9908-181 (RPL)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chdpter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License5
741 Lic.Class Exp. D%/31/19!
(/Date Signature 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.
(X) 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 & policy no. are:
Carrier. STATE PUNP Policy No. 046-99-000'M34
(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
wo�ers' compensation laws of California, and agree that if I should become
soject to the workers' compensation provisions of Section 3700 of the Labor
,e
ode j'shall, forthwith comply with those,provisions
/Date: ✓.� Applicant_:.,..:.. -.w r..-
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. (.,agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this
City to enter
nter upon
thbove-mentionedproperty for inspection purpose`s_____
ture (Ownegt),'✓Date 5'11
gna.
�1�!!
BUILDING PERMIT
(((
DATE t�J VALUATION ��i°!� LOT TRACT,
JOB SITE i{g.b 13g`V[1lti.�
APN - -
ADDRESS
OWNER
CONTRACTOR / DESIGNER / ENGINEER
LANCE MUELLER
STENT, DODSON CONSTRUCTION
80-23.3 RIVIERA
7?011 COUNTRY CLUD DR, SUI FE F4
LA, QUIN A CA '922-53
PALM DESERT CA 922,60
(760)3464032 CBL# 1044
USE OF PERMIT
PCIOL Ax' WOR. SPA
t),IX & NPA Ali117' IIJ I `t SHALL L ISM, IN PLACfr AX PRlE
P1. ASTER I.N-95' .C"I"ION. ,
PtXX Aids)IQR ,'.T:F'A '231000-00 LS
MfMtTrt bl, COST OF CONSTRUC;TION
251000.00
AIEXl- AMCAL FEE — P001, 101-M-421-000 524.00
ELECTRICAL -- POOL 1.014X)0-420.000 $45.00
PLUIv1ETaNG F1+:E »- POOL $27.00
a1LAI+T C3•%cK rEF, 10! .000 -X139 -sl ei S163.80
CONSTRITCf'I'0N FEE 1014)0041.9400 5252.0
SilB40TAL CONS Y R UC:T OKAND PLA I CHECK
$519.80
Pi, V LESS P21:'-PAt131�EE4
R
so.; 0
AUG 24 TOTIkL PERU t' .VEES DUE NOW
1999:
�i
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
4
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
BLOCKWALL APPROVALS
Steel
POOLS - SPAS
Set Hacks
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
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
Ctility Notice (Perm)
Final
COMMENTS:
AI
�d,,*.UG-20-99 11:15 AM DODSON POOLS
Au0-0.2-99 09:3817 Lanre and Chloe Mueller
CITY OF t_A 0! !1INTA
t •
AUG 2 0 RECD
7603410895 P.01
206-322-0264 P.02
TIGA WEST It RESIDENTIAL ASSOCIAHON, INC:,
JEW �LIILUit�� Wt�l; u .rL Y PQ. ROX 1232, LA QUINTA, CA <i?251
l,�►clr tfm FAX (760) 776-`i I I
PGAME '.
kiy 14, 1999
Me , Dance Mueliel
115.135" Avc,
Seattle, WA 96122-4411
Reference: 30-233 ;kivlera
Arrmitlrtural Change Requent tr) Install Spa & Fuontain
Dear Mr, Mueller:
The Plarmed+ Unit Devftrnent Archite mal Committee at its July 13,1999 meeting has reviewed
your plans ta.add a spa Hnd Fountain. The commi"tee has approved your request as suomlttod
with the WI!uwinp Wnricatlon.
rhe Association wd! not be responsible for the relocation of the Sumac should It vt survive.
Regaiding the ir6gat�n maiitiQUOnS associated with this Change, your landscape maintenance
contractor and Valley Gardening to coordinate these cnanges prior to any digging or excavation
to ensure the existing Ones are properly rerouted and that therc is no interference with the
computerized .rrigatlOn clock The property foreman, Miguel ValenzaMa, can be rearhed at
7501399-3!444, or contact tnea ASsoddtion Manager, Card fuller.
ApprOv316 tive:n are §66d for only six months from the date on the approval letter, After *hat
time 3 new app!icatk)n must be submitted,
If pod have any additional questions or concerns, please do not hesitatee.ta contact Carol Fuller
a
Association ria-iage:r, A 760/776-5100, Ext. 20.
5lneetr@ly,
PC;A-WF5- 11 RESIDENTIAL ASSOCIATION
For the PLID lArchltettural CanrnitOee
. - �.. •rte �....•-�-�.�,�G�._ - 1
Carol Fuller
Associat& Marager
rr! BoArd of Directors
Unit File
• V
MuP9Po - 10,10 ApPMV&
80.00' L J 40.42' 39. 69'
---- Dp�1 --------N� 0 486.3 TW------ oo
- 486.7 TW - 0 N
l� oy : 480.2 TF 0� o - - 479.8 TF - 2 p1
486.8 TW
10.00 AN� I l 486.8 TW '2 �� 480.3 TF r
17.2 TW �'G0 480.3 TF \CB 11.00' 10.00' F 8
10.7 TF
10.00'.9.00 486.5 TW ¢) 6p
81.6 1 487.2 TW LAj1 �lip
480.�'T 1 9S rF
.7 TF ® 1® 480.7 TF (� N GF -480 9
7 TW N O.fi - - 35.00'-�f-
2 IFG F= 481.8
r
487.2 TW W -11. o' LAJ s 486.5 TW
480:7 TFIA 486.8 TW rj 480.0 TF
486.7 TW 486.8 TW 480.3 TF D486.0 TW
480.2 TF 480.3 TF 486.3 TW '` - 479.5 TF !`
U-)479.8 TF
486.3 TW _
0
0 479.8 TF o o ~480.3 1 c o I u��
o o FL -GB SEE SH9El
0
L
16.00'
B
. 0 1B
FF=482.3 FF=481.9
P=481.8 P=481.4'
10.00'
10.00': ,� ----- 14.00'�0p� -- - - -- 10.00.
16.00'
' - - . - • ,- -',5:00'
ri
Ln
o
15 0.5% 0.5%
16 1,17
80.00' FR c, 80.00' FS
2% CUT SLOPE -�- - --
_:-.........._...__.__....__._..... _._.._.__..__._..__._ 2% CUT SLOPE _
44 .
u COURTYARD WATERFF•ATURE CROSSECTION
0: !
4r """ G p.a, m
.O'►+lam fi.t, cap.i �+.
l0
KIM" h ID
""Y 0
N , a y� co
_ Bf1RY
V
I I tl
�l►ql� I E'a o:� fit' �" • 4i�1 0
z -
1 �
I e
l �—c�-arr•aaocc,h'=.R=Far�'Re r
®rlaf 2 SI cn
I'+1 EX:STC.,G UE -:K
GEYS(R _
t7 I I
KA
o OqN a spevloe I ;
m
ca
m
m I I •
q s�'Ixc !:r.c I I . W'
Lo 4
Ln
m
N
OIL
W
• _ N
r �C.
• V
' _ fi