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0003-257 (RPL)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 in full force and effect. License # Lic. Class Exp.. Date, SDate i a - Signature of Contractor V 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). 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 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 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 pr9V ions. Date: '? �zApplicant-.--����- 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 applicaton agrees to, & shall, indemnity & 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 purpo es. Signature (Owner/Agent) Date?»„r'?- .X BUILDING PERMIT PERMIT# 4y493-267 DATE 03/22*12(,N,i) VALUATION is 3, v � ,(Nj LOT TRACT JOB SITE 7&J71 TALKING ROUZi TUIPi APN o v ADDRESS OWNER CONTRACTOR / DESIGNER / ENGINEER `rf1T31'' fl!f i IA �' tEli G rr,:Jr.} Twu-NI C` C./JJ ) 11AVl.IIJ Ose ♦s .4.r>/Aelt 3V ♦ �/+-64.1 L t ANTA CA 9225; INUR J CA 91102 f7,60)117.(fit,% �1i1 USE OF PERMIT S1J_N �. ;A'ta+eayi 'nFU.At iefliWi�iU l4 atiALL I -Ai 04 vLAb_t> i,iA .k'i&, qq r� 4 ��°i'/1►M 'T Yi �"'t Yl. ilM�d 1Y'e ♦. 'T JK,t iJ:iX!1`l`1115=Qi>�Z�Yrla_�.il'YAfwl/'Jg`7t 30,MICWti.APta y ,.++]tom�'' y, ` 1.jj1` II�� jjyy4yy e!r°��li �w9ida nl J'!`F" tas-ae as 1(1} Nlit .J%t t1!'f.l w Q.lo ren 1RiY .o 1�/r It V4o- 46i. r. J_J.=. tr ��« `Pv �, 113 l¢1Lf)•-1f. S' Vi6V _)6 ®'S�9 NLt��E"r�f�zf kkf.� ._.�Z�x1L iI)1-ttf)U�4ly�tl�ll b�+,tau %J Ifi-YYl-i A1.)M t4Nf�?�t.A9u RECEIPT DATE iDATE FINALED INSPECTOR Bf rt" INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION I 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 O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: &X Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring FbQures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) fa Tra ition ARCHITECTURAL DESIGN REVIEW March 23, 2000 Mr. Greg Butler Building and Safety. CITY,0F LA QUINTA 78-495 Calle Tampico. La- Quinta, CA 92253 Re: Lot 59, Phase 28470-2f78-371 'Talking Ro—ck-Turn? Swimming Pool Review C17-YIAS O;r 27RECD BUILDINGA' - VL) 8A'zE71s Via Facsimile 760-777-7011 Dear Greg, This letter will serve.. as ADRC approval for the above referenced swimming pool (copy attached). If you have any questions, please do not hesitate to call. Thank you. Sincerely, Christina J. Dores Architectural Review Coordinator /cjd pc: Ken Hudson (via first class mail) U Oclz ': k, CV.Ay D—tAWRCkNW-P0&wpd 78505 OLD AVENuE 52 — LAQui\,xrA — CA 92253-1120 PHONE 760/564-3355 — FAX 760/564-2356 . " �� �'� \C/ MICHAEL K/NER ASSOCIATES a�. 73-675 HWY 11.1, -SUITE F PALM DESERT,-. CA 92260 PHONE: (760) 773-3390 22 LF oix - 3. 7 - 4i) a t RSM_6.30 _ L 0 2 LLQ p NOTES 1. ' PROPERTY IS 24, 0 t 6:65 S.F. .55 ACRE 2. BOUNDARY AND TOPOGRAPHY DETERMINED BY PERFORMED 'BY HACKER 'ENGINEERING ON APRIi BASIS OF SEW WA .- THE BEARINGS HEREON ARE BASED UPON THE WEST THE SW 1/4 OF SEC. 7, T6S, T7E, SBM, AS SHOWP RECORD OF SURVEY, RS 67/76, RECORDS OF RIVEF BEING N00'06'0$ E. SEWAGE DISPOSAL: COACHELLA VALLEY WATER DISTI-. WATER: - COACHELLA VALLEY WATER DISTF ELECTRICITY. IMPERIAL IRRIGATION DISTRICT GAS: SOUTHERN CALIFORNIAN GAS TELEPHONE: GENERAL TELEPHONE LEGEND BLOCK WALL -� CONCRETE - - <100? - - EXISTING CONTOUR .. 100 FINISH CONTOUR GARDEN WALL RETAINING/GARDEN WALL – DRAINAGE FLOW PROPERTY LINE TOP OF SLOPE Y: TOE OF SLOPE —. X X . CHNN LINK FENCE MAVI1 l MA NO SCAI F 5t I KIM 70 GRADE WITH COMPACT `BACKFILL FLOODING AND JETT) ALLOWED (T©_P 6" C -- 48' DIA. PRECAST MAI —6" ABS DRAIN LINE 4 6" P.V.C. OR A.B.S. DOWI PRECAST CONC. SLAB 4" CONCRETE SLAB (POU) PLACE) SHALL EXTEND 6" UNDISTURBED SOIL 48" PRECAST PERFORATE[ RING 3/8 " TO 314- DIA. WASHr: NON WOVEN FILTER FABRI 88-103 CAL. STD. SPEC. -M 1 "" 'UN/ NDISTURBED "SOIL WHI. �3 D"ELL DETAIL NO SCALE CONSTRUCTION NOTES AND OUANTITY ES"MIMAT o. tr • 1 ► 8 2 CONSTR. FLATWORK PER ARCHITECT'SPLAN 1, 3 CONSTR. FLAGSTONE FLATWORK PER ARCHITECT'S PLAN 2. 4 CONSTR. DRIVEWAY APPROACH PER CITY STD. 207 1 5 hor USED - 6 INSTALL 6" A.B.S. DRAIN LINE (IX MINIMUM) & 7 INSTALL 4" DECORATIVE PATIO DRAIN PER NDS 906P (OR ' APPROVED EOUAL) .5 8 INSTALL 9" SOUAR£ AREA DRAIN PER; NDS 990 OR APPROVED EOUAL if 9 CONSTR. GARDEN WALL PER CITY & ARCHITECT'S PLAN 1', CONSTR. 2' HIGH DRY STONE WALL PER ARCHITECT'S PLAN 1( i CONSTR. CONSTR. RETAINING WALL PER C17Y STD. COMBINATION RETAINING/GARDEN WALL PER CITY STD. i 9; 5t I KIM 70 GRADE WITH COMPACT `BACKFILL FLOODING AND JETT) ALLOWED (T©_P 6" C -- 48' DIA. PRECAST MAI —6" ABS DRAIN LINE 4 6" P.V.C. OR A.B.S. DOWI PRECAST CONC. SLAB 4" CONCRETE SLAB (POU) PLACE) SHALL EXTEND 6" UNDISTURBED SOIL 48" PRECAST PERFORATE[ RING 3/8 " TO 314- DIA. WASHr: NON WOVEN FILTER FABRI 88-103 CAL. STD. SPEC. -M 1 "" 'UN/ NDISTURBED "SOIL WHI. �3 D"ELL DETAIL NO SCALE CONSTRUCTION NOTES AND OUANTITY ES"MIMAT ITEM OU -0 1 PROTECT IN PLACE EXISTING SPECIFIED ITEM 8 2 CONSTR. FLATWORK PER ARCHITECT'SPLAN 1, 3 CONSTR. FLAGSTONE FLATWORK PER ARCHITECT'S PLAN 2. 4 CONSTR. DRIVEWAY APPROACH PER CITY STD. 207 1 5 hor USED - 6 INSTALL 6" A.B.S. DRAIN LINE (IX MINIMUM) & 7 INSTALL 4" DECORATIVE PATIO DRAIN PER NDS 906P (OR ' APPROVED EOUAL) .5 8 INSTALL 9" SOUAR£ AREA DRAIN PER; NDS 990 OR APPROVED EOUAL if 9 CONSTR. GARDEN WALL PER CITY & ARCHITECT'S PLAN 1', CONSTR. 2' HIGH DRY STONE WALL PER ARCHITECT'S PLAN 1( i CONSTR. CONSTR. RETAINING WALL PER C17Y STD. COMBINATION RETAINING/GARDEN WALL PER CITY STD. i 9; 1 INSTALL DRYWELL PER DETAIL SHOWN. ABOVE 2 1. SAWCUT EXISTING CURB HORIZONTALLY TO ALLOW FOR NEW DRIVEWAY APPROACH 3t THE OUANTITIES SHOWN ARE FOR PERMIT PURPOSES ONLY. THE CONTRACTOR SHALL BE R£SPONS