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9512-074 (RPL)LICENSED CONTRACTOR DECLARATION �1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with W Section 7000) of Division 3 of the Business and Professionals Code, and my �o Cy License is in.full force and effect. 5335"/0 6/30/96 r- WLicense # Lic. Class Exp Date Z r- Date /� w/-5 "+`�; SignatureofContractorµ .. Pr` a) OWNER -BUILDER DECLARATION WW I hereby affirm that I am exempt from the Contractor's License Law for the 0- following reason: ~ cn ( ) I, as owner of the property, or my employees with wages as their sole Z 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 Cf) Date Signature of Owner LO N rn WORKER'S COMPENSATION DECLARATION d Q I hereby affirm under penalty of perjury one of the following declarations: Z () I have and will maintain a certificate of consent to self -insure for workers' In H O compensation, as provided for by Section 3700 of the Labor Code, for the X W LL performance of the work for which this permit is issued. O J J ( ) I have and will maintain workers' compensation insurance; as required by DO Q U Section 3700 of the Labor Code, for the performance of the work for which this O V permit is issued. My workers' compensation insurance carrier & policy no. are: dLO � Carrier ;',()1:1�i`N«At9f.F Policy No.yWf77f177_(ki Z (This section need not be completed if the permit valuation is for $100.00 or less). r- Z)() I certify that in the performance of the work for which this permit is issued, C7 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 provisionsof Section 3700 of the Labor Code, I shall forthwith -comply with those ouisions-TM--msµ Date: /5' /,o Applicants QWarning: 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 application agrees to, & shall, indemnity & hold harmless the City of Indian Wells, 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 corlect. I agree to comply with all City, and State laws relating to the building cosstruction, and hereby authorize representatives of this City to enter upon the • above-mentioned property for inspseictio/.purposes Sk Aure (Oner/gw). Data E ALC 'BUILDING PERMIT PERMIT951Z-074 DATE Zn4/9!5 VALUATION sl.�f 00.*u LOT TRACT JOB SITE ADDRESS 5I-0" AadadA 6riiuma APN OWNER CONTRACTOR SiJWOSE CORPORATION Stutrose Cnrperati.an 72-880 SOME RA R.1?. 72-850 Soinern l�.d, PALM DESERT CA 02260 Palm 1>md Cts 92200 (619)346-2840 03i # 0.137 DESIGNERlENGINEER USE OF PERMIPOOLA1di.1/M SPA FEE DESCRIPTION FEES POOL AN-DIOR SPA 3,000.00 LS ESTIMATED C0.3T OF CONSTRUCTION 8,000.00 PERMIT FEE SUMMARY -- PLAN PLAN CB'ECK'F15A 101-(W-439-318 4£4.35 _ CONS'MUCTION FEE 141-000-41.8-000 $99.00 A E<CHARICAL FEF..-- POOL 101,000-421-0)(3() $24.00 © � � ELECTRICAL FFE -- POQL 101-000-430-M $45.00 c PLL%MTNG FEE -- POOL 101-000-419-000 $27.00 � C-) =_'.CL SUB -T01 AL CONSTRUC tTON AND PLAN CHECK LESS PREPAID FETES $0.00 TOTAL PERMIT FEES DUE NOW $259.35 RECEIPT DATE BYDATE RNALED 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 steel POOLS -.SPAS. Set Backs Electric Bond Footings . Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric JG 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 CITY'OF LA QUI 1 gq'��lA ET DEPARTMENT Btj► i.6./ mNALV, 9� �iSiv��ECT TO ATE C�G�I�r D CHARGED IF THE APPROVED PLANS JOB -CARD ARE NOT Orsi TI"IE ' - ,>:✓' - F- n %'' -:4 ; `� Y "}S+�-.-4.•� •.:: ..,vM ! - :� ;max � - .` �. S�-HEDULED INSPECTIDi�: NTEXCEPTIONS!' • --. ._�_...._ ._. j- � i-♦ i'- ..,,�`: c' -••wt- P fc .yyr �,U � `! ...f> .. _•..;.. ` : � {ail a:a ------' ..._. • ,sem —Q•,e' a.�.. � ;�-, .. .: •�:�. .__;.; ��,: �. ,_. i t -ct � y ��`''(,;,, �'�>. x''34 y~ ^ .Y $" � - -r.> •by ��{', . .. _ . _: _. �-��- - '•- �-- - :�-- •----/:.%:T-:Y7-�'�-Z:J?_C.TJ r7.7' -j'-f--rZ'-r.-�r- . jrF c! `—''ts 54 i2 ',l: gib. '•moi-•r'.>'$'d.. r: rS�a•:j:";;-;; .:1''..: >••;`!'� F. ," _� .•��}:: �.: '�'�,:. .-f �P ,.j �• .� 4 V .},%t % �S'T'•cKn—]� 1 ..yr!zt°4>•l' ;(kms^',.,' All r�1f. . - 1 � 4�`t t� '� ,. � � � 'F Wit" �+t � ,,.�•y - a C7.j jr -•�, •: �• .c :'.•. `a, - is _ -_��. :t J�(�j r //�� .e, 1•iT �� �� S.r �A� cl�.,� . SFr• ,� ,��J+.� .:.. �:. i� �4­ �3�� i/V}` '�, .. � r'C.' i���� 4 .tat � t> a,! .�-�R�4 �..9 � � .�3F' � -F, %► i ' Scale ! I(/ " 78-495 CALLE TAMPICO — LA OUINTA, CALIFORNIA 92253FAX (619) 777-7001 September 19, 1996 s Sunrose Corporation 72-850 Somera Rd. Palm Desert, CA., 92253 RE: Pool Permit # 9512-074 & 9512-076 @ 51-090 Avenida Carranza & 51-070 Avenida Caranza Dear Sunrose Corporation, The purpose of this -letter is to inform you that your Pool Permit# 9512-074 & 9512-076, for the project at 51-090 & 51-070 Avenida Carranza, has expired. In accordance with 1994 UBC section 1.06.4.4, no further work may be performed until a new permit has been issued. Please contact Daniel P. Crawford Jr. at (619) 777 -7027 -to obtain any information you need regarding a new permit and/or any required inspections.. Should you choose not to complete the project, we would then have to pursue any or all of the following actions: 1) Abatement of the project through the City Attorney's Office and Code Compliance Division. 2) Notice of Non -Conforming structure placed upon property profile. 3) Action' filed with Contractor State License Board. Optional if Owner/Builder. Please contact us at your earliest convenience prior to 30 Days to resolve this issue, and for any questions you may have. Sincerely, Mark Harold BuildW-g & Safety Man er All -� Daniel P. Crawford Jr Building Inspector I cc: file MAILING ADDRESS P.O. BOX 1504 - LA OUINTA, CALIFORNIA 92253