07-0435 (RPL)ft
'P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00000435
Property Address:
61265 FIRE BARREL DR
APN:
764-280-999-130 -300235-
Application description:
POOL - RESIDENTIAL
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
.20000
T41vl 4 4 Q"
Applicant: Architect or Engineer:
M011,00,
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
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.
Lice se Class: C53 License No.: 800680
Y_
,00�Date: - 0_'7 ontractor:
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 155001.:
(_ I I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 1-1
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. , 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: A'
Lender's Address:
LQPERMIT
Owner:
WALTER BENDICK
61265 FIRE BARREL DRIVE
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/07/07
Contractor:
REMBRANDT POOLS & SPAS IN
P.O. BOX 6411 D n a
LA QUINTA, CA 92253
(.760)771-2121
Lic. No.: 800680 FF�g o8 Z0o1
CITY OF LA QUINTA
--------------------------- —=---FINANCE DEPT
K--------
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
_J issued.
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 c=at, 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
�1 3700 of the Labor Code, I shall forthwith comply with those provisions.
te: d��7//q�'p/licant:
WARNING: F LURI F TO Is,
WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 0100,0001. 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 t above-mentioned property for inspection purposes.
/e: nature (Applicant or Agent):
Application Number . . . . 07-00000435
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
207.00 Plan Check
Fee
134.55
Issue Date
Valuation
. . .
. 19740
Expiration Date
8/06/07
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 . . . .
26.00 Plan Check
Fee
6.50
Issue Date
Valuation
. .
. 0
Expiration Date
8/06/07'
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
8/06/0.7
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
8/06/07
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 . . . 07-00000435
'Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 15.00
Plan Check
Fee
'. .00
Issue Date . . . .
Valuation
. . .
. 260
Expiration Date 8/06/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 12 L.F. 5' EQUIPMENT WALL,
CITY STANDARD ALARMS/BARRIERS SHALL BE
IN PLACE AT PRE -PLASTER INSPECTION.
Fee summary Charged Paid
--------------------------------------
Credited
-------------_-------
Due
__. Permit Fee Total 326.00
.00
.00
326.00
Plan Check Total 160.55
.00
.00
160.55
Grand Total 486.55
.00
.00
486.55
LQPERMIT
6IR f City of La Quinta
Building ex Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, 'CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: G S
. Ft rt b A% rRA(
wner's Name:
' ,� l C ((
A. P. Number:
PERMIT FEES
dress: L
Legal Description:
ty, ST, Zip: L C
L4.4 �
Contractor: 1��.1'l Vow alt
QU�i�S Slephone:
.
Item Amount
Address: 77iT-I uwAr
Cl.•b pf•
oject Description:
City, ST, Zip: Pe Ih%
t7J} �( I
ool
Til'.
Telephone: 7Gp. 7 0 -
pCitymLics.-
Called Contact Person
State Lic. # : 00 G • O
Plan Check Balance
Arch., Engr., Designer:
1
Address:
Construction
Flood plain plan
City, ST, Zip:
Plans resubmitted
Telephone:
State Lic. #:
Construction Type: P G,�,, Occupancy:
Project type (circle one) Add'n Alter Repair Demo
Name of Contact Person:
2" Review, ready for eorrectioneissue
Sq. Ft.: a 6
#Stories: T#
Units:
# of Contact Person:
Estimated Value of Project: t O'er ; Q G A
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACIONG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calq.
Called Contact Person
Plan Check Balance
Energy Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for eorrectioneissue
Electrical
SubcoMactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
S.M.I.
H.O.A. Approval
Pians resubmitted
Grading
IN ROUSE:-
'`' 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
14-
CITY OF LA QUINTA SUB -CONTRACTOR LIST nn ---- n
JOB ADDRESS % a6S �' � PERMIT NUMBER OWNER InJA �-}�-� ��a�L BUILDER R44n hLk-4
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
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Hca io
Trade / Classif t _n
Cractor,:;.
Cont a
.;:..:;:.::...•.,.;::;..: rac so ........,.•...;.
State..Cont .tor s. L�cen
W.oikei Com a sation:Irisurance':.:": ; ;>:::: :':::.
s. n
Cit . Busies License:>
y
Company Name
Classification
(e.g. A. B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier.Name
(e.g. Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xxlxx/xx)
License Number
Exp. Date
Ixx/xx/xx)
EARTHWORK (C-12)
C (OCo ��`
C.-
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'°
IIS''tate
S'��'l�— F�fJ �-
r - I `6 �3a 'oZ�c 6
S"- -01
,(`xxxx) ./
775 l
11-0071
'0 1)
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FRAMING :IC -51
STRUCT.-STEEL IC -51)
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MASONRY (629)
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-_6,)6o1-9J
103107
R4[+ ✓ I d, -t- 14J -
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t O 6
"PLUMBING (C-361
I-lAloJk io !rte
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r13� 0
Psi` u�
GL W G '76& �(6
,k/3a-�7
LATH:
JK9POa
P
.j
t�i�
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866OG
o
Ot'3 �PLASTERlC-3E1
7/067
DRYWALL (C-9)..--*.
HVAC. (C-20)`:.::.'.';;` :.
LECTRICAL. IC -10)' :. .'.
C' lc"��" P -,-L-5 t 5��3
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x/3.1 G/`
P A {
y w� a�c.Y
C, L w C. 7 0 G 7/ O
1 MJ& 7
tool/
wo
ROOFING(C=39)`.::.:°.`">
SHEET METAL (C43)
FLOORING (C-:15►:. >'::;'';
GLAZING (C-17)` > ;
IN (C-2) .
SEWAGE DISP: (C-42) .
PAINTING (C-33) :.
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING (C713).
LANDSCAPING (C'-27).::;
POOL (C-53)
6 FT BBQ
M •' ",t :�F� M �'� � °' �'f � •� , •'J f _ ti`s J� � ` •..I � n ,_.J � �.J w ' •Y.f+� �, ir� T � RF .
ez
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CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE cQ . BY �LAA
S� PE
�I A/C
I�,'L'X�-,h
Equipment WALL
Side DECKING to Driveway
62 ft to Corner
Gas & Electric
EMBRAND
POOLS & SPAS INC
CA. LIC. 800680 C-53
78-910 VIA VENTANA
LA QUINTA CA 92253
TEL (760) X71-2121
FAX (760) 771-2181
POOL & SPA SPECS
POOL SIZE: 26'X 12'6"
POOL AREA: 263 SF
POOL PER: 76 FT
POOL DEPTH: 3'6" TO 5'
SPA SIZE: TX 7'
SPA AREA: 49 SF
SPA PER: 28 FT
DECK AREA: 846 SF
COLOR/FINISH: TO CHOOSE
PUMP: 2 HP
FILTER: 460 SF
HEATER: 400K BTU
CONTROL: RS4
CHLOR: SALT SYSTEM
CLEANER: NAVIGATOR
PLASTER: PEBBLE
TILE: GROUP 1-3
POOL LIGHT: 1-40OW
SPA LIGHT: 1-100 W
Eguipment WALL
& 6' BBQ +12" Fire it
WALTER BENDICK
ADDRESS: 61265 FIREBARREL
CITY: LA QUINTA
DEV: LOT*
DATE: 11:15 AM 1/29/07
SCALE: 1 "= 8'
DRAWN BY: CESAR
LANDSCAPE NOT INCLUDED