BPOL2019-023178-495 CALLE TAMPICO D 4P Qu&M
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: POOL/PRIVATE
Application Number: BPOL2019-0231
Property Address: 79769INDEPENDENCE WAY
APN: 604502011
Application Description: ELLENZ / POOL AND SPA AT REAR YARD
Property Zoning:
Application Valuation: $20,000.00 E j
z�
Applicant:
{u4
JORGE SILVA - REMBRANDT POOLS AND SPAS INC
P 0 BOX 6411 OCT 2 5 2019
LA QUINTA, CA 92248
V 0
CITY OF LAQUINTA
DESIGN & DUELQPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
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: C53 License No.: 800680
Date: V "( 5 Contraaor;-- -
OWN —ER -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.).
(_) 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:
SHEILA ELLENZ
79769 INDEPENDENCE WAY
LA QUINTA, CA 92253
Contractor:
REMBRANDT POOLS AND SPAS INC
P0BOX 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.
I have and will maintain workers' compensation insurance, as required by
Sec ion 3 00 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 I 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: y Applicant: _
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 ofthis 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 LL , Signature (Applicant arAgenlE.
Date: 10/25/2019
Application Number:
BPOL2019-0231
Property Address:
79769 INDEPENDENCE WAY
APN:
604502011
Application Description
ELLENZ / POOL AND SPA AT REAR YARD
Property Zoning:
Application Valuation:
$20,000.00
Applicant:
JORGE SILVA - REMBRANDT
POOLS AND SPAS INC
P0BOX 6411
LA QUINTA, CA 92248
Owner:
SHEILA ELLENZ
79769 INDEPENDENCE WAY
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 (JHA) ENGINEERING] THIS PERMIT DOES NOT INCLUDE PATIO COVER, OR EQUIPMENT
ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. PER 2016 CALIFORNIA BUILDING CODE.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY 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
ta O"fra
Project Address: 76�,
APN#: �
Applicant Name: Q��/ Z &,v C'e
Address: -7 -7 G q
City, ST, Zip:
Telephone:
Email:
PERMIT # %P o 2a ( � - C-)Z3 J
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
rA
C UA Grd � L�2.c,�-'
Valuation of Project $ o C�v✓
/8495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
[Existing block walls 6'H I
jNew patio cover by
(owner
of Equipment bolted
concrete pad
n
\\t21'
l��G�a—sa—nd Elect. Mete
IDoubftwide Iron pate I
E
( ` J POOLS &SPAS INC.
"ATrite Masterpiece"
(Raised Deck here
f w/one step
(New Concrete Decking
tarts here
'New Paver Decking
IEllenz Residence
CITY OF LA QUINTA
I BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
4W BY
Project Name: Ellenz Residence
Client Name: Shelia and Craig
Client Email:
Client Phone: 760-
79769
City: La Quintta
State/Province: CA
Zip/Postal Code: 92253
Designer Name: Gary Houck
2) 24" sheer descents I ,
Block:
Subdivision: No HOA Letter Required
Lot #: Gate Code:
PG: PB:
Notes:
'� WD Y�rlS..
Jll
6" WD Raised spa +18"w/(2)
24" spillways
LW D] � #[Elavated Pool deck
/one step
D Pool Light (4) in pool and (1) in Sspa
(2) tanning shelves 12"
WD. Corners at steps at
'{ 5 angle ^
M
Pool coping Cantilever N
8r. concrete O
Q ....... r t{.
Q �
Paver De ing Elect lines from panel
o PE and to pool in n0 r
conduit 1
ua
as line from meter to PE-------------
w
UJ
O y_
c.r = LU
2,1/2" PVC to c• S o
Pool/Spa and returns o W
C—
U
� o a
r.0
ca
Scale: 3/32" = 1 ft
1 � -
u ,
I:
Perimeter: 90 Lf
Area: 535 So Ft
Envelope: 29' x 23'6"
Depth: 4'to6'6"
RTNS:
Drains:
Lights: 4 Glo Brltes
Skim:
P.C.:
Dig Type
Volume:
Spillover Length(s):
Coping Material: Gray Cantilever Concrete
4nterlor Finish: mini Pebble
Notes:
•mw0 •i•
Perimeter: 34 Lf
Area:
Jets: 6
Height: Raised 18"wDeck
Lights: 1 alobrite
RTNS:
Drains:
Spillover Length(s):
Coping Material: Tile
Interior Finish: Mini Pebble
Notes:
------------
Raised Beams: (21 36 Lf x 2' x 1.4" H Columns No caps
Pool Tile Material: Tile TBD
Spa Tile Material: Tile TBD
Notes:
Perimeter: Area:
Coping Area:
Coping Material:
Surface Material:
Turn Down: Riser
NOTES:
Ciro Pump: 1
Control Panel: East Touch 4
Pump #2: Yes w/12 Jets
Remote: Indoor remote wall M.
Pump #3: NA
Sanitizer: Salt System
Filter: 420 cartridge
Blower: NA
Heater: 400,000 BTU
FIII Line:
Cleaner: NA
Other:
Pool Light: 5 Glo brites
Other:
Spa Light: 1 Globrite
Other:
Other: (2) 24" Sheer
Other:
NOTESrescents
I/we (the undersigned) have reviewed this plan and
approve it as correct within reasonable tolerance.
I/we understand that any changes made to a
shape or to a location may delay the project and/or
result in additional cost.