Loading...
RPL (0104-007) + PAT (08720)49070 Marimba Ct 0104-007 08720 T_ : r 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 4 pp ( A Signature of ContractQ1,1.1, f I hl 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). ( ) 1, as owner'of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). I ( ) I am exempt under Section B&P.C. for this reason Date Signature of Owner . IWORKER'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. (! I have and will maintain workers' compensation insurance, as required by Sect& 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. STATA FUND (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 provision% of Section" 3700 of the Labor Code, I sha I I Nwith comply with thoseipro risio s - D fe: ApplicantJ. • /Warning: Failure to secure Workers' Compensation coverage is unla shall subject an employer to criminal penalties and civil fines up to $10Pfet n addition to the cost of compensation, damages as provided for in Secti 6 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building an for a permit subject to the conditions and restrictions set forth application. 1. Each person upon whose behalf this application is made & each p rson a whose request and for whose benefit work is performed under or pur uant to any permit issued as a result of this applicaton agrees to, & shall, in emnif & 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' Ignature (Owner/Agent) `-' '` Dated f .. f ! .t. .l BUILDING .PERMIT PERMIT# DATE `t ' VALUATION LOT TRACT TRACT JOB SITt—✓ I ` I APN OWNER I CONTRACTOR / DESIGNER / ENGINEER to P t f T &.a VA (,ATI€ N FC?OLS. -0" tl i JS1e Ai. yCTT14: 952 )!3C?NALMON IM ,LP,,(jMmA CA 922253 LUMMEVAFet,. Y C. 92356 (76q)?46,6045:ER, 4335 USE OF PERMIT k'OGaXdPA 1,It,RM.N/ 3-AR;3.; 993SKAI.f, PSE" IN AB,,, XT, AT Pf:&? Pi.A:L,`TPP. PtiTOPEC ION, MOLT BAQU"tP,P EXT n, CLOS XF,6dOT Wd.`'611DED. POOL'ANWOR SPA 15190.00 vN ANTn"IFED MST 01" CON&MUC7120AN.. ` t JiS Fd t It' >y W4,6MAWt MAN C'116+:Cr.'IrTA 0),-000-4339418 C0'H,'Fv'TRLICT1ON FE8 101 -000-418-000 $162.00 T~dIWHANIC:,t' L FER -- POOL 101-000-421-000 4144.00 P1.1VM BMC9 i ' d _ POOL ' . 101.000.419.000 $27.00 APRT 3 2001 D CITY OF LA OUINTAMf.F3• °C r-C-OIF.J ",$ L1t";170 ti$ , PL"C 1-Tf+./X. FINANCE DEPT LESS FRX-PPM M 3 110TAL 111f mlff-r RIM DUE 110W RECEIPT I DATE , I i I BY9. . - - I DATE FINALED INSPECTOR .Ils6il'li0.00 $361,30 $0,00 OWN) 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 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 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) COMMENTS: 5 e Y VA CATION POOLS & SPAS 9522 Donaldson Road . Lucerne Valley, CA 92356 a (760) 248-6045 9- (760) 248-2919 FAX • 5 Lic. #C-53-351673 Sales Locations - • . , • r _ Bermuda Dunes, Irvine, $ N California City,: Rialto, Lucerne Valley ®• - 1 800 999-1811 . G SPECIFICATION SIZE X S AREA PERIMETER DEPTH I TILE CHOICE SQ. • P, RBB. ' 00u)I ( COPING - POOL'CAPACITY GALS x l PUMP CAPACITY GPM MOTOR HP HP' - -V - /Ci/N (/'T MOTOR HP HP k\j_ - _ ' . (' aC _ Q (j' FILTER SQ FT FILTER RATE GPM Q HEATER SIZE BTU TURNOVER HRS 0 r SUCTION LINES A REINSPECTION FEE Or 4, RETURN LINES GED ' E SKIMMER MODEL WILL BE CHAR IF THE APFkOCHECK VALVE PLANS AND !OB CARD.ARE NOT O: EDUt-SCHEDULED t GASLINE BY. FT. THE SITE FOR A SCH POOL LIGHT CLOCK INSPECTION. ELECTRICAL BY FT. • J. AUTO CLEANER CHEM. FEEDER CITY OF LA.QUINTA PLASTER DECK BY COLOR SQ -BUILDING & SAFETY DEPT DECK TYPE t APPROVED STEP' FT. FOR CONSTRUCTION SPA SPECS. V' SIZE RAISED LITE WATTS I (A , DATE 0 BY DUAL LEVEL SEATS q-) t DAMWAL' L DAMWALL TOP SPILLWAY.SIZE X .WIDE DATE SPILLWAY CONTFACTOR cannot assume responsibility for #JETS damage to cubs, sidewalks, driveways, cement r slabs, ewers, lawns, trees, fences, retaining walls, - sprinklE rs, telephone.lines or shrubs. Name: When z ccess is made through a neighbor's property r it 'is understood that you, the owner, have that Address: ` neighbor's permission and assume full responsibility. 1. - a I DATE SIGNATURE TRACT LOT# P.O. BOX 11504- 0.' 4087:20%, 20. i Building 78-105 CALLE ESTADO Address . 49-070. Marimba . Court LA QUINTA, CALIFORNIA 92253 . Owner .. _ 4 "'"" .. '" 4 ' BUILDING: TYPE CONST. OCC. GRP. Mailing' '" - y. Address- .49-070 Marimba Cts A.P. Number ' City-ZipTel. _ ' t,a.Oun 1.92253 564,-283 3 Legal Description z - r• Contractor . Project Description P3`-AxD %-lL=T" ' ;. Address City Zip Tel.: State Lic.' City & Classif.: • Lic. # Sq. -Ft. r Arch., Engr., , • . ' t Size Designer, ' _ New ❑ Address ; Tel. City ,, JZip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION"!. I hereby affirm that I am exempt from the Contractor's License Law for the following ,.reason: (Sec... 7031.5,Business and Professbn`s Code: Any city o1 county ,which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior Yoits issuance also requires the applicant for such permit to file a signed statement that he,, is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing. with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt .therefrom, and the basis for • the alleged exemption. Any violatiifn of Section 7031.5 by 'any' applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). ❑ 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, 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 improvement 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. (Seca 7044, Business and Professions Code: The Contractor's License Law does not apply to an ownei of property who builds or improves thereon, and who contracts for such projects with a contracfor(s) licensed pursuant to the Contractor's License Law.) • 0 1 am exempt under Sec. r B. & P.C. for this reason.1_' Jr } ( Date t - , f 2 Owner 1, s A to iA rY 1 . - 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. O Certified copy is hereby furnished. • ' CERTIFICATE OF EXEMPTION FROM 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 thg 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. Date • Owner 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. 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 a building 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. I 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 jk." - ... +, ♦'. -•`' Y. .; - 'tSj`1 ,fly . T.' .. No^ 3 P! Stories No.' Dw. Units Add ❑,1 Alter ❑ Repair ❑ Demolition.❑ .. - is - .• Estimated Valuation: PERMIT '' -AMOUNT Plan Chk. Dep. Plan Chk. Bal.' Const.'- Mech. Electrical «, .Plumbing - S. M. 1. Plumbing-S.M.I. i •• Grading + Driveway Enc. Infrastructure TOTAL REMARKS ir.' xJ.'•.r.rh f't'R 1"[F5'3.y'iSl14 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 a ' INSPECTOR Issued by: 'k Date Permit Validated by: `• Validation: 4 `i:/'"' .x li '' %"rf . , 5 T1-: G K'i j ••a• -. 3 7,!-b-tic 1} d-. •M Vr`} L ^. t -a may-'? - ' { y. r ra,:'i =~t_ '.. t-•`- `•'.'" .v,.;..+* x,,r,,4 a•wa _ Z, _, ...: ," A >. ir2 .. , 5 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER REMARKS: 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 PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REIN GAS (ROUGH) METER LOOP HEATING (FIN 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. FL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION —( _ Oil C CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL T4'ht 4 4 Q" P.O. BOX 1504 Building49-070 Mari=ba 78-105 CALLE ESTADO Address - LA QUINTA, CALIFORNIA 92253 Owner A 4 Bar Con .Development Mailing , Address 68_713 Parea Road _ CityZip Tel. Cathedral City J92234 1 773--9024 Contractor Zip . ITel: State Lic. City &Classif. 337077 1 Lic. If 1219 Designer Address I Tel. CityI Zip I State I Lic. If LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7(100) of Division 3 of the Business and Professions Code, and my license is in full force -and effect. _. _SIGNATURES - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, after, .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 the Contractor's License Law, Chapter 9 (commencing with Section 7000) of EMston 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 subjects the applicant to a civil penalty of not more than five hundred dollm ($500). ❑ 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, 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 improvement is said within one year of completion, the owner -builder will have the burden of proving that he did not build orsnprove for the purpose of sale.) ❑ 1, 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 property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 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 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 NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Corpensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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, Civil Code.) Lender's Name Lenders Address This is a building 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. I 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. 04924 BUILDING: TYPE CONST. 0 OCC: GRP.- A.P. Number 'dart ,La qa ata Legal Description Project Description Plan 2017 " Lot 43 Sq. Ft. 2017 No. 2 No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $102,026 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. $ 368.85 Const. 440.50 Mech. 4 2 . -0 Electrical 79.50 Plumbing 94.00 S.M.I. 7.18 Grading Driveway Enc. Infrastructure &5295-59 TOTAL $3,327.62 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 32 Tj PBS Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS B GRADE i,Q ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) % rir'/ METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. Q. FT. ® GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN SQ FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM 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. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac 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 PLUMBING ELECTRICAL HEATING & AIR GOND. SOLAR 10 S517BACK R D PLUMBINGZ UNDERGROUND A.C. UNIT COLL. AREA B GRADE i,Q ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) % rir'/ METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING LUMBER GR. FINAL INSP. O vz cu. yd. FRAMING 7 Z FINAL INSP. $ -Plus-x$-=$ ROOFING r REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING -7 3'/ MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL GARDEN WALL FINAL a7 V_d 7