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9512-090 (RPL)r LICENSED CONTRACTOR DECLARATION I hereby affirm 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. _ ` 5+''�N70 " 6/30/06 - "License # Lic: C ass Exp. Date Date /� -,—,ignatureofContractor� OWNER -BUILDER DECLARATION I hereby affirm 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 3706 -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 ra+r•^� Policy No. �t,` •«�'rdTr'^* (This sectio�`d n `be completed if the permit valuation Is for X100.00 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 prov Bions. Date:.. A , AT pplicant /c Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code; interest and attorney's fees. . i IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application agrees to, & shall, indemnify & hold harmless the City of Indian Wells, its officers, agents and employees. r 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit,'or cessation of work for 180 days will subject permit to cancellatioW I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby' authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. Signature ,,caner/,Agent) -. ' ' ^Date fF g ALC": BUILDING PERMIT PERMIT 512 ©,9() DATE 1$/19/'35 VALUATION 8',16,001) ft LOT TRACT JOB SITE ADDRESS APN 50-625 CALLE OVITO OWNER CONTRACTOR SUN ROSE CORPORATION SUN ROSE CORPORATION 72-850 S•OMERARD. 72-850 SOMFKA. ItD: PALIM DRSEM' CA 92200 PALM DE SEWl' C:+1 ' 92260 (619)346-2840 C8L# 1137 DESIGNERIENGINEER (60)1_46-2840 461-`, 840 USE OF PERMIT W..1, A,JNp C)k 1100L & SPA. FEE DESCRIPTION FEES POOL AND/OR SPA 16,130,1.01? L,a W -S i.IMAT L! .3D CU.ST OF CrivNSV RUCTION %,000.00 PERMIT FEV. SUMMARY PLAN MUCK FFE 101-N)0-439-318 $1.11.15 CONS'fR.CICTION FEE 101-000-418-000 $171.00 AMCKANIC'AL FEE -- POOL 1.01-000-121.000 $24,00 i dl,f3C.[, CAL FEE -- POOL 101-000-420-()00 $45.00 P'L'UMBING FE -13 -- POOL 101.-000-4191-000 :$27.00 t-TCa'lAJ, CORiMUMION AND PLAN CHEC1:. $3'1$.15 U LESS PRE-P.AiD irEES $0.00 4 n o .l _. 194-C C• 'PIAL PERMT WES 1)•a E, i' OW $378,15 995 ! .I •' Air. ' .. RECEIPT e DATE ' BY DATE FINALED INSPECTOR ;lr:.�.... .... , INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS Set Backs MECHANICAL APPROVALS 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 �� 6 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 /l j 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 Final Utility Notice (Perm) , �j lQ3.�1 11 lt2, N_ 1 x , n + .1'i. �`t t t ., q � !' I •t: � Sr � Z;i, .� ;... � r S f.�"5''.l� s`�^'^'T_"^.x` hs3'. f.,�, ..i y s�..•�'• 'I, , ! • r ri t.e i i 1 IIC�'J r G 1 'J r U S: f�u V,' 1` • t r l 11 N '�: O. %t . t.t � �•�;! � � r , y'+!°S;Ji.:'' +� { rl yp {ri"-Ivy. r � S �'' �• ...�' '!.,:�:�:.}y��9'('•t , •4 � � .. ., ���• a cl•' ,�•�:�•.: �I' / sem. :!-. _ 7 E 1., Ir F •,l •' ,U•; tet: �-�„+ / • 1 i. Lu Lt m In- LLJ i• _ r4 i - I Arl —J 0 eia CL R ICE LU UU 2 MIN 41 . o � , N 60'001 = C 10 \• I J , �j lQ3.�1 11 lt2, N_ 1 x , n + .1'i. �`t t t ., q � !' I •t: � Sr � Z;i, .� ;... � r S f.�"5''.l� s`�^'^'T_"^.x` hs3'. f.,�, ..i y s�..•�'• 'I, , ! • r ri t.e i i 1 IIC�'J r G 1 'J r U S: f�u V,' 1` • t r l 11 N '�: O. %t . t.t � �•�;! � � r , y'+!°S;Ji.:'' +� { rl yp {ri"-Ivy. r � S �'' �• ...�' '!.,:�:�:.}y��9'('•t , •4 � � .. ., ���• a cl•' ,�•�:�•.: �I' / sem. :!-. _ 7 E 1., Ir F •,l •' ,U•; tet: �-�„+ / • 1 i. Lu Lt m In- LLJ i• _ r4 i - I Arl —J 0 eia CL R ICE LU UU 2 MIN 78-495 CALLE TAMPICO — LA OUINTA, CALIFORNIA 92253 - (760) 777-7000 FAX (760) 777-7101 TDD (760) 777-1227 December 24, 1997 Sunrose Corporation 72-350 Somera Rd. Palm Desert, CA., 92260 RE: Pool & Spa Permit #9512-090 Dear Sunrose Corporation The purpose of this letter is to inform you that your Pool & Spa Permit #9512=390 for the project at 50-625 Calle Quito, 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.. 'S-hould 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/Build,-,r. 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 Buildin & Safety Manager 1 aniel P. Crawford_J . Building Inspector I cc: file dpc MAILING ADDRESS - P.O. BOX 1504 - LA OUINTA, CALIFORNIA 92253