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0002-017 (RPL)f•� LICENSED CONTRACTOR DECLARATION i, 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 in full force and effect. /f License# Lic.CClass- Signature of Contractor —1 + r OWNER -BUILDS DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contra teFs• 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. (\e) 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. � (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 soO"as to, become subject to the workers' compensation laws of�Califomia, and�agreejthat if I should become �ate bject to the workers' compensation provisions of Section 3 00 of the Labor ode, I shel fo Oft comply with thoue Dio'onis'. : j�� M li Applicant— pp`—/J 1 Warning: Failufre to secure Workers-Gompensation coverage is unlawful and shall subject an employer to cnminal penalties and civil1 n_es`up to $100,000, in addition to the cost of compensation, damages as provi ed for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to .the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of. La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and'void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work,for 180 days.will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City,�d`State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above mentioned propertyfor inspection purposes. Za Date BUILDING PERMIT PERMIT # 01102-037 DATE »� � VALUATION � � � LOTto TRACT z.{ � � JOB SITE ,, , „ "„ ADDRESS �}�f.••",liE:1JY�1Sii!•SYCfRR#ll iYUE$t APN OWNER CONTRACTOR / DESIGNER / ENGINEER JOUN „1;;t?'�tC!`.;`? 45585 YS PONE; BROOD Cr 73360 .E iiC i iii'tl 1 1 LAQUINTA CA '92253 PALM DESi^:M' (:A 922.5 -19,( (7t+t113,l4 25RR CB11 1104 USE OF PERMIT KKA, ANUiOR SPA r i�00#L 1�iiD SPAIOYLY - ALARMSrBf\tRRIE1(S `..il1A U BE 1N .1,LtkCE Xj, I.'1tf 1wLf45`!' Si< IN.S.0—C110N -SPA .MrVYw'O.0V f.,i ' f a E.ST MULTI. ED MOT Or CrN, PKIRIN iT FEE SUMM.Atati PLAN 04R: X,FEH 101-000-439-318 it>, YN'5,T12 41(' f ION I. -VP i (11-f)i?il- 41 g -(n1 g?ft7 �tl a ..'r-rrrAsnv�n. T.T•r• 7a�r r IAA f.VA01..0 —121 AA1tf Yvv+ n:. It LS�..A.if•Ltvli. fel.. 1't:.; ^+t-.-+t.�.fi,. ' L. 1i.7-LVV Y+.•i.!'v 2i'►uuiii.uG PLUMt INO N'EE -- 4'l�(X 101-0(X)-44- 0o0 S27.00 CI j>i= i'i:11:e1, f`0N1,51l'R•31(71Y)N M) P! -AN (14r,"K i.vcr� nor pJD :1i1r4e ,f RECEIPT I DATE '1'0TA 1>CRAM IT )rVVN 1)tIE, NOW 1 $437.55 DATE FINALED I 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 - Int. Lath Final Final BLOCKWALL APPROVALS steel POOLS - SPAS Set Backs Electric Bond Footings Main Drain °V 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 _ 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: P CJS o - _9 01-0 18�� sutss•-� c �'a'a� °`� NOTES: A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND 10B. CARD ARE NOT ON THE ;SITE FOR A SCHEDULED1>1 2►"�M� �C ` 3 '� INSPECTION. P .NO EXCEPTIONS! AA oc M EN a MAc^F- Sys k.rn" 44Z! - 4-tA S - AREA MAP KC�dI-- L� EL it ICY MAP NO: . i �i- �D 11�� �E Y I cavi �v— ,� . ` FY•omSLR{3 � �� s r� CITY � F LA QUINTAL (� BUILDI & SAFETY DEPT. # APPROVED LIC- 518742 • j. FOR CONSTRUCTION T DATE BY NAM 34v � JOhNC f. ' L ft uiAJ(' 3 scAc� - r - 0' LOT &= SEC Ae - - -- PROPERTY LINE QU UTILITY POLE &NCTION BOX ® HOSE 518 � SOACR Ol�CK-0DiRAIN TELE. 2 7 IZ V.3 W TELE, 1 B5 -2099 -- -= UTILITY EASEMENT Q ELEC. PANEL QB BLOWER --- FILL LINE �� LWT AREA DRAIN �J� ,� AMERICAN FENCE (HEIGHT, TYPE) 0 GAS METER 0 VkATEFi LEVELER OF FILTER -+ DR RETURN PVC DRAN —E—E— UNDERGROUND ELEC. — c CON%TRI1CT10'w �-G- GAS � INCH MMK F� REMOTE WLVE HQ HEATER --+ THERAPY i � GRAB RAl1..5 --w - P. Q. e0 11996 tI --®V10ATFR DEPTH GATE \ ALVE D MAIN GRAN •--4. AERATOR LADDER-�-- OVERHEAD ELEC. ® ® 0 � � . PALM DESERT CA. OVERHEAD TELE. RAI f : SWITCH © P TRAP o PUMP GAS GRILL (760) 322= ��6 ® ELEC. PEDESTAL ACCESS QD RECEPTACLE ---3 STUB d CUP ANCHOR 0 SEE NOTES _ ,.NSNov ORA►NIC90ACCUPPML '* w • .. ........, .... -= "'`---_ ...._.._____ �_�.'.:� _ ...._... .. .. �_.r. '-aia.�:.iACf .:SEs 7 4,4 78495 CALLE TAMPICO - LA QUINTA, CALIFORNIA (7 6 0) 77777012 FAX (7 6 0) 777-7011 FACSIMILE TRANSMITTAL To: 4Mfir-I ca.✓1 _ a 1 Attention: s� --Fax Number: .1 GO From: t1ry t *\ y - t �- Building and Safety Department Date: ` 6 - 00 Page 1 of �- r 4 11•lY �.�►�►�- k"4_ pr tAiI #_vs ti f 6v( �s61A � 5 �nk9�r n hz° ems. , i.��.�I Vta�' Ct cr,�,0�'' 6L 23 U- -71-7— `117 - 70 MAILING ADDRESS -. P.O: BOX 1504 - LA QUINTA, CALIFORNIA 92253 ' x 1003.3.1.3 1003.3.1.10 • 1997 UNIFORM BUILDING CODE - 1997 ' 1003.3:1.3 Width and height. Every required exit doorway serv- EXCEPTION: In Group R, Division 3, and Group U Occupancies ing an occupant load o f 10 or more shall bR of a size to permit the ' installation of a door not less than 3 feet 914 mm) in and within individual units of Group R, Division I Occupancies, such length need not exceed 36 inches 3• nominal (914 mm). vate( width and(not less than 6 feet 8 inches 2032 mm) in nominal A landing that has no adjoining door shall comply with the 4. height. Wh're installed, exit doors haVbe capable of opening requirements of Section 1003.3.3.5. such that the clear width of the exit is of less than 32 inches 813 •. mm). In computing the exit width as re� uired by Section 10 .2.3, 1003.3.1.8 Type of lock or latch. Regardless of the occupant trol than the net dimension of the doorway shall be used. load served, exit doors shall be openable from the i side without the use of a key or any special knowledge or effort, ?rerta G:v bar shall 1003.3.1.4 Door leaf width. A single leaf of an exitoor serving an occupant load of 10 or more(shall not 4 fee EXCEPTIONS: 1. In Groups A, Division 3; B; F;'M and S Occu- total conte exceed 1219 mm) " + lll. width. \ pancies and in all churches, key -locking hardware may be used on the - main exit where the main exit consists of a single door or pair of doors 5. 1003.3.1.5 Swing and opening, force. Exit doors serving an where there is a readily visible, durable sign on or adjacent to the door stating, `"THIS DOOR MUST REMAIN UNLOCKED DURING shall occupant load of 10 or more shall be of the pivoted, balanced or BUSINESS HOURS." The sign shall be in letters not less than 1 inch 6, s side -hinged swinging type. Exit doors shall swing in the.direction (25 mm) high on a contrasting background. When unlocked, the single A of,the path'of exit travel where the area served has an occu ant P door or both leaves of a pair of doors must be free to swing without '12 load of 50 or more. The door shall swing to the fully open operation of any latching device. The use of this exception may be it position when an opening force not to exceed 30 pounds (133.45 N) is revoked by the building official for due cause. 2. Exit doors from individual dwelling units; Group R; Division ware applied to the latch side. For other door opening forces, see Sec- • tion 905.3 and Chapter I L. See Section 3207 for doors swinging 3 congregate residences; and guest rooms of Group R Occupancies hav- ing an occupant load 10 ' S _ _..over public property.:) of or less may be provided with a night latch, 1J. dead bolt or security chain, provided such devices are openable from EXCEPTIONS 1. Group 1, Division'3 Occupancy used as a'place a height not ~,, to aches $j have ofdetention.s exc5ced 48without (1219 mm) above the finished floorted . , , + 2 Doors within oi'serving Manually operated edge- or surface- rnounted flush bolts and u R' an individual dwelling unit. ^ �3: Special doors surface bolts or any other type of device that may be'used to close egre • ,- - _ conforming to Section 1003.3:1.2. , = or restrain the door other than by operation of the locking device Double-acting doors shall not be used as exits where any of the 'following shall not be used. Where exit doors are used in pairs and approved 100: R conditions exist: automatic flush bolts 'are used, the door leaf having the automatic occt ' 1.The occupant load sei:ved by the door is 100 or more. flush bolts shall have no doorknob or surface -mounted hardware. men 2+The door is part of afire assembly, 4, The unlatching of any leaf shall not require more than one opera- ' tion. � + 100: 3. Too" is part of a smoke- and draft -control assembly. , , :.� � EXCEPTIONS: 1. Grou ' R Division 3 Occupancies. P: , - 100. - _ • 4. Panic hardware is required or provided on the door. ,.�•r - • 2. Where a pair of doors serving a room not normally occupied is needed for the movement of equipment, manually shal '- ' ' r. • -A double-acting door shall be provided with a view -panel of operated edge- or ~surface -mounted bolts may be used.. = 100. not' (+ less than 200 square inches (0.129 mz), 1003.i. 1".9 hardware. Panic hardware; where installed, •comply ;� .. ' 1003.3.1.6 Floor level at doors: Regardless of the occupant load shall with the requirements of UBC Stand d 10-4. The activatin 'member,shall be mounted at a height not regi .' served, thele shall be"a floor or a landin�'on,each side '� ci less than 30 inches�(762 min) nor more than 44 inches of a door. ;Where access t r rsons.wtth dtsabthttes is re utred b Cha ter, " r (1118 mm) above the floor The unlatching' force shall not exceed. l S p`otinds (66.72'N) _' .t ` 1, whenapplied ' i k ; �1Lthe floor or ding shall not be more than'. inch (12.7 mm ,pp ,• to the direction of travel: ` +r:lowe`i than the threshold- of the doorway,Where such accessi no Where pivoted o balanced,doors�are used and panic hardware is "- �, required, the threshold shall not exceed l enc (2 mm): Landings. s all a eue exce t required panic hard are shall be o ahe ush- ad type and the'aY100 p p Yp at exteriorlandings ma have a she Y nit t�shall excee a unit vertica m 12 umts onzontal pad , .` .. "`sen not extend across more than one half of the width of the door �:c.� (2% slope): :' + measured from the latch side. regi . EXCEPTIONS: 1. [n Group R; Division 3, and Group U Occupan- cies and within individual units of Group R, Division 1 Occupancies: i loc 1003:3.1.10 Special egress -control devices. When approved by rail a . t 1:1 A door may open at the trop step of an interior flight of stairs, E the building official, /exit doors in Group B; Group F; Group I; Di- vision 2; Group M;Group R, Division _ hav loc t ; provided the door does not swing over the top step. ' t... s ...,. ___. 1.2 door 1 congregate residences serving as group -care facilities�and Group S Occupancies �' A maybe y open at a landing,that is not more than 8 inchs equipped with approved listed special egress -control devices of t (203 mm) lower than the floor level, provided thedoor does the time -delay type, -s notswinene overnd�•,n_g, ' 1.3, Screen doors and storm oors may provided the building is protected throughout by an approved automatic sprinkler system and an approved auto- I swing over stairs, steps • - % , or landings. - matic smoke -detection system. Such'devices shall conform to all por S• " 2. Doors serving building equipment rooms that are not normally the following: me -del rr, occupied: :,- t - 1. The egress -control device shall- automatically deactivate step 1003.3.1.7' Landings at doors. Regardless of the occupant load upon activation of either the sprinkler system or the smoke-dewc- served, landings shall have a width not less than the width of the tion system: 10( door'or-the width of the stairway served, whichever is greater. • 2. The 'e re g ss -control device shall automaticall deactivate. Spe 4 Doors in the fully open position shall not reduce a required dimen- f' .sion by more than 7 inches (178 Where y upon loss of electrical power to any one of the following' Sta mm). a landing serves an occupant load of 50 or more, doors in any position shall not reduce 2. I The egress -control device itself. tha the landing dimension to less than one half its required width. ' 2.2 The smoke -detection system. 1 *.Landings shall have a length measured in the direction of travel of :not less than 44'inches'(1118 mm). ' 2.3 Means of egress illumination as required by Section 31/ oth r _ ` .. ,1-108 '"r` .1003.2:9. . } ^ Y prc