10-1289 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
'10700001289
Property Address:
79060 VIA CORTA
APN:
649-460-006- - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Applicotion valuotion:
10000
Tit!t-4 e(A Qum&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
MIKE CHANDLER'
79-060 VIA CORTA
LA QUINTA, CA 92253
Contractor:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/23/10
2 9 20E0 I
Applicant: Architect or Engineer: REMBRANDT POOLS & 'SPS INC
P.O. BOX 6411 CfrYGF! ayr
LA QUINTA, CA 922 ' rtrl:;an�iPJ�lA
(760)771-2121
/ ------------------------------------------------------ --------------------------------------
Lic. No.: 800680
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION '
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Lic se Class: C53 License No.: 800680 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date: ntractor: yf� _ 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
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)x:
(_ 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 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 .,
1 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:
LOPERMIT
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.
– ate: pplicant: "
10
WARNING: FAILURE 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 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, indemriify 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 withall
city and county. ordinances and state laws relating to building construction, and hereby authorize representatives
of th;ipcounty to enter upon t above-mentioned property for inspection purposes. _
ate: ature (Applicant or Age _
Application Number
. . . . 10-00001289
Permit
BLDG POOL PERMIT .
Additional desc ...
Permit Fee
189.00 Plan Check Fee
122•.85
Issue.Date
Valuation
18000
Expiration Date -.
5/22/11
Qty Unit Charge
Per
Extension
BASE FEE
45.00
16.00 9.0000
THOU BLDG 2,001-25,000
144.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee
26•.00 Plan Check Fee..
6.50
Issue.Date
Valuation
0
Expiration Date :
5/22/11
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
5/22/11
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
5/22/11
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 -
----------------------------------------------------------------------------
special Notes and Comments
POOL/SPA, BBQ & FIREPIT. ALARMS/BARRIERS
LQPERMIT -
_ .
` -Application Number
10-00001289
--------------------------------------------------------------------------
Special Notes and Comments
SHALL BE IN PLACE AT PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE
NOT
INCLUDED. 2007 CODES.
Other Fees
BLDG STDS ADMIN (SB1473)
1.00
Fee.summary Charged
Paid
Credited
Due
Permit Fee•Total 293.00
.00
.00
293.00
Plan Check Total 148.85
.00
.00
148.85
Other Fee Total 1.00
.00,
.00
1.00
Grand Total 442.85
.00
.00
442.85
LQPERMIT .. ..
CITY OF LA QUIIViA SSB.-CQIV`T CTO LIST .. • R
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kik ADDRESS -- -%�' - PERMIT NUMBER O1N-_NER't, C�'`.✓" �' 16i - BUILDER 1'��NI�ar4r�l�T� Quul3.f
,'
This forms e posted o e Card t a 'cos ce: Only persons appearing on�this list or'their employees are authorized to work.
w:
on this job. Any changes to this list must.�e approved by the Building Division'prior to oom'- encement of work: Failure to comply will result in a stoppage of work and/or the voidance. r
r
`+ of building permit. For each applicable tr lde,�all Information re e-sted below must be 'oo . ;.Isted b � applicant. eon File° is not an ecce tabl" response.
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Din #
City of La Quinta
Building 8r Safety Divislon
P.O. Box 1504, 78-495 Calle Tamplco
La Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: % - 0 (00 V I a CU 11+e,l e,
Owner's Name: M 14 C,14(4fj
A. P. Number:
Address: 7Q _ Or-v Vl ti CV 44L
Legal Description:
Contractor: R40% r6W Tr 6)0oV e 5-Af
City, ST, Zip:.. i
La �I� r.4
Telephone:f
Address: cd� C l,,b
Project Description: AleV vv` S
City, ST, Zip: P!t ��('+ vcId a
U i f� t,� �—CA
Telephone: 76v
State Lic. # : �(7tr% (o . �v
City Lie. #•:
17
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:Construction
State Lie. #: '
Name of Contact Person:J ,p ( 5t IJ K
type: J Occupancy:
Project type (circle one): ew Add'n Alter Repair Demo
Sq. Ft.:
# Stories: !
#Units:
Telephone # of Contact Person: 7tii0 (— (a
Estimated Value of Project: 1$,_ poo
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cities.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called- Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2p' 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:-
U4 Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A,LP,P,
Pub. Wks. Appr
Date of permit issue _
School Fees
Total Permit Fees
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-���/ POOLS & SPAS INC.
"A7hre Marte>•plurer
-CA. LIC: 800680 C-53
Ce 92211 '
77-564 Coun Club Dr. Ste.p127, Palm Desert,
1 1 -,,Fax: 760 771-2181
.
Office: (760) m z z( ) .
POOL &,SPA SPECS:.
POOL'SIZE: 27'6" X 1l7' 6"
POOL AREA: 405 SF
POOL PER: 97 FT -
POOL DEPTH: 3'6"7O.5'_'_'.
SPA SIZE-: 7' x-8'`
SPA AREA: 55 SF
SPAS PER:27 FTS...
CONCRETE AREA: 530 SQFT'
tch
INI -
COLOR/F H:TO Ma S
PUMP: 2 HP Variablespeed'.,
TER: 420 SF
FIL _
HEATER: 400K. BTU
CONTROL: Eazy Touch
CHLOR: SALT SYSTEM
LEANER: N/A
PLASTER: PEBBLE ;
ILE: GROUP 1-3
POOL LIGHTS: 2-500W
SPA LIGHTS: 1-250 W.,
R id
>f-CUI't1S �S ence
ADDRESS:79-060. Via Corta _
CIN:, La Qunta
DEV: Rancho La Quinta CC: LOTM
DATE: 12:55 PM 11 /23/1`-0
SCALE: 1 "= .8'
DRAWN BY: LUIS
LANDSCAPE NOT INCLUDED