0107-243 (RPL)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury t tat I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professiorfals'Cd'de,' and my License is in full force and effect.
License # Lic. Class Exp."Qat t
f 1
7 X 0 a C-531117 602
tey # '� Signature of Contractor
9
OWN ER-BLIILDERIDECLARATION
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&RC. 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.
ti11I have and will maintain workers' compensation insurance, as required by
S69)1'0n 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:
Carrier Policy No.
1{ P01.1
(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 whict6his permit is issued,
I shall not -employ any person in any manner so ao become subject to the
workers"' compensation laws of California, and agree that if l should become
subject to the workers' compensation-kvisions of Section 3700 of the Labor
C2de, I h II forth�th comply with°t tSase provlsto S.
gate: �` rf^� Applicant - a-
Warning: Failure ecure Workers' Compensation coverage is unlawful an
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from da4e of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
1 certify that I have read this application an .;tate thatthe above information is
;correct. I •agree to comply with,a,ll��City, a • d State laws relating to the building
construction, and hereby a tfi6 a reps sentatives of this City to enter upon
the, above- mentioned prop rt for inspe l tion purposes. �+
Signature Owner/A a"ht'* /� Date__
9 ( 9 f ), � a
I�
BUILDING PERMIT PERMITN
DATE VALUATION LOT 010-1-241 TRACT
JOB SITE
APN
ADDRESS h yy,q�ysr e
OWNER
CONTRACTOR / DESIGNER / ENGINEER
KU ..
VALLEY POOL & 1PA
16-1505 MVIEWA
4741 C,; E. PALM 0M. ON DR 116
-ub.f 133:tJ'i OA 92M
X?PJ..MWRINGS GAL 922CA
('760p7f> 3939 SLA 2565
USE OF PERMIT
P001. AOR SPA
,P0011SPA. ALAR.MSMAl RIER.S SHALL D2 IN P1RAC AT .1PR&PLAS°t"r.:R.
NOMMION, P001,0QUIPMENT ZiJc°:1,ft»URR-NOT FMCL DE0.
P001 AshIDIOR SPA Is
XMId r lrD COW OF COI° STRITC--,110N
30.000 OD
P.ER !'E MKI SITAU,t4>Ry
lel twRANIC.A f.. F -- POOL 101.000.421-000 ..... 124,01)
IX.11111"IC6 L MAE 4w POOL 101-E300420-000 04$.00
MUMB11ING FEE POOL 101-C9130419 000 SZY.00
JUL Z 7 2001
...
•
pp jr`y� $y�j,,��aaj�1-� pp 9y / �W `j' p'( yyg t-7� CI�t�{�gi{y/,: �' :,
id4I.CT°•�29JLaYL CO NS �/i56iC . VA'V v�9-LGA .1..Y3�3a1F 1.2�.���^+
i
TOTAL Mevff F I'M DUE now
AFM
y�r
RECEIPT
DATE
BY% /
DATE FINALED
INSPECTOR
oft.
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 & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
Steel
Electric Bond
POOLS - SPAS
BLOCKWALL APPROVALS
Set Backs
Footings
Main Drain
Bond Beam
Approval to Cover
Final
PLUMBING APPROVALS
Equipment Location
Underground Electric
Underground Plbg. Test
Gas Piping
Gas Test
_
100-
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Sewer Connection
Gas Piping
Pool Cover
Encapsulation
_
J
Gas Test
Appliances
Final
COMMENTS:
w
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)
s JUL-21-01 06:00 AM NHF CASTORENA
FWt No. : ?'W7�i 1.7
760 772 5860 P.02
Jul. 05 2881 88:21AM P1
PGA WP'.ST11 R SIDENMAL ASSOCIATION. INC
P.O. BOX 1282. LA QIJ NTA, CA;
( 760) 776-5100 PAX (760) 716;51 1
Ut: Soot Klitttkt .
Pactsm CAy %W
RaiIDrt� s6-ws Rmsm
Amhitectes ebb men —putt &Sp A��dttinn
Dar Mr. K
ILe Asc3itaottttal Cies le'a :eceip rf you m aspos'10= dMCd ;utte 30
sulzt : qao "sg'b as vkil as
1� . At t se11:1t of a¢ogviag tlra pom ttnd upon oolr�atin8 a# or -ft ;tea r!
tk sicked ��: roar �litgoo I" bees aypt'ovod
Rm7 w tv tt+e Cuumit w is wy tar sw=21 cattrmave wl+h &a ceamac h is t]tc
. rtstpo�lbility of the oWtltt tp t3rl�v ttndest„d aad ooalbrm to tl,n surchlttd_tt:at gu'Id�thsa taytetla WJlctiar
os nuc a!t axo aadad tluri_ aeriew. R is also the flwner'v AM T"Wswutw tc Eoid %iffey all
dw Am 000ditit She t ,odttee's dfminn with regard to ptt*d dWen will b�+�,rt31. Please refer too
Arebtttwwat l wft � all t� ri+md su rr+ ttals.
rum QDWAa Rspud vilia"ai, ptpcyMIOT dor Valieyr G*MW4 S ^WO at 7605"4244 AM CsM
Futlrr, the AesooiWM Maws, lKi0f 10 +oY Ur�s09R rttodif"tfoas assoaialrhd with Huls chaw
i,� mitt a& i.*-, � VOW. t'wwors and turf is the msponAmaity 4 tt caa�meetas. Tba-
ought back to Int ot(Onar ooadition when tm proieat is otaacp>e a
Ajpw�aM OM-by4 -ArdMWaral C,ommillw are good fart ** six tnontl,s IlR a t11a date on tlrc
XWOn t t4 tr. Atter that tame t now aWdc2a m nwa be tatbmitt &
Upoa aatapletion atyotu P110etk pl= cotoDkU and renm 7u lie of Compwan of Atuutot aat
chum.
Lt Ore mmntiata tfyat )MV arty addittonat 064t6m or maotms, plesrc do am hedt9i4 to axc&g Czal
Fuller, Assooia "l�im,.yte, at W17X-5100. Ext. 20.
91oistt3•,
PGA WW It MID)WAIAr A SWA=21 r
For tbs Atchitttia Lv d C c e
4tro1 ltlttlor
A>�tation Mstaaiper
Cc: Btaetd of i')irerore
untno
Td WH9b:2-0 TOOZ 90 'Iof 1161TLL09Z : 'ON XdJ 3AW1IN ZOOS : WMA
JUL-2'S-01.02:58 PM NHF CASTORENA
----------
KH 21
RAISED 1811
SS. BLOCK" WALL
9
H 2 ' '
-
ARAISED
BLOCK"
K
'A
tN
A
ER1 . 0 . R stucco
PI
!Stucco to match existing
C" PLASTER INTERIOR
C
I:RECH GREY" COLOR
P
SECTION 8
16'
760 772 5860
21"
P.01
SECTION A
alp
59
10"
. . . . . . . . . . . . .
U
NOTE: RE: LANDSCAPING
The existing area where the pool is to be place is currently concrete and grass.
The new pool will remove 100 sq ft of hardscape and required sod.
No new landscaping is proposed. Sod will be replaced to the edge of the pool/hardi-M"i
Pi
HAYWARD 1 HP CIRC PUMP
HAYWARD 2HP JET PUMP
HAYWARD 400'SQ FT FILTER
HAYWARD 400,000 BTU HEATER
JANDY RS remote w/ SPA SWITCH
3 HP INFINITY PUMP W/
400 SQ FT BYPASS FILTER
I
rt
NHF CASTORENA 760 772 5860 P.01
EXISTING A/C
GAS
f— ELECTRIC
P.I.P. COLORED CONCRETE
TO MATCH EXISTING STUCCO RAISED EXTERI&
TO MATCH EXISTING
COBALT BLUE
CERAMIC TILE TE
WARLINE
"PEBBLETEC" OR PLASTER
FRENCH GREY
BENCH EXISTING OIfCF
ELEVATIONS
-c
i
\li
SECTION A — SCALE — 1 " = 2'
GLASS BLOCK SPA DAM WALL
1" HIGHER THAN POOL WATERLINE
SECTION B — SCALE 1 " = 2'
COBALT BL*
CERAMIC TILS
i
KhMKE QEc,.