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RPL (0311-145)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 Ex r Date 779165 A D FIX4 � 5631/04 Date �� 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). r O I am exempt under Section B&P.C�forjrthis reasoh 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. ( ) 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 r Policy No. STATE, FUND 10,0467-2003 (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: ' i / _ 1 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.-forlfinspection purposes. Sig re (Owner/Agent) 9 � Date BUILDING PERMIT PERMIT# DATE (E ' VALUATION LOT M 1-1445 TRACT JOB SITE APN ADDRESS 79- WSROR lYRIV EAR' - - IOWNER L \II.Z. AMWOR MU0. 'F1A1t.TIFR 7941 "0,01C314 DRf VE, EMT I USE OF PERMIT CONTRACTOR / DESIGNER / ENGINEER CANYON VIEW P007.401 229` R TAMAMtS,TRD PAi:M SPRNI 1233 t.".•A. 92262 (760076.2700 CIBL49, 29`11 POOL, SPA, Fi8Q (ATOS =3011 10 LK 5' HLOCY..''WALL, CITY STANDARD ALAN,Ib1SlJ9ARRIERIS SHALL Bir IN PLACE Kf PRE -PLASTER, 1HS1' V_C1110X 5 1?T. VMJU, 10.0 V POOL A14010P, SPA 7A,7M.w. U PERMIT ]VEX SUM&MY PL&I CHECK Fr.E 101-000-439-318 $168.03 CONS1,RUC110N FEE 101-0004118-000 $48.30 rr:2AiFOAleRE•-POOL 101.000-421-f)N $24.00 Zl:.;°.L"TRICAL ME POOL 101-000-420-000 $45.00 1LsLi'F�sF,;2�iC1%r�r $27,00 IP7NOV 19 2003 CITY OF LA QUI—NTA SIM-WrAL. C,ONSIMUC TION .AND PILAW 011E `X 5,000.50 $0.00 TOTAL PERYEf NOW RECEIPT DATE BY ATE 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 Root 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 steel POOLS - SPAS Set Backs Electric Bond Footings Main Drain Bond Beam — Approval to Cover cQ 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: ?i P/L GOLF COURSE sod spa set @ a-18" 9'0 N v N six back jets m CD CITY OF LA QUI NTA ,cco ext. r = PA sod w BUILDING & SAFETY DEPT. APPROVED - FOR CONSTRUCTION ` .�' Q 1o's° ben6 .6 T I –' 9"�BY 10' baulder spillway m � E V' 6.. W - pool - N m rella sleeve 24`0 w - m EXISTING 5' -9" wl 350 _ '6� PA � ep ta"i g ledge BLOCK WALL VQc 3' --- --12'6- - - - A e "steps l 6'RISERS r /L S ! / ! PA 32'0 35' 0 EXISTTM 35'111> BLOCK W, sod deckingZ PSLOPE 1i SLOPE 1% ��2'.7 37 9 m L /— 20`0. (' / LyT4 m - w . rains c z .aa3o pA sed patio } L- 9� j TO EXISTIN6 TO EXISTING _./18'6 --- - - / - —'-_ - DRAIN DRAIN elect. � s� POOL BOSS �, }5' BLOCK CONTROLLER j WALL tO LF GIE D POOL WOODEN 6A EQ 35 HARPER RESIDENCECD w 79-718 MISSION! DRIVE EAST A r LOT 54 ©�� 11/14/2003 13:53• 7603469918 DESERT RESORT MGMT .'PAGE 01/01 till II h • a;.tf.�"Ik.ii:illi'I;jl'ii�'dl�nl{,j�1i11��i I�•�� i '��:�/:�,���,,,.•„1,t'1''•.i.,kii..'�i�ihb(,1,..�.'..,';!r �.'�nl„ J�rir.' !,4 ri,„rl ,u!u,Ij,ill�l`�'.q 11111(rtIr I ,” 1,,, ;i : ':'�• ; r : l . :11..(1,I..!..TIiNi 71!IOII� November 14, 2003 Harper Residence j 79-719 Mission Drive East La Quinta, Ca 92253 Re: Pool, Spa and BBQ plans The plans re-submitted for the above address were reviewed by the architectural committee for the Master Association for Rancho La Quinta were approved on 11/13/03,. Please proceed_and•when you are complete please fill out a Notice of Completion and , bring to m to gin the process for return of the construction deposit. Sincer .Y, Leann Assi Community Association Manager Master Association for Rancho La Quints t Cc: 'Canyon View Pools fax: 320-3667 t - V P.O. Box 4772 • Palm Desert, CA 922614772 73-550 Alessandro, Suite 5 • Palm Desert, Callfomia • 760.346.1161 • FAX 760.346.9918 Email: drm@drminternetcom- *. www.drmintemet-com ,