BPOL2017-013978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPOL2017-0139
Property'Address: ' 78910 RANCHO LA QUINTA DR
APN: 646370009
Application Description: GOESLIN / POOL AND SPA, AND BBQ AT REAR YARD
Property Zoning:
Application Valuation: $25,000.00
Applicant:
REMBRANDT POOLS AND SPAS INC
P0BOX 6411.
.LA QUINTA, CA 92248
M.
AUG 2 3 2017
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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, C27 License No.: 800680
Date::-- CoL ntractor.
OWNER -BUILDER 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).:
(_) 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.).
(J 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.).
(J 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/23/2017
Owner:
GOESLIN RESIDENCE
78910 RANCH1D.LA QUINTA DR
LA QUINTA, CA 92253
Contractor: '
REMBRANDT FOOLS AND SPAS INC
P0BOX 6411
LA QUINTA, CA 92248
(760)771-2121
Llc. No.: 80068D
. 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'
compensation, as provided for by Section 3760 of the Labor Code, for the performance
of the work for which this permit is issued.
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: EXEMPT Policy Number: _
L1 I certify that -in the performance ofthe 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 tkat, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECUR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AWSHALL 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 appli:ation 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 actor omission related to tie 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 relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes.
DatE>;/ .� � ! 7 -Signature (Applicant cr Agent):
Date:' 8/23/2017
Application Number: BPOL2017-0139
Owner:
Property Address: 78910 RANCHO LA QUINTA DR
GOESLIN RESIDENCE
APN: 646370009
78910 RANCHO LA QUINTA DR
Application Description: GOESLIN / POOL AND SPA, AND BBQ AT REAR YARD
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $25,000.00
Applicant:
r
Contractor:
REMBRANDT POOLS AND SPAS INC
REMBRANDT FOOLS AND SPAS INC
P0BOX 6411
P0BOX 6411
LA QUINTA, CA 92248
LA QUINTA, CA. 92248
(760)771-2121
Llc. No.: 80068
Detail: POOL, SPA, AND BBQ AT REAR YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE ECIUIPMENT ENCLOSURE. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
FINANCIAL .• 1•
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS S61473 FEE
101-0000-20306
0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRAT'ON BSA:. $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
DEVICES, FIRST 20
10170000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELE-TRICAL: $50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600 i
0
$103.36
Total Paid for POOL./ SPA: � $293.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
Bin#
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
-. 0150 Building Permit Application and Tracking Shi et
Permit#
BPQ L_'Ml
Project Address:7'?Gq ((�
1
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Owner's Name: � S C�
A.P. Number
.
Address:
cJ 4.r%_ Q u l ,d'V'� -10,
Legal Description:
t r
City, ST, Zip: h I L64
Contractor:
P00 15 d
Telephone: -.
Address: "'S`G( CU s..i✓e � C.� h %� r •
Project Description: N zd-)
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City, Zip: G. % 1^� �P�'�
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4,���r-�. j1 �./ClfG
Telephoho ne: ^�
U /^� 7 1—
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State Lic. #: � OG fro
City Lic #:
Arch, Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: MeU
Prcj. Type New Add'n
Occupac,cy:
Alter Repair Demo
State Lic. #:
Name of Contact: J v�
I rJ
SgFt:
#Stories
# Units:
Telephone of Contact / V-
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Estimated Value of Project:
�� V
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check Submitted
Item
Amount
Structural Cales
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
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant.Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
'- 'Spa Specs -
t Length • `8Ft t
• - 1 � � - � - -�. Width: roundt , • ,
Depth' 3',6" ,
Gas Meter, -ta . Perimeter: 46Lf _.
(�"��dt tT '�' ® S uare Footage: 49
Electrical Panel - RUCTION acity•
Oe¢eber.I St..`
- ApR'FI 30 Material: Gunite &Mini Pebble
a .. 19 a>,a3da -'Friday: 7:00to turff es: 3ft soillwav
szzmdoy: -'or
• • "� - ;y, s ' "'� s }."� -
�eEQ OPool SP C
s Holidays: NOn
� tx14Ft Sq Ft: 510 ®� ..7 hi
J 13,6n
Electricallme'to PE LFDepth: 3',6" to 5'„� v Friday. 6:00 a.m. to
+ .
Perimeter: 117 Lf
(`%� 1 1/2” Gas line to heater _ ��
Y: -"."'None-
18AT�00 a•�1. $o 5:0 If�IGailons: 18;275 Spillway: Spa (1)
A Y "�, a . irr d ` �^ o1TkQ. Raised Height: Spa 18" Skimmers: Yes MP Products
a ,IVA 41Z ��"'� r. -� . of e� a�rnen$ Co
�u (V/" Yi \ " 1��®li�e$y$:4 as: 2 112" PVC RTile: Water line Group 1-4
Ineterior Material: Gunite and Mini pebble
Special.
`• 8 ❑ ! Notes .
Existing AIC Unit A RE INSPECTI I JF&SC a bd
10' 61 WILL BE CHARGE IFTkJvw?, ref atch Elevation: zero gragde
PLANS AND JOB °AgEq hbrpillce exis m Perimeter:
THE (� FOR
ew
O 201 " -m SITE �aiseBBaa�+ x "x 18" Lip Style: Cantilever
44
2 1/2 lines &retu ns . INSPECTION Material 1: GGGunite, Tile concrete cap Material 2: Stacked stone veneer
to pool/ spa new concrete decking to
i Tan shelf w/steps match existing (see pic) o NO EXE now
~ Steps Notes:
f+
Elect lines io
pool/spa li ghts i
0 Pool Light LED _ Pool Equipment Specs
cri
' •- ` '';.•. _ : 1 36' s" Spa @IST Y SIZED DE R1610P RPentair variable Speed
....o.. WD r
} F
existing BBQ has gaslEtecf.::; .._...._.. _ o iS RE UIRED ON THE 106 S TL D R11 11420 sg ft cartridge
dd:::: ......... ° 7�
�} PHASES OF CONSTRUCTIO 49 MRPI/A
s' WD EMPTIED AS NECESSARY. FA L14tIT0PWBa
' Bench -18' -1f--. CA ,SE THE CITY TO HAVE TRLMNT
•••...• ••-- 1P,, � I t er Temp 4 BT
_ loot : ••.._ .................. ........................ :us'v�PED AT THE EXPENSE F, r Wf#kpntrol: Easy -Touch 4 _
M bOWIS : ^ RBB 29 U x 18•• +18•• �a li t LED }n; Pool Sweep:
t w/sheer decants - .rT':TR�CTOR. p'
Goesling Residence o be o in Other Equipment:
78910 Rancho LaQuinta Dr. LaQuintaCA Pool Elavation at current
• hardscape level. f• - Prop city
` - map attached'
Change Orders
7 , �' j. V �1�-7 V7 LT1..Qi V
INT
CD# Description Date
t. BUILDING & SAFETY DEPT
WtPO
77564 Country Club Drive. Customer Info -APPROVED
Palm Desert CA 92211 I have reviewed and I givemy66W7 1� /I
True Masterpiece' 760-771-2121 Name: Goesling Residence r approval to proceed with theFOR CON TRUCTI N
LS &SPAS INC. Address: 78910 Rancho LaQuinta Drive construction of this project }, {
City.. La Uuinta; State: CA zip. - _ - DATE
I IV Ili
' Customer Date
Home Phorls Mobile: 425-802-3487 _
Work Phone: - ;
Master Association for Rancho La Quinta
79-285 Rancho La Quinta Drive
La Quinta CA 92253
Phone: 760-777-8807 Fax: 760-777-8961
www.riama.com
July 7, 2017
Dave & Theresa Goesling
78910 Rancho La Quinta Drive
La Quinta CA 92253
Re: 78910 Rancho La Quinta Drive - Approval of Submission
Dear Mr. & Mrs. Goesling,
The Architectural Committee reviewed your submission for the following:
Pool and spa
Your submission as presented, is approved contingent on the following:
• Any damage to the common area caused during this construction shall be repaired by the Owner to the
satisfaction of the Association.
• All work is to be done in accordance with all applicable requirements of governmental entities,
including the City of La Quinta and in accordance with all Homeowners Association
Architectural/Landscape Guidelines and governing documents.
• If.required, a City of La Quinta building permit will be obtained and copy furnished to the Association
prior to commencement of work.
• No other structural changes are approved with this submission.
Once completed, please submit a "Notice of Completion" and the Association's Archite:t will schedule an
inspection so we can process your deposit for return.
If you have any questions, please contact the onsite office at 760-777-8807.
Sincerely,
JaA4kk& C.A
Jamie Circle
Architectural & Communications Manager
Master Association for Rancho La Quinta