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BPOL2014-103178-495 CALLE TAMPICO Owner: LA QUINTA, CALIFORNIA 92253 Application Number: BPOL2014-1031 Property Address: 53443 VIA MALLORCA" APN: 777390008 Application Description: ENLARGE POOL/SPA Property Zoning: - Application Valuation: $17,000.00 Applicant: REMBRANDT POOLS & SPA 77564 COUNTRY CLUB DR LA QUINTA, CA 92211 4 COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/18/2014 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: ��1 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).:: (_) 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: 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: (760)771-2121 Llc. No.: 8068C 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: _ . Policy Number: _ _ I certify that in the performance of the work for which this permit is issued, I shall hot 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. Date: Applicant: WARNING: FAILURE TO 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 Building Official 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 city to enter upon the above- mentioned property for inspection purposes. l Date: ' j �� Signature (Applicant or Agent Owner: MARK ANDERSON " 8014 AVALON PL MERCER ISLAND, WA 92253 D AUG 1 $ 2014 Contractor: CM OF QUINTA REMBRANDT POOLS & SPA OEVF�PMENTDEPARTMENT 77564 COUNTRY CLUB DR COMMUNITY LA QUINTA, CA 92211 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: ��1 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).:: (_) 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: 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: (760)771-2121 Llc. No.: 8068C 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: _ . Policy Number: _ _ I certify that in the performance of the work for which this permit is issued, I shall hot 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. Date: Applicant: WARNING: FAILURE TO 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 Building Official 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 city to enter upon the above- mentioned property for inspection purposes. l Date: ' j �� Signature (Applicant or Agent 1. FINANCIAL •• <� `DEC RIF,TION � `.< ::"' f� K ACCOUNT t» "` . QTYw - x AMOUNT' _ PAID PAID DATE 't w tS % BSAS SB1473 FEE ;: 101-0000-20306 0 $1.00 $0.00 ,, : „•,� "1.. x -ry f•r i� PAII?=6Y ` t 4 4 t.�' t ? "^ ;`.4 th ,.. { METHODS ,..I.- Y ." • . '. i RECEIPT # CHECK # �. CLTD BY1' '. Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 '. $0.00 y 3 .DESCRIPTION' :: }' '` ACCOUNT ' r' QTY '; i4MOUNT.t v S:r PAIDr _ 'PAID DATE �� .. :,..x.. + . .< yt. SWIMMING POOL/SPA 101-0000-42404 0 $178.75 $0.00 PAID,BY r 'F, ° M. _. RECEIPT # � ° CHECK #x '' '. CLTD BY-, . :,..,..,METHOD,.` " . 4. ;0 u DESCRIPTION . rte rF ACCOUNT 'j QTY u„ PAID a., PAID DATE ;AMOUNT, SWIMMING POOL/SPA PC t 101-0000-42600 0 $97.24 $0.00 fVEfHOD ' . "` "RECEIPT #�=. CHECK # CLTD BY .. , _.._ Total Paid for POOL/ SPA $275.99 $0.00 TOTALS:i0 Bin #City of La Quinta Building 8r Safety Division Permit P.O. Box 1504, 78-495 Calle Tampico . P.O. La Quinta,CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: �� - LI l "h h a �L ` Owner's Name: JUS i Ap A. P. Number: Address: Legal. Description: \finl 0 d n City, ST, Zip: Contractor: -r O J�'Telephone: ( I L �7 C' % % Address: L LI kj % Project.Description: AIN vL"— l p( r I City, ST, Zip: Q� n + GA- Telephone: va _ v t State Lie. # : '600 G o City Lie. #; Arch., Engr., Designer. Address: City., ST, Zip: ' Telephone: Construction Type: Occupancy: Lic.#� Project type (circle one): w Add'n Alter Repair Demo Name of Contact Person: v 15-1 10 u Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: 7G p -7-� I _ dL Estimated Value of Prcijcct: U ( % v o• APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRACIaNG PERMIT FEES Plan Sets Plan Check submitted a v 1 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan Zed Review, ready for corrcctionsrssue Electrical Subcontaetor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 3,J Review, ready for eorrectionstissue Devel ct Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Schodl Fees 4 CITY OF LA QUINTA 11-1PTotal Pcrmit ccs UE VE cV /42 - 7`1 N CITY OF LA QUIIVTA SUB -CONTRACTOR LIST JOB ADDRESS PERMIT NUMBER _ OWNER -BUILDER 11UN U%L`N�'r �tJLy h SJl'LS' 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 peri'it. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. ' .... Git :::Bus�ness::Uc :::::::................:::::.:::::.:::: surance:::.:;:::::::.........:;s::::>;::;;::;::;::>:::>:::::::::::>::>:::>:::...................................................... tract r. �cense........:.::..:....::..................::.::::::::.................Workers..Co.m ensation.In..:.............................. Y Contractor ... .............. State..Con o ..s..L Trade / Classificatioh P ................... anY Name Company Classificationion License Number ( Exp. Date Carrier Name er PolicY Numbermb Exp.. Date License Number. . Date Exp. P (e.9 AB C-8) (x xx/xx1 e. . State Fund CalComp) Format Varies) xxx / xx ' x xxx ' xx/xx xx 1xxxxxx. E!>:R:T:HW;O,RK<l.C.:7:.. ).............. • r U :% ' �' - L S• i � Q 3 l P v CQ eC J T v _ v .S _ 7 r "l. CONCRETE (C 8) FRAMING {C 5) >BTRUCT STEEL (C 511 li�t�v l+iJU ��5�'. r 30dd b. -31 �� `� if v,l�✓4.2 (%d1 y YU% idltl ,��'l O�Ljl� �•. ( ) <MAS c ) T p r � J . � � L>,- � � .� L G v- l.� �� r h 1 � cc ` v 1 � �v j -r S ; .PLUMBING (C 36) �� Vc '�� ov�l� w c ..�� 1139 QG';��.; '. �G�y�� s Sw cloy/�r,yci.. S=a�-,/ /o84a _ _ DRYWALL. (C 91 Ac»`c :H. -20< ) F ROOFING: C'39 f .......:... SHE[=T METAL <FLQ,Q.RING..(.::::::::.:):: GLAZING r, -:SEWAGE DISP P4INTINf` JC.:�41 .. �' 3 1 Exi Existing bench Existing BBQ i Y^ , f finity Soa Property ix:isting, S remo P } 4POOLS & SPAS INC. 'A 7Yue Afarnrylene' CA. LIC. 800680 C-53 - 77-564 Coun Club Dr. Ste.#127, Palm Desert, Ca 92211 Oflice:760) 771-2121 - Fax: (760) 771.2181 POOL & SPA SPECS POOL SIZE: 50'X 13'6" POOL AREA: 586 SF POOL PER: 127 FT POOL DEPTH: 3'6" TO 5' SPA SIZE: 7'x 7' SPA AREA: 49SF - SPA PER: 28 FT CONCRETE AREA: 1003 SQFT PUMP: 2HP Variable Speed FILTER: 420 SF HEATER: 400K BTU CONTROL: Easy Touch CHLOR: SALT SYSTEM LEANER: N/A PLASTER: PEBBLE TILE: GROUP 1-3 { POOL LIGHTS: 2-40OW SPA LIGHTS: 1-250 W e` Opfignalle Anderson Residence ADDRESS: 53-443 Villa Mallorca CITY: La Quinta CA DEV: Hideaway CC LOT#: DATE: 10:49 AM 7/30/14 SCALE: 1"= 8' DRAWN BY: Jorge LANDSCAPE NOT INCLUDED