BPOL2017-0066LICENSED 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 Professions Code, and
my License is in full force and effect.
License Class: C53 License No.: 665655
Dater /Contractor
OWNER- LDER DECLARATION
I hereby affirm under.penalty 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 pursuant 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 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 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.).
(_► 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 contractor(s) licensed pursuant to the
Contractors' State License Law.).
(� I am exempt under Sec. . B.&P.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:
WORKER'S COMPENSATION DECLARATION
I 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'
compensati , as provided for by Section 3700 of the Labor Code, for the performance
of the w for which this permit is issued.
C— 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 insurance carrier and policy number are:
Carrier: REPUBLIC UNDERWRITERS INSURANCE COMPANY Policy Number:
RU W 1005040
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 I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions. r t
Applican 4 r/
WARNING: FAILURE TO SECURE WORKERS' 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 Building Official 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
asa 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 I 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 elating to building
construction, and hereby authorize representatives of this city to ter upon the ab
mentioned property for inspection purposes.
Date: _!�5 r— iSignature (Applicant or Agent)
a (*fu
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D.
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/16/2017
" Application Number: BPOL2017-0066
Owner:
Property Address: 48420 BIG HORN DR
GEORGE LA BORDE
APN: 623480003
Property Zoning:
Application Valuation: $15,000.00
Applicant:
Contractor:
NEW IMAGE FINANCIAL GROUP INC DBA RAMMEL
NEW IMAGE FINANCIAL GROUP INC DBA RAMMEL
1800 EXECUTIVE DRIVE
1800 EXECUTIVE DRIVE
PALM SPRINGS, CA 92262
PALM SPRINGS, CA 92262
(760)320-7010
Llc. No.: 665655'
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 Professions Code, and
my License is in full force and effect.
License Class: C53 License No.: 665655
Dater /Contractor
OWNER- LDER DECLARATION
I hereby affirm under.penalty 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 pursuant 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 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 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.).
(_► 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 contractor(s) licensed pursuant to the
Contractors' State License Law.).
(� I am exempt under Sec. . B.&P.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:
WORKER'S COMPENSATION DECLARATION
I 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'
compensati , as provided for by Section 3700 of the Labor Code, for the performance
of the w for which this permit is issued.
C— 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 insurance carrier and policy number are:
Carrier: REPUBLIC UNDERWRITERS INSURANCE COMPANY Policy Number:
RU W 1005040
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 I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions. r t
Applican 4 r/
WARNING: FAILURE TO SECURE WORKERS' 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 Building Official 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
asa 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 I 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 elating to building
construction, and hereby authorize representatives of this city to ter upon the ab
mentioned property for inspection purposes.
Date: _!�5 r— iSignature (Applicant or Agent)
Date: 5/16/2017
Application Number: BPOL2017-0066
Owner:
Property Address: 48420 BIG HORN DR
GEORGE LA BORDE
APN: 623480003
Property Zoning:
V► Application Valuation: $15,000.00
Applicant:
Contractor:
NEW IMAGE FINANCIAL GROUP INC DBA RAMMEL
NEW IMAGE FINANCIAL GROUP INC DBA RAMMEL
1800 EXECUTIVE DRIVE
1800 EXECUTIVE DRIVE
PALM SPRINGS, CA 92262
PALM SPRINGS, CA 92262
(760)320-7010
Llc. No.: 665655
Detail: 4' ADDITION TO EXISTING POOL AND SPA AT REAR -YARD. [DENISE POELTLER
ENGINEERING] THIS PERMIT DOES NOT INCLUDE NEW EQUIPMENT
OR EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. PER 2016 CALIFORNIA BUILDING CODE
DESCRIPTION
ACCOUNT . II QTY I AMOUNT .
BSAS S131473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GUNITE ALTERATION
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
QTY.
AMOUNT
GUNITE ALTERATION PC
101-0000-42600
0
$103.36
Total Paid for POOL / SPA: $293.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
S02-0000-43611
0
$5.00
Paid f $
Tota Pai or TECHNOLOGY ENHANCEMENT FEE: 5.00
TOTALS:
n
3
12'-0"
POD
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voppct,j 60'' p ryLe
PC; C M� I Al 5 (p&Ujj0,0%/ pj&-&Wf4�
FOK t:,Tu�%A EQ.
Se& pWu-- may, tN/(-
06
391-7"
-5
FAcAC]
l F
L
EXISTING CONCRETE
CITY OF LA QU14FA*/
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DAT6
13Y--
qu
Know wtaft below
caliBllb*myou dig.
1.t
i
CONDITIONS OF APPROVAL AND DISCLAIMER
I'll 1. The applicant agrees that all work performed must be in substantial compliance
with the plans as approved by the ARC. In the event that any work performed
is not in substantial compliance with approved plans, the applicant understands
that he/she may be required to correct, alter, and/or remove the non -conforming
work or improvement(s) as required by the ARC, and will be responsible for any
and all costs associated therewith.
2. No materials may be stored in the street or HOA common areas at any time.
3. Construction hours are: Monday through Saturday 7:OOAM to 5:OOPM
4. Any dirt/debris in the street must be removed and washed clean every day.
5. The Owner will be responsible for any damage to the common areas (including
streets) caused by the contractor during construction.
PLEASE NOTE THAT THE APPROVAL OF THE PROPOSED PLANS BY THE
ASSOCIATION DOES NOT CHANGE OR ABROGATE THE APPLICANT'S
OBLIGATION TO OBTAIN ALL NECESSARY PERMITS AND/OR COMPLY WITH
ALL APPLICABLE GOVERNMENTAL REGULATIONS, AND IDENTIFY OR
COMPLY WITH INDIVIDUAL PROPERTY LINES.
An architectural deposit of $1,500 is required for projects in the rear yard i.e., pools, spas,
landscaping, room additions, patio covers, barbeque, etc.
Front yard installations i.e., gates, walkways, landscaping, walls, driveways, etc. require a
deposit if $500.00 at the time of submittal for projects under $3000 in cost and $1500 for
projects over $3000.
The deposit is refundable after the final inspection of the project by a member of the
ARC once it has been determined that no damage was caused to the common areas.
Agreed &Accepted: Date: I.,
"FOR ASSOCIATION USE ONLY"
Additional Conditions of Approval:
Your request has been approved by the architectural committee as submitted via email
Please ensure that your vendor follows the rules of the association. All dirt/debris in the
street must be removed and washed clean every day, failure to do so may result in the
Board dispatching a vendor to clean them. The cost will be your responsibility and will
be deducted from the security deposit.
Architectural Committee: VAonka Dee"& Date: 4/26/17
( X ) Approved
( ) Denied
Denied/further modifications to design are needed
2
HIDDEN CANYON HOMEOWNERS ASSOCIATION
40 ARCHITECTURAL AND LANDSCAPE DESIGN REVIEW
APPLICATION FORM
Some applications, _approval may take up to thirty (30) days.
Owner's Name: OrP.C� tzq em—, t��CAi id �Cj Date:
Hidden Canyon Address:` % `u- n it BTU `y
Mailing Address:J-4=1416 8G%4 11 74 y ��
c-PS�
Phone: — — Projected Start Date:
E-Try\
Detailed
Address: Projected Completion Date:
ON-
E-'I
Description of Modification:
For Landscape Approvals provide the following information if applicable:
1. A plan with 1/8" = 1'- 0" scale, north arrow.
2. DG color and size or other ground cover information.
3. Stepping stone or paver type, size and color information.
4. Stepping stone size and material type.
5. Latin and common plant names, size and quantity.
6. Show planting plan with five year diameter of proposed plant material. ,
7. Boulder and or river cobble color and size. If cobble is used for drainage
purposes, provide drainage information.
8. Lightingmanufacturername and fixture type with bulb wattage.
Contractor's Name: 1"C N M rr-- L L N T
Contractor's License Number: 4.7 6 S�
Contractor's Telephone Number: I -32D :JDA 0
ADD THIS SECTION
DEMOLISH THIS SECTION
.•EXISTING .POOL
AND.SPA
Fs -1 - Fil
Cp�cx .
AC AC
EXISTING CONCRETE
',:'"•�//% '/ , /! //ice% �/i%•/' ! i` � ;' j /'
AFJlA
ji Cory CTION
Niue uLI riv , //a `5 ;fi/g6`
Greg�R"a $NI#�'`/r6 250=1.985 .
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Project Address:
�lv City. of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
, hair h Owner's Name: C%
A. P. Number:
Address: C 8 , Y1-
`Legal
LegalDescription:
-7:f
City, ST; Zip:
Contractor:
Address:1 . -
(
1
Telephone: Po
Project Description: G
City- ST, Zip: pal fm-
Tel
Telephone:
ehnc
P o . -3 Zo 7. 0 ;:»>;:: : «
State Lic. # : 66 �
S City Lic.
Gy
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
n
Co tructi
s on Type: aneY
Occupancy:
•C53
State S to Lac. #
'nProJect tYPa(circleone • New AddAlter Repair Demo
Name of Contact Person:
�V(� V` �5... I 0 7p......
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 6 0 — 51 ` 6 9
Estimated Value of Project: S 0 Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
it
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
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrcclionsh sue
Electrical
Subcontact'orList
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
1I.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Conlact.Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
I
Total Permit Fees