RPL (9608-065)78735 Maracas Ct
9608-065
LICENSED CONTRACTOR DECLARATION
CD I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
N W Professionals Code, and my License is in full force and effect.
Z) co License #, , Lic. Class Exp. Dat
C) Lo i 1744
WrZ Cr
T
t`
Z rl- Date Signature of Contractor
Tpl
OWNER -BUILDER DECLARATION
W W I hereby affirm under penalty of perjury that I am exempt from the Contractor's
~ D- License Law for the following reason:
Z_ ( ) 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).
co () I am exempt under Section , B&P.C. for this reason
LO
N Date Signature of Owner
ON
tT
Q WORKER'S COMPENSATION DECLARATION
p Cc I hereby affirm under penalty of perjury one of the following declarations:
Lo p,- () 1 have and will maintain a certificate of consent to self -insure for workers'
X w = compensation, as provided for by Section 3700 of the Labor Code, for the
O J Q performance of the work for which this permit is issued.
m Q U ( ) I have and will maintain workers' compensation insurance, as required by
Q Q Section 3700 gfttF eyzLab or Code, for the performance of t ,,y rk: ,for which this
Il 0)permit is issued. My workers' compensation insurance carrier & policy no. are:
,It Z mer Policy No.
cb Z
a
J (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, I shall forthwith comply with those provisions.
Date: Applicant
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 authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
Signature (Owner/Agent) Date
PERMIT U CONTROL#
BUILDING PERMIT 3 0 3
DATE 9 6 VALUATION 1 ` "o LOT TRACTSSS-.4 9
JOB SITE %8-136 IN KAC l'is CSC.
APN a4b-W 0-011 i
ADDRESS'
OWNER
CONTRACTOR/DESIGNER/ENGINEER
Fllit, 01At,3l;t ll:'1'CaNt
MIQUIF .K- X)t,513Y CARMINE
78735 MARACAS (:1'
7.4919 Vi? AHMAY #I
LA QUIWA ('A 92253
MAW D Siil F CA 02260
icil l't t1i ti3 S CE11.# I:it 6
USE OF PERMIT
Nf:KA, ANl:ut. k SPA
P001. ANI) Sf'A ONLY
i..4"iTMF'a'.1 EM COS i M C.ONSTli13C'HON
12,5110.00
P1t',R1N11T FPA,'S1l 11P'1/4RV
t_014It'M(t(;TCTON Fl -:f; 101 -WO -418 -WO O $14COO
T !Si4: '.A*itC'AL FFX -- K10L lL 1J..TJ !21.00.
isifaC:i'IiTCAi.I' I' f's--POOL 101-000.420-000 $45.00
J)1A 4H(NQ Kill, -- Imo( t[, t0i-ilfli?-41i>-t3{itl $27,(k)
SLID-'IULU CONSTRUCT ON AND PLAN 4ClIECK.
I 1; +a I iCL'i k ll1 {'LC.a
$0.00
vol' 1t. YERIMIT fi+'1•"ES Di/k;N()W
S240.00
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 Wali Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Under round 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
COMMENTS:
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)
LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 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
(:53 ZIINY47
ate 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.
1(6 1 have and will maintain workers' compensation insurance, as required by
Section 3700gqf=�t e, Labor Code, for the performance of the .work for which this
permit is Is°s�iea 4"workers' compensation insurance carver po�icy no. are:
Carrier Policy No. 142.3'735--9,k,
(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+370E
othe Labor
Code,,) sha(l forthwith comply with those provisions. f,
vDate: ,2 Applicant r ,e f /
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 authorize representatives of this City to nter upon
the above-mentioned property for .inspection purposes/
•.
Ignature (Owner/Age t) /� X ZignDa
PERMIT # CONTROL #
BUILDING PERMIT �M0614
3883 ,
DATE iIr]yl s VALUATION �e><I_W.(N) LOT 9 TRACTSSS-Z
JOB SITE %A -79S I1]!�►]ir1Ct1S C' ].
APN 546-054-0] 7
ADDRESS
OWNER
CONTRACTOR/DESIGNER/ENGINEER
III1IL GIM-IFOItlU1413
UNIQUEi i'OOLS BY CARMINE
78735 MARACAS C"I'
74818 VELIE WAY #!1
I,A 1?I tTrA CA 92253
VALM DI;SPI(T CA 92260
(ril��j3dC+-� t5 CiiT,;f 1166
USE OF PERMIT
III XA, ANIPOR SPA
I OCA, AND SPA ONLY
UN"]'UNIA'1'ED COSTOF CONS'fd:UC-FtON
IZ,."0.00
IfERI4II f• FEV. SilMMA10*
CON4'I OtCrION FIX- 10144-418-000 SI44.00
M-C'HANIt"AI F01 •- P 01, !0I-()() -112.1-M E'14.00
-_
LlEC" RICAI. FUN -- P001. 101-M-420-0000 33t.tk?
W _
PLUKIBING FEE -- fYX)L 101 -(XX) -,l19- 00 $27JW
n
.
C
I Z�
CSD
Cn)
SUB-T(YrAi. CONsi'}tUM— TON AND PLAN CHECK
$2,10.00
E,13.9S IRE: -PAID VRE:S
$0.00
' (YUAt. PERMIT I!EEN 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 Pibg. Test 1(41
Final
Gas Piping 14
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Neater 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
Underground Conduit
Rough Wiring
-Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
.A
PARC, LA QUINTA Ha4B% NER.S ASSOCIATION
AVAIL PROPERTY MANAGEMENT
P.O. BOX 1032
PALM DESERT, CA 92261
I' (619) 568-2717
t
Parc la quints
August 15, 1986
City of La Quinti
'.a Quinta, California
RE:Mr. & Mrs.'. Phil Gianfortone
78735 Maracas Court
La Quinta, Ca.
TO WHOM IT MAY CWCERN:
Unique Pools has been hired to install a poo]. at the above
reference location.
The Homeowners Association approves of this installation with
the understanding the side .call/gate will be re -constructed
in the exact location ,`.rom which it was removed and with,' --the
same or similar materials.
Further, Unique Pools will clean the debris :`.ran sight each
night before leaving, and no heavy equipment will be left visible
to the street.
Should you have any questions, please contact this office.
Sincerely,
Cam Anderson
Project Mgr.
T4t�t 4 4 Q"
/� P.O. BOX 1504
Building 78-'735 2a`31'aA ct, 7&105 CALLE ESTADO
Address LA :�UINTA, CALIFORNIA 92253
Mailing
Address .68-713 Perez Rd. 0 1
City Zip Tel.
Cat City 92234 1 773-9024_,
Contractor
Address
State Lic. I City
& Classif. 337077 Lic. It 1219
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
700th of Division 3 of the Business and Professions Code, and my license is in.full force and
effect tf - ♦M �4s�+ i t i is `7
SIGNATURE F` DATE
OWNEWBUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5.Busiiess and Professions Code: Any city or county which requires a
permit to construct, aRer, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to Me a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Lyvison 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
sutyecls the applicant to a awl penally of not more than live hundred dollars ($500).
❑ 1, 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or irprovement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of properly who builds or improves thereon, and who contracts for
such projects with a contractors) 8censed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. '` ^
CERTIFICATE OF EXEMPTION FROM l
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ anyperson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
N017CE TO APPLICANT: N, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply wiM such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is abuilding permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives .of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 05941
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description shaft III Lot 9
Project Description Flan 2004 Parc La Ouinta
Sq. Ft. 2���
Size
No. - No. Dw.
Stories Units
New:@ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
102,026.€ 0
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
• j
Const.
55
Mech.
e
Electrical
Plumbing13-13.50
S.M.I.
7.21
Grading
Driveway Enc.
Infrastructure2295*59
TOTAL
3823. ".r,
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date 6--15--89 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
B GRADE
2ND FL. SQ. Ff.
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEQUIP.
DRAINAGE PIPING
CAR P. SQ. FT.
WALL SQ. Ff.
GROUT
DRINKING FOUNTAIN.
SQ FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
=$
FLOOR DRAIN
MECHANICAL FEES
g
FRAMING `/ / y
fe
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING:
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. Ff. ® c
BATH TUB
a' ✓
LATHING
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PL MBING ELECTRICAL HEATING & AIR COND. SOLAR
��
S ACK
OUND PLUMBIN161 UNDERGROUND
A.C. UNIT
COLL. AREA
B GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCK STORAGE
OLIND. REINF. �
/J GAS (ROUGH) 1 /_� METER LOOP
rr I !
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
\
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
=$
LUMBER GR.
h
7/) AL INSP
/ —$7y /
g
FRAMING `/ / y
fe
FINAL INSP.
ROOFING
*
///v
{ / • �� •� v ` _ ` r
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
a' ✓
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL