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0308-358 (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. License # Lic. Class. Exp. Date 301807 C:SS STK' Date ! , x -, < ♦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 hrnnPrty, am axr..lmsively rontrpr-tin0 with licencod contractors to construct the project (Sec. 7044; Business & Professionals Code). O 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 perjuryone 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 Sed ion 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 fil.)141) Policy No. 164057r-2002 (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 Coder, shII forthwith comply with those provisions. Date: Gt 1,y7 iY- Applicant' - -, ---1 1 / 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. j Signature (Owner/Agent)—moi " Date r BUI-I ING PERMIT PERMIT# :�- DATE VALUATION 1^-1 LOT TRACT may!, a ' JOB SITE ADDRESS JAPN %; ' ~INEER OWNER CONTRACTOR / DESIGNER / EN JJAM.. K. n-TOl.VSPSOX D 0).,1D 1r'00LS ,Pam aPA8. 56.015 q?t ING.o1 Q�J'!, . ' `%.:g=7�t£} ► Aft° �E �[� .C,J SU.n.7- R . F..A ( U11,rTA CA! -2253 1 PALMDESS T' CA 92211 �if0)200-,5�8E Cly 3.Y58 USE OF PERMIT POOL ,WWOR SPA fi4i 1'i�G<.E A'i' AitL+,PI, !'x".�t.IAi P s °fiON. EQUIPMENT NOLOSL1RK11©�. INCLUDED Pa0L ANDIOR S -Pts, 3aC4iD°OG+ 1. 'N"i7fi►IiA'IND Ci N'T 0.F CORS `•l UC1`i471N 1? PL,M3a".l:31CK RE ! il0l.-OOO-439-:318 Z;Gj BTRUC e'ION FZE . 101--00041 9-000 $252.0 ME( HANICA,L R4 • POOL 101 x000.421.000. I LFI,'f'RICAL FF POOL 101-000-420-000 PGtJMBINOPEE :P 073. - 101-000-419-000 2At�{t SEP 0 2 2003 '? C1OF LGA �f F:i [fA T Y"f,• FINANCE DEPT.,rr Ta3,'A1r 4 . ' �FtiVi2 ' I+ :i t k. NOW$5111,k3L4 RECEIPT DATE '' ;;! 14' BY A. � � L D ff—F IN TOR ' . •' . I I/ 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 OX 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 JE_qliipmant I nrafinn 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 OX for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test 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: SALT FINISH COLORED CONCRETE DECKING, COLOR TO MATCH ENTRY EXISTING WALLS, TO REMAIN RAISED BOND BEAM AT +12" WITH — CONCRETE CAP AND STONE FACE 35'-10" i RAISED SPA AT +18" WITH CONCRETE CAP AND STACKED STONE SPILLWAY 7'-8' SPA —3n x _ I BARBECUE WITH STONE COUNTERTOP, 30" STAINLESS STEEL VINTAGE BBQ GRILL, STUCCO FACE TO MATCH HOUSE, ' ELEC. OUTLET, FLEX LIGHT, AND 30" LOW SEATING AREA WITH 12" CANTILEVER - ANs! z- 19 g EXISTING WALLS, TO REMAIN SPECIFICATIONS MATERIAL SELECTIONS MATERIAL CHOICE TYPE GUNITE SIZE 35'-4" X 13'-11" SURFACE AREA OF POOL 363 SQ. FT. WINGED FOOT CITY LA QUINTA PERIMETER 97' LIN. FT. DEPTHS MIN. 3'-6" MAX. 5'-6" SPA SPECIFICATIONS ELECTRICAL CELL SIZE 8' X 6' SQ. FL 38 SF PER. 22' BY LENGTH fL SPA DAM WALL WIDTH TIME CLOCK SUB PANEL # OF JETS # OF LIGHTS IN POOL CITY CONSTRUCTION OFFICE PHONE # LIGHT BOOSTER PUMP OUTSIDE G.F.I. LIGHTS G.F.I. OUTLET CA. AQUA AIR -BAR k BLOWER EXTRA SWITCH FOR SPA LIGHT BLOWER ONLY BLANK PLUGS RAISED SPA SPILLWAYS MOTOR BOOSTER SPECIAL NOTES BLOWER CLEANER misc. EXCAVATION TYPE COPING & TILE ACCESS FROM ELEVATION COPING WHITE DEEP END RAMP COPING SPECIAL FENCE REMOVED BY TILE TYPE FENCE TYPE TILE TRIM MASTIC TRASH REMOVAL LOADS 6" R.B.B. ft. 12" R.B.B. ft. 18" R.B.B. ft. CONCRETE REMOVAL LOADS misc. TREE REMOVAL BY STUMP REMOVAL BY DIRT PAD 6" R.B.B. ft. 12' R.B.B It. 18" R.B.B. ft. DECKING BY UP TO 1328 sq. ft. WALKOUT/MISC. FINISH COLOR ROCK PACK EXPANSION JOINTS MASTIC FOOTING STEEL STEPS TYPE EXPANSIVE SOIL CANTILEVER 6' R.B.B. ft. 12' R.B.B- ft. 18" R.B.B. ft. DECK DRAINS CURB CORE SURCHARGE DEEP END RAMP DECCO DRAIN DIVING BOARD JIG LOVESEAT INSIDE ft. OUTSIDE ft. SLIDE INSTALLTION SPA WALL WIDTH in. OTHER in. MASONRY WALL DOWEL/MISC. COPING TYPE PLANTER WALL PLUMBING FILTER SIZE TYPE ft. X POOL PUMP SIZE CAP BACK UP WALL ft - HEATER SIZE FOOTINGS R.B.B. FACING BOOSTER PUMP SIZE FIREPIT TYPE SIZE SKIMMER TYPE EQUIP. WALL TYPE ft. X CARETAKER # OF HEADS FENCING ft OTHER CLEANER STUB ONLY MISC. FILL LINE SLIDE LINE P -TRAP BACK WASH TO PEBBLE GAS LINE STUBS LIGHTS POOL SPA FOUNTAINS/SPRAYHEADS ROPE RINGS EYEBALLS REQUIRED LIGHTS IN POOL IN SPA COLOR NAME 71LE SPECIAL EQUIPMENT STUB SET EQUIPMENT SAWCUT AUGER DIVING BOARD SIZE MISC. MODEL COLOR SLIDE MODEL SIZE COLOR GUNITE GUNITE INSPECTION REQUIRED YES NO POOL COVER SOLAR HEATING YES NO ROPE RINGS GRAB RAILS FENCING DEEP END RAMP TO MEET ALL LOCAL CODE REQUIREMENTS BY BUYER PRIOR TO 6" R.B.B. ft. 12" R.B.B ft. 18' R.B.B. PREPLASTER INSPECTION OTHER LOVESEAT EXTENDED 2nd STEP NOTCHED BOND BEAM COPING CANTILEVER ft. SAP DAM WALL WIDTH OWNER RESPONSIBILITIES OWNER TO' (1) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATION IS SUBJECT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT (2) TAKE NOTICE THAT DIAMOND POOLS IS NOT RESPONSIBLE FOR: UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA . (3) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLASTER INSPECTION (4) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS,DO NOT USE RUBBER HOSE) (5) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF DIAMOND POOLS AND THAT ANY USE WITHOUT WRITTEN PERMISSION OF DIAMOND POOLS IS PROHIBITED BY LAW. OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE. SIGNATURE(S) DATE SIGNATURE(S) DATE REVISIONS Delta Date By Description of Chane MATERIAL SELECTIONS MATERIAL CHOICE A THOMPSON RESIDENCE 0- WINGED FOOT CITY LA QUINTA JOB ADDRESS P.G.A. WEST 0- PHONE #'S CELL HOME LOT # 3 0 PAGE BOOK - MAP BOOK PAGE # - MAIL ADDRESS - CITY CONSTRUCTION OFFICE PHONE # vv, POOLS AND SPAS SWIMMING POOL PLAN FOR: NAME(S) THOMPSON RESIDENCE STREET WINGED FOOT CITY LA QUINTA JOB ADDRESS P.G.A. WEST PHONE #'S CELL HOME LOT # 3 TRACT # PAGE BOOK - MAP BOOK PAGE # - MAIL ADDRESS CITY CONSTRUCTION OFFICE PHONE # SCALE 1 /8"=1'-0" DATE: 7-31-02 DRAWN BY: - JOHN SOLD BY: JIM CHECKED BY: vv, POOLS AND SPAS