07-0456 (SOTB)P.O. BOX 1504
78=495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T,ityl 4 4 Q"
Application Number: 07-00000456
Property Address: 61265 FIRE BARREL DR
APN: 764-280-999-130 -300235-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 5000
Applicant: Architect or Engineer:
Vv�
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.
License Class: C53 License No.: 800680
Date: 'V O8—c'? 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 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).:
(_ 1 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.).
(_) 1, 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: �--?I- " 647 Owner:
L___ 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/12/07
Owner:
WALTER BENDICK
61-265 FIRE BARREL DR.
LA QUINTA, CA 92253
F--iiMopm
Contractor:
REMBRANDT POOLS & SPAP.O. BOX 6411
LA QUINTA, CA 92253(760).771-212�,
Lic. No.: 800680
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
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.
¢v7
Date: -Applicant:
WARNING: FAILURE TO 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 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.
Date: ),Wn Signature (Applicant or Agent):
Application Number . . . . . 07-00000456
• Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 15.00 Plan Check Fee 9.75
Issue Date . . . Valuation . . . . 260
Expiration Date 8/11/07
- Qty Unit Charge Per Extension
BASE FEE 15.00
-----------------=---------------------------------------------------------
Permit. . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 72.00 Plan Check Fee 46.80
Issue Date . . .. Valuation . . . . 5000
Expiration Date 8/11/07
Qty Unit Charge Per Extension
BASE FEE 45.00
3.00 9.0000 THOU BLDG 2,001-25,000 27.00
----------------------------------------------------------------------------
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee 17.25 Plan Check Fee 4.31
Issue Date . . . . Valuation . . . . 0
Expiration Date 8/11/07
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 8/11/07.
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00
------------------------------------------7---------------------------------
Special Notes and Comments
12 L.F X 5' HIGH CITY STANDARD/BBQ &
FIREPIT PER APPROVED PLAN.
Fee summary Charged Paid Credited Due
LQPERMIT
Application Number 07-00000456
---------------------------------------------------------
• Permit Fee Total 122.25 .00 .00 122.25
Plan Check Total 65.36 .00 .00 65.36
Grand Total 187.61 .00 .00 187.61
LQPERMIT
Bin # City of La Quinta
Building 8L 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:' 0,16 S mh-zlle-t— Owner's Name: W A J"C
A. P. Number: Address:
Legal Description: City, ST, Zip: , , a ,� 5 -
Contractor:
Contractor: 4N6(-Mj7 G ol.S S G Telephone:
Address: , on: '
ProjDecUi
City, ST, Zip: P4AI,� 64 qa' f � , ►"c 'i � i a ,,L Z w N-• V,,(
Telephone: '] 7 _ a l ^f' ��� �� X
State Lic. # 4666 6 1K'O City Lia #:
Arch., Engr., Designer:
Telephone:
State Lie. #:
Name of Contact Person: L
Telephone # of Contact Pei
# Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Construction Type: Occupancy:
Project type (circle one):Ne Add'n Alter Repair Demo
r / Sq. Ft.: # Stories: # Units:
Estimated Value of Project: a u o
APPLICANT: DO NOT WRITE BELOW THIS UNE
Reed TRACM NG PERMIT FEES
Plan Check submitted Z �' Item Amount .
Reviewed, ready for corrections Plan Check Deposit
Called Contact Person Plan Check Balance
Energy Cala.
Plans bicked,up Constmctlou 8
Flood plain plan
Plans resubmitted Mechanical
Grading. plan
2" Review, ready for corrections/issue Electrical
Subcoatactor List .
Called Contact Person Plumbing S 6�Zei s
Grant Deed
Plans picked up S.MX
H.O.A. Approval
Plans resubmitted _
IN HOUSE:-
ry�din
''� Review, ready for.correc ton 2vblo a act.F e
Planning Approval
�-
Called Contact Person 1L�� G & S A I1N
Pub. Wks. Appr
Date of permit issue �'
. rr+e (`T.
School Fees
FO
Total Permit Fees
6 FT BBQ
PE
A/C
Equipment WALL
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE -4--7-0-7 B,I-57
Side DECKING to Driveway
62 ft to Corner
Gas & Electric
EMBRAND
POOLS & SPAS INC
CA. LIC. 800680 C-53
78-910 VIA VENTANA
E(60)X722153TL71-121
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
SEquipment
& 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
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CITY OF LA QUI UB CON CTOR LIST
JOB ADDRESS G� I alis �' �-�```� PERMIT NUMBER OWNER W� f' �^�`�'f L BUILDER
This form shall be posted on the 'ob with he Building Insnectign Card at al —times c ' s 'c ous Rlace. Only persons appearing on this list .or their employees are authorizedto 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.
Trade / Classification
:' Contractor
>::::::::::>:.::::..>:; ..
::::..,:.::::.: Stat�•.Contractor s License... ;..
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:.. : Wotkeis Com ensago�;losuraoee:" •:' '''::. ;->;::..
Cit ..-Business License::::
Company Name
Classification
(e.g. A. B, C-8)
License Number.
lxxxxxx)
Exp. Date
(xx/xx/xA
Carrier.Name
(e.g. Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xxlxxlxx)
License Number
.(xxxx)
Exp. Date
1-xx/xxlxx)
EARTHWORK (C-12)
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LState
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7-1-07
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4/757
1100
CONCRETE (C-8) �°
SC GN3' t.'%,on)
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01
W3i16W
.47-4c F NA
lltt" -7-0.00/6
L( -o1-67
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FRAMING4
STRPCT.*STEEL(c<51)
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4Sa-Seja.-ate
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MASONRY {C•29)
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' ���3���%
11�J� ort �i�5
_]LI��.gUL1_d5_
(U -1-u7
101, r6
3d�%
•... UMBING- (C-361
CI-C.✓�f� tis Jr�
Phi`Cy
C L W G ��i �(d
(H 1�/Gl
00 (�
LATH: PLASTER (C.:351
J e,FF K.Clie Poo)
C.�- S.3
S 713 O c. �
!X' 116 7
W Ii tib S�IS�.I�►ct .
66 6 6+0 Gr. 5
Woa/o7
DRYWALL (C-9} .<::. ..
HVAC. (C-201..::.,::.::.:':..
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CTRICAL. (G-10)' :. .':
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SHEET METAL (0=431
FLOORING
GLAZING
INSULATION (C-21.
SEWAGE bISP,-: (C-42)
PAINTING (C=33) ;
CERAMIC TILE IC -54)
CABINETS IC -6)
FENCING IC -131.
LANDSCAPING
POOL (C-53)