BPOL2019-023078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
POOL/PRIVATE
BPOL2019-0230
T;tw4.i�4umrw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
79170 DIANE DR
604313001
BRYAN / POOL AND SPA AT REAR YARD
$20,000.00
Applicant: DJORGE SILVA - REMBRANDT POOLS AND SPAS INC
P0BOX 6411
LA QUINTA, CA 92248
Za q
OCT 25 2019
DD
CITY OF LA QUINTA
DESIGN & 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 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class:
C53L License No.: 800680
Date:�V �y Contractor:
OWNER -BUILDER DECLARATION
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.).
(_) 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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/25/2019
Owner:
ALONZO BRYAN
79170 DIANE DR
LA QUINTA, CA 92253
Contractor:
REMBRANDT POOLS AND SPAS INC
P 0 BOX 6411
LA QUINTA, CA 92248
(760)771-2121
Llc. No.: 800680
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 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Sect[o 700 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9244146
_ 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.
Date: / U-,d_ T_- / 51 Appli
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
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 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 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 or Age
r
Date: 10/25/2019
Application Number:
BPOL2019-0230
Property Address:
79170 DIANE DR
APN:
604313001
Application Description:
BRYAN / POOL AND SPA AT REAR YARD
Property Zoning:
Application Valuation:
$20,000.00
Applicant:
JORGE SILVA - REMBRANDT POOLS AND SPAS INC
P 0 BOX 6411
LA QUINTA, CA 92248
Owner:
ALONZO BRYAN
79170 DIANE DR
LA QUINTA, CA 92253
Contractor:
REMBRANDT POOLS AND SPAS INC
P0BOX 6411
LA QUINTA, CA 92248
(760)771-2121
Llc. No.: 800680
Detail: POOL AND SPA AT REAR YARD [JOHN HENRY HACKER (1HA) ENGINEERING] THIS PERMIT DOES NOT INCLUDE PATIO COVER, OR POOL EQIPMENT
ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. PER 2016 CALIFORNIA BUILDING CODE.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$201.25
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$109.48
Total Paid for POOL / SPA 2019: $310.73
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
�+ Q"Kra
PERMIT # PD 2- 9
PLAN LOCATION:
Project Address: 71 1 -)o D Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #: U v v
Applicant Name: e t5i �cwiG
Address: 4kW e— Di .
City, ST, Zip: (.'� (,� ti ► �✓+` U ��
Telephone:
Email:
Property Owner's Name: 5(y
Address:
City, ST, Zip
Telephone: 7
Email:
Valuation of Project $ ao. 0 CJ (J
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
New Pool
.qui p ment boL ted
sown to concrete
2,1/2" PVC to and
from Pool/Spa
A
Elect Lines from
Panel to PE and t
l lights in conduit
Art. Turf Area
New Pergoi!a under
♦rate permit
41945 Boardwalk Suite I
Palm Desert CA 92211
Poo Ts & s Pn�se w( 760-771-2121
Residence 22' to street
OF LA QUINTA
lain UILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
DATE BY
wa
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a
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5' Wrought Iron Fen
ind self closing gate
T H Block wall
surounds home on
sides and back
•', �� i
r Bench 18"
r) I i 1 ;
k (2) Suction drains
nd Spa T apart
T.4
Will
low end steps (Landscape Area _ 1 1 LED Spa Light
Customer Info
Name: Brvan Residence
Address: 79170 DianeDr.
City: La Quinta State: CA Zip: 92253
HomePhone. Mobile:
Work Phone:
TRd. 18" Raised Spa
/Bench and flat the &
spillway 18" Concrete
aping
Scale: 1/8"=1 ft
I have reviewed and I give my
approval to proceed with the
construction of this project.
Customer Date
Spa Specs
Length: 7 Ft
Width: Round
Depth: 3',6"
Perimeter: 22 Lf
Square Footage: 38
Capacity:
Material: Gunite & Plaster
Features;
Pool Specs .
Size 23'6" x 12'6"
Sq Ft: 205
Depth: T,&' to 5'
Perimeter: 62 U
Est Total Gallons:
Spillway: Spa (1)
Raised Height: Spa 18"
Skimmers: Yes MP Products
Returns: 2 1l2" PVC
Tile: Water line Group 1-4
Ineterlor Material: Gunite and Plaster
Special:
Notes:
Hardscapes
Deck Type: Concrete Pavers
Elevation:
Total Deck Sq Ft:
Perimeter:
Raised Beam:
Lip Style: Cantilever
Material 1:
Material 2:
Special:
Notes:
Pool Equipment Specs
Filter Pump: Pentair Variable Speed
Filter Type: 420 sq ft Cartridge
Spa Pump: N/A
Other Pumps:
Heater: Master Temp 400,000 BTU
Automated Control: Easy -Touch 4
Pool Sweep:
Other Equipment:
Change Orders
r,0#
Date