0003-0003 (POOL)79105 Arbola Circle
LICENSED CONTRACTOR DECLARATION PERMIT#
r BUILDING PERMIT
t reby affirm under penalty of perjury that I am licensed under provisions of dt4rt9;$-5dt 3
H 'U6pter 9(commencing with Section 7000) of Division 3 of the Business and DATE €).3/I):1/200 vALLIATION fij:3,500.jjo LOT S TRACT 2 c 1 .7
N W Professionals Code,and my License is in full force and effect.
C) License# Lic._Class Exp.,Date
t- d t _ SK523 3 C'53 / /2 8/201 JOB SITE
ADDRESS 7 10 ARROL C19CLE APN 604-271-003
/ ...<';r a`e;,- j . t.- .....a a-• gin r •- . - w.
r` Z r- Date 1 SignatureofCohlractor j ' i{/ 1P OWNER!rn r 7 C n% CONTRACTOoRt/p.DvESIGlN E/R/ENGIN
EER:
O C) t/ - NI/M RYCKI ' .{St , G:1.:i`USE., P00i-roS ;t
OWN ER-'BUILDER-DECLARATION
W W I herebyaffirm under enalt of er u that I am exempt from the Contractor's /9.105 AR)LA CIRCU, 44028 EW: LHORN TR-
H a- P Y p 1 rY P LA QU.t l ll CN. 9`I?33 t1i,1ti'i L IsS£yit?'. CA`92260
U) License Law for the following reason:-
Z_ ( ) I, as owner of the property, or my employees with wages as their sole C91-4 1604
compensation,will do the work,and the structure is not.intended or offered for - - --
sale(Sec.7044,Business&Professionals Code). '" •USE OF PERMIT FIIIIIIIIIIIIIIIIIIIIIIIII
( ) I, as owner of the property, am,exclusively contracting with licensed - yOR SPA 48
contractors to construct the.project ,(Sec. 7044, Busihess &'Professiohals POOL ANUIE
C0 ()I am exempt under Section B&P.C.for this reason POO ' IU SPA Oiv , (NQ T P is1 % j-AiAt t1(:/. tr3rcCilt;Rv S! ALL ksl:IN
NI'1 A( }\I'N1tfi f'1 A.S'I't3R.I.i f54'.E;CY'it iId
O C\1
Date Signature_of Owner
rn
Z WORKER'S COMPENSATION DECLARATION
oZ IL
I hereby affirm under penalty of perjury one of the following declarations:
r - O O 1 have and will maintain a certificate of consent to self insure for workers' iaO%i1. ATvIXOR SAA 13, iv.00 1.S
X W = compensation, as provided for by Section 3700 of the Labor Code, for the
mJ Q performance of the work for which this permit is issued.
Q C) (J I•have and will maintain workers'compensation insurance,as required by
QQ Section 3700 of the Labor Code, for the performance of the work for which this
LO Il 0 Z permit is issued-My workers' compensation insurance carrier & policy no. are:
Carrier Policy No.
cb O I?,dk,&X7Z S 9N,`t. G)ROL N'20ON7.9 i y aS`e'a «f 'If's ;.$ i ST Oa MINS a a iOwl
Q (This section need not be completed if the permit valuation is for$100.00 or less).
J 1't.AN C'-kltr(::4 .'9YEf 1U1-1)041- ! Zlii S99AS
' ( ) 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 subjeet'to the. ('0W., "'SI SA tt0
workers' compensation laws of California, and agree that-if I should becomee'Iv : i. "--s Vii; $a`,f:Q
3 Subjeto the workers'compensation provisions of Seltion 3.700 of the Labor i l)vtittit I "1 tJL T. I03 Eire- Oa $ ,tsfi
Code, I shall forthwith comply with those pr 4sions
,Qa e: u u Applicant r /_TT., . : r _
Warning: Failure to secure Workers'Compensation coverage is unlawful and t .
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 i
of the Labor Code,interest and attorney's fees. t:.f "•;["
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 i7
q P P ST,I3-T(MAf,C.(:fNSf1iUCrf0N AN PIAN C14ECK tr 2
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. LESS Pili E-:'1#.IT3"IFEIES MOD
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 11Yii'AL PERMIT;4F'4!;F-S DU.F NOW $3.2$.45
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 rdpresientatives of this City to enter upon
the above-mentioned property for.i-nspection purposes.
// RECEIPT DATE BY="'; M+_ DTE F NALED INSPECTOR
Signature (Owner/Agent) ;/ - - ? Date
INSPECTION RECORD
s OPERATION DATE INSPECTOR OPERATION' DATE INSPECTOR
mak;
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
r Fireplace T.O. Fans&Co'htrols I
Party Wall Insulation Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall-Int.Lath
I
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 ��j•-@?p
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 I
Sub Panels
I
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp.Use of Power
I
Final
Utility Notice(Perm)
{
I
f GENERAL SPECIFICATIONS
I POOL SIZE I
'.i-N!"ERSTAND THIS IS A FINAL LRAWIN A RE-INSPECTION FEE OF $30
- .-. `:_ SEE THE ONLY DRAWING USED FOR WILL BE CHARGED IF THE APPROVED POOL PERIMETER
DEPTH �51
CUNS:i RUCTION. ANY CHANGES AND/ OR PLANS AND JOB CARD ARE NOT ON COPING
THE SITE FOR A SCHEDULED TlLrm CHOICE
MODIFICATIONS WILL NOT BE HONORED INSPECTION.
UNLESS ACCOMPANIED BY A SIGNED NO EXCEPTIONS! POOL CAPACITY p
PUMP CAPACITY ic)� e5,A_1 mm
CHANGE ORDER PRIOR TO ANY WORK BE1NG POOL PUMP HE IJL--rP7A
-00N FILTERAN AMP CLEAE Pill
FILTER RATE
®�T�
Z1�31oo CITY OF LA QUINTA TuRNovER APPROX. -4 HR5
- - - _
BUILDING & SAFETY DEPT.
RETURN LINE
APPROVED MAIN DRAIN
PORTABLE SPA (BY OTHERS) FOR CONSTRUCTIONSKIMMER MODEL PuA4- rokIr
FILL DEVICE
P/L
DATE3 � 00 BY HEATER
3'N`l`l +62 SHEER DESC +6AIN
LIG -
" TIME CLOCKt
28 ' O , ,
+ 12" �'K �
• �IM 'J H TO
11 ' 0" 1 ' SHEER!DESCE:NTPSL DIVING BOARD
A/C LADDER
+ 12
SLIDE
-------------
ROPE RINGS
ACCESS �*
DECKING Ec INo '
jL
RAISED BOND BEAM
I" - 8' -
4 ' 0" SCALF
ExISTIrvG r'ATIo SPA SPECIFICATIONS
SIZE -7-
SHAPE cu5roM
POOL EQU I PMENT JETS �+
RAISED
EXISTING I�SIt�ENG>= BENCHES
BOOSTER
THF_ 5TrpHF_N50N r-AMILY
-79-105 AP,30LA
LA al-AN-IA, CA
APPROVED BX
(760) 340.5521 THIS DRAWING R M INS THE PROPERTY OF SUNRISE
POOLS. REPROh
ul
PALM DESERT, CA WITHOUT PERMIDS CTN S PROH BON OR I�TED.RIZED USE j
L
CITY OF I_A nt IINTA
MAR 2 6 RECD
March 21,2001
13UILDII`4U .Aivt,, br• FETY
City of La Quinta
Building&Safety Department
La Quinta,CA 92253
To Whom It May Concern:
We would like to request an extension for building permit#0003-003, 79105 Arbola Circle,La Quinta.
Our Contractor, Sunrise Pools—Peter Hawley, has abandoned our job site and.contract. I4e has not been
on our property since May 15, 2000. We have a lot of issues with his workmanship and have made
numerous attempts to contact him by phone and by certified mail,but to no avail.
We have not contracted anyone else to finish the job because we are now working with the California
Contractors Board,and are hoping they will be able to help us resolve this situation. We would like to have
the job finished,but have left things the way he left them in case someone from the Contractors Board
needs to inspect the job.
If you have any questions,please do not hesitate to give us a call.
Sincerely,
Jim and Carolyfepenson
JIM STEPHENSON
79105 Arbola Circle
Sr.Account Executive LaOuinta,CA 92253
Consumer Products Division (760 772-7780 r
REYNOLDS METALS COMPANY Fax:(760;772-8806
httpJ/www.rmc.com jlstephe@rmc.com