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9607-094 (RPL)\U N_ U) W O Z) M �o� W Z r�O � a. Z LICENSED CONTRACTOR DECLARATION 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 $74127 A WNW . 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. ( ) I have and will maintain workers' compensation insurance, as required by Section 37.00 f the ,Lagor Code, for the performance of the. work for which this permit is�lssue y'workers' compensation insurance cameF & policy no. are: Cartier Policy No. (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: ADDlicant 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. 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. Signature (Owner/Agent) I Date BUILDING PERMIT PERMIT# CONTROL# 9607-0943767 DATE 7/24/96 VALUATION $16,500,00 LOT TRACT JOB SITE 77-230 CAiysIi1 O AINI.kkILW APN ADDRESS OWNER CONTRACTOR/DESIGNER/ENGINEER "1111N. ENIS � 1 !?�Ils .OQ>7SON ef�IVSwf`Ri3Ct�Or� 78-230 iAir11NA AMttiZ1LLQ ti8EC05A1aCRJ Z R:IJ. #89 LA t LII'NT F1. C.A ?2253 i .A"['; I DR AL Cf(Y..... CA 922.34 (619)324- 1232, C8L# 1044 USE OF PERMIT P001, ANDIOR 5PA POOL ,& ,VA. (YNLY COST OV CONSTRU ION �i7q�5i)Fi.fB#1 PLAN Cf. IL•'tX 11710R WiN1kr11RVCfMtgFEE 14.►. -OW -418.000 MECHM41.CAL 17,89 POOL 101-000-421-000 �2a.t►ti f:..Ll C-7TRI :AL`rfih—P00L 101-000-420.000 S4S.Ut3 Kr1l4Sr:11.NC IFFE "POOL 101_0007419LbOO SUR -WEAL CONMtN:'t ION AND PLAN CHECK S3_03.00 LESS MIR -PAID FErS O,d1t1 TMAL tWRAIJa s� rte »s. J. ("tY $393.00., RECEIPT DATE BY D T� I AL�p 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 - IM. 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 -Y Ile Gas Piping Gas Test Appliances Final COMMENTS: 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 Utllity Notice (Perm) UTY OF�� H��"�'� SQUARE C1 RNERED, BAR W/3 TILED BARSTOOLS AND TILE BAR,, WITH SERVING AREA W/TWO GRAB RAILS- W/RECESSEDSTEPS a�!ILDING & SAFETY ®EPARTMN tBAR PIT, SEE DETAIL.BELOW ,..BAR S 18" WIDE, STOOLS ARE 1.2" WIDE -CONDITIONALLY - ACCEPTED FOR CONSTRUCTION 2 SONOTUBE'S-AT B R ----------------- 18" 11.%� APPLICABLE CODES f:TE_ GI BY_,g 5' ALL TILE DAMW Ilk 10'-0" ® 11' 15' � \ 8' W 7'9" 1 W S TIL r I I I IIL_ 1511 5" 1� n ►1 I S 0 0 RNERS ARE 3' 3t 1\2' - \ DEDICATED SUCTION LINE FOR GREAT WHITE TURNOVER 2.5 HRS ® AUTOMATIC, ERROSION CHLORINATOR SUCTION LINES 2 " \ RETURN LINES 2 " ® 5'-0 MAIN DRAIN 1 " 1 - SKIMMER MODEL U3 3'6" CHECK VALVE 'YES HEATER LAARS SIZE 250 OOOBTU 3'-0" GASLINE BY SDC - POOL LIGHT 400 WATT 0 BOB CAT ACCESS THROUGH SPA LIGHT 10() WATT \ BOAT DOOR CLOCK MANUAL W ELECTRIC BY SDC S 31-1011 ELECTRICAL BONDING BY: SDC TILE AND COPING SDC \ DECKING BY SDC 916, SQ. FT. a1� SALTFINISH COLORED CONC. LIGHT SWITCH 1 CT -3 GRABILS W/ WALL STEPS WATER LEVEL �I 18" - ORE[ 2„ 5' AT SIDES 2 SONOTUBE'S AT BAR G U N I T E iC CONTRACTOR cannot assume responsibility for damage to 1 1'-0" curbs, sidewalks, driveways, cement slabs, sewers, lawns,trees, fences, retaining walls, sprinklers, telephone lines or shrubs. When access is made through a neighbor's property it is understood that you, the owner, MME RXE have that neighbor's permission �\ DE�pGnNl and assume full responsibility. _ 1 1 U5iER COPY ►.m- GARTHHI • • • AMARILLO • • • OW N1111111111111110fto W'�'f -, _ a' SHOW ROOM 73-011 COUNTRY CLUB DR. STE. F-4 PALM DESERT CA. 92260 PHONE (619) 346-4032 LIC # A-574127 SPA SPECS. GENERAL SPECIFICATIONS SIZE 7' SIZE. 15-X 38 AREA -455 RAISED 18" " DEPTH 3'6"x5'x3'6" - LITE 100 WATTS SHAPE REC 'PERIMETER -97f TRI LEVEL SEATS TILE -SIZE;- .CHOICE`GRP 3 22" 24" 27" TILE COLOR CHOICE GRP 3 DAMWALL WIDTH 6" COPING CANTILEVER SPILLWAY SIZE 1' X 3"" COPING COLOR NTRL GREY SPILLWAY POOL CAPACITY GALS l PUMP CAPACITY 95 GPM OPEN x CLOSED MOTOR HP MAXI II 1 HP. FILTER MOD MEDIA .300 ' SQ FT FILTER RATE 105 GPM DEDICATED SUCTION LINE FOR GREAT WHITE TURNOVER 2.5 HRS ® AUTOMATIC, ERROSION CHLORINATOR SUCTION LINES 2 " \ RETURN LINES 2 " ® 5'-0 MAIN DRAIN 1 " 1 - SKIMMER MODEL U3 3'6" CHECK VALVE 'YES HEATER LAARS SIZE 250 OOOBTU 3'-0" GASLINE BY SDC - POOL LIGHT 400 WATT 0 BOB CAT ACCESS THROUGH SPA LIGHT 10() WATT \ BOAT DOOR CLOCK MANUAL W ELECTRIC BY SDC S 31-1011 ELECTRICAL BONDING BY: SDC TILE AND COPING SDC \ DECKING BY SDC 916, SQ. FT. a1� SALTFINISH COLORED CONC. LIGHT SWITCH 1 CT -3 GRABILS W/ WALL STEPS WATER LEVEL �I 18" - ORE[ 2„ 5' AT SIDES 2 SONOTUBE'S AT BAR G U N I T E iC CONTRACTOR cannot assume responsibility for damage to 1 1'-0" curbs, sidewalks, driveways, cement slabs, sewers, lawns,trees, fences, retaining walls, sprinklers, telephone lines or shrubs. When access is made through a neighbor's property it is understood that you, the owner, MME RXE have that neighbor's permission �\ DE�pGnNl and assume full responsibility. _ 1 1 U5iER COPY ►.m- GARTHHI • • • AMARILLO • • • OW N1111111111111110fto W'�'f -, _ a' SHOW ROOM 73-011 COUNTRY CLUB DR. STE. F-4 PALM DESERT CA. 92260 PHONE (619) 346-4032 LIC # A-574127