0308-126 (ELEC)LICENSED CONTRACTOR 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
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
Vgnature of Contractor,.-
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt, from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am ,exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
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 )' I have and will maintain workers' compensation insurance, as required by
SAAion 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Cartier Policy No. r,.
I, XI: id4f n3
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) 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'`✓'.%'Applicant d" . •/ / *ya��/ti�
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 applicaton.agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
S'gna'ture (Owner/Agent) / •� �� � Date
J
BUILDING PERMIT PERMIT#
0"-126
DATE VALUATION LOT TRACT
JOB SITE
APN
ADDRESSx'�}q*
OWNER
CONTRACTOR / DESIGNER / EN (NEER
1�f3,Es.�r ESQ RESM�17`tJ�i..�tSSC;E:I.WO
(Y4791�RIDTHL.UM
1'U'1�3OX 1060
1A C,)Imm. f A 92253
( e (Mid) 22�
of a (.+�SJi d)
USE OF PERMIT
4XV- . CAL
I..NS",1.AU,13RIMKER2, CONDUIT; W1.111Nt3 A,ND SUMP PUMP (PUMP
I31; iNT,1B�Ti�`.aN ss,e 2 &°.3•SA I1.I5+''IERA; D FROM SE ICY, AT
C OMMITNITY FOOL)
1 lae
nnnn
'z
VALUATION 3(!4.011 i.1
•UG
1 �3 2003
CI
OF LA QUINTA
INANCE DEPT
ZES3 AUrD CO.Yr OF C0.I�T�''i7f�iT+C:' 70_rq
100
x� WIff IRE 18MMARY
PLAN C�i:if C.1 ~ YM, 101.,000-419.31 f3 $�J,'�;i
El.,ECTMCAI, �E 101-600-420-000
SUB-TOTA% COl\1; TI�,UCITON A1�131`'LAI�I i �.L'`K
$29.25
U33 YVX1 -PATD FEES
$0.00
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans =
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping:..':':
Gas Test
Appliances
Final
COMMENTS:
_
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
1 .3 v.= 6G 'Wz-
' ..w � . • N w � . (# 12 i�, � Sze �o��; Fad �P Ta 3� �,�c3 -
�:,�z Ice • ���
• C,F-c :�,: i3.rr� 0\Cr`�T •. - .. ✓��� f� _ ��_l�F
16J '
_WIT
51
'FEE- OF
\\` v WILL BE CHARGED IF THE.-�PPRf�rc� \-
qNS AND JOB 1 ; " NO�.�4
PL -A `�G
55 HDU ED
P THE FOR ` .
110 T }Val
I:. c \�..
S ��
Z_
07/31/2003 12:23 7603427072 SMITH PIPE INDIO PAGE 01
ONSITE SEPTIC TANK EFFLUENT PUMPS
EliminatoryEffluent p tj -M p q
The Elinninatorm submersible ptunp series from Little, Giant is specific -ally engineered. to handle the tough,'
demanding tasks of effluent waste transfer with high afficiency and long-term dependability.
For,use in. residential, commercial, industrial and agricultural applications with light to medium transfer
demands. Applications include dewatering, effluent waste and wastewater, handling where materials must be
moved.
upward From a collection area 10 sewer or septic lines or drainage areas..
Features (BE. BE. QE, OEM, 10E. 14EN & I SEW w Oil -filled motor housing for lifetime lubrication and
0 Completely submersible
* Handles liquid and solid.waste material rapid heat dissipation
& Cast iron pump housing with protective epoxy coating e Mechanical -type seals (stainless steel spring. nitrile
parts, carbon and ceramic facd)
a Thermal overload protection
SERIFS
rn
(I
ri
6E,CjM Manual
'8t"r_4XSF�- 7
GE-CIA-RFSN M.InL&-J or Automatic.
6E -CIA -SFS Integral "Snap -Action"
E-69 I M i n a t 0.r_j
6E-CAA-RFSN Piggyback mechanical
switch on SvAtch off
17.8cm - 25.4cm 5.1 cm - 12.7trA
liC CIA-RFSN 7' 10' 2"-S'
Ehretrieal
-- .-.. 10'(3m) power cord.
•9121711 ... .... 7
25'(7.6m) power cord
IM. M _W ii
lb 00
2S' (7.6m) power cord,
... 25' (7.6m) power cord.
1.5'(4.6m) power cord.
. , it
/ewe. . vi
(7.6m) power cord.
.......... (2.4m) power cord.
...... .
—_ITWTM: to *W*._-:
power cord.
............
4M;
10, (3m) power cord.
Eliminator .
When ordering. please specify Model and Item numbers,
FLOVI - Lrrrn^ffNr.rrF,
r1,0W —GALLONS/KWILITE
www.LittleGiantpump.com
6.F, -CIM
Manual
I'RODUCT CHARACTERISTICS
Ve'506710 ..............
11sV 10'(3m)powercord.
me)dmum now
(9)6' 506711 ..............115V
(N)* 506775 ..............
28' (7.6m) power cord.
11 5V 25' (7.6m) power cord. (Black
rate ................50 GPM @ 51
506500 ..............
PLIMP)
127V * 25' (7.6m) power cord.
Maximum Head ....................20...........................6.1m
'7415W660t
306730 ..............230V
"15' (4.6m) power cord.
.
z1W - t
Intermittent Liquid Temp. to ..11407 ...................... 60'C
0, 506735 ..............
230V 25'(7.6m) power cord w/cut plug.
6E -CIA -SFS
Automatic
Housing.. Epoxy coated cast iron
..m_. .1.1 .......
C'�� .... . ........... te. .
Vig 506700 .... .........
115V to'( 3m) powircord.
. .............. .Tye .
Volute .......... ;. ........................ Po"ropyiene/qast iron
CA) 0 506701 ......•.......115V
25' (7.6m) power cord.
........
l00 506720 ..............
230V 15'(4.6m) power cord.
Shaft Seal .............................. Carbon/Ceramic
6E-CTA.-R.FSN
Manual or AutonEtIC-Sorfqy:,
SinterM tJf^,c be fln—
4_l)0 506740 ..............115V
-
to- (3m) nowe r -cord
6E,CjM Manual
'8t"r_4XSF�- 7
GE-CIA-RFSN M.InL&-J or Automatic.
6E -CIA -SFS Integral "Snap -Action"
E-69 I M i n a t 0.r_j
6E-CAA-RFSN Piggyback mechanical
switch on SvAtch off
17.8cm - 25.4cm 5.1 cm - 12.7trA
liC CIA-RFSN 7' 10' 2"-S'
Ehretrieal
-- .-.. 10'(3m) power cord.
•9121711 ... .... 7
25'(7.6m) power cord
IM. M _W ii
lb 00
2S' (7.6m) power cord,
... 25' (7.6m) power cord.
1.5'(4.6m) power cord.
. , it
/ewe. . vi
(7.6m) power cord.
.......... (2.4m) power cord.
...... .
—_ITWTM: to *W*._-:
power cord.
............
4M;
10, (3m) power cord.
Eliminator .
When ordering. please specify Model and Item numbers,
FLOVI - Lrrrn^ffNr.rrF,
r1,0W —GALLONS/KWILITE
www.LittleGiantpump.com
07'/ 31 / 2003 12:23
7603427072-
P -ow r. nnWifIYu'(E
e 12a ane ase .r.
SMITH PIPE•- INDIO PAGE 02
IOE-CIA-SFS Automatic
NO 511350 ..............115V 10'(3m) power cord.
511355 ..............115V 25' (7.6m) power coni.
PRODUCT CHARAC'=ERIST.T.C'S
1VfoYof,.::::.::.::::::.::.:::: %72�Fe�riieraert• .-.;.,.,
Split Capacitor, _
E Ii Ta i nn a t o r 303 UPM 0 i.krn
'K�dilifitiift"Ffit)i�19'i ; _._;:'.:--'i4".�.'.. ..... _;','.•T,31ri"..'.
Solidn handling Wis.) ..,....,....3/4".................._....i9mm
itiEennk�olif Uq�dTdrfiP.Td-T�4QF.-
Discharge ..............................1 1/2" FNPT QF_ 1 mm)
RFtn.._.—.-..,........,,., _.
aft.........:..:...:....::......:.Ebofpr'co5%.ca a ilt7fo'n'-..•
Cover....................................Polycorbonste
V611615.1
Impeller..................................Vortex Nylon
tuheff5eef' ::::': :;;:,irar6crt/ RE'-_
Besange ......................:..... ...Upper and lower Bell bearing
Aetivatar............................Integral "Stmp-A bon"
Switch on Switch off
e.7s 20.3 cm - 27.9cm 5.1 cm-'12.7cm
' 'Efeei�o'oi' .- .• ' • .
�'s 350 .................... I I SV, 60Hr., 8.7. am
' 47 .Sit .... �
zo -- _...._r __..-...... - P-
,; _ _ •n.zo � iU't�m7ptiwer.'.orcJ:-
511355. :.:.:............. 15V. 6011z, 8.2 empe
'2V'rr,W–p6wer coh '" .
�to,,. _tl
�: Asa C •
ij
z.s
0 io .o ere an un 0
Fl.nw - GALLON9/Hlmrrri
I LOW - i.rrrnS/MMi TL
e ro ere rao roe
• 0p �r .
is
30
La
_10
,
zo • t.a
10
s
0.
0 7e ao ap N 1me '
MOW - (CALLONCMINIyrl,
14EH-.16EH High Head Seri eq
Features (14EH. I SEED
• Completely submersible f
• Epoxy coated cast iron pump housing, Volute and non -clog impeller
• 2' (51 mm) FNPT discharge
i n a t o r • Thermal overload protection
14EH-CIM Manual
Nab• 514220 .........:....115V 20' (6m power cord.
(ti) 514221 208.230V 20',(6m), power cord.
rR(IDUCT C:HARAC:TERISTIC:S
Split Cs for
1�aiArn Aoi1u Wf—a,,•::,.-,;::.:'
227 LPM @ 8m
Maklna et9 i:, ::::71. 7.7w.:::.::.7::,::,;:.:�-T5[7 '.
$olids hsndling (&q) .,,,,,......3/4.....: ................... i9mm '
Dlachargr„ _ 2' f NPT (51 mm)
'Flotieing ,,:.:'.�pbiiy'ooeFedc�eat �h '
Cover ....................................Epoxy coated teat Iran ..
Eoly ..
Impellx.................. -,Non•co
coalmd cIron '..iCiiKoi/CirgFr.' _^......
Bearings .............. ......:............ UppcY tmd Lower: Bill Bwrinm
t7pi►4kfo tom,..'. ... ...:::.::..::1Vlanuel.... _.__..--•---•
Electrical
20"16_m> Anwar wrL ,..
�., Z(78.230`T. �BFii±'B;TBtfi'(7a' � �•:'
20' (Rm) power cord
When ordering, please specify Model and Item numbe.m.
wWw.Lltt.IeGiar�tP..mn.w....a
;a
C:
W
rn
1
7
I,/
07/31/2003 12:18
—Q�
7603427072
h,JU
10
MOM, - r.m?n.%mNt-rE
• ' vn an aro ane
�
i .._..4
SMITH PIPE - INDIO
PAGE 02
tOr-CI.A-M & o�m„atic Y
MQ• 511350 ..............115V 10'(3m) power cord.
90 51.1355 ..............115V 25' (7,6m) power cord.
PRODUCT CHB.RACTERIST.IC5
Selh ce Iter '
m i n n t;U'"s�. 1ts1�'i�I�U6i�A2ln�itIIi'EA7���•<:3�?„'{�;�,�,v
o r ' 3o3 LPM 2 1.52m�
���11i��fl'�{x•�i�:.r'�+„aSYw.�iliY�iSr+�%C.:�inv.4r::�+�#�.�"�'' •
solids handlln(dla.):...........3/4"....... ................ 19mm
`IFfC�8�f� 1,11 T+`i�1913s
Olacharge ..............................1 1/2" PNPT(89.Imm)
•:Yet+.rA�1l1t`fi�C'aw�(9k�'�%�i�4�.•'i;�'Ei'i.E9�'d$' .�. �A .iQ31i�±i?'.(, `
Covor......,•..••........................PolycerbAonautteM71:1_w7
` r�,d1 AL1'+v;�i:y�r•�+l�Go"i4�i�l�t'�'i�):p:�y�1,{'B1a�r,�E1�f�5W111v•*�'�A$�,If:`17,%'�S�i
Impell..................................Vortex Nylon `
Beenngs.................... ... .... lip or and lower. Bell bearings
�►J!(rrli49it(d`AI�:;'t•s,; ;"f�; �i'•(.'%'4FrG�i�(�I'�+`:Y�'1�reM,�rl,.'•r.`•:5:i;+
AefAvator Intkgral "Snop•Actlon'
k.:•�'- sr?:AiRL:9;N:"�if�t�ic5fl9tE'•:;r!T;•:;:;il.y�-::�[•;
Switah an Switch off
sR''3,.;`r�,, �,lq� j lkjli�q
J I..
70.3cm • 27.9cm ,S.Icm • 12,7cm
HIM
:,:: :. ,,,.:.,. ,
..
_ II tt {" [' 511350 ............... •••.I I5V, 60Hz, 8.2 amp,-.
-:.29
.
511355 ... ...........:4A' )Yf n •..: ,net;•:
r . I I5V, 60Hz. 8.2 smps
'•:f?'%—r'•,i�,•Y'���f-".�-r:1iBi, •9pf�•jidtt�lc. .I •,
_ = 3,70
�0
lin ,e Iu � nn me
Fr.Q R _ GA I,.0NNNINU M
Em
14EH-.16EH. Higb ,Head Series,
ry.
Features (14EN. 16EH) _
• Completely submersible
• Epoxy coated cast Iron pump housing, volute and non -clog impeller
• 2" (51 mm) FNPT dlscharge :L
i )i a t o r •- Thermal overload protection
14EH-CIv1 Manual eb
(w� 514220 ..............115V 20' (6m) power cord.
J 514221 ,,,,,,,,,,,,,,208-230V 20' (6m) power cord.
. 3.
PRODUCT CHARACTERISTICS
$pill C0 acltor
iilir�ia�f'.rill.lir,Y9i�"l.'1i;K;:bi,i"B1D'�6IGr>ib'�%')'f?X�'!!'•� ':`i.
u� wa 227 I.PM ®6m
Solld2 handling Idle.) ...........,3/4. ....:...................1 Own
?(mft- ,I'mi4,Llgra0 IT", 41-ce��t3Gi+Ef!i? a+
blachar9.s..............................2"FNPT(51mm) "
.�',tQx*•�;t?Jf,"tC14'%4�84�'3'�' i�+sf6'�6]E04J'�':'Y�aP•<'s�
Cover
xri ..f4,ti,• c Ep7oky Coated cast Iran
fimW11%rl':.i,fl'f1'wvifi:,`•i�,'1�W'*�a�+rd+rIwrF��:ri�'`.ti?i
Imooller y4011,tlop coaled clout Ilan
•".9rf11F�1AIaL.i!�L�t�15",cG(.`�••iw.'Vnu�I7;'Il(CyI�,'J'Y,:iy;l"=� %�:r''
BeOrings ............ ............ .......... Upper &)d Lower. Bell Bearincs
20§;18n1) wOrcord.
.,%�'".'�"�:�it�F3tri•,f�k°i>7,%�i�;;•,�,Cu���.ip8yj�n,�?;3.,7'�'f+l .
Whr,n ore kale s ?`; 4' r•:'t S.F
ordering. p pacify Modal end ItEm numbers, w w w. L i t t 1 e G i a n! P w m P. a 0 m
d