9810-004 (RPL)LICENSED CONTRACTOR DECLARATION
•1 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
2359 � i -5 + 3131100
/ate t j + 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
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
Oodc).
( ) I am exempt under Section , B&RC. 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
prformance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
S coon 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.
GO.I.X)EN EAGLE
(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 prove i s of Section 3700 of the Labor
rth
Code, I h 'fh comply with osm ions.
Date: 0 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
& 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 halve read this application and state that the above information is
b'orrect. I agree to comply with all City, and State laws relating to the building
cdnsirbction, and hereby authorize r presentatives of this City to enter upon
to above-mentioned property r in a ttiop purpo
Signature (Owner/Agent) - Date w
BUILDING PERMIT PERMI0830.0414 CONTROL#
DATE VALUATION �T')f1i��,(�1) LOT TRACT 8359
SITE
ADDRESS 544.155,WINGt-1)FOHOi�
APN M _
OWNER
CONTRACTOR/DESIGNER/ENGINEER
51:1 3OW
1%1A1T R P 0 0 L S
34-775 W[NGLID X OUr
73-:555 HIGHWAY 11..1.
],A QLII.ttil'.!A CA 92253
PALM DESEIVC CA 9 260
(760)346.61:15 COU) 16
USE OF PERMIT
P001, ANr)%Z)41 PA.
110CX/0 A. AL R.-Aii t5AARRIRR RSHAU.RE IN AT PU-?.LAg'MR
IN SPEC 110N.
POOL AND,OR AA 12.003.00 LN
CSTMATED CUS"' OF COIN S''a`,RUC3 11 N1
PIL.Z'ttlill.; T .ieRF' S1J.N1MA0Y
PLAN r. CCK FCC 101-000-434-318 587.75
CON8 TRiT(I'M 7N ri 11B !01-090-41.8-titH+ 513 ��t1
2b UCIMICA ITE -- POOL 101.000-421 000 SZ1.00
EL"E:M'Idt;;;MC' ME— POOL 10.,1,o00420-0(10 $45A
11Lt`H1ld0 elo" —.pocn 101-000-410- p $27.00
AI
OCT 091998
31-ry®,F LA %.K %J NTA
,
k�rPZ"Aj`TOfC)S�1t1`f1�3
$3J8.75
r LESS .P;fM .i>iUD i'L,
$0.00
-�
''II day t y��yy�y
Qp'-��fy�''yy((��qq FE
��OTAI, a.�i!`�3�1?A T IN 7�• S i67i�F�J j�F'�J�Vi
TOT
y��p iJ.gQ�
SY13.75
�1
RECEIPT
DATE
BY ti j
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
POOLS - SPAS '
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings oe> — 2--Q
Main Drain
Bond Beam /
Approval to Cover
Equipment Location
Underground Electric
�1
Underground Plbg. Test
Final Z. '`,
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 V
COMMENTS:
AlN
(
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)
Sent b-j:MGSTER POOLS CORP Oct -61-98 09:49an* fi- on 766.{776 58893769 777.,76.1�page 1
Ldb
_ �- � , ! �• 1. ' • � Vis. f `' - t �.�0 ` - r e � ` -y •.
17 . a
• V�. 1- - v r�.'�C�.'SEE'--. /V.' [.� ; --. '•l `_-Jf - %S r , C .; .''t _..
F:'Li�T (`/OLK
MAK�F(VAT z'_&I(
(�- I:--:, C, K)
IF h IT
Co,nI T10N141ALILY
ACCEPTED FOR CONS "F:AUC i ION
SUBJECT" TO INIS SAL LATION-AS PER
ya ALL APPLICABLE CODES
BY
—01--
ACCUGRAPHICS REORDER NO AG497t5
J,
I
Designers & Builders Since 1958
73-555 Highway 111/Jensen's Shopping Center
Palm Desert, California 92260
760-346-6115
State License # C53-238947
0/1
11
\\ a
f
I
1
oo i�
_, ra
r
APPROVED:
E NT 1'P . Yui: 50 D
SPECIFICATIONS
Size Volume Gallons.
Template No Shape
Surface Perimeter L/F.
Depths: M nomum . -___._ _—Maximum Break .
Spa Size V 1Cj?'£- -_— Volume gallons.
EXCAVATION f
Finish Elevation G ACO SF— Method: X\AJD 1%C
Access: _ Site Preparation
Grading _
Dirt Removal/Loads to D-im
Dry Well Location: _
Fence Removed Beplaced By .i aterial
Size of Opening—
NOTE:
pening-NOTE: No painting or matching of texture will.be donel
DATE:
A CUSTOM DESIGN FOR: Qj�r �^ 0
aamaaaw.
DATE y - ? c_-,
TILE AND COPING
Till, -57"]2e Color+lam Coping/Other
Cantilever _
Trim: Numbered Tile
Brick,
Special Detail: See "STEEL'•; "GUN ITE•<�,,QLDZ�
{
_ELECTRICAL
By: Nt• fight LM_U_ _Cod Length Feet.
"J" oud
Box Lon 11 Switch Location
Filter Run .-Ft. Jet Run Ft. Light Run Fut.
Switch Run Ft. Panel Charge _.
Spa Switch Location
Heater Switch Lucat,on
DECKIN L�
By: �lr? Finish <Sq.Ft, y0C_t�.
Colc K<r.'..`' 5—Cantilever _�-�cZ. Rail Anchors
Risers Ft. Expansion:___
Standards: So* rd/Slid* __
Deck Dram_ �� Er _n
r r�-r 5 L!
PLASTER
Lights J Name Plates _Recessed tsps
Cup Anchors —Rail Anchors Grills
it w 17
NAME-t)4E.l..b0,q
ADDRESS fA -75 5 UUIN6FOOT
CITY L� OUINTA.,
PHONE 771- '/ 3_'-,I
AREA fC-".F,.
1 --- - - --- -- --
SCALE I/��� =i' -C � OWN. BY �1,�•f.'.i. f =IFSHEET CHK. BY OF
PLUMBING
J � ,
Suction: Size _ Lgth. __ Ft. _—Dtschg Size _L th- Feet.
Jet Type Number(4 E +NT .
Filter Type
Size
(I) A1-0� ��i
Blower Return Size __ Length Feet.
Pump Type
r _Size
I
Skimmer Type
_. __Size
Heater Vent By !:._rA_<_I' Lr
Jet Pump TypaS f' M A _Size
Heater Type
Size
Equipment Location _._— P/C Slab/Pit
Heater Vent By
-
Suction: Size __ Length— Ft. Discharge Size_ Lgth. —Feet.
Jet Pump Type----,-,-
Size
Return Inlet Type _F=_'
Blower Type —___
Size
Gas Line By Size _ Length Feet.
Equipment Location
___ P/C Slab/Pit
Plumbing Material
STEEL
=-rb
Suction: Size
Length __ Ft Discharge Size _ Lgth. _Feet.
Raised Bond Bum: 6--117'.—IS" Other— .
Waste To _
___ Size —_
Length
Feet.
Returns in Pool Number -----Size
Length
Feet.
Return Inlet Type _
Grab Rail_mHand Rail Cup Anchors
Seat/Bench
Fill Line (With No Obstructions )Sire—Lgth._
Ft. A/S Volvo Location.
Gas Line By --
—Size
Length
Feet.
Automatic Cleaning
__
DATE:
A CUSTOM DESIGN FOR: Qj�r �^ 0
aamaaaw.
DATE y - ? c_-,
TILE AND COPING
Till, -57"]2e Color+lam Coping/Other
Cantilever _
Trim: Numbered Tile
Brick,
Special Detail: See "STEEL'•; "GUN ITE•<�,,QLDZ�
{
_ELECTRICAL
By: Nt• fight LM_U_ _Cod Length Feet.
"J" oud
Box Lon 11 Switch Location
Filter Run .-Ft. Jet Run Ft. Light Run Fut.
Switch Run Ft. Panel Charge _.
Spa Switch Location
Heater Switch Lucat,on
DECKIN L�
By: �lr? Finish <Sq.Ft, y0C_t�.
Colc K<r.'..`' 5—Cantilever _�-�cZ. Rail Anchors
Risers Ft. Expansion:___
Standards: So* rd/Slid* __
Deck Dram_ �� Er _n
r r�-r 5 L!
PLASTER
Lights J Name Plates _Recessed tsps
Cup Anchors —Rail Anchors Grills
it w 17
NAME-t)4E.l..b0,q
ADDRESS fA -75 5 UUIN6FOOT
CITY L� OUINTA.,
PHONE 771- '/ 3_'-,I
AREA fC-".F,.
1 --- - - --- -- --
SCALE I/��� =i' -C � OWN. BY �1,�•f.'.i. f =IFSHEET CHK. BY OF
SPA INFORMATION
J � ,
Suction: Size _ Lgth. __ Ft. _—Dtschg Size _L th- Feet.
Jet Type Number(4 E +NT .
Jet Air Line Number --_—Size Length Feet.
(I) A1-0� ��i
Blower Return Size __ Length Feet.
'v `,{
Selector Vatva. Type: — Number:—Size'
Filter Type
Pump Type � p._f_� 'rr-- Size 1 Fi P
I
Skimmer Types 11 Size _�I No.
Heater Ty p i 'T ,MASiza -1 U "', Cy' n
Heater Vent By !:._rA_<_I' Lr
Jet Pump TypaS f' M A _Size
/ �•-�✓ 1 `�
Blower Type Size
Equipment Location _._— P/C Slab/Pit
Plumbing Material I _.
Suction: Size __ Length— Ft. Discharge Size_ Lgth. —Feet.
Waste To __ Size Length Feet.
Returns in Pool Numbar_ Size n' Length Feet.
Return Inlet Type _F=_'
No
AOrO ^Fill Line (Withtructions)Size—I th.— Ft. AiS Valve Location.
Gas Line By Size _ Length Feet.
Automatic Cleaning _
�s
STEEL
=-rb
Standard/Special r
Raised Bond Bum: 6--117'.—IS" Other— .
Spa Dam Will: _Feet
T FA A�pf?`C
GUNITE
Q�
Corner i Inlats Z -lets .
Steps -— ----Fill Lina Location
Grab Rail_mHand Rail Cup Anchors
Seat/Bench
Spa Information
DATE:
A CUSTOM DESIGN FOR: Qj�r �^ 0
aamaaaw.
DATE y - ? c_-,
TILE AND COPING
Till, -57"]2e Color+lam Coping/Other
Cantilever _
Trim: Numbered Tile
Brick,
Special Detail: See "STEEL'•; "GUN ITE•<�,,QLDZ�
{
_ELECTRICAL
By: Nt• fight LM_U_ _Cod Length Feet.
"J" oud
Box Lon 11 Switch Location
Filter Run .-Ft. Jet Run Ft. Light Run Fut.
Switch Run Ft. Panel Charge _.
Spa Switch Location
Heater Switch Lucat,on
DECKIN L�
By: �lr? Finish <Sq.Ft, y0C_t�.
Colc K<r.'..`' 5—Cantilever _�-�cZ. Rail Anchors
Risers Ft. Expansion:___
Standards: So* rd/Slid* __
Deck Dram_ �� Er _n
r r�-r 5 L!
PLASTER
Lights J Name Plates _Recessed tsps
Cup Anchors —Rail Anchors Grills
it w 17
NAME-t)4E.l..b0,q
ADDRESS fA -75 5 UUIN6FOOT
CITY L� OUINTA.,
PHONE 771- '/ 3_'-,I
AREA fC-".F,.
1 --- - - --- -- --
SCALE I/��� =i' -C � OWN. BY �1,�•f.'.i. f =IFSHEET CHK. BY OF
Received Sep -29-98 12:57pm from 619 776 5111 4 MASTER POOLS CORP page t
SEP -29-98 TUE 12:40 PM MONARCH GROUP FAX NO. '619 776 5111 P..1
- f PGA WEST 11 RESIDENTIAL ASSOCIATION, INC.
P.O. BOX 1282, LA QUINTA, CA 92253
WEST. (619)776-5100 FAX(619)776-5111
PGA
September 28, i998 C—OO P,
Mr. & Mrs. Charles.Sheldon r
1001 Hermosa Ave.
Hermosa Such, CA 90254
RE: Architectural Change Request for 54-755 Winged Foot
Dear Mr. & Mrs. Sheldon:
The Planned Unit Development Architectural Committee has reviewed`your application
and plans for Installation of a Spa at the above referenced address. vie are pleased.to
inform you that we have approved your application with the following conditions:
1. Association Landscape Maintenance Contractor, VGS to coordinate
any irrigation changes associated with this change. The property
foreman, Miguel Valenzuela can be reached at (760) 399-1844.
2. Verify with City of La Quanta that proposed location of pool equipment
Is within code requirements.
Please be advised that this approval is good f+or a period of six months. If work is not .
begun and completed by March 17, 1999 a new application will. be req-jlred. Please
contact me at (760) 776-5100 should you have any questions or concerns.,
r Sincerely,
For the PUD Architectural Committee
John ]. Monahan
Association Manager
CC: Board of Directors
Unit File