9804-060 (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.
a License # ! ys Lic. Class Exp. Date
4;
7�11 A � 913.1/99
• 4 00ate` Signature of Contractor . �. fjt
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, 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.
STATE FUM) 1'24V679-97
(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' compensatip n, provisions of Section 3700 of the Labor
Code I -shall forthwith'comply with,those provlsl ns.
gate �� Applicant
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
A 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 auth nze representatives of this City to enter upon
the above-mentioned propertfy f r ins ti purposes:
gnature (Owner/Agent)f� 1/�/
Dat
/�� BUILDING PERMIT PERMIT# CONTROL# `.
DATE ��///� /�� L, VALUATION LOT 9$0"(9 TRACT �:7 8 5
ifs d V
/// S.i.5.450.00 1/
JOB SITE
APN
ADDRESS
79445 KRISTEN COURT
OWNER
CONTRACTOR / DESIGNER / ENGINEER
CENTURY i..:ROWELL COMMUNITIES
STEVE DODSON CONSTRUC V0NI
1.,55 SO. 43" STKEET, STER. #200
73-0.11 C(:3i3PY:IRY CLUB OWNTE, S"!"E.,F4
SAN BERNARDINO CA 92403
PALM DESERT CA 92260
(760)346-4032 C"130 1044
USE OF PERMIT
a '
POOL%S'PA ONLY, .AT ARA013AR.iZIERS ARE TO BE OP TONAL PRIOR
�
TO EN-CAP/PR17s.PLA.STF,,.#t INSPECTION x
LJ
POOL AND/OR SPA 15,450,001:5 APR
14.1998
.CITY
OF LA QUINTA
EfSTIMAT ED COST OF Ctira. 61U ION
Y
MRMIT EEE SUMMARY
PLAN CHECK 1^TE 101-000439-3.13 1;.111.15
CONSTRUCTION FEE 101.000-41.12.000 $171.00
MECHANICAL FEE -- POOL 101=000-42.1-000 $24.00
ELECTRICAL FEE --.FOOL 101-000-,420-000 1$45.00
P1,UYffiV1 3 FFFE .-POOL 1,01000-419-000 Sr27.00
SuivrarAL CONSTRUC7rION .AND PLAN CHECK
$31(3.15
1XSS .PILE -PAH) FEES
$0:00
TOTAL PERA-I1fT FEES DUE NOW
$373.15
r.
RECEIPT
DATEJ
BY
DATE FINALED
INSPECTOR
t
3
A�
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final'
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
_
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
I
Encapsulation ,
Gas Piping
Gas Test
Appliances
Final
FinalrCevSry
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
UUlity Notice (Perm)
COMMENTS:.
�QLrQ,Q/!!S 1-os7,p//9b /Y.�NDao2
��2c lei sQ ��'
M
Ip
I
1
P/I
S'•1l1, SPRAY HEADS.
ZTM�:
.� -•�- 1' 0 �;- offset* 3'
:,,r ...:.. 17 -8."
OF.FSE'r. 2.75'
32`_0" _� �...... -
lawn v
OFFSET 1,3"' area
OFFSET- 4''6" '
1
t;
OFFSET 7',g"
planter.
1 GAS/ELECT 45' -slider
- STEP STONE5'6Y OWNER.
D
- LITE SWITCH
STEP STO; S BY OWNER 1
P.
RESIDENCE _
i
1.0"-0"
F LAU J11 N 0DEPARTMENT��- Y
BUILDING SAF E
a/C I C 06NE1ITIONALLY
a/C r ACCEPTED FOR CONST AUC AS
S PER
SUBJECT TO INSTALLATION ,I.
I
ACCESS WITF BACKHOE NO WALLS YET
I CENTURY HOMES p ALL gpPLIC�$LE C ES
-
'b'-3" -4►
MOTOR HP STA RITE HP 1.5
MOTOR HP --------- --- HP
FILTER . STA RITE 300 SQ FT
FILTER RATE 102 GPM
HEATER LAARS SIZE 250 BTU
TURNOVER 2 HRS
LINESSUCTION 2
RETURN LINES 2
SKIMMER MOIJEL american
CHECK VALVE es
GASLINE BY sdc FT. 5.0'
POOL LIGHT 400 W CLOCK t104r
ELECTRICAL BY. sdc P- 200'
p/I PLASTER COLOR white
DECK By dodson SQ. 400.
DECK TYPE cantilever
STEP ---- FT.
- SPA SPECS.
SIZE 7'. RAISED -------
LITE 100 WATTS
RI LEVEL SEATS 22" 24" 27"
DESIGNER DAMWALL 6 " X 6 FT.
DAMWALL TOP tile it
2a�tcl!!y SPILLWAY SIZE 3 "X 12" WIDE
DATE BILLWAY xx OPEN CLOSED
3-10-97 # JETS 4 UPER LOWER
Name. Mr and Mrs. Lance Barlow
Address* 79-145 Kristen Court
City: La*Quinta
TR— AG.T_ Marbella LOT # 66
O M®II
poo/s
MIRSTER COPY PALM DESERT TEMECULA
73-011 COUNTRY 28910 RANCHO
CLUB DR. STE F-4 CALIFORNIA. RD.
PALM DESERT CA. STE 206
NOTE: LANDSCAPE AND FURNITURE i 92260. TEMECULA CA.
ARE SHOWN FOR ILLUSTRATION i 1 9) 34s-4o�� 92590
f.909�b,76-SWIM
0 TLY AND ARE NOT INCLUDED, I A-574127
May 19,1999
78-495 CALLE TAMPICO — LA OUINTA, CALIFORNIA 92253 - (760) 777-7000
.TDD (760) 777-1227
Steve Dodson Construction
78-011 Country Club Drive, Ste F4
Palm Desert, Ca., 92260
RE: Pool & Spa Permit 9804-060
Dear Mr. Dodson
The purpose of this letter is to inform you that your Pool & Spa Permit 9804-060, for the
project at 79-145 Kristen Court, has expired. In accordance with 1994 UBC section 106.4.4, no
further work may be performed until'a. new permit has been issued. .
t
Please contact Daniel P. Crawford Jr., Building Inspector I, at (760) 777-7012 to obtain any
information you need regarding a new permit and/or any required inspections. Should you
choose not to complete the project, we would then have to pursue any or all of the following
actions:
1) Abatement of the project through the City Attorney's Office and Code Compliance Division.
2) Notice of non -conforming structure placed upon property profile.
3) Action filed with Contractor Stateticense Board. Optional if Owner/Builder.
Please contact us at your earliest convenience prior to 10 working days to resolve this issue, and
for any questions you may have.
Sincerely,
Mark Harold
Building & Safety Manager
aniel P. Crawford r.
Building Inspector I
cc: file
dpc
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253