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RPL (001371)52215 Avenida Madero 001371 LICENSED CONTRACTORS DECLARATI (commencing with Section 7000) of Divi and effect. License Class Lic. Numbbwer 11IF, 41 - Date, Contractor x 1 ""' C OWNEWBUILDER DECLARATION` I hereby affirm that 1 am exempt from the Contractor's License Law for the .following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of theContractor.'slicense Law (Chapter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code)or that heis exempt ,therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S50O.): 0 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 and Professions Code: The Contractor's License Law does not apply to an owner of property who builds, or improves thereon, add who does such work himself or through his own employees, provided that such improvements are not intended or offered fonsale. If, however, the• building or improvemnt is sold within one year of completion, the owneL:builder will have the burden of proving that he did not build or improve for the purpose of sale.). -0 1, as owner of the property,,am exculsively contracting with licensed contractors to construct the project (Sec. - 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License -Law.). -0 1 am exempt under Sec. B. 8 P.C. (Attached Certificate): Date Owner .r WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a' 'certificate of Workers' Compensation Insurance .'or a certified copy thereof (Sec. 3800. Lab: C.). . Policy No. Company 0 Certified copy is hereby furnished. 0 Certified copy is filed with the City Building Inspection Department or City Department. Date Applicant PERMIT APPLICATIONS f " City of La Ouinta Department of Building and Safety This permit becomes void if work not commenced within 180 days from date of issuance. OR, if work has been suspended or abandoned for a period of 180 days. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if ON: 'I hereby affirm that I am licensed under provisions of.Chapter 9 " the permit -is for one hundred.($100) o, less. I certify that in the performance of the work for which this permit is sion 3 of the Business and Professions Code. and my license is in full force • issued. I shall,not employ any person in any manner so asto become subject to the Workers'Compensation Laws of, California. APPLICANT NAME (L, F; MI) swqn Fools - ADDRESS ' 67-652 Ramon Road CITY/COMMUNITY/STATE/ZIPPa]ms CA 92262 922 c -, _ a. , ,F JOB SITE ADDRESS/SPACE 52-215 Avenida Madero CITY/COMMUNITY/STATE/ZI La ta': CA 92253 BOK - PAG PRC C Mech. Fee TWIN RNG SE 1 I S ?% TRACT LOT Elect. Fee _ MOD SB C { f, i1 TRACT NAME OWNER NAME (L, F. MI)DougD } • • , L ' [ CONTRACTOR•FIRM NAME applicant ADDRESS abovle CITY/COMMUNITY/STATE/ZIP above PHONE 0 320-'6996 ' LICNC ARC/ENG FIRM NAME ADDRESS ' CITY/COMMUNITY/STATE/ZIP PHONE 0 LICNC 7 " USE OF PERMIT Pool and spa BL" ZON FSB SSB SSB RSB OFC ' ZONE ORD LOT SZ END. SIDE Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or.this permit shall be deemed revoked. DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: 01 hereby certify that no excavation five (5)ormore feet indepthinto which aperson isrequired todescend, will be - made in connection with work aGthorized by this permit, and that no building structure, scaffolding, falsework, or demolition or Cismantling thereof, will be more than tKirty-six (38) feet high: (Chap 3.2, Grp 2, Art 2, Sec341, Title B. C.A.C.) 0 As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from that division. r. ,0 Division of Industrial Safety Permit No. Date Applicant CONSTRUCTION LENDING -AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec.'3097, Civ. C.). - Lender's Name Lender's Address I certify that I have read this application and state that.the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the aboGe=mentioned property for inspection purposes. Signature of Applicant or Agent Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read thisapplication and state that the information given is correct. I agree to comply with all state laws and county ordinances relating to buidling construction, and authorize a'representative of the City La Duinta Department of Building and Safety to enter upon the property for which I have applied for this permit for the purpose of making inspections. I A fore of AApplicant/urAgenf Date 1 Print Applicant/Agent Name /l APPUPRMT ,fl n l .171 IHS POOL Pernut to build pool and spa as per app plans. Mech. Fee 17.50 Plan Check Fee 60.12 • C'onst. Fee 92.50 Elect. Fee 12.00 aff Fee •O Phubing 18.00 TOTAL FEE 200.92 A09%9- • 5 BLDG.DEPT. 9 -- . VALUATION 12,000.00 NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & Ducts 2A Slab Grade 35 Furnace Compart. 3 Steel S S _ 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P.L. ❑ 43 Final 10A Fireplace T.O. ❑ OP N NO. ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final Tank Pit L. Line ELECTRIC APPROVALS REAR OF PROPERTY LINE P/L P/1 STREET NAME 26 Power Pole 27 Conduit 28. • Service Entrance 29 Wiring 29A Grounding Wire®s 11/ 29B Bonding S 30 Fixtures 31 Service 32 Final 1 4-6 V- -.i- `•1 u -I Al. OYER/OWNER/S AD'DRIESS CI1Y ffr'i. jCONTRA 7, DATE r lS w Y t vY ins{ +. ,;• . •,. ? t ;r 5 gwsv t ,k't3,r x... _-' __-._..__.. _....... _.._.. ._ --- ------_.... __._...-'--- - -- -- ----- --- J{iti fyfaONE.. ,k„ .41 MAP 'r MAP BOOK PAGE LEGAL DE"r RIPTION _ l.01-TRAl;t' ?Owner and Contractor acknowledge that FAL Vii''! < U'I"f-i(Jr I yXrioi\j they are responsible for the following: Contractor/owner t Fence Removal by ' Fonce Replacement by Tree Removal by - - - - - - - - - - - - - - - - - - I - s 44 it ,r y Tree Hauling by - - - - - - - - - - - ---- I 'Decking by ✓ -_ - - - - - iExpansion Joints by ✓_ _ _ - t- `TRetainin Walls b - 4 y ' Soil' Re orfs b -- - - - - I - r r. Deck Drains b -- -- Fencing by - Gates by • s 1' SALESMAN MUST INDICATE LOCA - - - - TION -ON THIS SCALE DRAWING OF . `ALL•'ITEMS LISTED BELOW AND THE t FOLLOWING MUST BE'• ACKNOW - - .LEDGED BY OWNER. IF THERE ARE - - - - -- --_ - _- --_ - - - -Ir - f < ANY CHANGES.FROM LOCATIONS ON - - - - - - - - - - - THIS DRAWING THERE WILL BE AD - `:DITIONAL,CHAPGES. - - - - -L... - - - - - - - - - - - - ? - 11 r r, 111 r"Sha a of Pool y ' K r, • r K idt . Minimum Lan th:=Maximum,- - --- -- --- - - - -- -- - -- -- --- - - - 7 r. en th inimum - - - - - - -- - - - - - -- g I - r - I' a A fi a#.Depth Maximum - - - - - - - - - - - - - - - - - - - - - - - - 5 Det Minimum R i iter ••ocation - n win Boar Location'- :: i 11 a ocation ts; eater Location - j - - - - - - - -L.. - - - - - - - - - - - - I r ec ing ocation - - - - - - - - - - j f Ly imrtier Location - rep Location 'C:) • ' ' ' % • 3 _ ^' £* hapeo reps' --- -- -I' - - - - - yD - -- -- - - -, - - _--- -- - --- - Access Dimensions -- o '•;Taps Toes o Slopes "' f `' it '' C7 - -- -- ------ ----- --- -- --- -- -- - • - '` lFet aining Walls 3 Truck Load Point.- Covered jlettric Box, ---- -- ---- -- Hose Bib - - - -- - ,. i J Q Q_ - -- 1 -- 1•. ' }Distance col from o e A _ - - r - - - --- - „ vHouse &Pro :Lines' t - - ' 11 _ r... E C Prop: - - y ver ea Utility ines_ ✓ _ E:r.l ui-J F. 77.. xisting' tructure or a I " ,(_ 1 ti • 1 1 1 -j " '•a —._ 1 Proposed Struct, on Prop.. '- ACCESS`¢ DAMAGE OR UNDER ROUND _ _ -'1 _ ,t V, t QCONTRACTORp will not assume -- - - - - - _ ,z .x s - r ►esponsfblllty for t}etess damage such as. Q - - - - - - - - - - - - - - - - ; 7, t t • liamtege ,t0 CUrba;';'sidewalks. driveways, - - - - - -- -- - - - - - - - - - - - - - eerWont eliba, sewers, lawns, trees, shrubs. _ _ ,fenitee 61epAone or other utility lines or t. rer0Uling`cf;eny overhead or underground 7.;3' . pr%s Dipes, Conduilii or drainage. Customer - - - - - - - - - - - - - - - - - - - 'werfanis.,,Bll locations on this drawing are - - - - -- - - - - - - - --- - - - - - - -- - - - • ,5 • wlthln.tA01r properly lines... When access is t' "' medethtough a -neighbor's property, it is - - - - - - - - - - - - - - - - - - - - -- - - - - underptood chat y0ti, the owner, have. that - - - - "' - - - - - - - nolghbor's,,permission and assume .lull { .>9"o.sibillly. NO; soil, rocks, debris. etc. r - - - refri0ed or brought in except on Excavation • - I a , 5 ry 640.w.% i is -7- JH a ;THli :CONTRACT PRICE IS BASED, f a y; ONqq,?'THE,: FOLLOWING . MUTUAL' i fry' _ _ _ _ _ _ _ s ' 'AS511MP,TION' OF FACTS: '' t r; _ ,That the alle+has adequate hearing BDaelly•,Contain0no fill ground, no hard r rock lormeti_n:or boulders, contains no + ' g-, A v- ­- Ce!lpoolil . 6eptlC` tanks, underground - _ sa ! _ « , _ - _ -_:' _ _ -_ _ _ _ _ _ ' R 611(Ity line"" other obstructions, that no Undeigrt' nd or?,ebrface water conditions .' C" ,• ' r. - - JI Will'Interf ire wllh`the work of operalion of r t - - ;A th@;completed Slruclure, that no blasting or - ,lack hammer work -is required: that trucks _ l ,and power equipment must have access to ;the site and that silo access is adequate and iubstdntial endf•t'.warrant that there is y - --- - - adequ8le electrical and water supply avail- _ ' :iAble on the propeity for construction pur• - _ _ _ _ _ _ _ poses. Contraclor shall no; he defile for ` W. flotation of pool After gumtiny Caused by external water k',! • - ,••° f r}l!,rading m; pool area. only, limited to _ - _ _ I _ CUlYLOf1r 0 be-fesponsible fur ddelrenvima• ` 110 •o1 poor elevattiio and ss ed aur., a beyond r f• , pea a acrd . again Cracking, checking; + _at raising. detlflnp' or' discoloration. Plaster` - - - - _ _. _ rdeeking Wefkb end decking ire noP 1 la.,rtof„ guaranteed; against dis oloral,on, y s ' stalgtno, checklrip or cracking, Such piastiir } defeete generally result Irom Local water ondltlons;;lmproper use bf•chemicals, orL LL n ck;`.cf .or. Improper cleaning ol, the pool.' _ - - - -'- -- - - i ny:•walls or grading not specifically on ty. ontCr'nttector AIablliIynfor variance in _ _ - - _.. _- - --- -I- - - - - - - - - _ - - _- - - - - i i_ . 7 - of site shall be.lim,ted to $3 00 a squ, atit , 'fool., Shou10 aetlons of• customer delay Constroctiorl,°.any additional costs incurred _ -. _ _ __ _ _ - _ __ - - - - --• •• _. , L:Y a , jK r 1 4 t '• y bVtontracto/ due to such delays, shall be r lbwrie by customer; (s',plan:authorizeIion, in conjunction •,., w Wine contract; constitutes the entire .agreement ollhe parties. DEEP t r d b r l 'a1 )t 'APPRO S AN AND _ - - - - - - - - - - - 8 S I, • PECIFI IONS:, S ITLINED -_ Efto S .,4.r itr 1 i' '/ - - - - - - _ - - - -t - y. - - - - - -111 _ €•" a H llO 4 R INr° A F1.HA f,E EQ A _ - + , r{ est END `Wrt;r ' t .. T.. PLA --s' y , - - - - - - - - -•,-• - -i'- -'I•- - t- '- - W ' 4P, } 1 n IG U.E-fit7xp Nf rrll I CODE' ` li 5 w'• NEAREST $; ( IONATURE 1. ❑ NOst eltl ELEV. PT. t 4 atei iq;Y r PUMP FILTER NEATEII I I f i .ti {ttfra tl:a e e Q SxIMMFR LAOUEII lf r QJwan alesman cAs EkEC. State License No. 421014 5. _," ,.. ••! .!".r ... .r:,.:` METkR ME TEN .t °.., F r-+,t: .