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06-1095 (RPL)P.O. BOX 1504 - 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: . (06-000_01095�� - 81261 VICTORIA LNC 764-270-999-132 -300234- POOL - RESIDENTIAL MEDIUM HIGH DENSITY RES 15000 Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I 1 Owner: VAN DER HEEVER 81-261 VICTORIA LANE LA QUINTA, CA 92253 Contractor: REMBRANDT POOLS & SPAS 78910 VIA VENTANA LA QUINTA, CA 92253 (760)771-2121 Lic. No.: 800680 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/16/06 LQPERMIT - - If 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: " F 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: C53 LicenseNoA 80 680 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. •j Date: �� U Contractt - _� 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 STATE FUND 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 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 that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 4700 of the Labor Code, hall fork 'th comply with those provisions. \�J /ee / any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001: D O D Applicant: / 1—) 11 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 TO SECURE WORKERS' 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 EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or hei 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 • (_ 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 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 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• Lender's Name: of thi o n[y to enter upon the above-mentioned prop yAf;ppeZ!),�oses. //�.c L " - - //eft Date: 6 ignature (Applicant or Agent):/ Lender's Address: LQPERMIT - - Application Number _ 06-00001095. Permit. . . . BLDG POOL PERMIT Additional desc . Permit Fee 162.00 Plan Check Fee.. 105.30 Issue Date . . . . Valuation. 14760 Expiration Date 9/12/06 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 117.00 Permit MECH POOL Additional desc . . Permit Fee 26:00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration mate .. 9/12/06 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 4� Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue�Date Valuation 0 Expiration Date 9/12/06 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 Fee . . . 33.00 Plan Check Fee 8.25 Issue Date . . . Valuation .. 0 Expiration Date 9/12/06 Qty Unit Charge Per- Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 r, 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 Permit WALL/FENCE PERMIT LQPERMIT Application Number . . .:. 06-00001095 Permit . . . WALL/FENCE. PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 •Issue Date. Valuation 240 . Expiration Date 9/12/06 Qty Unit Charge Per Extension BASE FEE _ 15.00 ---------------------------- Special Notes and Comments ------------------------------- POOL & SPA. 15 LF 4' EQUIPMENT BLOCK WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due . Permit.Fee Total 281.00 ---- --------------- .00 .00 281.00 Plan Check Total 131.30 .00.00 131.30 Grand Total 412.30 .00. .00 412.30 .., ,LQPERMIT .. .. - .. - . P/L A RE -INSPECTION FEE OF : WILL BE CHARGED IF THE APPROVEL PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! REAR P/L EXISTING 48" HIGH GAREDN BLOCK WALL GAS STUB FOR A FUTURE FIRE PLACE BY OWNER 4Z /jzJ'l 13-Lzelk, lay�u­ /L 18'-0" 9 PA io '-6" io m ' .� w W. "' 18" RAISED SPA W/ 18" WIDE CONCRETE CAP PA 1 1717 77.7777m i:w rr: arrw:r n .° ^riN r..Hnn._i o n r .i. r r 4h cin1177-77 77 — 2'R ;; 15" X 15" ui GUNITE �IrI r6iul�f«lull' �mu�la'I 3,6„ 5' m m WD P/V WD o i„Iqp � pd,� �.I! li �, iii Ip i li Iui i. li I '•�� I 'I' ` 'll1ii I gar i� � i+� fan rlBl� fu GRASS OO ,...."REMAIN VAN DER.HEEVER RESIDENCE Pr 48" HIGH BLOCK POOL EQUIPMENT WALL TO MATCH EXISTING BLOCK WALLS CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE 3 I tb to (p By C14 EMBRAND POOLS & SPAS INC CA. LIC. 600680 C-53 78-910 VIA VENTANA LA TEL QUINTA'7CA29222153 FAX (760) 771-2181 POOL & SPA SPECS POOL SIZE: 26'X 12'6" POOL AREA: 263 SF POOL PER: 76 FT POOL DEPTH:. 3'6" TO 5' SPA SIZE: 6'6'" X 6'6" SPA AREA:2 SF SPA PER: 25 FT DECK AREA: 287 SF COLOR/FINISH: MATCH EXISTING PUMP: 2 HP FILTER: 4 F HEATER: 400K BTU CONTROL: AQUA SWITCH CHLOR: A UA PURE CLEANER: NAVIGATOR PLASTER: CARRIBEAN PEBBLE TILE: 1-3 GROUP POOL LIGHT: 1-40OW SPA LIGHT: 1-100 W MISC: NICHOLAS VAN DER HEEVER ADDRESS: 81261 VICTORIA LN. CITY: LA QUINTA LOT: TRILOGY DATE: 12:55 PM 2/27/06 SCALE: 1 "= 8' DRAWN BY: DALLAS / JASON LANDSCAPE NOT INCLUDED Bin # 1 . City of La Quinta Building U Safety Division P.O. Box 1504, 7.8-495 Calle Tampico ' La Quinta, CA 92253 - (760) 777-7012 - Building Permit Application and Tracking Sheet Permit # DtoJ /D Q� / ! Project Address: .� C. Owner's Name: A. P. Number: w Address: Lega] Description: Contractor: Re -914 llw 00-jkE City, ST, Zip: a u )A) 171)a-- Telephone: �J • 2,1'0-1. Address: 7? Ul i Project Description: City, ST, Zip: S�l.t, Lam•% �` Telephone. State Lic. # : �� (� 1 Yo City Lic. #: Arch:, Engr., Designer: Address: City, ST, Zip: _ sde x Telephone: State Lic. #: Name of Contact Person: lJ S9 9" ' Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair 'Demo Sq. Ft.:#Stories: # nits: Telephone # of Contact Person: �� �(p0 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted 3 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 tad Review, ready foreorrectionsrissue Electrical Subcontactor List Called Contact Person Plumbing ' Grant Deed Plans picked up S.M.I. . H.O.A. Approval Plans resubmitted. Grading IN HOUSE:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue a; Ol , School Fees Total Permit Fees aK Tv - � rr..-