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0310-317 (RPL)5 —LICENSED CONTRACTOR DECLARATION � U) I hereby affirm under penalty of perjury that I am licensed under provisions of F_ Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 04 W Professionals Code, and my License is in full force and effect. =) M License # Lic. Class Exp. Date w Sr12i3 C53 M C 8 � .112( ti Q' i oZ r- Date . r Signature of Contractor � t J U C:) OWNER -BUILDER DECLARATION W W I hereby affirm under penalty of perjury that I am exempt from the Contractor's ~ U) License Law for the following reason: Z_ ( ) 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). M() I am exempt under Section B&P.C. for this reason N Date Signature of Owner ON Q WORKER'S COMPENSATION DECLARATION o ccI hereby affirm under penalty of perjury one of the following declarations: Lo <() `I have and will maintain a certificate of consent to self -insure for workers' X W LL compensation, as provided for by Section 3700 of the Labor Code,' for the mJ Q . performance of the work for which this permit is issued. Q () �()MI have and will maintain workers' compensation insurance, as required by O U Q Section 3700 of the Labor Code, for the performance of the work for which this tl L Z permit is issued. My workers' compensation insurance carrier & policy no. are: CarrierSTATE COMP �Shiail'1'1 Policy No. 4tii 6Efrf4••.tUQ3 ao Z) r- CY J (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 37 0 ofthe Labor IVACode, I shall,fort with comply with those9provisions? Date: Applicant— Warning: pplicant 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 applicator 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/or ,inspection purrppoojsW,5iD Signature (Owner/Agent)ate PERMITk :BUILDING PERMIT 310-317 DATE ! 'VALUATION t LOT TRACT JJJ 317,999.715 145 . . JOB SITE ADDRESS pRI .1). APN _ OWNER CONTRACTOR / DESIGNER / EN (NEER CALIFORMIA POOL5 A SFAS CIVOP -MM CO3 81 -2,60 AVINUE 62 86.100AVIrtvTM 54 LA Ql fA CA 92893 COACIULLA CA 92.236 (-160)398-4z22 CISLIf x+0355 USE OF PERMIT POOL ANWOR EPA POCIU PA &_ 15 LF. €51 H10H BLOCK WALL. AI..ARMSMARRIERS SHALL M N PRI0111 To PR&PLASTER Ili a'PEEC:TION 5 FT4 ,'17trALL 15.00 LIQ POOL AND/OR SPA 1.1,675.60 Ls 95TIT",13M COST.. 0V CONFIRUCp'ION 17,' .'?S P Rmxr bV9 6tY1:6WARY PL0 MECK RKE 101.000.4.39.318 CONSTRUCTION FEE. ?UI $189.00 MECHANICAL FEB • POOL 101.000,421.000 .. $24.00 ' ly'LFXTRICAL FR « POOL $43.00 1'1dUM13aINO RE • POOL: 101=000.419,000 $27.00 •`!17`7. • 0WIRUCTION ND PLAN sic 'LESS P - -PAID MM ;MOMS. Nov 0 5 2003 J Taw, QY�:s pm NOW X7.95 CIF F LA QUINTA_ ANCE DEP RECEIPT DA/TE BY )) AT INALED INSP 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 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 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 is O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: , Final Utility Notice (Gas) ELECTRICAL APPROVALS , Temp. Power Pole i 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) cq {i 3 t I ` SPECIFICATIONS t rr f SuafACE AREA Of POOL N • i / r f o r r,.I rn PER'METT.R DEPTHS WIN MAX N w SPA +�SPEClFIgATIONS �� i1Lfi a SC FT 1ttE TYPE` � _ <., o t tco o ° "• SPA DAM R'41 MADAi � MATER LINE Na OF .ETS TILE TRIM w v N UCf'T CUAPTER ROUND � Q � f ' RAISED SPA AT RBB_MLL � U � Gy - SPILLWAY TYPE lit %�i.� { r"� � 't � �A• � N 2 SPECIAL NOTES � CLn 4 kJ DECKING 9 2 �✓ co � � EXCAVATION STEEi J rt,,,J tt4 1`1� V ��� C-.�-- �' ►`1" 1��f�- t `f.,�� �r.,(°';,e.�i.� I� �ft,,�f�a. � t��,,t.'` �"►l ��"Ir��� 'TYPE � Ar t�4}r �Fitr,9t AVNAA L )1- �� 1✓ 6�"�- QV � ACCESS fR01J ExPAMSiON JOINTS � I tp U � �j CANT�.EVER s ELEVATION _ DECK DRAPNS DEEP END PALM 1..04E SEAT � DE'CCC DPAIN �— COrICQETE REMOVAL LOADS CURB CORE r ^� t>' t-p � M y� T,0AD5 S� i � � � 1 �� �1 1 �� � 4.' �.'�'-i 4-' "-CP, P-) REMOVAL 9Y f�STE° FACE TOM l,, --� � t�ir':.. � � `•� t � � .� � � ,1 :_' - � �F='€ �...�.,.�; .'��'� �"`,,;�".� Ipp"irrON REMovuAy . mE BASE ,RA'CATIOri REPAIR SAND AND}4tS0UEEN I'fL S S 1 , !"'`•,�_ ..-,� („� 6' RBB � RIN9ONS 12"R88. AiOW ST'PfP '__...J � IrRe Ti. � .. 24* ROB ft }_��'��ti� �f'?jFT ,J�'#1-�>�,"� -�- 1(J`t �'�t I� ���E.��J �; L�'�:-"- - .•------_.t� .�I-...� � t f"/„'✓ �, �ft A ;JO'R.BB -^--.. _-� i � _ :- `` ... , Y �£ �, ---�.. ✓�'1 t'. � � �„J ` �� TAN S►+*1F DEPTH'•` 1 -4-4—_�_ __ oil;, + �, MASONRY • •• -x --- . � _ _ - _ - ��fhi �, : J �.l I =- � I� ,�....-"`'� ..�► � �' -t ��.\,t�{.���% 1 � �' "1 t ``r«t• ^( .,»�, • ,r ! � . �° � _ _.-1�`'� �;f�'�'+�� ' ROCKCOPtNC TYRE j COV) �`"� (" i F.(t"' � A�tii� �' " 'f 1 f' Jlt'rt1-Jli ` �� t �e +�_�.--e+•-$ �~ �� � iJ V i-�+� � 4 � 0 , j�" f'• p ��_� 'F-, �•* t t alc ' �"i' G�J ` CENTERS Y T1'F'E .1 "'.'��-°� � .✓ T` 1c, LC t' � � _ % SPILLWA � SIZE ' `� .--•. ,��.� PLUMBING sus "„ {._".�... �.lw�l� \�.'` ^.,.� t t • ��' ..... FILTER KrPROP EXT WAILS POOL PIMP .M D PLANTER WALL - __.- >- .. �_- _ . _ _ .� : -��_ �• 1� r ! .. t,.=----`..- � '_�_ - - - - - � - - `,.-..s� . - , ,� �l� l--( 9ZE { �,,... RETAIlv'Na WAILS .� BOOSTER PUMP ""-'St2E E4t/Iv'WALtS fs G? `,J ADD"L PIJMQ C<' L4 S[ZE /,0 FIREprr ADD'L PUMP SR£ f to rJ! wi L. I +� � NEATER l..r.� � F' SIZE dr .� '17 , .,1 _ - It •c'-4-" � r1 .. rrss ► 'r--` r�I r, %r L �.:� TI►�,E CLOCK a C-TO' 4f�641AMI OUTLE WWkCP 0 PA+�t1 TYPE #DO 22_ FILL LINE PEBBLE/PLASTER ^/"v,, f � ua+Ts Pool ��----'Z----�—�. � ...� GAS UNESUBS UCIiT'S SPA l - w ti✓ FOUNTA'HS/SPRAr►iSaDS RC+'.LED BON^ BEAM t i SNEER DES IS ..... BEu'ND SPA � EYEBALLS V,�iT'S IN POOL ?- "R- 'n- IN SPA STU9 SET EO1J'c1lifVT � FENCING f�tCATE *" . PltlAf9!"tC ffiZE "' ✓� � FIE)^,Fii �'` ..f-' v -r GUNITE GATE RE4ERSAI C) DSP END RAMP� REIA'JV:' & ' i ,_---- ,�, ��.;���+--pKp'-••�-----., iyM+ '.^-+-t�l-----•- � � _ i ., EYTEN'JI71 2n4 STEP �(� � `•,�........ L04ESEAT- ,, CaN'tIE4V Est. Cor>RFa.ErioN „jl r'} •/- I - 1 p p »A� coP:Nc ""`....." OTHER' -c�1.1��' pr'!',?, rr c- 7. RBB SEESTE"— 01WER TO (1) DEIER".INE THE A.°PF?k'IIATE EL£YA''rNi OF POOL OP SPA AT LAYOUT ON DAY 0i EXCAYAiiON - � � s� � !I `- � • -`" (T) TAKE NOTICE THAT POOI. IND t4!.+'pA"SNT LOCATIONS ARE SUBJECT T'0 ACCEPTANCE Of I LOCAL B'J11.DiN4 DEPAvT►i^:T AT TME OF It�'31A4CE OF PEAI+'T _ Y... _ _ _ ... _ _ — (3) VET DO"CON!wETE SHELL AT LEAST Tw+X DAILY FOR SE^_ DAYS AfT'ER SHELL 1S INSTALLED - •aea�C� T- �-yacE' --' - _ _ _ _ - .. _ _ �`.''° ' � ( �A t (4j A'�EE THAT CAU!'OGU'A POOLS IS NOT PE�OfiS'";-F FORUNb£PGRC4't{O Cf`^�"?iTONS OR C81<CTS. AND AW DAMA')E iTJ C4O9S. S+DEwa'xS, C•'nVEWAY5, UWItS, 0Q OTHER LEMS W THE ACCESS AFK_A 77 ���`� ��� •� (5) STY THAT A:1 f'ENMC GATES, ANO GA9ACE COORS MEET LOCAL CODES FOR A POOL E'dCOSLfP£ M'3`:' TO PPF.1"'t.JkSTEA giSTT£CT"YV f'tl. FOOL tM'i1~NATF'LY ATTER PI AS'i'R (T'Ci.lO'+i' INSTA'JCTtONS -- DO NOT USE R'J2TT£R NOS) --"s y-.x•..s,. ,» t ; G (7) TAKE NOTIr'L' THAT THlS OPAM*"C IS THE S^',.£ PTi0PM1Y OF CAlJtvaN'R POC%.S AMtJ THAT ANY USE iVTwrUT im'?TE'+ PEOT.T'n''^h Ot' CALTOT'H4A POOLS. INC. i5 PRON'M'ED BY LAW ,s ( N, ra A-0yrc oLAF, f�Ol.. hiC E0k`^1i'-,?14^AT^'+S AN,; HAS ROAD ?fiT• Rr5P0'15'O'UPES A"iJ i:C`D ATE lC£S ASO`$ ,p � C � y .. ,. -,- * :t.'4"•""`. ":^ff.'s �� Cl" TIt1 t RihJ POD' j/JL PLAN FOR: ' ��•�`�,� E �.-�e�� o :CE A.L.+, L5� d .,^ LiiY r• ,, r LOT r' • iI�ACT �' � PAGE 6{?GK + � F.+AFa BOOK PAG` NO CITY VA,ii. ADD4ES5 CC?NS-sr;UCiiO'd OFrICE F'r-!G"3L NO ' SCALE DATE DRt\t',"; BY SOLD BY, C�!EC;, %Y E r J-� '°Br` � REVISIONS NT w DATE .--GIT-1(--OF—LA - 2 BUILDING &SAFETY DEPT. ;7 7 r�APPRO � ION w�__..� .._ . _....,.. _ . _.. _v._.�-.... _�._.._ ..�..�....._».._� _�._. �...,__....�-. �.,.....,. , _.__...�• __ ...�_ _ .�.___ ,�__ ......_ � r_ ..�._...�. ._.�.,.-..... 311 FOR CO 151 41 cc ..DATE O 0 BY_ST SELECTIONS w CONSTRUCTION AUTHORIZATION STONE z sA�,r-s FIELD TILE � BOULDERS DIG + I'RL"--CU>\'ITI: DECK COLOR i'�'I)rRGROU;�D JANDY Mi1c01'RY PEER %PEAS DI:CTi SIGNATURE � I'P,>~:-t'1=t3I31.E DRAINAGE NOTE: Drainage and irrigation for planters end pots, by ethers, uniPss otherwi—p noted. 4 cq {i 3 t I ` SPECIFICATIONS t rr f SuafACE AREA Of POOL N • i / r f o r r,.I rn PER'METT.R DEPTHS WIN MAX N w SPA +�SPEClFIgATIONS �� i1Lfi a SC FT 1ttE TYPE` � _ <., o t tco o ° "• SPA DAM R'41 MADAi � MATER LINE Na OF .ETS TILE TRIM w v N UCf'T CUAPTER ROUND � Q � f ' RAISED SPA AT RBB_MLL � U � Gy - SPILLWAY TYPE lit %�i.� { r"� � 't � �A• � N 2 SPECIAL NOTES � CLn 4 kJ DECKING 9 2 �✓ co � � EXCAVATION STEEi J rt,,,J tt4 1`1� V ��� C-.�-- �' ►`1" 1��f�- t `f.,�� �r.,(°';,e.�i.� I� �ft,,�f�a. � t��,,t.'` �"►l ��"Ir��� 'TYPE � Ar t�4}r �Fitr,9t AVNAA L )1- �� 1✓ 6�"�- QV � ACCESS fR01J ExPAMSiON JOINTS � I tp U � �j CANT�.EVER s ELEVATION _ DECK DRAPNS DEEP END PALM 1..04E SEAT � DE'CCC DPAIN �— COrICQETE REMOVAL LOADS CURB CORE r ^� t>' t-p � M y� T,0AD5 S� i � � � 1 �� �1 1 �� � 4.' �.'�'-i 4-' "-CP, P-) REMOVAL 9Y f�STE° FACE TOM l,, --� � t�ir':.. � � `•� t � � .� � � ,1 :_' - � �F='€ �...�.,.�; .'��'� �"`,,;�".� Ipp"irrON REMovuAy . mE BASE ,RA'CATIOri REPAIR SAND AND}4tS0UEEN I'fL S S 1 , !"'`•,�_ ..-,� („� 6' RBB � RIN9ONS 12"R88. AiOW ST'PfP '__...J � IrRe Ti. � .. 24* ROB ft }_��'��ti� �f'?jFT ,J�'#1-�>�,"� -�- 1(J`t �'�t I� ���E.��J �; L�'�:-"- - .•------_.t� .�I-...� � t f"/„'✓ �, �ft A ;JO'R.BB -^--.. _-� i � _ :- `` ... , Y �£ �, ---�.. ✓�'1 t'. � � �„J ` �� TAN S►+*1F DEPTH'•` 1 -4-4—_�_ __ oil;, + �, MASONRY • •• -x --- . � _ _ - _ - ��fhi �, : J �.l I =- � I� ,�....-"`'� ..�► � �' -t ��.\,t�{.���% 1 � �' "1 t ``r«t• ^( .,»�, • ,r ! � . �° � _ _.-1�`'� �;f�'�'+�� ' ROCKCOPtNC TYRE j COV) �`"� (" i F.(t"' � A�tii� �' " 'f 1 f' Jlt'rt1-Jli ` �� t �e +�_�.--e+•-$ �~ �� � iJ V i-�+� � 4 � 0 , j�" f'• p ��_� 'F-, �•* t t alc ' �"i' G�J ` CENTERS Y T1'F'E .1 "'.'��-°� � .✓ T` 1c, LC t' � � _ % SPILLWA � SIZE ' `� .--•. ,��.� PLUMBING sus "„ {._".�... �.lw�l� \�.'` ^.,.� t t • ��' ..... FILTER KrPROP EXT WAILS POOL PIMP .M D PLANTER WALL - __.- >- .. �_- _ . _ _ .� : -��_ �• 1� r ! .. t,.=----`..- � '_�_ - - - - - � - - `,.-..s� . - , ,� �l� l--( 9ZE { �,,... RETAIlv'Na WAILS .� BOOSTER PUMP ""-'St2E E4t/Iv'WALtS fs G? `,J ADD"L PIJMQ C<' L4 S[ZE /,0 FIREprr ADD'L PUMP SR£ f to rJ! wi L. I +� � NEATER l..r.� � F' SIZE dr .� '17 , .,1 _ - It •c'-4-" � r1 .. rrss ► 'r--` r�I r, %r L �.:� TI►�,E CLOCK a C-TO' 4f�641AMI OUTLE WWkCP 0 PA+�t1 TYPE #DO 22_ FILL LINE PEBBLE/PLASTER ^/"v,, f � ua+Ts Pool ��----'Z----�—�. � ...� GAS UNESUBS UCIiT'S SPA l - w ti✓ FOUNTA'HS/SPRAr►iSaDS RC+'.LED BON^ BEAM t i SNEER DES IS ..... BEu'ND SPA � EYEBALLS V,�iT'S IN POOL ?- "R- 'n- IN SPA STU9 SET EO1J'c1lifVT � FENCING f�tCATE *" . PltlAf9!"tC ffiZE "' ✓� � FIE)^,Fii �'` ..f-' v -r GUNITE GATE RE4ERSAI C) DSP END RAMP� REIA'JV:' & ' i ,_---- ,�, ��.;���+--pKp'-••�-----., iyM+ '.^-+-t�l-----•- � � _ i ., EYTEN'JI71 2n4 STEP �(� � `•,�........ L04ESEAT- ,, CaN'tIE4V Est. Cor>RFa.ErioN „jl r'} •/- I - 1 p p »A� coP:Nc ""`....." OTHER' -c�1.1��' pr'!',?, rr c- 7. RBB SEESTE"— 01WER TO (1) DEIER".INE THE A.°PF?k'IIATE EL£YA''rNi OF POOL OP SPA AT LAYOUT ON DAY 0i EXCAYAiiON - � � s� � !I `- � • -`" (T) TAKE NOTICE THAT POOI. IND t4!.+'pA"SNT LOCATIONS ARE SUBJECT T'0 ACCEPTANCE Of I LOCAL B'J11.DiN4 DEPAvT►i^:T AT TME OF It�'31A4CE OF PEAI+'T _ Y... _ _ _ ... _ _ — (3) VET DO"CON!wETE SHELL AT LEAST Tw+X DAILY FOR SE^_ DAYS AfT'ER SHELL 1S INSTALLED - •aea�C� T- �-yacE' --' - _ _ _ _ - .. _ _ �`.''° ' � ( �A t (4j A'�EE THAT CAU!'OGU'A POOLS IS NOT PE�OfiS'";-F FORUNb£PGRC4't{O Cf`^�"?iTONS OR C81<CTS. AND AW DAMA')E iTJ C4O9S. S+DEwa'xS, C•'nVEWAY5, UWItS, 0Q OTHER LEMS W THE ACCESS AFK_A 77 ���`� ��� •� (5) STY THAT A:1 f'ENMC GATES, ANO GA9ACE COORS MEET LOCAL CODES FOR A POOL E'dCOSLfP£ M'3`:' TO PPF.1"'t.JkSTEA giSTT£CT"YV f'tl. FOOL tM'i1~NATF'LY ATTER PI AS'i'R (T'Ci.lO'+i' INSTA'JCTtONS -- DO NOT USE R'J2TT£R NOS) --"s y-.x•..s,. ,» t ; G (7) TAKE NOTIr'L' THAT THlS OPAM*"C IS THE S^',.£ PTi0PM1Y OF CAlJtvaN'R POC%.S AMtJ THAT ANY USE iVTwrUT im'?TE'+ PEOT.T'n''^h Ot' CALTOT'H4A POOLS. INC. i5 PRON'M'ED BY LAW ,s ( N, ra A-0yrc oLAF, f�Ol.. hiC E0k`^1i'-,?14^AT^'+S AN,; HAS ROAD ?fiT• Rr5P0'15'O'UPES A"iJ i:C`D ATE lC£S ASO`$ ,p � C � y .. ,. -,- * :t.'4"•""`. ":^ff.'s �� Cl" TIt1 t RihJ POD' j/JL PLAN FOR: ' ��•�`�,� E �.-�e�� o :CE A.L.+, L5� d .,^ LiiY r• ,, r LOT r' • iI�ACT �' � PAGE 6{?GK + � F.+AFa BOOK PAG` NO CITY VA,ii. ADD4ES5 CC?NS-sr;UCiiO'd OFrICE F'r-!G"3L NO ' SCALE DATE DRt\t',"; BY SOLD BY, C�!EC;, %Y E r J-� '°Br` � REVISIONS NT w DATE .--GIT-1(--OF—LA - 2 BUILDING &SAFETY DEPT. ;7 7 r�APPRO � ION w�__..� .._ . _....,.. _ . _.. _v._.�-.... _�._.._ ..�..�....._».._� _�._. �...,__....�-. �.,.....,. , _.__...�• __ ...�_ _ .�.___ ,�__ ......_ � r_ ..�._...�. ._.�.,.-..... 311 FOR CO 151 41 cc ..DATE O 0 BY_ST SELECTIONS w CONSTRUCTION AUTHORIZATION STONE z sA�,r-s FIELD TILE � BOULDERS DIG + I'RL"--CU>\'ITI: DECK COLOR i'�'I)rRGROU;�D JANDY Mi1c01'RY PEER %PEAS DI:CTi SIGNATURE � I'P,>~:-t'1=t3I31.E DRAINAGE NOTE: Drainage and irrigation for planters end pots, by ethers, uniPss otherwi—p noted. 4