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~ 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
574 ) V A C11 11 IT-,fd.c'li 41M11
Date d ^' Bey $ Signature of Contrarfl
QIIVNEFi=BUILDER ECLARATION
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.
^have and will maintain workers' compensation insurance, as required by
!�eciion 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 S'.aATZ MOND Policy No. (3r1 •i3(� jaS�Fa 1;f�i
(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 wit ose provisio 'I
Date: w. A�!a 1 Applicant' ' »� .->. •. Y r�
Warnin' :"Fairu'r'e to secure–\? oto F6' Compensation coverage is unlawful and
shall subject an employer to c Ir urinal 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 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.
Date 0-1"
PERMIT #
BUILDING PERMIT
01144_2151
DATE %( j 'VALUATION 4`-100,06 LOT TRACT
JOB ADDRESS 79 4� ��AYfii�d9�(.�i p"
APN r
OWNER
CONTRACTOR / DESIGNER / ErlFa NEER
TOM & CICATRX. Ws'?MMM
M .IVE DOT ;3ON c2ONSTRM-11flo t INC.
79_585 DAYADIUV ;
7:101 CCUT.!:# Y C %��' DR, UUTIE F4
1.,AQClWI A CA 92253
PA1:if D.(�Pisa',3 T C.A. 92260
(760)346-4032 MUP 1044,
USE OF PERMIT
)ROb1L ANDIOR W -A
POCH 3iPA. A.1<t9.3,.Wite;117iadl.Ri .ill•MS SHALL, LIE TAN PL.A.0 F,.r' T PRE-PI-ASTW
N, fTEC"`t10N. POOL EQUIPMENT F0,101,08URF 14"OT i➢3GUMM
VIC.0I1. 'WOR. SPA 33,409,00 US
EFCCSOF ;ONSYLIYM'ON
PWRIVU1 YOU ,0 WAARY
aLNW RIDICKSER, S"141,83, 141,83
P,BYWR
f3d:.'s'SPr U� T1014 r����;E 101-000-418-000
$iw"'f
yp��pp+ryg��((9/y�i0., (o0
//�� }}..yy's
e!i�3v`��.C��s'%6'fd1.+&L 1'NIE __ lf'OKA11 101- IVV"'Y21-0+1V
M,RC"i TICAL r< a •. P001,
PLUMBNO FZX . - -P;aL 101 •00P; 419.000 27,00
- LN 01 2001
�J
CrrY OF LA C,;AN Tic
SUB-TOTALVMWI?. ERUCTIMAKLYTLAX J R' :::
YiCILi. 43
d 4 rAl FERMT IMMS Jt+/ VSr NO -
t9608110
M..
s ,xt5;
RECEIPT
DArE /A
BY
D E 0 O^
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
V,7 -7--r- O
KK,
Set Backs
Electric Bond
ec
!/(
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 die-ral
Pool Cover
Sewer Connection
Encapsulation
Gas Pipng
.Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Servi'
ce
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
LA QUINTA HOMES
MUDSILL CROSSECTII
MUD SILL
DECK
2" BELOW MUDSILL
NOTE: EXCAVATION
SOD REMOVAL 890 SF.
CONC REMOVAL 550 ST APPROX.
SAVE ANY EXISTING PLANT
MATERIAL BY RELOCATING
TO IRRIGATED AREAS STILL
IN OPERATION
T EXERCISE BAR THIS LOCATION
^ TY OF LA QUINTA
S FETY, DEPT.
L,
FOR
CO,RUTI N
DATE
I&
A RE -INSPECTION FEE
OF $30
`HILL BE CHARGED IF THEPPROVED
PLANS AND JOB CARD ARE NOT ON
THE SITE FOR A SCHEDULED
INSPECTION.
NO EXCEPTIONS!
5'-6"
i
LAKE AREA
P/L
I
71-6n
71-011
351-011 1 I
I
I1 \
-9 t
t L
JOEL
G
��— 141-011 4'-0"
14'-0"
22'0" �.
141-011
P19-10" � • • ••
I It• i,■
EXISTING PAT.
..----..TO PXMAIN
AQUASWITCH11 NEXT TO SLIDER DOOR
RESIDENCE
STACKED WATERFALL
W /ROCKY MOUNTAIN QUARTZ & CAP FOR CASCADE
+15"TOP OF DAM WALL
P/A
81-0"
8'-1l"
0]
O
®Be
Me11—[��j
51
1
EQUIPMENT WALL BY SDC 48" HIGH
BLOCK/PAINT TO MATCH HOUSE
BBQ ISLAND BY SDC
MATCH TILE TO POOL
STUCCO FINISH EXTERIOR
PROVIDE GAS AND ELEC STUB
OWNER TO PROVIDE COOK
UNIT (ALFRESCO 30" )
' ELECTRICAL NOTE
RUN GFI STUBOUT
P/L AND OVERHEAD LITE
AT THIS LOCATION OF BBQ ISLAND
GAS STUB OUT THIS LOCATION
ALSO
GOLD QUARTZITE FINISH
FOR SPILLWAY
BOBCAT ACCESS
I
REMOVE AND
REPLACE BLOCK WALL
BY SDC
T
N
1/8"=1' SCALE
PLASTER COLOR PEBBLE COAT TAHOE BLUE
DECK BY SDC SQ. 1008
DECK TYPE SALT - SD BUFF
RANDY SIZE 7' RAISED +18"
LITE 100 WATTS
...............
:AA:::: RI LEVEL SEATS 22" 24" 27"
DAMWALL GOLD QUARTZITE
DAMWALL TOP GOLD UARTZITE
........
EUElj: SPILLWAY SIZE- 2 " X 12 WIDE
10/25/01 1# JETS 4 UPPER "
Name: TOM & CONNIE WORKMAN
Address: 79585 BAYA DR.
LA QUINTA, CA
JOB#
TRACT MANDARINA LOT# '49
PALM DESERT TEMECULA
73-011 COUNTRY CLUB DR. 28910 RANCHO
SUITE F-4 CALIFORNIA RD. SUITE 203
PALM DESERT CA. 92260 TEMECULA CA. 92590
(760)346-4032 (909)676-7946
LIC # A-C53-HIC-574127
CONTRACTOR cannot assume res og_nsibility for damage to
driveways, lawns.trees,
GENERAL SPECIFICATIONS
curbs. sidewalks, cement slabs. sewers,
fences, retaining walls. mrinklers. telephone lines or shrubs.
SIZE 18 X 41
LAYOUT, DESIGN & ELEVATION APPROVED
AREA 620 PERIMETER
130
BY OWNER OR OWNER'S AGENT:
DEPTH • TX 5'
TILE CHOICE FERRARA BONE SQ.
90
DATE
RBB. SPA AT + 18"
signature
COPING CANTILEVER
POOL CAPACITY 16,000
GALS
STRIP FORMS FOR FINISH
PUMP CAPACITY 102
GPM
TILE TO MATCH POOL
PUMP #1 STA RITE
HFA 1.5
DOUBLE CANTILEVER CAP
PUMP #2 BOOSTER
HP 1.5
FILTER STA RITE 300
SQ FT
FILTER RATE 102
GPM
SMOOTH BAND TRIM
HEATER STA RITE SIZE 400
BTU
FULL PERIMETER
TURNOVER 4
HRS
CONCRETE FINISH
SUCTION LINES 2
"
RETURN LINES 2 "
UMBRELLA
SKIMMER MODEL AMERICAN
SLEEVE
CHECK VALVE YES
GASLINE BY SDC FT.
80
PLACE SINGLE DIAMOND SET TILE
POOL LIGHT 2-20OW CLOCK
AQUA
ON TAN LEDGE ONLY FOR TRIM
ELECTRICAL BY. SDC FT.
300
AUTO CLEANER GREAT WHITE
EQUIPMENT WALL BY SDC 48" HIGH
BLOCK/PAINT TO MATCH HOUSE
BBQ ISLAND BY SDC
MATCH TILE TO POOL
STUCCO FINISH EXTERIOR
PROVIDE GAS AND ELEC STUB
OWNER TO PROVIDE COOK
UNIT (ALFRESCO 30" )
' ELECTRICAL NOTE
RUN GFI STUBOUT
P/L AND OVERHEAD LITE
AT THIS LOCATION OF BBQ ISLAND
GAS STUB OUT THIS LOCATION
ALSO
GOLD QUARTZITE FINISH
FOR SPILLWAY
BOBCAT ACCESS
I
REMOVE AND
REPLACE BLOCK WALL
BY SDC
T
N
1/8"=1' SCALE
PLASTER COLOR PEBBLE COAT TAHOE BLUE
DECK BY SDC SQ. 1008
DECK TYPE SALT - SD BUFF
RANDY SIZE 7' RAISED +18"
LITE 100 WATTS
...............
:AA:::: RI LEVEL SEATS 22" 24" 27"
DAMWALL GOLD QUARTZITE
DAMWALL TOP GOLD UARTZITE
........
EUElj: SPILLWAY SIZE- 2 " X 12 WIDE
10/25/01 1# JETS 4 UPPER "
Name: TOM & CONNIE WORKMAN
Address: 79585 BAYA DR.
LA QUINTA, CA
JOB#
TRACT MANDARINA LOT# '49
PALM DESERT TEMECULA
73-011 COUNTRY CLUB DR. 28910 RANCHO
SUITE F-4 CALIFORNIA RD. SUITE 203
PALM DESERT CA. 92260 TEMECULA CA. 92590
(760)346-4032 (909)676-7946
LIC # A-C53-HIC-574127
10/22/01 NON 11:09 FAX 780 348 9918 D R N Z002
Ifsejtst.Ingement
SENT VIA FAX # 772.4704
October 22, 2001
Thomas & Rita Workman
79-585 Baya Street
La Quinta, CA 92253
RE:Citrus Course Homeowners Association
79-585 Baya Street
Dear Mr. & Mrs. Workman:
This letter is to confirm, in accordance with the Architectural Guidelines; the Architectural
Committee has approved your architectural approval request for the installation of the pool, spa,
�` and barbeque per the plans submitted on 10117101.
When all work on the project has been completed, please notify this office in writing so that the
improvement can be inspected and signed off by the Architectural Committee and your deposit .
can be returned to you.
Please contact me if you have any questions about your architectural application.
Sincerely,
61,
n Mullahy
Association Manager
on behalf of the Architectur4l Review Committee
Citrus Course Homeowners Association
CITY OF
BUILDIN 8
ITA
LA Q U NJ
SAFETY DEPT.
A COV
FOR CONSTRUCTION
DATE BY --
Professional Community Management / Desert Resort Managcmcmt
Post OfficeBox 4772 -Palm Desert, CA 92261-4772
73-550 Alessandro, Suite 5 - Palm Dmimi, Califotaia - (760) 346-1161- FAX (760) 346-9918