08-0693 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
ce4ht 4 4 Qgm&
Application Number: 08-00000693
Property Address: 80260 VIA PESSARO
APN: 772-550-013- - -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 800
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury thatI 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.
Licen a Class: C53 License No.: 800680
Date: omractor:
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 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.).
1 1 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: PIE
LQPERMIT
Owner:
GARY FRANA
80260 VIA PESSARO
LA QUINTA, CA 9225
Contractor:
REMBRANDT POOLS &
P.O. BOX 6411
LA QUINTA, CA 9225
(760)771-2121
Lic. No.: 800680
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/25/08
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
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 fort�ORKERS'COMPENSATION
with complywith those provisions.
�t 4ar cant:WARNING: FAIL RE TOS OVERAGE 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
of this county to enter upon the above-mentioned property for inspection purposes.
": -
5" / �� S gf nature (Applicant or A�-�
Application Number . . . . . 08-00000693
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . .
21.00 Plan Check Fee
13.65
Issue Date . . . .
Valuation . . .
. 800
Expiration Date . .
10/22/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 2.0000
----------------------------------------------------------------------------
HND BLDG 501-2,000
6.00
Permit . . . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
17.25 Plan Check Fee..
4.31
Issue Date . . . .
Valuation . . .
. .0
Expiration Date
10/22/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 .7500
----------------------------------------------------------------------------
PER ELEC DEVICE/FIXTURE 1ST 20
2.25
Permit . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
18.00 Plan Check Fee
4.50
Issue Date . . . .
Valuation
0
Expiration Date
10/22/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
BBQ INCLUDES 30 L.F. OF 1 1/2" GAS LINE
AND 3 ELECTRIC FIXTURES.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
1.37
STRONG MOTION (SMI) - RES
.50
Fee summary Charged Paid Credited
----------------- ------ - --- ---------- ---------- ----------
Due
Permit Fee Total
56.25 .00 .00
56.25
Plan Check Total
22.46 .00 .00
22.46
Other Fee Total
1.87 .00 .00
1.87
Grand Total
80.58 .00 .00
80.58
LQPERMIT
` CITY ,QF. LA QUINTA'SUB-CONTRACTOR LIST
JOB ADDRESS *-0'Uy Vi c,",' P—e—SS 4✓0 PERMIT NUMBER OWNER Ffc rj rti BUILDER.
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 -change S_
ny 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 permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Trade Classification
Tr / Clas n
tract , ::, ::::: :.::;>
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:Workeis.C.om'en at�on..ns. rance:::. :::::,';:;:.:
Cit .Bus
y Hess License::.::
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier NamePolicy
(e.g. State Fund, CalComp)
Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp. Date
(xx/xx/xx)
EARTHWORK (C-12).
CONCRETE (C-8)
FRAMING ti: .'..
STRUCT::STEEL (C-51)
MASONRY (C-29)
.. NJc��✓/0 f y
C ��
11
P � L�
t
lei d h
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I'l�t � SIv� N5
% Lj t/ P0��-G
PLUMBING (C-36)'
LATH; PLASTER (C35)
DRYWALL (C-9) ..:..:
HVAC. (C -20)-.:.'t. >.
ELECTRICAL. (C=10). c .. t
ROOFING.(C=39)`.-- ':< `:< .-
SHEET METAL* (C=43)
GLAZING (C7.17):*:`
INSULATION:: (C-21
SEWAGE DISP--(6-42) .
PAINTING (C-33)`:
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING (C-13)
LANDSCAPING (C=27) .:
POOL (C-53)
Z'4 9
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Trackiig Sheet
Permit #
j
Project Address: f (9 -06o V ," -./ O
Owner's Name:
A. P. Number:
Address: Ic - 0 -co V
Legal Description:
City, ST, Zip: L� 0- Wr.)-T-3
Contractor:;, b ria ST P&AY
Telephone:
N
Address: Ci /, t
Project Description: t L
ll
City, ST, Zip:
Telephone: 7 r
State Lic. # : 00�rO City Lic. #:
Arch., Engr., Designer:
Address:
l0
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: G S (, J iA
Construction Type: Occupancy:
Project type (circle one): ew AMn Alter Repair Demo
Sq. Ft.:
# tories: —F#
Units:
Telephone # of Contact Person: (� p 7) (— (�
Estimated Value of Project: oD
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Checa Deposit
Truss Calcs.
Called Contact Person
Plan Chect Balance
Energy Calcs.
Plans bicked up
Construction
Flood plain plan
Plans resubmitted
MechanicEl
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd 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