Loading...
CP (9804-026)78450 Magenta Dr 9804-026 LICENSED CONTRACTOR DECLARATION _1419rebY affirm under penalty of perjury that I am licensed under provisions of }Chpter 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 a 4.i 2 f A ' l ?9 at /_ , _, ' Si nature_of Contractori'j - . fi - _ 9 - .+ 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. SK) ' 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 . Policy No. 3 iFT 1:v 12426 79,97 (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,r shall forthwith comply with those provisions.. %` f JDate: Y' Applicant - r ®P O 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 authori ek representatives of this City to enter upon the above-mentioned property for Inspection purposes. i Signature (Owner/Agent) f. `t .*. r._ ( /e f Date r BUILDING PERMIT PERMT# °°NTR°`# !I?i 1►4- 9 c. ,x• DATE VALUATION LOT TRACT 7 019 41 J., 5dltta,7; 3fb.die3 . JOB SITE ADDRESS 78-45+01iIA1GENT A WRIVE APN OWNER CONTRACTOR/DESIGNER/ENGINEER S TEVE.0,00SON C ONS- RIIIJtMMUNI 79233 INJOIGO DR 73-011 CC NTji'YCI.OB DRIVE, 911. F4 LA QIF,CPJ'1`t1 i. A 9'2.25-3 ' PALM 1;)E -SE C Cid .1)2-260f /ii)3 4 2 c;13:i. 1.0114 USE OF PERMIT 1V50t MiD SIVAON . 11+t:PI.AC1 rCll11*1.:Td .lJ,taCAP / i'REVI,.A.TfER1'N'h.PEC ".i.t'.C,. 'N. PR 03 199P-:1 OF QU'INTA. 101:9 ANIDI R SPAS fir, =90.d© if CITY .UMA1EDCOSTt3F CON;E3TRsJM. t ky P ANCHECKFIXS214.50 . t`(RNSTRUC,'1'XOIN Fo--"". 1111-000418-©00 $334).41l(11 Cv ECHA€ aWA:{:,1='1~13 -;T .P90i:, 1011-000 421-000 ELE.CTRICA1:,'FE SPOOL '1(1.1-0(10.426-1100 545,00 1'sL1JMii)t+G H•13.b POOL. 101.-000-419.000 •0.74y3 l .:l Sf'.;1 .J' .s\✓:,Y 1. ; '.b t.+''\.l Y,LO3Y X D FGK •1`64.50 1::155 't'£ '!~-PAit)'t EE;S' U6 T0*MT,1?k1NT1T FEES DUE NOW 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 & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs Electric Bond , Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test - t(g - 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 Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole t Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Wilityy Notice (Perm) COMMENTS: r N ( I 1c,4 7-1&.. OF V Wa 094r) City of La Quinta Developers Project Approval Form Prior to the issuance of Building Permits for the project listed below, the following Departmental clearances must be obtained. Please return this form to the Building and Safety Department only after approval. Contact applicant for resolution of conditions preventing or delaying approval. Project: Common Area Pool Palm Royale (Magenta Drive, plans with Christine) Applicant Contact: Colin Spring, 360-6313 ApplicatioCirculatio ate: 25 Date Commum evelopment Department \1/ Christine Di Iorio, Public Works Department Manager 31"5-b 8 Date Steve Speer, Senior Engineer Date Building and Safety Department Mark Harold, Building and Safety Department Manager Date Health Department Date Fire Department Date Schools Fees Paid Date -4M Lu 09 or) FJ 6, ; _. i •. '- •. ;ate •- . . ;_ . • `i is 78-443 dft 78-4 '18=447 . • .':: - — * 1••r w • Food: 7$ 450 MAcaE as • - — -- — • :: ` SRC SI+T • v P b -435 78 -433 .w.— www• ID -IL 78- 31 "+ 76429 #29 • , '15-427 I 76- Z3 car -gar. / — /78-419 _ TAMP owgR ' •.' w w M All OB 1 •1 /78-413 — r •: 78- 78 4o5- 19 -403 057g-403 1 t SEP -10-98 THU 07:49 COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH SERVICES 1rn % y ,l C' rn vy T a SUPPLEMENTAL REPO. -IT TO SAN. FORM # DATEZt SUBJECT PERMIT NO. ADDRESS INSPECTOR REMARKS: -c,- A bA - \ro'CU A )1-1 r. lik 1NDIO ENV, HEALTH FAX NO, 76086*038303 P. 01 Distribution: WHITE—ofict); CANARY—Owner; PINK—Of lce e r lINTY OF RIVERSIDE HEALTH SERVICE,, GENCY DEPARTMENT OF ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH SERVICES SUPPLEMENTAL REPORT TO SAN. FORM # DATE , 41 / v. SUBJECT ,- ! i ,. , f - • • , , PERMIT NO. ADDRESS REMARKS: '7 INSPECTOR A 47 - VIA. . i .,< i L; I r 7 + r ! DEH -SAN -1 18 (Rev 2!96) Distribution: WHITE—Office; CANARY—Owner; PINK—Office ` 1-4 DEH -SAN -118 (Rev 2/96) . Distribution: WHITE—Office; CANARY—Owner; PINK—Office NTY OF RIVERSIDE HEALTH SERVICE..GENCY DEPARTMENT OF ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH SERVICES SUPPLEMENTAL REPORT TO SAN. FORM # DATE SUBJECT cl PERMIT NO. L ADDRESS ZC) t INSPECTOR .REMARKS: _&l. j., _7 1 [A r 1 4. I / r A A,n r (A `f)Aa; DEH -SAN -118 (Rev 2/96) . Distribution: WHITE—Office; CANARY—Owner; PINK—Office Certificate of Occupancy City of La Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: 78-450 MAGENTA Use Classification: COMMERCIAL POOL/SPA Bldg. Permit No.: 9804-026 Occupancy Group: N/A Type of Construction: GUNITE Land Use Zone: RM Owner of Building: BAY CITY ESTATES INC M Building Official Address: 78-233 INDIGO DRIVE City: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: 9-17-98 POST IN A CONSPICUOUS PLACE