0108-201 (RPL)f ell, - e"1,;Xn`_,
IEICENSEb CONTRACTOR D*icL�ARATION';-.'.�",..i,,".,..,.
44, "ni...., 4'.-1
611-70"-i'-6nder visions o
1'hereby 'affirirn under, penalty, of perjury t at am licensedipT _f_
C 6 _9!(�6 J ,
_il5f6 r -m'm-e—ncing"�'w'ith.'S6ction',76o6)of Di�i�i6r�b of,the Business and.
Professionals C y License Is full foiindiff
66, and m force e ect.
icense Exp. Date
C� J�,
47M
A.SignatuWC�f ontractorl_
71
Al,ION
I hereby,affirm bnder penalty of 'r;erj6ry that I am., exempt from the Contractor's
License Livifor-the following'reason:
)`:_i',('f'a'9_owriBr.of the property, or my employees with wages as their sole
- I - - -
Xfcon�pensati6ri, will do the work,' and the structure is not intended or offered for
-,sale (Sec.,7044,B6sir4i6& Professionals -Code).
(-fir-),_r"of the property,`am exclusively contracting with licensed
,.`*W�as owne
contractors to construct the project (Sec: 7044, Business. & Professionals
Code)�
,tl am exempt under Section B&P.C. for this reason
U*114--tIP177-�1 ,
Date re,of Owner
;tj '45*,WORKER'S COMPENSATION DECLARATION
1 ,.,1? herebyaff irm runder., penalty of, perjury ohe of the following *declarations:
9
will maintain a certi icate6f consent to self insure for workers'
xcompensationpy &��'-`plrdvia6d for�by' _Section ,3760 of the -Labor Code, for the
,-�_,
Irfuirma_��Tof the work for this permit is issued.
d.
1�
compensation insurance, as required by
bec ion: 3700 of C the Labor ode, for the performance of the work for which this
permd Is'Issed
My workers', compensation insurance carrier & policy no. are:
,Polici No.
Carrier,.,:,
Rt
4,p
section need not be completed if the permit 'valuation is for $100.00 or less).
_J,)'I._c_e_rtItyth6t in the performance of the'w6rk for which'this permit is issued,.
I shall not emp oy, any person in any manner so as to become subject to the
iworkers'.compensa_tion laws of California, and agree that if I should become
California, /1.
P1',ssu6j_ect't'othe ' 'w"o"rk'ers'co'm--pe"n's'cition 'provisions of Section 3700ofthe Labor
Code "I's'Kall fo-rithw,ith comply w'itn thos)eo?isions.
�14
Date" C�,, A'` 1 Iijt11 ,
-
I.ks Applign'
;Warning Failure to secure Compensation coverage is unlawful and
;",V�sh'a'll's'-ubje'ct'ari"6mployerto criminal penalties and civil fines up to $100,000, in
'..'addition' to tha Dost of compensatioAf dam -ages as provided for in Section 3706
;�6f 66 Labor 'Cbde,' interest and attorney's feei.
IMPORTANT:'Apple cation'is hereby made to the Director of Building and Safety
If,for4appermit.,subject ,-tot e, conditions' and restrictions set forth on, his
4,application.,,.-C'
'41. Each person up6n'whose behalf this application is made & each person at
44 Whose request and for whose- benefit work is performed u6de'r or pursuant to
ij&,`a6,'peHmit is_s6ed as'a result of this aOplicitton agrees.to, & shaill, indemnify
&I
hold harmless the City of,La Quinta;,.its officers, agents and employees.
i''Any. pe`rmit'issued.as'a result of this ipplication bieco mies null and void if
u.eomr�enceid �ithin lliO 'cli S
Aworl<Js�not, days from' of�is u�nce'cf,such
���;.�=u.n,t.♦riCi:.I
ermit'Ior', cesiati6r;Of,`Work for, -'l 80 daVs'%Wl sub ject'permitto-canc cancellation
ertify that I have read this application and state that the above information is', i".
q,,correct.-I agree to comply with all City, and.State laws relating to th6'bluildiniij
t"consiruction, and her�by4uthiorize representatives of thiS7'City'to`en
-4 1, 1 .., - ter upon
.: �. - ' ' ' ' ' Po
e
1,,,J e above-mentioned - property. o insped ion purposei'.
Anpn j
U ri Ji
gnat 're"
'PERMIT
MGM ERMIT':!,-, it,
V k
DATE VALUATION LOT clog -.2(?- TRACT,
V,
iws, V 4W
JOB SITE
ADDRESS !� 1k,
78-474YUMACLE F'Olffr
OWNER
CONTRACTOR/DESIGNER/EN 1NEER
14,
IRM)TU014 CLUB ABSO M -ITS, UZ
RC)T4RTMN-,01'W0,'kJ' kit TIX(TIMR Tjc.�"i
W-5-0 AVFMYE 52
7 4 8 12 11'n"N01-4 PLACE, 0 4%
L A. Q) U N rA CA 92253.
4
USE OF PERMIT
'VOR VA
P001 -AN
PCIOUSP& ALARMSIBARRJER403 SHALL, BE IN PLACE A.T PRE-PLASTERT"'•
J1
JNVP?,CTiOW. POOL'P.O.UITAMENT
P001,MWOR, SPA 15"000.r10 1.9
-n
- IQ
.4
Zz:
;hk
�7
XMINATM) Con oir
......
KAN CHROV. M 101.000-439-335'
(110N.1.111TRUCTION I?F.E $25200 i",!I;
1t+I1r4HANICAF, YKE -- POOL 101_00"21_= UA (10;'i
OUXTRICAU, FP POOL 107-000-420-000
10 lof
PLUMBINO VCR- POOLL
Wi .4
hv ,
ot
'44;l
V
8 UB -TCY]AL CC NO
MATMUMITON AND PLAN CINOCS
iMs ).W' -PAID FEN3
;.,A
1
P mmu yLor's DOE now j.
- — 0.,
"'TOW, I'M
IV"
I-` AUG 24'
,2001 Ak
•
OF LA QUINTA'
CITY
,,�
FINANCE DEPT. ; , ., �,, '4, , 4 ,4„ a l \,(%'
FPT-
',,
, �,'.tt .r �•r It Id,r
4
r...r. Via:"`; 1. .=•/i... `: •�+:,, I,�, r ��
,}. s�:a_ .,,J.M �to.:d'
N1
RECEIPT
EC:EIPT
BY
DATE FINAVD
I , NSPEC R
0
INSPECTION RECORD
OPERATION
I DATE
I INSPECTOR
OPERATION
I DATE
I 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
Final
Underground Plbg. Test
Gas Piping
/Y
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Water Piping
Heater Final
Plumbing Final
I 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
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)
Final
COMMENTS:
July.. 31; 2001 via Fac $mile
760-777-7011
Ms. Nickie'Gormley
Building and Safety
CITY OF LA Q:UINTA
78495 Calle Tampico
La Quinta, CA 92253
Re: Tradition l
OldCaiihrrna 'Village'"
Dear Nickie,
This letter will-setve as ARRC approval:to, obtain a building permit for the swimming pools
at the Old California Village at Tradtion. If you have any:questioris, please do not hesitate
to call.
Thank you.
Sincerely,
Christina J Dbres
Architectural Review Coordinator
/cjd
cc: Jody.Jones, APC (via fust class main
. cveynaion.iwoalaAwwdw.vmynow.�+
78505 OLD Avg 52 LA QutrrrA-~ CA 922.53-1120 -- PHgNE 760/564.3355 — FAc 760/564-2356
TOTAL P.-01