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08-1825 (RPL)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO ' FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT t Date: 11/06/08 Application Number: ,_08-00001825-= Owner: Property Address: `53731 VIA-MALLORCA ' MIKE JEHA APN: 777-390-016-2 -33654 - 53731 VIA MALLORCA Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 20000 Contractor: D r Applicant: Architect or Engineer: REMBRANDT POOLS. & SPAS I G P.O.-BOX 6411 7 LA QUINTA, CA 92253 Moll ` { (760)771-2121 Q� Lic.' No.. 800680 ----- - ---- - - ---------- - - - - -- --- - ----- -- - - -- - - - --- - - - - -_ -- - , LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with • " I 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. - - Ihave and will maintain a certificate of consent to self-insure for workers' compensation; as provided r Lican a Class: C53 lice No.: 800680 _� for by Section 3700 of the Labor Code; for the performance of the work for which this permit is �• _ issued'. ate:' `�� V� ntractor: • - _-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 insurance carrier and policy number are: _ 'I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier. EXEMPT .Policy Number EXEMPT ... following reason (Sec. 7031 :5, Business and Professions. Code: Any city or county that. requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any,. , construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the i. •I- person in,any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree.that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700 of the bor Code, I shall forthwith comply with those'provisions. ' that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by / o% a i any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: ` V pplicant: (_ 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 WARNING: FAILURE T( ORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLO 0 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONEHUNDRED THOUSAND ' and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are. not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). - APPLICANT ACKNOWLEDGEMENT. ' f 1. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. - property who builds or improves thereon, and who contracts for the projects with a contractors) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for f pursuant to the Contractors' State License Law.). , whose benefit work is performed under or pursuant to any permit issued as a result of this application, ( 1 I am exempt under Sec. , B.&P.C. for this reason 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. ' Date: Owner: 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 CONSTRUCTION LENDING AGENCY .permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all -work for which this permit is issued (Sec. 3097, Civ. C.). + city and county ordinances and state laws relating to building construction, and hereby authorize representatives _ of thi ounty to enter upon he above-mentioned property for inspection purposes. - Lender's Name: _ ate: I �' 7�, O S' ature (Applicant or Agent): ,• - Lender's Address: TJ • - LQPERMIT .. LQPERMIT Application Number . . . . . 08-00001825 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 207.00 Plan Check.Fee 134.55 Issue Date . . . . Valuation 20000 Expiration Date 5/05/09 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 5/05/09 { 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 5/05/09 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 5/05/09 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, FIREPIT (PER S. TRAXEL - LQPERMIT 1 CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB - ADDRESS .• "L d� �� �- lT i �`"�1` PERMIT NUMBER OWNER ' k C. M(�' BUILDER f06 This formr shall be Hosted 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 i �...:......♦raA L.,.I,aau .va•.ct he _^n-%nlntnrl k%, nnlir+7nt "(in Pilaff iQ not an annp_ntahlp_ rp_SnnnSG. OTDUHUIr KJ. PC11111L. 1 VI G0%,11 c1JJFJ19vuai•a. a•a•vv, a... .. •. v•.•>........ •.,y .. ... ..... .. .. ... ...��..�_ __..-r.___- -, ��r-:_ --__ Trade / Classification :. :::: Contractor .. . :.. :.:: , > :.;<.:>: ;: <:"'> State;:Contractor s bcetue . E.:...; .....;;. :: ' ' :. Workeis Com nsatiorrsurance: Cit ,. Business license: Company Name Classification . License Number Up. Date Carrier Name Policy Number Exp. Number Exp. Date A, B, C,8) (xxxxxx) . .<.•le.g. (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies) JDateUcense (xx/xIxxxx) Ixx/xx/xx) EARTHWORK 1C-121 :' :: �, ' �t 3 'I1 t'` ' � h!� aoa61 1' a 00� - f -a ��%% CONCRETE(C-8) �I SL �w�� Oo 'S S%d o�7 ��-i'OY /!7I �j'3I'Ot FRAMING !C-5) STRUCT. STEEL- fC-51) 11( SNI L l t�/ 7" '° ` j • f�j �--ii ✓ r-wv G vu(�(, i 7 �.' (�` 7 .0 G�-�—J lq c�a2 U7 MASONRY (C-291 �US �s . C' �O,t:'��" crl'1� t� �►e`li� N<< �%7 (. t6 -c -ioa Ejwl 6�9 I - ( 31 �� Q- G�-.JG o 043- 16-0 l j PLUMBING 1C-361. cam( �r ,_ ..°6`�i LATH. PLASTER IC-35)r�,. L� . �H� L(d%✓5 1- _ `.�. -_ -._moi., r•\ -- - .-X �'/:'1 °� t - (�3�-u`� _ ti'jC� -c� C_7 °f - DRYWALL (C-9)_:.__ HVAC, IC -20) HV ELECTRICAL,(C=10) �. ��ls C� I.J 1�� �SS� -. P o -e_ G'o, C-LW(:7��%! 0 (�'(3' ��001�" �4 ROOFING (C=391.;'``x' y 4 SHEET METAL (C-43) FLOORING (C:�:15):. GLAZING (C-171`.' INSULATION:(C72):. SEWAGE DISP. (0-4 PAINTING (C-33) CERAMIC TILE (C-54) CABINETS IC -6) a FENCING (C43) LANDSCAPING (C=271 ` : .!_. PooL (C-53) --- -- fp . 4L 001 Bin # City of La Q uinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 77777012 Building Permit Application and Tracking Sheet Permit # Project Address: I-01— Owner's Name: Nl•c ke.." k A. P. Number: _`3 Address: C J L Legal Description: City, ST, Zip: L 0. CA.�l qi�1-3 Contractor: ���- Vi� Telephone: 4 Address: 7� .cN.t/ �`b Project Description:Neu city, ST, zip: n Telephone:' %(,U 7-21-104 CityLic. #: State Lic. # : 006ISO• �—S Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Jv� St yo Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 7� p 77� ` f�.l p-1 Estimated Value of Project: p UGo APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3" 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 Infinty Edge t 18" Quartzite band with 3",face W/ Uptight t - +18" Raised 8'6" Diameter Spa yt W/ Boulder Spillway 7.a [ �iw► t� -a..' f SKMR A / F ; - - , K..l�•. �Sl •-� �:1 K i,l tit - a . 'A . , U INTA CITY BUILDING & SAF APPROVED. FOR CONSTRUCTION IN t 4' Dia Firepit R IDE E tG PIE 81411- A ' -4°A ( r x 140 LF to PE I POOIS &SPAS INC. CA. LIC. 800680 C-53 77-564 Country Club Dr. Ste.#127, Palm Desert, Ca 92211 Office: (760) 771-2121 -Fax: (760) 771-2181 POOL & SPA SPECS POOL SIZE: 35'X 15' POOL AREA: 343 SF POOL PER: 86 FT POOL DEPTH: 3'6" TO 5' SPA SIZE: 8'6"' DIA. SPA AREA: 57 SF SPA PER: 27 FT CONCRETE AREA: 150 SQFT COLOR/FINISH: TO CHOOSE PUMP: 2 2 HP STEALTH FILTER: 460 SF HEATER: 400K BTU CONTROL: RS6 CHLOR: SALT SYSTEM LEANER: Zodiac PLASTER: PEBBLE ILE: Quartzite Waterline POOL LIGHTS: 2-50OW SPA LIGHTS: 1-250 W Jeha Residence ADDRESS: Via Mallorca— CITY: La Quinta, CA DEV: Hideaway LOTM 55C DATE: 10:44 A71 /4/08 SCALE: 1 "= 8' DRAWN BY: LUIS LANDSCAPE NOT INCLUDED