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9806-008 (RPL)1., �.:. U N_ w O =) M r-- 0 LO Lu oZ� C O H O LLJa Z M LO N ON U °) CL Z �QO X w LL. OJQ m�U O a rn H "t Z_ Ob 5 0 J LICENSED CONTRACTOR DECLARATION ,7i 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 C33 C27 B 6130AM ,ate 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. (y) 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 Policy No. ^!'E\'f`!; f�ittvf3 3.OE.1•fv.-1;, 4 (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: Applicant --L-' 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. r 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 ofAsuch 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 informatioMY correct. I agree to comply with all City, and State laws relating to the buildA construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. VSignature (Owner/Agent) - Date BUILDING PERMIT PERMIT CONTROL# DATE VALUATION z ,�Qif� LOT TRACT 7 8 4 2 r v (� JOB SITEADDRESS 7.4-19.5 A.�iiiLEX PLACE APN OWNER CONTRACTOR/ / ENGINEER 1;',SW."1NGr0 N cDESIIGNER u DATE %91:5 ASIALEY EY PL 74-818 VELIE `WAY 1f6 LA QW11 '1'A CA q2253 tell. OESHRI' CA 9?NO 914 (760)3:16.2504 01111/11 18914 USE OF PERMIT .iii' IL S1�A %�fJL�' S�I,t.►S �fc� .i...s'.. ,�" C;rti�.f.11; ri sti Ai.t,., f'i `ii' S'ft�fvi�%�i2ii. Af.tli2hi f tt 13A)Li IER.:;.KA1.1, 14C 0'PLRAT4t3NA(, PRIOR TO PHEPLA:4TER IV4131+..) SPA. dIX4IPi`Ie�'1'i D COST OF CO" INS'a',il.ft:TIdIN . i� �t.i3ii,d?tf (_r'N8 TittJf.i'fr_1N FFV 101-,000-418-000 x 126.4111) fo.t'f 01TAN11 CA 1417,11ti -- P00f. 1014}f?dl.421•000 1974 00 11111.0004A"o-000 V5.frft t 'tJIMBINO FEE __ K►tA. 101—(sxV.1119-iw) 1270) PLAN (''fit CK YET,' f fl'f-(11x1 <1it+ ;a (M S7ft,'; ►j ' 8f ;,!(J AND Cfnt11'f C['9Ti`.. K. $202,70 ®21998 ., = 1,UISS T'1 Er1)MD FI ES.LPN fit UU UN C in RECEIPT DATE BY j� DATE FINALED INSPECTOR t 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 POOLS - SPAS BLOCKWALL APPROVALS 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 COMMENTS: 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 I A Final Utility Notice (Perm) y Co 'b �f I I! /•� I A rul_p. U/T� IVc prri(o sTuce To mo O 95 I Wrsw CITE' 0 F LAT I UIL U( G & SAFETY- DEPAM ITMENT CONDITIONALLY ACCEPTEL: F -v R 0O.NIS T FL -`;*-T® INSTAR-AT110IN A3 PER WP: -1 60 0fN.IL Tv POOL AREA SCALE 1/8'1' S l' PLOT PLAN -NO -SCALE 8 BY P86t-SIZE '}K_ �i DEPTH 7 TO PER SO. FT. Le 0 ❑ INCLUDED T�MPL. NO. I FILTER NO. 64 V �i c7v NOTE: SHALLOW END ..... ❑ LADDER ...... ❑ _ SHAPE r NO. RETURN LINES 7 f a L'" tZO� l!C f� S (�- 1>= 1 S DEEP END DIG ...... ❑ ❑ SLIDE ....... SPA Cl ❑ _-(--- IN ACCESS ID FT. FENCF. l`�� <S _ I 1+ lr� !� f �f 3LoL.,)c^2 P -TRAP .......... BACKWASHUNE ....❑ LIGHT IN ... SPA ........❑ MOTOR,V PUW.-- HP 1 -vs) �A 3 j P ;!7 QLA i 3� W T 2 FILL LINE ......... 1:1VuLORINATOR ❑ LIGHT_ ANTISYPHONYES �' 7, �:-" it C S�I�A�i (✓�y1(�%1 HEATER RADING HEATER LSO,�OU ❑ .. ® ROPE RINGS ... 'MAIM. KR ..... ❑ ELECTRICAL lg5 FT. BONDING YES �c 1�6'rl7 �� m 1 tD L �C 12 a c 1L GUNITE INSP ....... ❑ TREES ....... ❑ GAS jeZ FT. TILE 3'2- COPING NO. Cs:67 BOARD .......... ❑ OTHER ...... r ❑ DATE PALM ENTERPRISES 1OT OWNER ANNE s,4yyrNG Z -a JOB /i5/fGF� �G�2 POOL/SPA CONSTRUCTION/LANDSCAPING TRACT 1-201- �Ay LESS MAP NO. (760) 346-2504 CONTRACTOR SALESMANNO.�G CITY ` JOB PHONE %G SSy�US.PHONE'3 .� 3 NO. B -1;C -53;C-27 690775 _PLAN JOB NO. 54 C, May 18,1999 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 – (760) 777-7000 FAX (760) 777-7101 TDD (760) 777-1227 Anne S.addington 79-195 Ashley Place La Quinta, CA., 92253 RE: Spa Permit 9806-008 Dear Mrs. Saddington The purpose of this letter is to inform you that your Spa Permit 9806-008, for the project at 79-195 Ashley Place, has expired. In accordance with 1994 UBC section 106.4.4, no further work may be performed until a new permit has been issued. Please contact Daniel P. Crawford Jr., Building Inspector I, at (760) 777-7012 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 10 working days to resolve this issue, and for any questions you may have. Sincerely, Mark Harold Building & Safety Manager aniel P. rawf rd J . Building Inspector I cc: file dpc MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 e