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0110-192 (RPL)U) F - (V Cl) CNW o =) c+) r- d u7 r;w� X 6 Z N C(D0O H 0 J f` W Cl) Z C0 LO N ON 0a) CL Q Z Lo QCr 0 0 J J mVU rnH It Z ab5 rd R 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 Fo full for62' and effect. License # Lic. Class Exp. Date 574127 ACr:33 MC 1/2C Date yet �1 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 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 STA MAM Policy No. 0461-00-o (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: Vii: t it ' Applicant .' c 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 Safefy 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 theZity 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) ter. "'"' "` Date r, .r BUILDING PERMIT PERMIT# 0911.0-192 DATE 10/1 t/711. VALUATION Z.0400M L f1_„' �4 TRACT 2&443 JOB SITE ADDRESS 8--�S��r�,!'f,��F�.iRIMO ;i?aY APN CAA -020 -WS OWNER CONTRACTOR / DESIGNER / EN (NEER DAVE & JOANT MTADM S•TE1VF 1)OD3. 014 CGAf13"IitFJf:i?Ois WC. 78.6010 C?:AMW1.0 WAY” 7 3 011 COUNTRY CLUB ? R.,I'l`l F4 LA 4Z)ORM - CA 92253 RP.LM DESERT CA 92260 C160)346-4032 C 19— 3 044 USE OF PERMIT SPA ONLY. 5A.!WVAtg0 A1ARRm"O U,I-N P.II, A,cxamaro WIT PI.&LASRIt NBUTATqqhN• T t'9IC:AriI�iS�x), '' P001, ANDIOR, SPA. %001''op us 3_11ST5"M C:?trAST fir, C".'£:J.e'V�y d RUC's` on !81(}0€.IW PU&N C.>~3:kK 'VEEP .101-000-439-S18, U4,35 CM;fE��'�. ��0� 0,0--a�a" R,,-OCyt�o, (177 1q��ryyl� g10ry2 hti'1�C.4�HANRICA 1��bM "•{'4✓4J.A! 701-0 0-4.21"'0�tili� L'C.ii1f !I?'l�+';+~=.I,�;; •. PO4)L 9.s?9�tI0�1'G: �3CiP U OCT 16 2001 CITY OF LA OUINTA FINANCI= t , -,�:; 111011' .�. . CM �s.�M-10TW I I3 .F'KP',4MM F'f• .2 W.00 'AD tom:., Por:[".aTNIATS,JYUP N©'Fili r I Y r RECEIPT DATE f BY �yrN DATE FINALED INSPECTOR P. r 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 Firrpiace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wail Firewall E4erior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS Steel j_ Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Final Underground Pibg. Test 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: Renal 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) Oct 17 01 09:15a Dodson Pools . 08.21/01 FRI 11:08 FAX 700 940 9918 rZ went September 212001 Mr. and ]Nits, David Jhadcr ° 19892 Ravenna Drive Yorba Linda, CA 92886 Dear Mr. and Mn. Shader DRi 760 341 0895 The Rancho La Quinta Architccttu•al Corntl>ittee has reviewed and approved your sural of pis for 12ndwaping, bardscape• spa, and lrubecue at dour home at 78-680 Cabrillu Way, with 111e fallowing conditions! All work is to be done in accordance with aH applicable requirements of gover�l aatikcs, inc"'S the City 0FLa QuWz� and in accordance with all Hon)rowaers Association architectural guidelines and gowrring documents. Drainage must go 10 a drywell or bubbler box and sheet drain to the gnlf course. The boulders wvuad the spa may have a total height that is 30" almvc surixce fie. Wben the above condition has been met, and the work begun is finished, ply fill out and aflereturn tcl me the oncivscd Notice Of COmplCtior). The consultant will perform a final inspection re cx;ipt of that Doti= to vcriiy installation according to the approved plan, and then your posit can be processed for a =Rind. Simerely, �:: Gary I�roy, Property Mmager Rancho La Quinta MasW Association Cc: Sent v� fax to David SWCLr at 714-241-r-62 SeOt via fax Dodson Pools at 341-0895 k'rofassioasl Community Asa44gemcut/ D:sert Resm Mamgmeot 73-550 1'amDffic*Box 4772-PahUD=rtCA,2261-4772 ?v, Suiw S -Palm Dm=-� r=8 OnVa • (760) 346-1161- TALC (760)346.90-1$ p.2 10002 -'SOD REMOVAL DEDICATED LINE FOB WATERFALL PLUMBING Desert Gold Boulders Gold Quartzite Waterline & Exterior Vertical Face of Spa lV • Y • T 1 Y 1 T. • 1 12" 11 Stu MAINTAIN DRAINAGE AS SHOWN BY ARROWS NOTE: LANDSCAPE, IRRIGATION, DRAINAGE "WITH THE EXCEPTION OF DECO DRAIN IN PROPOSED SPA HARDSCAPE" AND LIGHTING PLANS ARE TO BE PROVIDED SEPARATELY, BY HOMEOWNER AND RESPECTIVE CONTRACTORS. BOULDERS NOT EXCEED YIN DIAMETER Waterfall= 4'x8'x2' HIGH ; Golf Course F— Air Pipe 13"+ INSIDE P/L 1 EXIS� ING UNDERGROUND p/L i`i DRAINLINETOREMAIN u UNTDUCHED TYPICAL E_lPANSION 2 100W HALOGENS II ' 1 --!f. !� ,;,� A•' I{ . JOINTS it/ /—[5'EASEMENT k ,1 +18" I PROPOSED CONCRETE II DECKING TO MATCH Dec Dram I EXISTING I) BBQ And Island By Home Ocvner •1 � Il , {I II Existin; Deck A L G&E II Stub only Il by SDC I{ r II 4' EQ Wall by SDC II BLOCK CONSTRUCTION Jandy RS4II TO MATCH HOUSE IN /II COLOR G&E lII � II r SHADER RESIDENCEii ' � II P/L II II AND -DIG It ACCESS II (No R&R) it II • , , it �, 40' BLACK IRON GAS II II • .................................... .0 NtRAL'S'ECi1r'ICA' ] li IlY'='/� [=iY• II I I I It• \': Y-II}'1F`. •11111:/lam lyl(:iL-i •11 t•i I [-ill I L-i-Y•i!•'l l I lrI!} AREA, PERIMETER •,► C •1, •i ► ►1 - DATE signature LA QUINTA HOMES MUDSILL CROSSECTION HOUSE IE— MUD SELL 2" BELOW MUDSILL Y OF— LA Ce�Id�;TA CST MG & SAFETY DEFT. gU1LD� % Ar' R FOR GONSTt�GTiOU ATE T N 1/8"=1' SCALE TILE CHOICE GOLD QRTZ SQ. RBB., COPING CANTILEVER POOL CAPACITY 16,000 GALS PUMP CAPACITY 102 GPM PUMP #1 STA RITE HP 2.0 PUMP #2 STA RITE HP 1.0 FILTER STA RITE 300 SQ FT FILTER RATE 102 GPM HEATER STA RITE SIZE 400 BTU TURNOVER 4 HRS SUCTION LINES 2 It RETURN LINES 2 SKIMMER MODEL AMERICAN CHECK VALVE YES GASLINE BY SDC FT145 POOL LIGHT CLOCK RS4 ELECTRICAL BY. SDC FT.j25 PEBBLE COLOR Sandy Beach DECK BY SDC SQ.667 DECK TYPE SALT - COLOR TBS SIZE 7.5'x11.5' RAISED 18" John/RP/PH LITE 2X100 WATTS Halogen RI LEVEL SEATS 22" 24" 27" DAMWALL " X FT. 6/11/01 DAMWALL TOP " ::REVISED : SPILLWAY SIZE 2 " X. 12 WIDE 10/01/01 SPILLWAY XX OPEN CLOSED # JETS 8 UPPER LOWER fie: DAVE & JOAN -SHADER Address: 78-680 CABRILLO WAY S11Yj LA QUINTA •:; .,y . • J. wr ,l.v 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