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06-1148 (RPL)P.O. BOX 1504 VOICE (760) 777-7012,, 78-495 CALLE TAMPICO 4,4 Q� FAX (760) 777-70114 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/21/06 Application Number:06-00001148 Owner: -Property Address: 181256 -"VICTORIA LN BERCEL APN: 764-2707999-136 -3002347 81-256 VICTORIA LANE Application description: POOL - RESIDENTIAL- LA QUINTA, CA 92253 Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 15000 Contractor: Applicant: Architect or Engineer: REMBRANDT POOLS & 'SPAS INC 78910 VIA VENTANA- LA QUINTA, CA 92253 / (760)771-2121 D d �! v Lic. No.: 800680 MAR 242006 ---------------------------------------------------------------------- -- ----��------- - ---- LICENSED CONTRACTOR'S DECLARATION WORKER'S CO PENSATIO�F. CQT' n @IUIN7A 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 follow a r1 lA10E D 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 or ion, a provided License CI a s: C53 LicenseW.: 800680 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �9LL�S, 1/1 ��107/�• issued. ate: / / Contract r. t i' ✓9�7•'ri" 'tl 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 notemploy 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' co m nation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forth ' compl i[h those o 6 ons. ' that he or she is exempt therefrom and the basis for the alleged'exemption. Any violation of Section 7031.5 by Q any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500):: 8 D Applicants C i _ I —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 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 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 (_ 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, (_ I 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 aboveinformationis 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 hernt to en Day authorize representatives Lender's Name: of this s:euter upon the above-mentioned prope y f inspection purposes. � q)=�/V/j�.J� • te: --J 1 Signature. (Applicant or Agent) 1 Lender's Address: LQPERMIT Application Number . . . : 06-00001148 4 Permit .. BLDG POOL PERMIT Additional desc,. Permit Fee207.00 Plan Check Fee.. 134.55 Issue Date Valuation 19920 Expiration Date 9/17/06 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 S 17/06• 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'. Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/17/06 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 9/17/06 . 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 3.00 Permit . . . WALL/FENCE PERMIT ' J LQPERMIT Application Number . . . . . 06-00001148 Permit . . WALL/FENCE PERMIT - Additional desc - Permit Fee . . . 15.00 Plan Check Fee .00 Issue Date Valuation 80" Expiration Date .. 9/17/06 Qty Unit Charge. Per Extension BASE FEE" 15.00 Special Notes and Comments POOL & SPA. 5 LF 4' EQUIPMENT BLOCK WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due =,----------- - -------------------------- ---------- -.-------- Permit Fee Total 326.00 .00 .00 326.00 Plan Check Total 160.55 .00 .00 160.55 Grand Total 486.55 .00 .00 486.55 a- . -. LQPERMTT Bin # . City of La Quinta Building 8I Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # a Project Address:' � �, j� �C ��/�- �. Owner's Name: ��- � �C► 2 A. P. Number: Address: J fi7nG Legal Description: Contractor: R�N�� City, ST, Zip: Telephone: Address: �' �� A" �} Project Description: City, ST, Zip: Telephone: -22 2/2fRn State Lic. # : Q b �) .� City Lic. #: Arch., Engr., Designer: 4:1 L Address: City, ST, Zip: j Telephone:, $ ' , y 1 Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: f Ot /6" Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted 2i 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 XclE ❑ 67' �BERCEL RESIDEI .CETCGo A/C PE EXISTING PATIO PATIO COVER BY OWNER kL U c WER 100W ® 3 - 25OW LIGHT BENCH LIGHTS 42'-011 a' A / F PN " JAR SKMR 9" 4' -10" WD 11' -0" IT\ T rt,If'4 3 6 POOL co 50, D al 15.1 WD 42' X 12'6" 1 7 I I�III. m i,r' 7'-0" - W/D - 0 �6 IViii` `r 1 1 iu�ll' m 18" RAISER SPA 1 6" RAISED BOND BEAM EMBRAND POOLS & SPAS INC CA. LIC. 800680 C-53 . .-T 78-910 VIA VENTANA TEL (760) �71A2 222153 FAX (760) 771-2181 POOL & SPA SPECS, POOL SIZE: 42'X 12'6" POOL AREA: 421 SF POOL PER: 103 FT POOL DEPTH: 3'6" TO 5' SPA -SIZE: TX 7' P 7 SF SPA PER: 27 FT DECK AREA: 722 SF COLOR/FINISH: PUMP: 2 HP ILT • 460 SF HEATER: 400K BTU CONTROL: JANDY RS4 CHLOR: SALT SYSTEM CLEANER: NAVIGATOR PLASTER: 3M QUARTZ TILE: GROUP 1-3 POOL LIGHT: 2-40OW SPA LIGHT: 1-100 W MISC: 1-100W TANNING LEDGE LIGHT EVA BERCEL ADDRESS: 81256 VICTORIA LANE CITY: LA QUINTA LOT: TRIOLGY - DATE: 5:24 PM 3/20/06 SCALE: 1'= 8' DRAWN BY: DALLAS °/ JASON LANDSCAPE NOT INCLUDED, n ■