0008-267 (RPL)LICENSED CONTRACTOR DECLARATION
Itihemby ai7trr'm 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
779165 _ __..,� 05/3I/2C.
Date- l "I -! i� Signature of Conffiacio _.. f-.
- 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).
( ) I, asp' 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.
(g;:) 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 TIO INSURANCE Policy No. MA 907
(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^w,i_th lho_se provisions. 1
Date: c�31 •1'f [5 r', Applicant :tea.
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 R
for a permit subject to the conditions and restrictions set forth on hi�
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, and State laws relating to the building 0%
construction, and hereby authorize representatives of this City.to enter upon
the above-mentioned property for inspection purposesiL
Signature (Owner/Agent) _ Date
G
BUILDING PERMIT PERMIT#
rrff
DATE J� $"VALUATION LOT 0�G�I TRACT
$20,OW.00
JOB SITE'
APN
ADDRESS 4-760 VFMCE DIU M
OWNER
CONTRACTOR/DESIGNER/EN (NEER
- —
IAM MARQtW
r
CAWYOiv VT.FW POOLS
43.7'#0 V NI ' , URM
42160 GLASS DRIVE
LA QU:QTfA CA 92251
BIMMU DA T3L1` M CA 92201
(760.360••7174 ''3:,1:/
,
USE OF PERMIT
POOL.ANM/0 r1 -1.A
POOP.. & SPA ONI,Y-ALARMS/SARPJP S SHALL HE M PLACE AT
.P.RY-PLArl FR YHOPI C;TION' POOL EQUIPMENT ONCIA)SURE ISNOT
I'NCLUI]ED IN THIS PERMIT .
P0011,ANEVOR RA. 20,000,00 .La
KSIFTA0111M f.OffI' 00 oC NSMU'C-nom
20100100
PFRIVI.1 r E SUMMARY
PLAN CHEOCK FEE )DI -000,439-338 $134.35
CONSTRUCTION FEE, 101.00"19-000 $107.00
MECHANICAL FEE •- POOL 101.000.421-000 $24.00
i.JXCTPJCFiL. FEE •• POOL 101-000-42Q- 00 $49.00
P1UMBIN(4 FEE - POOL 101.000.419.000 $27100
'4
SUB^T(Y1 AL C OH"Rt UCTION AND PT..ApT CHF..IC X
$437.155
LmS Pn_PAM 7k�i.`3
MOO
PA It D' --m-r&1,Pr.maT-vmDvE Now
AUG 17 2000
- +,
RECEIPTDATE
W
i6Y +�
I DATE FINALED
INSPECTOR
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 I I
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
Q�
COMMENTS:
,
)47
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)
A RE -INSPECTION FEE OF- $30
WILL BE CHARGED IF THE APPROVED
PLANS AND !OB CARD ARE NOT ON CANYON VIEW POOLS
THE SITE i0R A SCHEDULED
INSPECTION
---���--- =---------------------- t_ ---------------------------
+18"
I 3'0
granite, erfall
219---,
skimmer
,CITY OF LA QU - - 5'n - ' _ 4'6_-
- 15
IMARQUEZ RESIDENCE I _
154
r� p144
OV %4.1 q95 BoardwQlk;Palm Desert (760) 779=;ngriA I ic..C53 7.79165 • AUGUST 11, 2000
SPECIFICATIONS
Pool Size ... 14' x 30'
Spa Size .... 5' X 8'
Pool Area ..... 295 sq.
'Spa Area .... 40 sq.ft. _
Pool perimeter.... 85 ft.
Spa Perimeter ..... 25ft.
Pool Depth 36"x5'0"
Spa Elevation ..... +18"
Spa Jets ..... 4 upper/1 lower
Llights.. 400 watt/1100 watt
Autofill... M.P. Products
•
EE " EQUIPMENT
Pump..StaRite Maxi II 2.0 H.P.
Filter ... StaRite Modular450
Heater -Teledyne Laars..EPL40
Timer ... Intermatic T104R.
i
Great White pool cleaner
Decking:..color TBS
Square feet .... 975 -
Tile Choice ... N/A
'
Rocks ... Grey Granite
Pebble Coat...Tahoe Blue
;
Mr. & Mrs. Marquez
_,,A43760 Venice Dr.
s La Quinta
Bella Vista
-SCALE: 1/8"= V-0°
I
n
S
w
W
a
-'
�
�
i
u
v
L
b
w
a
�'�
LIJ
�� y
CO
t-,
ro
m
Co
a
w
r
^:
17J
�- -
T•
D
row
�,',
�
�+
'
�%
)
� n
y
•— �
i
Q J
� �
V
is .i �
S
w
W
a
-'
�
�
u
b
0
X
Lti
4
'I
V
4
'I