Loading...
0308-364 (RPL)U) E-• N U) �w O d � ` W o Z O o �CID � U � WW I— a U) Z cr) L0 N ON U °) Q 0_ — Lo a 0 xw�= mUU O � (D It Z_ co Z) r C5 Q J 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 :397212 X53 � V W � 12!31121: 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). () 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. (Q 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 39° M, FU114D Policy No. 051`1316-00 (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 ifflf should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall. -forthwith comply with those proyisio {s /d Dote: f7 . fl -i) - i) Applica/nt/ZZ,�,// f vs %r ` Warning: Failure to secure`Workers' Compelisation coverage is)unla�,�ufland shall subject an employer to criminal penalties and civil fines up to $1 0,000, 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, indemni , & hold harmless the City of La Quinta, its officers, agents and employees V 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 repfesentatives o�this City to enter upon the above-mentioned property for inspection purposes. +'Signature (Owner/Agent) ��7F rs l �` �✓,Date ? r \J Cr r BUILDING PERMIT PERMIT # DATE VALUATION LOT TRACT JOB SITE ADDRESS 51-450 AWNY-DA. C.ARRANIA APN OWNER CONTRACTOR / DESIGNER / EN (NEER A) i" :FJl Et341A %�� WNAIR POC �9 51-450:l VFX..a)Ai CI Vit,. NZA P,O, BOX 835 tFAQTnNTA. CA 921253 PATIM D IUMT CZA 92261 (619)566.4014 CL 1W 52: USE OF PERMIT i POC'i? JANDfOR SPA POOLlSP.J , 28 L.F. SS' BLOCK INAL1., 4?, L.:P. 5' 13t. CK j31.A1J, CITY STANDARD. ALARMUDARRIERS 9HAL,L HE 1N PLA.i'•,SAT PRF -PLASTER WSPECTION. � f FT. WALL 23.10 LF 5 FT, WALL 4100 LIP PCh0L AA1 IOR SPA \ 171091,00 Lig IKSTMA.2'FD COSrr OF CON iJ'CiZOfT 1i ,%a fxHA PLAN C1•IIICK FRE 101--000-439-318 MUM CO?4STRUC;T10'N FEE 1o1-=418-000 xI4EiU0 MECHANICAL FEE •- POOL 101.0001.421.000 MAD . EIZC'I`.RIC,AL> MR — !per L. 101-000.420-000 $45.00 P1,43-v'DINGFEE k' ol, 101-,000-419-000 4�7,4C1 �. 9Ci3- . t✓t»T. UCTTi)1+! A]D TILAX CW..M $422,70 ® LESS PER -PAID M-3, $0.00 'fO'.iAL FENM LrFEN F.nS JIM' NOW $422.70 o ✓ RECEIPT DATE BY AIELWALE13 IN OR 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 _ G Electric Bond Footings Main Drain Bond Beam ILA p Approval to Cover Equipment Location. Underground Electric Q Underground Plbg. Test 44 Final Gas Piping 41 PLUMBING APPROVALS Gas Test vt Electric Fina! Waste Lines Heater Final Water Piping Plumbing Final Plurr.,bing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sev;ar Connection Encapsulation — - d 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: /�� �%�1� fJ 3 U J jjaxis � ?—� �� �_ l r Ly r .......... . �IAE "q1s, �_Mswiww E 5,61©l ti. 4'4k. I PLOT PLAN GENERAL SPECIFICATIONS Size x 0 CodeA.o snaps coLl-7 Depth to lr­ to Tile Color Coping 121 Cantilftw Pool Capacity Galea: Pump Capacity F0 G.P.M. Filter C_ C_ z o Sq. Ft. Pump L"L, 770 H.P. Filter Rate //0 G.P.M. Turnwer 3., Z Hm' Vacuum Line & Skimmer Return Line Main Drain Skimmer Backwash to 49— Affl�6phon Yakv Sizqz,_.�-,(j &T.U. Heater Ligm /V ovi (/v Time Clods D C. Decking � 4 ell k, Board Caw Slide Color YW vd J2_ A944s e—W el 47 A s 1,44, b 3- C-4 6/<� �2- F7 END DEEP SHALLOW E140 SCALE Iff- - I V' Name'"/) M !I _ Address ,:5_1-YS'0 C-ArAO-P;A)a* city b?47 j,;L-44- - CMM SOOM YyV;b AAe.-i L.., kl-�t�'t-' DM92- 9-03 Dam W. 4A* 10 SUNAIR POOLS SINCE 1974 PQ am MIS FOAM DESEFrr, CA 9M PHONE MM SM40M SM UCENM C45,1117M