BPOL2015-009978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
,_ .
'I 4
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPOL2015-0099
Property Address:
80559 VIA PESSARO
APN:
777160039
Application Description:
ELLIOTT RESIDENCE / SPA POOL & FO
Property Zoning:
c
Application Valuation:
$25,000.00
Applicant:
ry
REMBRANDT POOLS &•SPA
77564 COUNTRY CLUB DR
o
LA QUINTA, CA 92211
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/21/2015
Owner:
STEVEN ELLIOTT
221 CALD WELL A'JE
LOS GATOS, CA 0
n
�
o
a
c
Contractor:
ry
�z
o
REMBRANDT POOLS & SPA
n
cn C7
77564 COUNTRY CLUB DR
LA QUINTA, CA 9211
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 Professions Code,
and my License is in full force and effect.
License Class: License No.: 80680
Date: t-04-4'-1 r Contractor:
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 Cade: 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 ) 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: 'r 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 Add
S01
(760)771-2121
Llc. No.: 80680
WORKER'S COMPENSATON DECLARATION
I hereby affirm under penalty of perjury one ofthe following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 370Dof 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 perfornance 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 tha-, if I should become subject to the
workers' compensation provisions of Section 300 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 1 ^�w t f Applican
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIN^L PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000. IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR N 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 applicFtion 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 Cty 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 applica- ion becomes null and void if work is
not commenced within 180 days from date of is.:uance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and stats 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. .
Date: Signature (Applicant oa Age
FINANCIAL .•
1•
DESCRIPTION
ACCOUNT
CITY AMOUNT
PAID '
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$1.00
5/21/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
REMBRANDT POOLS & SPA
CHECK
R6335
2962
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00, $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE'
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$181.29
5/21/15
PAID BY
METHOD
RECEIPT #
= CHECK #
'CLTD BY
REMBRANDT POOLS & SPA
CHECK
R6335
2962
MFA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$98.62
5/21/15
• PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY. .
REMBRANDT POOLS & SPA
CHECK
R6335
2962
MFA
Total Paid for POOL / SPA: $279.91 $279.91
TOTALS::0 :0•
Description: ELLIOTT RESIDENCE / SPA POOL & FOUNTAINS
Type: POOL Subtype: Status: ISSUED
Applied: 5/19/2015 MFA
Approved: 5/21/2015 MFA
Parcel No: 777160039 Site Address: 80559 VIA PESSARO LA QUINTA,CA 92253
Subdivision: TR 29894-2 Block: Lot: 305
Issued: 5/21/2015 MFA
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $25,000.00 Occupancy Type: Construction Type:
Expired: 11/17/2015 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
PHILIP JUAREZ
Details:. POOL, SPA, & FOUNTAINS [2 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT ELECTRICAL] THIS PERMIT DOES NOT INCLUDE MASONRY
EQUIPMENT WALL. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
2
r
0
I Applied to Approved
IM Approved to Issued
ADDITIONAL
Printed: Thursday, May 21, 2015 10:24:22 AM 1 of 2-
SYSTEti1S
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME'
ACTION DATE
COMPLETION DATE NOTES
NOTE
PHILIP JUAREZ
5/19/2015
5/19/2015
sent to philip
NAME TYPE
NAME
ADDRESS1
CONDITIONS
•
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
REMBRANDT POOLS & SPA
77564 COUNTRY CLUB
DR
LA QUINTA
CA
.92211
CONTRACTOR
REMBRANDT POOLS & SPA
77564 COUNTRY CLUB
DR
LA QUINTA
CA
92211
OWNER
STEVEN ELLIOTT
221 CALDWELL AVE
LOS GATOS
CA
0
Printed: Thursday, May 21, 2015 10:24:22 AM 1 of 2-
SYSTEti1S
BOND INFORMATION
Printed: Thursday, May 21, 2015 10:24:22 AM 2 of 2 9?L7'L"l
sysrcnns
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
REMBRASPAPOOLS &
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
5/21/15
R6335
2962
CHECK
MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
$1.00
BSA:
REMBRASPAPOOLS &
SWIMMING POOL/SPA
101-0000-42404
0
$181.29,
$181.29
5/21/15
R6335
2962
CHECK
MFA
SWIMMING POOL/SPA
REMBRANDT POOLS &
101-0000-42600
0
$98.62
$98.62
5/21/15
R6335
2962
CHECK
MFA
PC
SPA
Total Paid for POOL / SPA:
$279.91
$279.91
.0
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR
SCHEDULED COMPLETED
RESULT
REMARKS
NOTES
DATE
DATE
FINAL" BLD
y • ..•
PARENT
RETURNED
STATUS
REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE
NOTES
DATE
NON-STRUCTURAL - KIRK 5/19/2015 5/22/2015
5/19/2015
REVISIONS REQUIRED
see plans
1 WK KIRKLAND
BOND INFORMATION
Printed: Thursday, May 21, 2015 10:24:22 AM 2 of 2 9?L7'L"l
sysrcnns
g�OL-ul�-Uoqq
Bin #
- City of. La Quinti
Building & 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: '—
Owner's Name: E' I (v'r`r 3 I�
A. P. Number: Q�V l P-eSS�
Address: gQ
Legal Description: Poo(
City, ST, Zip: (hC2KtCA
Contractor: o. n Eov �s
h ne:
Telephone:
Address: ]� i ��� C I�
Project Description: ML; U✓ 1
City, ST, Zip: �Cr i
v ✓-� In/
Telephone: 7 �e U
F
F � tie POOL
State Lic. # : 5� 00 G U
City Lie. #;
Arch., Engr., Designer:
Address:.
City, ST, Zip: {'0 UNC Q I �d
Tele h one:
Construction n TY e• ancY
Occupancy:
P :
Lic. #:
Project ect hPa (circle one):: e Add'n
Alter Repairair Demo
Name of Contact Person:S J % I U �.
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: %tio v ?7 1
Estimated Value of Project: a
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
P efi
Item
Amount
Structural Cates.
Reviewed, ready for corrections
tan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21d 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:-
'"' 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
<6'0- S-? CITY OF LA GUINTA SUB-CONTRACTOR,LIST n
-- v :,�, �-, PERMIT NUMBER OWNER � _ • „BUILDER ���b��''���1 `'"�J � n`J
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,
- n requested below must be completed by applicant. "On File" is not an acceptable response.
of building permit. For each applicable trade, all informatio q
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1_t4 K ' " WALL HEIGHT
— — — _ _ _ _ _ _ _ _ _ _ _ _ _
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PILASTERW/
MASTER BEDROOM
COVERED PATIO
Ochoa Design Associates
architecture /design /planning
'-0" 1'-7' 2'-6"t -21-611:121-611:1 -21-6111,-21-611-1'-7' - 2'-0"— = 5'-2" — —
-----------= LAPS =____
- _-__ _-__—_ _.
------------POOL— — — — — — — — — — — — — — —-
_ _-S_PA=
_ _—_ _ --_ _ _ _ _____ __ _— __- TAN N I N G
—___ __— _SHELF __---__ ____----------------------
-------------------
STEPS.--
MASTER
TEPS =___
ELLIOTT RESIDENCE Title
LOT # 304, 305 VIA PESSARO
HIDEAWAY LA QUINTA, CALIFORNIA
FLOWER POT
how Ii-�
fit- 1�{Ii�tQ- CnNs�l�
Qk yto us t l
fad ITYOFLAQUI I
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BUILDING & SAFETYD N VIEW
APPROVED I I GREAT ROOM
FOR CONSTRUCTION I I REAR COVERED PATIO
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DATE: Sheet
POOL LAYOUT 5-12-15SCALE:
.3/16 ":_ '-0" _I_ _
-1 1 OF 2
>; ®
OFFICE
COVERED
PATIO
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ELLIOTT RESIDENCE Title
LOT # 304, 305 VIA PESSARO
HIDEAWAY LA QUINTA, CALIFORNIA
FLOWER POT
how Ii-�
fit- 1�{Ii�tQ- CnNs�l�
Qk yto us t l
fad ITYOFLAQUI I
I ®r ----- --
BUILDING & SAFETYD N VIEW
APPROVED I I GREAT ROOM
FOR CONSTRUCTION I I REAR COVERED PATIO
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DATE: Sheet
POOL LAYOUT 5-12-15SCALE:
.3/16 ":_ '-0" _I_ _
-1 1 OF 2
l a
-ING RESIDENCE
SOT # 306
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CITY OF LA QUITA
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DATE
EXISTING BLOCK WALL
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
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North
SITE REFERENCE PLAN
SCALE 3/32"=1'-0"
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