0202-301 (RPL)LICENSED CONTRACTOR DECLARATI.01
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
Prdfe:;sionalOCode, and my License is in full force and effect.
License # Lic. Class Exp. Date
C53 c6lerdli- I lot i/,fix
Date'; Signature of Contractor
t
DOWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from/'the Contractor's
License Law for the following reason: 6' _
(. ) . 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).
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 Policy No.
ACf'UITAWCE Jl ID D F'999 4613
(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,e I shall forthwith comply with those;provisions.
'DatApplicant
Warning:Failure to secure Workers' Compensation 'coverage is unlawful. and
shall subject an employer to criminal penalties"and civil fines up to $1091000 +in
addition to the cost of compensation, damage's as provided for in Section
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and!S f
for a permit subject to the conditions and restrictions set forth on _his
application. �-'
1..Each person upon whose behalf this application -is made & each person at
whose request and for whose benefit work is performed under or pursuant I m
any permit issued as a result of this applicaton agrees to, &'shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
'2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance 'of -."such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes. y�jw
Signature (Owner/Agent) Date, �y
BUILDING PERMIT' PERMT#
DATE_ J VALUATION LOT F,1.'$Q.21411K)l TRACT
J. /C, �192-$1Z..4m.00
JOB SITE
APN
ADDRESS
OWNER
CONTRACTOR/DESIGNER/ENGINEER
DC32d;l ALY
BUBBLE SPRIKOV °
to .7187 hIMM11!`a"�-I MY TARN
71509 5AX WRC:C?hl 0
1..A fir'+.7WTA CA 92253
RAN(MO)MAGE r,;A 92270
_
Q60�41.2336 (TSIX 5 386
USE OF PERMIT
POOL A-WDIOR EPA.
PO[11° A141) SPA 'd1f!'1 H VOUN T. X0. AJ,ARMW'BARFJXXr, MAP:$. HE IN
PLACk PRIOR TO PREP"STER TaEIP9,04TIO 1.1000 :, RQUI WINT
MCWSURE NOT INCLUMD IN PERMIT.
POO1. x*KWO,R SP.A, dM00.00 T.3
E"&MA7f'AI) !Cd)1a°'I' OF C4)NS i:J(ITION
6611MM
-�
PLAN VIIIE K FF% 101-000-439t-318 5319.1 g
CONSTRUCTION ON ng 101.000-4113-000 $491.00
mlifijna,9L n1? l; --P001, 101o000-421-000 M100
t".LifC!'NtJC°AJ. FEZ TWL 101 -000 -420 -•COO $45,90
PL'UM13ING F'ZR p6bii ? '10'i -M-419.000 427.00
<`*
z
�rt
EB 2 7 2002 0
FE FM
$0.00
T('YrAL PMWI FEESDUF NOW
x.15
RECEIPT
DATE! /
BY
I PEC OR
,
INSPECTIOP+ (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
4_
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Waste Lines
Water Piping
Plumbing Top Out
Gas Test
Electric Final
Heater Final
Plumbing Final
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
_
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
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)
COMMENTS:
AOL.
F A, WE
e i,STI
FAIRWAYS ASSOCIATION
February 26, 2002
Mr. Daly
80-787 Spanish Bay
La Quinta CA 92253
Re: 80-787 Spanish Bay
Dear Mr. Daly,
At the February 18, 2002 meeting of the Architectural/Landscape Committee your pool,
spa 'and patio were approved.
If you have any questions, you may contact me at 760-564-3858.
Sincerely,
Xy -,
Donna �arinaccio
Association Manager
Post Office Box 1658 • La Quinta, California 92253 • Phone (760) 564-3858 • Fax (760) 564-2329
P
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a'0:
ern
GRASS
Pool Equipment
P/L
1 -0- step
GRASS
P/A
14'6
P/A
12'6
raw^ -
5
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O
50 Plante f'
OZ
0
F-42--]1.
Stamped Deck
Adobe A-24 2 1/2#
z 90
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P/A
+48"
Deck drains
—n2.
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M
+12"
to flow to both
sides of property
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& follow precise
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grading plan
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12'0
0 = drain
$ ,O ;
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3. Golf course side
Ali
of raised pool bond
+12" +12"
0'
I Jet
O Q
Stamped Concrete..
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—$'�
❑®�V 49.41Y
O ..80787 Spanish Bay drive
La Quinta, Ca. 92253
(888)234-2366
so
Bubble ,60
O ""' Springs
C
CO
beam piaster & color
P to match house
L 4. Tile
"Portabello"
ETA Cream
5. Quartzite on
waterfall -
` Sunburst Gold
�'GRASS,6. Pool Surface ,
Sandy Beach
Pebble Finish
Ij
f
t. 4block wall. at
?i pool equipment
plaster & paint
to match house
8: Spa - 6 jets