— ' Co C L5 Fid Ar L*vl t, O o z C O Y I I O II II a I I IccI I I I cr o Zr 0 -- " UJI Ki F- c� W N NN rn Ln too o U U `i'r C14 MUM 0 r1r- Il' C> ,6.9 47 Bi CID Ln too o U U `i'r C14 MUM I "' C> ,6.9 47 ort CID 60 z ". J� m IS8 Z n ,ot CAI �1 ,POOLS &SPAS INC. •A 7Yuc Afvmtopkcc" CA, LIC. 800680 C•53 77-564 Country Club Dr. Ste.#127, Palm Desert, Ca 92211 Office: (760) 771-2121 • Fax: (760) 771.2181 POOL & SPA SPECS POOL SIZE: 36'X 13' POOL AREA: 504 SF POOL PER: 106 FT POOL DEPTH: 3'6" TO 6' SPA SIZE: 8' ❑ia SPA AREA: 50SF SPA PER: 25 FT ONCRETE AREA: Stone Co in PUMP: 2HP Variable Speed FILTER: 420 SF HEATER: 400K BTU CONTROL: Easy Touch CHLOR: SALT SYSTEM LEANER: N/A PLASTER: PEBBLE ILE: GROUP 1-3 POOL LIGHTS: 2-40OW SPA LIGHTS: 1-250 W F/<< Jeha Residence ADDRESS: 53-408 Via Pisa CITY: La Quinta, CA DEV: HideawayCC LOTM DATE: 4:14 PM 12/31/69 SCALE: 1"= 10' DRAWN BY: Jorge LANDSCAPE NOTINCLUDED Is