9905-148 (PLBG)LICENSED CONTRACTOR DECLARATION
rftereby 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
Q6,10,16 01/31/201
UDai Signature of Contractor"'
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
a 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.
Se( )I have and will maintain workers' compensation insurance, as required by
ction 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.
« }i7-ar N �i 1 fR1' 1N L�1 A092=30 .
(.Thls'section need not be completed if the permit valuation is for $100.00 or less):
• (') •I ceitify that in the performance of the work for which this permit is issued,
j� 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 pr
Date: Applicantovisions,ij`
.a:� �t s•
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, 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.
gnature (Owner/Agent) Date
BUILDING PERMIT PERMIT#
DATE � VALUATION SN"I'soo•oo LOT TRACT
JOB SITE
ADDRESS 75.239 INDIGO DRAVE
APN
OWNER
CONTRACTOR / DESIGNER ENGINEER
.
,310 DCOASTENn pp]tS `
Yi7'S QUAJt7ykIM_7¢NO&!APyiCAIL
i5iFw,rArr.AVEKUr.,
1320 NOWFIR HANCO:l: ,-MlEET
ORANGE CA 92665
1 NA'1-1,0M CA 92807
(1.19,93-0100 COLO
USE OF PERMIT
c'>.,ZJ.I19�1'I�ls
l:ivIMA%L,NG 5 PSI NA'i`t3R;~11 GAS' SY'S EM
�9
rt
VALUATION 88,500.00 LS
ESITIAIX1,11111 CCS L OF MNIMMU'r�"?i ON'N
��3,34f�3:tti:
NZUIlMBflgG k"hT,,' 1.('1 000-a1s! $Its �tR
AWM.rAt, CONFTRUCTION AND I'LAN C31FC,K,
•2 2
LESS PRE -BEAD FEES
$0.00
`1t"MAL VURii' ff [+`SES 01JE+: NO
$20.25
ti
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
:, IN
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
POOLS - SPAS
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 17
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:
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Poe's Plumbing and Electrical, Inc.
CFH
1320 No. Hancock St. "B"
f ESS/O�,
Anaheim, CA 92807
673
Phone: (714) 693-0100
2524
Fax: (714) 693-0872
�
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W�N0.2 9m
Attention: Jerry Poe
* EXP.
RE: Palm Royale Country Club
qr F78ANM'
78-239 Indigo Dr.
F OF Cp,1-��d�
La Quinta, CA 92253
(619) 345-0554
673
May 1, 1999
Having reviewed the flow requirements as shown on the sketch you provided of the Palm Royale Country
Club (attached), I find the line sizing to be in compliance with UPC requirements of Section 12 as stated
herein. I have marked up your sketch with outlets, sections and main line corresponding to the table
inserted below. The table below is my independent set of calculations, which are in full agreement with
the sizing that you originally indicated. Specifically, the line sizes, confirmed in the table below are in
compliance with table 12.6, assuming a total system length of 2544 feet comprised of two parallel lines,
the greatest of which extends 2460 feet beyond the main run.
Outlet
CFH
Diameter
Branch Length
1
673
1.25
2524
2 605 1
3 728 1.25
4
728
1 1.25
2544
5 591 1
6 728 1.25
Section
A
673
1.25
2524
B 1278 1.25
C 2006 2
D
728
1.25
2544
E 1319 1.25
F 2047 2 ..
Main
4053
2.5
2544
One option indicated in our discussions was 1,
unit. This would essentially make that sectioi
the line -sizing requirement. If you do choose
used.
ichael No le, PE
Noble Ideas, LLC
at you would shorten Section D and run straight to the -end
an outlet and shorten the run. This change will not impact
o make this change, a line size -of 1.25" diameter should be
5555 Jackson Drive #206 0 La Mesa, CA
j
5�
• NI(oncepfs@aol.com
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