13-0816 (RPL)k
P:O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
4 45"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
13-00000816 Owner:
80275 VIA MIRASOL CHARLES WOODS
772-430-005- - - 80-275 VIA MIRASOL
POOL - RESIDENTIAL LA QUINTA, CA 92253
LOW DENSITY RESIDENTIAL
27000
i 1
Contractor:
Applicant: Architect or Engineer. REMBRANDT POOLS & SPAS
P.O. BOX 6411,,
LA QUINTA, CA 92253-
(760)771-2121
Lic. No.: 80068.0. ,
♦ - -7 ----- --- - - - - -------- -----------------
LICENSED
----- ----
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.
License Class: )C53 _� `J License No.: 800680
�e f -U r--Cont-,actor:
OWNER -BUILDER DECLARATION
I hereby affirm under pen 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 puisuant 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 _ 1 1, 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 contractors) licensed
pursuant to the Contractors' State License Law.). -
(_ )- I am exempt under Sec. , BAP.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: -
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 77'7-7153
Date: 7/09/13
_ WORKER'S COMPENSATION DECLARATION -
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
i ed. '
ave 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 -STATE FUND Policy Number 9053909
_ 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 1 should become subjectto the workers' compensation provisions of Section -
>]3700 of the Labor -Code, I shall forthwith comply with those provisions.
Applicant r
rte'
WARNING: FAILURE TO SECURE W ERS' 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 1 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. - - - - - -
Dat%e:�f%�f � Signature cant or Agent):
LQPERMIT -
Application Number 13-00000816
Permit . . . POOL -2013
Additional desc .
- Permit Fee 178.7.5 Plan Check Fee
.00
Issue Date Valuation . .
. 0
Expiration Date 1/05/14 '
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
-----------------------------------------------------------------------------
Special Notes and Comments
INSTALL NEW POOL AND SPA, COURTYARD
WATER FEATURE BASINS, 12 INCH RAISED
FIREPIT WITH 70 FT. OF 2" GAS LINE, IN
REAR OF PROPERTY, PER APPROVED PLANS.
2010 CALIFORNIA BUILDING CODES.
--- - - -- - - - - - - - - - - - - - -- ---------------------- - - - - -- -
Other Fees ;--. . - BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, POOL
97.24
Fee summary Charged Paid Credited
Due
Permit Fee Total 178.75 - :00 .00
178•:75
Plan Check Total .00 00 - 00'
00
Other Fee Total 98.24 00 00
98:24 .
Grand Total 276.-99 '. .00 .00
276.99
LQPERMIT.
Bin #
City of La Quinta
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # /
`
1 ?j
Project Address: — / e�- t /� 5� (�
Owner's Name: W O p
A. P. Number:
Address: _ V I A M I rq,, f o (,
Co
Legal Description: &)e -W pejA0 L41,11City,
ST, Zip: �n t��'f G4
Contractor: ,(� e �
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—•<:<>"<�:;t:::�>`;:<�::'::<:»»:>>�;�::
Telephone:
Address: �� C Coo., L�t,.j pl,
Project Description:
City, ST, Zip: P°� tlt I
A)ZEJ Podl Sj2o-, Ca—.(4 n✓c`•
Telephone:
<>?<'•��<``:'�<`s'•�z's::s>:3%~:'
State Lie. # : U ��.tY U
City Lie.
Arch., Engr., Designer:
dl.
Address: .
City., ST, Zip:
Telephone:
z:<:>:<>:<>:;.;z:.:•<;»»»
:.
...............
Construction Ty e• Occupancy:
State Lie. #:
Project type (circle one): N Add'n Alter Repair Demo
Name of Contact Person: v1 U L
Sq. Ft.:
#Stories:
# Units:
Telephone 0 of Contact Person: 'X0 77 - Q- (
Estimated Value of Project: d p O.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'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
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
IN HOUSE:-
Plans resubmitted
'^' Review, ready for correctionstissue
Grad'
o _ pact Fee
Planning Approval
Called Contact Person
A1.I1.P.P.
Pub. Wks. Appr
w�
School Fees
CITYOF LA Q I NTA
�U1N'f T
DEPT.
P=ROVED—
D
Total Permit Fees
DATE BY
A `
HIDEAWAY
OWNERS ASSOCIATION
November 12, 2012
Mr. and Mrs. Charles Woods
30 Polo Club Circle r
Denver, CO 80209
RE: Woods/Lot 5F at 80275.Via Mirasol
Preliminary. Design Review;#1'
Dear Mr. and Mrs. Woods,
The Hideaway Design Review `.Committee (DRC) reviewed and approved your Preliminary
Design Submittal for Lot 5F on Via Mirasol subject to the following stipulations being addressed
with your next plansubmission:
` 1. The pool variance for location 6'•:from. .the rear property line was. approved by the. DRC
and has been forwarded to the Board of Directors for review.
2. The proposed property line yard .wall extension at the rear goe''s beyond the allowable
t setback line. In addition,, the view corridors appear to be shown. incorrectly on the
landscape plans. Based on the site plan it appears the side yard wall adjacent to the
'Garage needs to be pulled back and the wall near-the'Master,needs to extend out further.
. 4 Please adjust per the guidelines..
` r
'3. The foam detail needs to be modified to be more substantial_
4. The committee recommendsahe removal of the carriage lights from the front of the
' house as they appear out of:character with the design.
i 5. Please submit all hardscape materials for.app'roval at the time the exterior materials are
presented in the field for final approval .This inIeludes the pool tile. Y
We'lookforward to receiving your Final Construction Drawing Submittal. Please contact Brook
Marshall at (760) 219-8057 or by email at Brook@dc.rr.com with any questions.
Sincerely, ' _ - `• ,
The Hideaway Design Review Committee y
cc: Ben Hertz -
DRC file..
i
r
80955 Avenue 52-
-DEC 1 1 2012 -',La Quinta, CA 92253 ^ "
P: 760 393-5210
{ F: 760 398-5788..`
BY:
',`