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0301-004 (RER)LICENSED CONTRt�.^TO `D.�CLARATION� I hereby affirm under penalty of perjury that I am licensed under provisions of Fes- 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. O =) (j License # Lic. Class Exp. Date d�1t3i�. 0��i}023 ZO Date `t -' �' Signature of Contractor k �, .. J F- OWNER -BUILDER DECLARATION' HLU I hereby affirm under penalty of perjury that I am exempt from the Contractor's to 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 O N CA Ez z WORKER'S COMPENSATION DECLARATION p C-- CC I hereby affirm under penalty of perjury one of the following declarations: r, H O () 1 have and will maintain a certificate of consent to self -insure for workers' XF w LL compensation, as provided for by Section 3700 of the Labor Code, for the 0 _ 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 C5 U Q Section 3700 of the Labor Code, for the performance of the work for which this LO H permit is issued. My workers' compensation insurance carrier & policy no. are: Z Carrier STAT:, IrLMD Policy No. 229-,'x.023603 rb=)t` o g (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 3subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ''Date:— r � Applicant i f Warning: Failure to secure Worker's' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his q* application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is • correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. 4 - Signature (Owner/Agent) '* �# A� k • Dater - i BUILDING PERMIT PERMIT# 0301-( DATE VALUATION LOT TRACT est A ,' f3 (aa B1 1571 Y I A . -'" JOB SITE ADDRESS 10ANfK) v l� � iL� ►� S APN OWNER CONTRACTOR/DESIGNER/EN INEER ROYAL &LYN14 CT -M, AR J!` M :" C3ATw 1'C�T3:."f tti P" S`.i=51iiNGS CA 92263 (160)318-6735 CWt 110 USE OF PERMIT VOLUNIT',r RY .AC".C%S, 181,A MA -STI t. RA ¢ HPOO?A f$EN10ON11 fit M. RERCODFL 9100V, go LL9 EMMATED C.` X44 OF C:'ClNSTRUC�" 0_N 910W.99 PJW4 CHECK RZ 101.000.439-.518 $70,20 CGUS'1 RIICa T1014 FE9, ? 01-0©0-1.118-€30 3 :10&(* PLUiA8040 FLOC 1,01-000-4 19-000 $21.00 31"R'OND MOTION FF9 • RE' 10 1 41300-2.x'(1 JnN U 3 2003 CITY OFtlf8` rb FIN 'AND LAN CITCCIC $200.10 IMAL YE"MITKES DW. NOW 8200,11D RECEIPT DATE ^ BY C � FDATE FIN D PE INSO ' . ss' 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 _ - _ .3 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 - d� 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: S� U i.t�)LXK_ n /✓ .._op_ L©c At? 1 K11 f X152 _ -'7 6 G,A 1 Lcrr' Zio �--1L r S'7 At Va lie MA- P s 7` AP ,j K ?73- 33Z. &f-\ 2 c� os c 5Tu- - i SA' Roo rA Cl I 1 Z Sr1LTILt-O �t'11.t' j 2A Titx� SK°wt-R I N 2E 1_oc-AT9- FvA- + S �o men ort I . 7, L � Please refer to details keyed in Plan and .attached sheets for accessible construction guidelines @ proposed voluntary accessible. woRK- -rro DA` Nov t3 , Master Bathroom remodel. CPM S [� W I'f�vc.TrI0A L.I c ti, 61213(05- �. pq .� Spp--w6s, c.A CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTIO DATE110,103 —By m, 1L- se UROgnl1 Oj - Z Shelves cl -ter ©�6'. FIGURE 11B -1C 2001 CALIFORNIA BUILDING CODE PFIGURE 11B -1D . L A L C L A L C L A L C L A L C L A L C L A L C L C L A L C L A L C L A L C L A L C L A L C L A L C L C L A L C L A L C L A L C L A L C L A L C L A L C L C L A L C L A L C L A L C L C L A L C L A L A L C L C L C L C L A L A L C L A L C L A L C L A L C L A L C L A L C L A L C L A L C L. A L C L A L C L L L L C L A L C L L A L C LA L A Kr L C L. A L C L A L A L C L A L C L A L C L A L C L A L C L A 1-134.58 CENTERLINE CENTERLINE FIXTURE FIXTURE FRONT TRANSFER STYLE SIDE TRANSFER STYLE TOILET ROOM PLAN TOILET ROOM PLAN FLUSH ACTIVATION ON WIDE SIDE CITY OF LA OUINTA 1-1/2" BUILDING & SAFETY DEPT. 1 t -To. /2' NOMINAL + FOR CONSTRUCTION DIAMETER WALL DATE SECTION THROUGH TYPICAL GRAB BAR THESE DIAGRAMS ILLUSTRATE TH EQUIREMENTS OF THESE REGULATIONS AND ONLY AS AID FOR BUIL-DIIGDESIGN ANOZONSTRUCTION. FIGURE 11B-1C—EQUIVALENT FACILITATION FOR EXISTING BUILDINGS ONLY clear E floor C:) space cr) ......-19" min..... ..... I� 6" max. 48" min. 17" min. THIS DIAGRAM ILLUSTRATES THE SPECIFIC REQUIREMENTS OF THE REGULATIONS AND IS INTENDED ONLY AS AN AID FOR BUILDING DESIGN AND CONSTRUCTION. FIGURE 11B-1D—KNEE CLEARANCE A BY Plan View • • • 2001 CALIFORNIA BUILDING CODE Max T— SEAT c� PLAN i FIGURE 11 B -2C CITY OF LA QUINTA BUILDING & SAFETY DEPT. I _ 3,' Min. APPROVED FOR CONSTRUCTION DATE -By L D 'rZY�i'7�!:ri1 DESIGN OPTION STANDARD HEAD FLE)OBLE SHOWER SPRAY HOSE -60' LONG SINGLE LEVEL MDONG VALVE �.. CONTROL TOP OF HOSE MOUNTING BRACKET 0 93 0 SECTION THESE DIAGRAMS ILLUSTRATE THE SPECIFIC REQUIREMENTS OF THESE REGULATIONS AND ARE INTENDED ONLY AS AN AID FOR BUILDING DESIGN AND CONSTRUCTION .FIGURE 11B-2C—OPEN SHOWER 1-134.61 2001 CALIFORNIA BUILDING CODE 60' Mei. inside two of Mish %olooa or_ Hard Held SprayerI� 24 Max 1/x Max ROLL -IN SHOWER—A CITY OF LA IATA BUILDING & SAFET DEFT. APPROVE FOR CONSTRUCTIO DATE BY� ELEVATION AT SHOWER TYPICAL FOR A -C 60' W. inside face of finish of Controls or Hand Held 24• Spray Max 1/Y Mex BMW r. FIGURE 118-2A ZLAN LINSHOWER—C 36" X 60" WITH ENCLOSURE 91" IUaY 16' Max SHOWER SEAT FIGURE 11B-2A—ROLL-IN SHOWER 1-134.59 FIGURE 11B -1A CENTERLINE CENTERLINE OF OF FIXTURE. FIXTURE 18" FIXTURE FLUSH ACTIVATOR 18" RAIN FLUSHOF WATER ACTIVATOR CLOSET ON WIDE SIDE MIN.I CLEAR II SINGLE OCCUPANCY TOILET 1 36"GRAB BAY 41' ORAB' BAY ALL D18PHN81IR8 2001 CALIFORNIA BUILDING CODE 18" MULTIPLE TOILET STALL 17'.- 19" A. F. F. APPROVED 5.6-98 0 +40'MAX OPER u CITY OF LA QUINTA HIGHEST OPERABLE PART m BUILDING & SAFET[ Y DEFT. I APPROVED FOR CONSTRUCTION I SIDE ELEVATION nti� rE BY THESE DIAGRAMS ILLUSTRATE THE SPECIFIC REQUIREMENTS OF THESE REGULATIONS AND ARE INTENDED ONLY AS AN AID FOR BUILDING DESIGN AND CONSTRUCTION. FIGURE 11B -1A 1-134.56 is O• CENTERLINE OF FIXTURE FLUSH ACTIVATOR ON WIDE SIDE r1 3 Tn MIN cnnr 18" MULTIPLE TOILET STALL 17'.- 19" A. F. F. APPROVED 5.6-98 0 +40'MAX OPER u CITY OF LA QUINTA HIGHEST OPERABLE PART m BUILDING & SAFET[ Y DEFT. I APPROVED FOR CONSTRUCTION I SIDE ELEVATION nti� rE BY THESE DIAGRAMS ILLUSTRATE THE SPECIFIC REQUIREMENTS OF THESE REGULATIONS AND ARE INTENDED ONLY AS AN AID FOR BUILDING DESIGN AND CONSTRUCTION. FIGURE 11B -1A 1-134.56 is O• LOLf4T icy '52-7-70 A,V.lz;" 10 A G1- 1-,.�. Qv � N-t►a C A B (oc,. ir.- IS -7 6. - 'bo 0 V_ .. 'book. I I PA, c.E of mP9s iN 0r•F,c.4' af C,oUtj" Re,c=*LD&b 4 ;L►va-c.a iu- C1). GA c October I e� - A Monday --d&-y: 7 Saw-pdiy: 4.0 Sunday: No] Gc,vcnmeM-Code may 1 st - Monday - Satteday: `in -ridgy: am. -to 5.30 PAL n..to 5:00 pew. ifiavl: Now nbei 3M 1_ r:,6-00 a.m. to 7:00 PML 5:00: a.m. to 5:00 P.M. Noirt .4-14nte!nv-- None 'tY c a �Lox°91 "M AMU.ATEIlf MED OEM CONTA R wO(LCL- -ra By: Lac * $ I %SbS 'p, a .sox '0967 PLUrM13 (IVG 1 y A6L CA-Tnf&Di2At _ c- (',n/ IS EQM WED ON THE JOB SITE DUNK AM PHAM Otis COMMUCPON AND MUff BE &M -71= -Mm AS NECEMPMV, FAAURE TO 00 9-0 IAV OUSE T14E CM TO RAVE THE CONTAINER UUMPED AT T4* JXPM 0zW'tt°ER/fi %nAC 0PL- A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! i L Foy n 40-4-10 � 5 �* tL G.! r'e'`��' 14 y0 L", 2 * 14- CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE By