9510-030 (SFD)c,.• LICENSED CONTRACTOR DECLARATION
N - I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with
W Section 7000) of Division 3 of the Business and Professionals Code, and my
C) O u) License is in full force and effect. 638535 V29/96
n W License # Lic. Class Exp. Date
Z Date Signatureof Contractor
0 OWNER -BUILDER DECLARATION
J WCD
I hereby affirm that I am exempt from the Contractor's License Law for the
IL following reason:
U) ( ) I, as owner of the property, or my employees with wages as their sole
Z 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
C0 Date Signature of Owner
LON
Orn
U WORKER'S COMPENSATION DECLARATION
CL Q I hereby affirm under penalty of perjury one of the following declarations:
g Z ( ) I have and will maintain a certificate of consent to self -insure for workers'
i �<O cc compensation, as provided for by Section 3700 of the Labor Code, for the
X W LI- performance of the work for which this permit is issued.
O J J O I have and will maintain workers' compensation insurance, as required by
ca Q U Section 3700 of the Labor Code, for the performance of the work for which this
O U permit is issued. My workers' compensation insurance carrier & policy no. are:
a LO Carrier STti"s'E r 1�lD Policy No. 2.2995[;+11
'T Z (This section need not be completed if the permit valuation is for $100.00 or less).
co
r- CY� () 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, nd agree that if I should become
subject to the workers' compensation provisions of Section,3700 of the Labor
`Code, I shall forthw 5comply with those'-,pjr{vsions, � `- j*jun �,t�a
f . _
Date: .� ` 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 application agrees to, & shall, indemnity
& hold harmless the City of Indian Wells, 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.
6 certify that I have read this application and state that the above information is
correct. I agree to comply with all City-; sand State laws relating to the building
construction, and hereby authorize represent9tives of this City to enter upon the
• above-mentioned property for inspection pu • oses.
" 6gnalure (Owner/Agent) % «' .'`"Date f �'
ALC01
PERM`4510�0.T
BUILDING PERMIT I
DATE i TNiS
VALUATION LOT
TRACT .13L • . /
JOB SITE ADDRESS
52a-505 AVE. DIAL
APN
773-2911.-013
OWNER
CONTRACTOR
LENDEL VENTURES
LENDEL. VENTURES
8361 VICKERS ST, SUrrE 30
52-505 AVE. DIAD,
SAN DIEGO CA 92111
SAN DI•E09_ CA. 92111
(619)_56413366 C:BLtt
(61,9)564-1966
DESIGNER/ENGINEER
USE OFPER►NT;INGLE F1 AM1LY DWELLING
Patti & hoes itot,include block wW1 or poral:
FEE DESCRIPTION
FEES
TRACT CONSTRUCTION 1,919.00 S1
Ff.?flCINPATIO 1!90.00 SP' _.
.
GARAGFJCARPORT 547.00 SE
6F T. WOOD F fiNCE11 150.00 LF
ESTIM TYM COST OF CONSTRUCTION'
117,x,90
PE XMIT FEE Ts; S11MMARY
F .DEPOSIT r$150.00
CONSTRUCTION F& 101.0.)-415°000 $702.50.
> PLe NCHE. X FEE 101-000.439-3113
MECHANICAL, FFF 101 -WO -421,:000 $40.00
Ln
FI-2C."P,t°-ICA.L 0.13,E 101-000420-000 $1.40.81
=1 C
PLUMBING PEE 101-000`419.00 $151.5€1
STONG 1,40)f 1014 FM - RLiSID 100-00(1-241.000 $11.79
`Y'
GRADING FIRE 1.01.000-423=000 $24.40
Q(
INFRASTRUCTURE FFM 225 -MO -443-342 $2,5f38..1.3
W
PRtMS ±PLAN 101-000-441-345 Su5.00
ART IN P1313LIC PLACES - RESI.I' 701-000R255-000 $43.55
SUB -TUM CONSTRUCTION AND PLAN CHECK
$4,314,95
LESS PR&PAI.D PEES
-$250.00
TOTAL PERMIT VC ..3 DUE NOW
$4,064.95
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
0
7rr A- . •- R
-s
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
' BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Fors & Footings
Ducts
Slab -Grade
Return Air
Steel
/
Combustion Air
Roof Deck
O.K. to Wrap
Exhaust Fans '
F.A.U.
Framing
Compressor
Insulation
Vents !
Fireplace P.L.
Grills 1
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
I
Exterior Lath
I
Drywall - Int. Lath
E
_
Final
BLOCKWAL AP ROVALS
Final
POOLS -.SPAS
Steel 1
Set Backs
Electric Bond I
Footings
Main Drain I
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping I
PLUMBING APPROVALS
.001
Gas Test I
Electric Final
Waste Lines
I&Heater
Final I
Water Piping
Plumbing Final l•
Plumbing Top Out
Equipment Enclosure
Shower Pans .
O.K. for Finish Plaster
Sewer Lateral
Af
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
I
Appliances
Final
COMMENTS:
P�` l T C -41-E v b tFo av c
t
I
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 (Per)
Desert Sands Unified School District
Notice: 82-879 Highway 111
Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
CERTIFICATE OF COMPLIANCE
Date 12/5/95
No. 13940
APN # 773-281-013
Jurisdiction La Quinta
Owner Name Sterlingy Homes
No. 52505 Street Avenida Diaz
City La Quinta zip 92253
Tract #
Lot #
Type of Development Single Family Residence
Comments
Permit #
Log #
Study Area 113
Square Footage 1919
No. of Units 1
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports,
covered patios/walkways, residential additions under 500 square feet, detached accessory structures or
replacement mobilehomes. It has been determined the above-named owner is exempt from paying
school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.72 x 1,919 or $ 3,300.68
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By Sterling Homes M1` Telephoner
Name on the check ;'
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Pauline Pearson
Signature '+ ,,l� P1A,,knAJp/V-1
`-
c
Payment Received $3,300.68
Check No. 2948
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
LICENSED CONTRACTOR DECLARATION
I hereby affirm 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. 638535 2/29/96
License # Lic. Class Exp. Date
Date SignatureofContractor '
OWNER -BUILDER DECLARATION
I hereby affirm 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 STATE FUND Policy No. 2.2995E+11
(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 provisions.
Date: 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 application agrees to, & shall, indemnify
& hold harmless the City of Indian Wells, 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.
Signature (OATw Agent) Date
ALC#
PERMIT451�30
BUILDING PERMIT I 5Y1S3
DATE
VALUATION LOT TRACT
JOB SITE ADDRESS 52-505 AVE. DIAZ
APN 773-281-013
I
OWNER
CONTRACTOR
LENDEL VENTURES
LENDEL VENTURES
8361 VICKERS ST, SUITE 30
52-505 AVE. DIAZ
SAN DIEGO CA 92111
SAN DIEGO CA 92111
(619)564-18" CBL#
(619)564-1866
DESIGNERIENGINEER
USE of PEMISINGLE FAMILY DWELLING
PeawL dons not include block vaill or pool
FEE DESCRIPTION
FEES
TRACT CONSTRUCTION 1,919.00 SF
PORCHIPATIO 190.00 SF
GARAGE/CARPORT 507.00 SF
6 FT. WOOD FENCE 150.00 LF
ESTIMATED COST OF CONSTRUCTION
117,94090
PERMIT FEE SUMMARY
FEE DEPOSIT -5250.00
CONSTRUCTION FEE 101-000-418-000 $702.50
PLAN CHECK FEE 1014000-439-318 $590.37
MECHANICAL FEE 101-000421-000 $60.00
ELECTRICAL FEE 1014000-420-000 $140.81
PLUMBING FEE 101-000-419-000 $151.50
STONG MOTION FEE - RESID 100-000-241-000 $11.79
GRADING FEE 1014000423-000 $20.00
INFRASTRUCTURE FEE 225-000443-342 $2,568.13
PRECISE PLAN 1014000-441-345 $25.00
ART IN PUBLIC PLACES - RESID 701-000-255-000 $44.85
SUB -TOTAL CONSTRUCTION AND PLAN CHECK
$4,314.95
LESS PRE -PAID FEES
-$250.00
TOTAL PERMIT FEES DUE NOW
$4,064.95
RECEIPT DATE
By DATE RNALED
INSPECTOR
International conference of Building Officials
(EVALUATION REPORT
tt
Fling Category: SWIMMING POOLS AND SPAS
FIBERGLASS ONE-PIECE SWIMMING POOLS
SAN JUAN PRODUCTS, INC.
POST OFFICE BOX 652
HEMET, CALIFORNIA 9M43
I. Subject: Fiberglass One-piece Swimming Pools.
11. Description: General: The swimming pools consist of one-piece
fiberglass construction. shop -formed over a mold. The model numbers and
sizes are shown on Table No. I.
The fiberglass pool is formed against a one-piece interior form or mold in
the following manner. The form is treated with a parting agent to assure
separation of the liner from the mold after fabrication. An isophthalic/neo-
pentyl-glycoi gel coating 30 mils thick is spray -applied to the surface of the
form. A fiberglass hand lavup consisting of a l %r -ounce reinforcing mat of
random chopped strands of fiberglass is applied to the cured gel coating,
which is then Heated with an isophthalic polyester resin applied with a 35
percent minimum saturation factor. A second laver consisting of 1 %r -ounce
reinforcing mat is laid over the previous layer and saturated with isophthalic
polyester resin. The third laver consisting of a 24 -ounce woven roving is
applied over the previous construction and saturated with another coating of
isophthalic polyester resin. The process of alternating layers of fiberglass
mat and woven roving saturated with resin is continued until a total of five
layers has been built up. The completed pool has a minimum cured thick-
ness of 3A6 inch. The woven roving and reinforcing mats are applied so that
the lapped splices between the individual rolls of the material occur at the
same locations and are 6 to 8 inches wide. This provides an additional
thickness (a total of 10 plies) to the liner in the form of periodic stiffening
elements. The fiberglass has a minimum tensile strength of 11,360 pounds
per square inch and a modulus of rupture of 23.500 pounds per square inch.
The pools have a fiberglass coping approximately 6 inches wide around
all sides, the exterior edge of which is bent down or depressed to engage the
poured -in-place concrete copingduring field installation. One corner of the
pool end is provided with curved steps for access to the pool.
A main drain is built into the fiberglass pool at the deep end.
Extending from the main drain box are the necessary service lines
to the filter equipment. A gravel sump is provided beneath the
main drain base to collect any ground water or drainage from the
sand bed on which the pool is installed. Leading from this gravel
sump is a 1% -inch plastic pipe extending to • ground level which
is utilized to relieve hydrostatic pressure by collecting and dispos-
ing of ground or seepage water when it becomes necessary to
empty the pool. The pool is provided at the deep end with an
underwater recessed light pocket and floodlight The floodlight
and all electrical apparatus in connection with the pool are re-
quired to be adequately groundedill plumbing and electrical
work is required to comply with the codes in effect at the con-
struction site.
The pool design requites it to. remain full of water at all times. A
permanent sign is to be attached to the plumbing equipment and is to read as
follows: "Notice—Pool is designed to remain full of water at all times. Pool
shell may be damaged if water level is allowed to drop below the pool
skimmer. When appreciable drawdown is noticed or if it becomes necessary
to drain the pool, contact San Juan Products, Inc., or their agents for
intructions." A pressure -sensitive plastic sticker will be installed adjacent
to the above sign by the manufacturing licensee. giving his name, address
and telephone number.
Installation: The pool may be installed without a soil investiga-
tion by a qualified engineer, providing none of the following con-
ditions are encountered and the site is approved by the building
official:
Report No. 2417
Unly, 1984
1. The existence of ground water within the depth of the pool
excavation.
2. The existence of an uncompacted fill in contact with any
portion of the pool.
3. The existence of any expansive or adobe -type soils, at or
within the confines of the pool area.
4. The existence of any soil types whose angle of repose will
not support the walls of the excavation at the desired slopes.
S. The location of the proposed pool excavation so that it would
have a tendency to endanger adjacent structures.
If one or more of the above conditions are encountered, the
excavation for the pool shall immediately cease until the specific
conditions at the site have been reviewed and recommendations
made by a qualified engineer. The engineers report of this review
and recommendation is to be submitted to the building official
having jurisdiction over the construction site, and his approval
obtained prior to continuance of the work.
The excavation for the pool consists of removing the existing
soil from the proposed area, utilizing chain -type screeds to assure
a 6 -inch minimum over -excavation at the pool bottom and all sides.
The required drains and plumbing work are installed and a con-
toured layer of clean sand is placed in the lower areas of the pool
up to a point at which "sluffing" would occur. The pool is then
placed on this sand bed and carefully aligned and leveled to pre-
clude any buckling or irregularities in the fiberglass. Water is
introduced into the pool proper and up to a level approximately
equal with the sand layer. The backfilling with sand is carefully
continued upward, maintaining approximately a uniform height
around the four sides of the pool at all times. The sand is consol-
idated by flooding with water as the work progresses. The pool is
simultaneously filled with water as the backfilling progresses,
maintaining approximately equal levels. The sand backfill is
stopped at the level of the bottom of the concrete coping on all
sides of the pool.
The outside lipp of the fiberglass pool coping detail is embedded
in a concrete walltway installed around the entire pool. See Figure
No. 1 for complete details. The walkway is reinforced with 6 -inch
by 6 -inch No. 10-10 wire mesh.
The pools are to be manufactured and installed only by factory -
trained and approved agents or franchised installers in accordance
with the requirements of this report.
Identification: Each pool is identified by a coded imprint above or below
the skimmer signifying model and dare of manufacturing. The company
name and factory letter are also noted.
III. Evidence Submitted: An engineering report, detailed plans
specifications and internal quality control manual are submitted.
Findings
IV. Findings: That the Fiberglass One-piece Swimming Pools are an
alternate method of construction for swimming pools under the 1982
Uniform Building Code, subject to the following conditions:
1. The construction and pool installation comply with this report.
2, The electrical and plumbing installations comply with the
respective codes in effect at the construction site.
3. The pools are installed by a factory -trained and licensed installer
or agent approved by the San Juan Products. Inc.
This report is subject to re-examination in two years.
ICBG evaluation reports are issued solely to provide information to Class A members of the organization utilizing the code upon which the report is
based. Evaluation reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor as an endorsement or
recommendation for use of the subject report.
This report is based upon independent tests or other technical data submitted by the applicant. The ICBG technical staff has reviewed the test results
and/or other data. but does not possess test facilities to make an independent verification. There is no warranty by 1CB0, es: pressed or implied, as to any
I "Finding" or other mater in the report or as to any product covered by the report. This disclaimer includes, but is not limited to, merchantability.
Page i of 2
--
Page.2 of 2� Report No. 2417
TABLE NO. I
'K denotes kidney shape.
TS denotes pool with sea.
3'- O-M/n!
¢00#0 -,ES 03v 0. C.
�N SLCPEQ �f7.
�4x6-w1¢xW/.4,)
CaMa+CrW GRAVEL
�w
AOR .CL.IYKADO,64
so//-O�vCY..3' ;,jc :
GoA/PACTED SAND (7YP)
I �v �NiNJ rvi0,�
��------'�� CGiM1-'ACTEO SANO F/LL
EDGE BEAM AND W,4 KWA Y
SECTION
V 0
FOR CLAY MooaE)
5o/L CW4 Y
NOTES:
/. 7H/S DRAW/NS SW,4Z4 BE U5ED /N CONJUNCTION
WIN CON57,FUCT/ON SPECIFICATIONS.
2. WALKWAY 511.441- BE CONT/N410415 AROUND POOL.
REFER TO THE SAF C/f/CAT/ONS FOR SXPAN-;10.v
.10/,Yr 5PhC1N6S.
FIGURE NO. I
DEPTH
MODEL NO.
WIDTH
LENGTH
CAPACITY
IN GALLONS
Shal" End
Own End
t00
12'-("
27'-0"
3'-5"
5'-5"
8,000
130KI
13'-0"
27'-0'
3'4r
6'-0"
10,000
200
12'4"
31'4"
3'-5"
51•5"
11,000
300
12'-0"
30'4"
3'-5"
81-0"
13,000
350KI
14'40"
33'-0"
3'-5"
81-0"
14,000
400
14'-0"
32'-0"
3'-5"
,5'-5"
12,000
450
14'4"
32'-0"
3'-5'.
81-T
14,000
500
17'40"
35'4"
3'-5':
9'-1"
16,000
525
17'40"
37'-0'
3'-5"
9'-1"
17,500
550
17'4"
42'4"
2'-10"
9'-1"
17,000
600, 65052
12'-0"
16'-0"
3,800
3'-11" uniform
depth
700
12'-0"
20, 4r
3'-11" uniform
depth
4,900
'K denotes kidney shape.
TS denotes pool with sea.
3'- O-M/n!
¢00#0 -,ES 03v 0. C.
�N SLCPEQ �f7.
�4x6-w1¢xW/.4,)
CaMa+CrW GRAVEL
�w
AOR .CL.IYKADO,64
so//-O�vCY..3' ;,jc :
GoA/PACTED SAND (7YP)
I �v �NiNJ rvi0,�
��------'�� CGiM1-'ACTEO SANO F/LL
EDGE BEAM AND W,4 KWA Y
SECTION
V 0
FOR CLAY MooaE)
5o/L CW4 Y
NOTES:
/. 7H/S DRAW/NS SW,4Z4 BE U5ED /N CONJUNCTION
WIN CON57,FUCT/ON SPECIFICATIONS.
2. WALKWAY 511.441- BE CONT/N410415 AROUND POOL.
REFER TO THE SAF C/f/CAT/ONS FOR SXPAN-;10.v
.10/,Yr 5PhC1N6S.
FIGURE NO. I