9712-122 (RPL)LICENSED CONTRACTOR DECLARATION
t`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
6 775 C-53 "i` �QR
/ate l� I ignature of Contractor s y
OWN ER-BUILDER'DECLARR
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
perfo,rmance of the work for which this permit is issued.
XI 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.
STATS FUND 10614,87-97
(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 lyshould become
subject to the workers' compensation provisions of Sectionr3700 of the Labor
Code, I shallXorthwth comply with those,provislo
ate: 1��Applicant---
Warning. Failure to secure�Workers=Co' p nsationcover ge 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 purpose.
yS gnature (Owne /r Agent)
BUILDINGPERMIT PERMIT# °°NTR°`#'
DATE VALUATION LOT 9712_12 TRACT ��++
� 6 05
12/29/97
JOB SITE
ADDRESS 79-240 LAURIE COURT 64eK
APN
i
OWNER
CONTRACTOR / DESIGNER / ENGINEER
SCOTT HART SON
DATE PALhf ENTt .f�:'Y�tSES
"9-2.110 LA'CfkfE Q,6UAX
74-518 V.ELiE WAY #6
L �,QiJiNl'!� CA 9225:3
PAW DESERT CA 92260
(760)346-1504 C.B # 1888
i
USE OF PERMIT
MISC
SOPPLlrfiikNTAL TO P1wtLMT 9 9711 059, C14ANGING C'ONTi2AMOR,
5.
��'1'HMA TTI) CMf Or,CONS f tt(, fI
41.1!4#
PERMIT FEE S1Tii IKkR,V
SLW-TOTAL CONSTRUCTION AND PLAN CHECK
$0.00
GESS PRE -PAID 1 ELIS
$0A)
TOTeAt PERMIT FEES 1DVE NOW •
$0.00
r'
RECEIPT
DATE
BY
DATE FINALED
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
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 Z
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
OL AREA SCALE 1/8w 1'
)T PLAN -NO -SCALE
IPL. NO. If FILTER NO.
IPE -9—c-c NO. RETURN LINES
'ESS
_IL_Fr. FENCE
roR PUil+:-- HP
IT�_ANTISYPH& YES
,TRICAL � FT. BONDING YES
W Fr. TILE_ COPING NO. e�
C I TY 0 F IA UINTA
DE-WRTMENT
BUILDING & Sk"'1
ACCEPTED F-0-,--iC, Nil
SUBJECT TO
ANDYALL APPUCAEB; ("ODES
BY
TATE P
AL
M
EN
TE
RP
RI
ES
POOLISPA CONSTRUCTION COMPANY
619-325-2187
CITY LIC. NO. CONTRACTOR No. C53-591925
AAN
LOT
TRACT
SALESMAN FLA NO. -Z Z-
. N
UINCLUDED
SHALLOW END .....
❑
LADDER ......
❑
DEEP END DIG ......
❑
SLIDE
❑
P -TRAP ..........
El
LIGHT IN SPA
❑
BACKWASH LINE ....
C]
SPA ........
...
Ej
FILL LINE
GRADING
ROPE RINGS
0
HEATER .........
❑
MAINT. KIT
...
C]
GUNITE INSP .......
❑
TREES .......
C]
BOARD ..........
❑
OTHER
E]
OWNER --jjdkQ f)oti jz -f
— -l` It I
JOB ADDRESS ` lill'o
7�-lyu IMP It
c
WARNO._
JOB PHONE 2&-70S11/EIUS- PHONE--_
J013 NO. --j% Z-
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•
4 XP
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (760) 777-7000
FAX (760) 777-7101
TDD (760) 777-1227
May 18, 1999
Scott Harrison
79-240 Laurie Court
La Quinta, CA., 92253
RE: Pool & Spa Permit 9712-122 & 9711-059
Dear Mr. Harrison,
The purpose of this letter is to inform you that your Pool & Spa Permit 9712-122 & 9711-059,
for the projdct at 79-240 Laurie 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.
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 State License 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. ra r.
Building Inspector I
cc: file
dpc
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 -