06-0689 (RPL)1
Application Number:
0,6-00000689
" Property Address:
81196 VICTORIA IN
APN
764-270'-999-141 -300234= -
Application description:
POOL = RESIDENTIAL -
Property Zoning:
MEDIUM HIGH DENSI.TY RES
Application valuation:
20000
Contractor:
Applicant: Architect or Engineer:
REMBRANL'r ruuLS & SrAS iNC
'.
78910 VIA VENTANA
LA QUINTA•, CA 92253
(760)77 1-2121 '
G (�/
LiC. No.: 800680
LICENSED CONTRACTOR'S DECLARATION - -
- WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions -of Chapter 9 (commencing with
I hereby affirm underpenalty 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
- License Class: C 3 . Li.:
..censeNo800680
for by Section 3700 of the Labor Code, for the performance of the'work for which this permit is
..
. . W: Contractor. - - •v - -
issued.
I have and will maintain workers'tcompensation insurance, as required by Section 3700 of the Labor
Code for the performance of he work for which this permit is- issued. My workers' compensation
' OWNER -BUILDER DECLARATION _
- insurance carrier and policy number are:
hereby. affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the -
-
Carrier STATE FIIND Policy Number 1744664 -
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
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 subjectto the workers' compensation provisions of Section -
. 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 alleged exemption: Any violation of Section 7031.5 by
comp) with th provisions.
- 3700 of the Labor Code, I shall forthftmiilk�.
_the ,
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500).:06e
////
Q4pplic / -• ..
• (_ 11, as owner of the "property, or my employees "with wages as their sole compensation, will do the work, and'Irk-
AGE
. the structure is not intended'or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COV IS UNLAWFUL, AND SHALL -
' " Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE UP T0_ONE HUNDRED THOUSAND -
- - and .who does the work himselforherself through his or her'own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES.AS PROVIDED.FORIN-
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.
(_ 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 apermit 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 contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at.whose request and for -
pursuant to the Contractors' State License Law.) - -
- whose benefit.work is performed under or pursuant to any permit issued asa result of this application, -
(_ 1 I am exempt under Sec. , BAP.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 actor omission related to the work being
_
performed under or following issuance of this permit.
` Date: .. Owner:.. i
. • 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, a d hereby authorize representatives -
'n
-
Lender's Name: -
of this county to ent r upon the above-mentioned p erty or ection p rp ses..
/%''�]'//g.
Date gigot ure (Applicant or A
. Lender's Address:.�,._7'
•.. LQPERMIT . - .. .: •." '
__ .. j
' Application 'Number 06-00000.689
Permit BLDG POOL PERMIT :-
. Additional, desc '
Permit Fee. 2,07_.0'0 Plan Check Fee
1'34.55
Issue .Date Valuation ..
20000-
Expiration' Date 8/14/06
:Qty. Unit ChargePer
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
.
t Issue Date Valuation
0
Expiration Date 8/14/0.6. -
Qty Unit.: 'Charge P er
Extension'.
:.BASE FEE
15. 00
11.0000 EMECH RNCE>1K1.00
..• --
11.00.-
- - ----------------- - - --- - - - - -- - - - - ---
--------------
Permit ELEC POOL PERMIT -RES
". Additional desc..'.
-Permit Fee. 45.00 Plan Cheek Fee.,.
11.25
Issue Date Valuation
0
Expiration Date. 8/14/06
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 Fee33.00 Plan Check Fee- -
8.25
Issue Date -. Valuation
0
Expiration Date..,,. 8/14/06
: 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.O:0-
----_-.----------------
Notes and -Comments
,Special.
- POOL.& SPA ONLY. ALARMS/BARRIERS SHALL
LQPERMIT -
_
1OwlwaLMLIVGAVELECTRIC
EMBRAND
POOLS & SPAS INC
CA. LIC. 800680 C-53 -
-78-910 VIA VENTANA
ILA
EL (76 0) �71A212153
FAX (760) 771-2181
POOL & SPA SPECS
POOL SIZE: 36' x 16'
POOL AREA: 440 SF
POOL PER: 102 FT `
POOL DEPTH: 3'6" TO 5'
SPA SIZE: 7' DIA .
SPA AREA: 38 SF
SPA PER: 22 FT .
DECK BASE: 598 SF
COLOR/FINISH: QUARTZITE
PUMP: 2 HP
FILTER: 460 S
HEATER: 400K BTU
CONTROL: JANDY RS4
CHLOR: SALT SYSTEM
CLEANER: NAVIGATOR
PEBBLE: CARRIBEAN - MINI
TILE: QUARTZITE
POOL LIGHT: 2-40OW
SPA LIGHT: 1-100 W
MISC: 12" RAISED BOND BEAM
W/ 2 - 24" SHEER DESCENTS,
W/ DESIGNATED LINE
MICHELLE COPE
81196 VICTORIA LN
CITY: LA QUINTA
LOT: TRILOGY
DATE: 9:38 AM 2/8/06
SCALE: 1"'= 8'
DRAWN BY: DALLAS/JASON
LANDSCAPE NOT INCLUDED- -
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1OwlwaLMLIVGAVELECTRIC
EMBRAND
POOLS & SPAS INC
CA. LIC. 800680 C-53 -
-78-910 VIA VENTANA
ILA
EL (76 0) �71A212153
FAX (760) 771-2181
POOL & SPA SPECS
POOL SIZE: 36' x 16'
POOL AREA: 440 SF
POOL PER: 102 FT `
POOL DEPTH: 3'6" TO 5'
SPA SIZE: 7' DIA .
SPA AREA: 38 SF
SPA PER: 22 FT .
DECK BASE: 598 SF
COLOR/FINISH: QUARTZITE
PUMP: 2 HP
FILTER: 460 S
HEATER: 400K BTU
CONTROL: JANDY RS4
CHLOR: SALT SYSTEM
CLEANER: NAVIGATOR
PEBBLE: CARRIBEAN - MINI
TILE: QUARTZITE
POOL LIGHT: 2-40OW
SPA LIGHT: 1-100 W
MISC: 12" RAISED BOND BEAM
W/ 2 - 24" SHEER DESCENTS,
W/ DESIGNATED LINE
MICHELLE COPE
81196 VICTORIA LN
CITY: LA QUINTA
LOT: TRILOGY
DATE: 9:38 AM 2/8/06
SCALE: 1"'= 8'
DRAWN BY: DALLAS/JASON
LANDSCAPE NOT INCLUDED- -
Bin #
All '
City of. La Quinta..
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
-Building Permit Application and Tracking Sheet
Permit #
nj�1 / nq
Project Address:
Owner's Name:
A. P. Number:
Address:
i
Legal Description:
Contractor: � f AVD Tom- fj
City, ST; Zip:
Telephone: —Z 2
Address: v I A
'Project Description:
City, ST, Zip:
Telephone: - – v'
u
State Lic. #
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
` `
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: Z"
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
J 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"" 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:-
''" 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