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0305-219 (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 r'91'C=:•> f4E.<3i�'CiCw „ '�ji;l1.�°><a Date `^ 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 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 �'I �a.:' . plYmi) ' Policy No. (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.thoseaprovislons..' -Date `-s° /v <;i Applicant f,�aJ •t,✓{ 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 6 enter upon the above-mentioned property for is spection purposes ; Signature (Owner/Agent)'. * "' Date S ♦ _ PERMIT# BUILDING'PERMIT DATE VALUATION ^ tj • LOT TRACT JOB ADDRESS f},�?•.EB..�'d�a.,iC�T: �{% T} ©C� i .. APN OWNER CONTRACTOR / DESIGNER / EN (NEER JiaPir`i': 'Kf3 i<M1'f::sRl•sd'1'M:t 0012 �- 22,49:��-r'r.<� •.����.'��.,:���.iU= IM3— �g�?;1(�99c�;7. �PG'^t:TR`�Tt.�r+.i - Pw'�/� .ir�:.�fA'Si�✓N p1i -70 CA :�..3r .MVI t. ,9 Wl.•L..M )t'J4.9i�.- S CA 9N2l•::::. USE OF PERMIT k°t»c P3,. Sdd.a:WkJ'...?iu�rA.,, ;Lfrrf;eacf lit ;': 511ALL Iz.sA% (t: LTct. ,4scecFxc.:siJ Pki?]P.LA31'Wit mulpC:P.''R`rc3n iF.,Quiphonn er.4ce'.A7.IUR.9 K00" ° IZ•1t^:I,:{:FT i-1 j'tviL AND IOR SPA • 3�,t10.II.00 W. EfflI lLt!IMM t:•C)hT IN? CdNc.URUC:;4x;C?W�, OLAW CHECK KE, 5 U' -00,D -439m31 8 ibk � l.4Dc; C"XASTRT,wi? CpH "S ".101 -000 -418 -ow- pAa:OC MEW ldWITC-M,, r,ES •- P001., 101-0)09-$21M0!130 S14.0 n%<LC'TP1 ,.AL II'D• F ,,. POOL 1 U2w1Lo S.IiII 1�3�:1SEvi1] D~iC ;7 � ,. F'C✓ L, : 1 t] I aCitli] 19 boo S A DD MAY 2 9 2003 CITY OF LA QUINT_ A, FINANCE DEPT. AND PIM 100C. TOTAL F9RAIM FEEND-RM Now $511 AX) 41 RECEIPT DATE BY DFI L INSPE S INSPECTION RECORD OPERATION DATE I 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 POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final G pmg PLUMBING APPROVALS Gas Test o eo 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 ff Gas Piping Gas Test Appliances Final COMMENTS: 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) 5.6019 Winged Foot Dr. (Lot 4) an,}mJOHN AT,, --y BARBARA MEEKSL n `l'ci� dol 92253 EAGLE BENT • GENERAL SPECIFICATIONS DIMENSIONS: POOL SPA Length: 36'0" 710" Width: 12'0" 7'0" Surface Area: Up to 372 SF 38 SF Perimeter: 94 FT 23 FT Depth: 310" to 5'0" 42" MAX Demo: Concrete: N/A J Sod / Gravel: N/A Plumbin8: Extra Spa to Equipment: 50 LF Raised Spa Bypass w/ck valve: YES Dedicated Vac Line: YES Gas Line Extra: 30 LF --Gas.Line for BBQ/Fire Pit:. 20 LF Spa Jets: FIVE BACK JETS Decking: Color w/salt finish: 1500 SF DECKING, CAP @ RAISED SPA Cantilever Edge: 103 LF 3" Deck Drains (per LF): N/A Step Riser (per LF): N/A Dam Wall: +18" Raised Bond Beam: 20 LF @ +12", QUARTRZITE VENEER Umbrella Sleeve: YES @ TANNING LEDGE Tile/Stone: Basic Tile Group: 103 LF 6" GROUP 1 OR 2 TILE Quartzite 6" Waterline: N/A Step Trim: N/A Tile Raised Areas: 20 SF @ RBB, 6 FT STACKED SPILLWAY Masonry Spillway: • 6 FT QUARTZITE STAIRSTEP SPILLWAY Waterfall: (1) 24" CUSTOM CASCADES (CENTERED) BBQ: YES ( SEE ATTACHED DETAIL) Firepit: YES Boulders: N/A Access Wall: N/A Equipment wall: 7.t'12-3 (.2- WINGWALLS) , Paint/Stucco/Plaster: STUCCO EXT. RBB. BACKSIDE Pool Finish: White Pool Plaster: N/A Pebble Pool: PEBBLE COAT Equipment: Pump: HAYWARD NORTHSTAR 1.5 HP CIRC/SPA Pump: N/A ry Filter: HAYWARD 400 SF CARTRIDGE -TYPE Heater: HAYWARD 400k BTU LO-NOX Controller: POOL BOSS REMOTE INT. MOUNT Hayward Navigator: N/A Pool Light: ONE- 400 -WATT Spa Light: ONE -200-WATT Purification System: YES- AQUA -RITE SALT SYSTEM Water Feature: (1) CUSTOM CASCADE ON RBB PER PLAN Landscape: SEE SEPARATE DETAIL Patio Cover: N/A Fencing: N/A MISC. SPECIFICATIONS: ALARMS.& SPRINGS PER CITY CODE Buyer is aware that oral representation or expression by either party is not binding unless detalled and signed by buyer and seller. P/L GOLF COURSE lawn area— 19 0 NJ SS! ;2 21. SIB decking {; 18'0 - c 1 t WATER -...- ...—.-_-..._..LINE lawn area ESI ITP WALLS i /P/Larea - _ ;DRAINS 760-71 FO/Cl a/c G/E ; n/c water hookup t LL AN F r ' J $ H P SHEER DESCENT quartzite spillway GOLF COURSE P/L ' CASCADE 50 12'95' ench • Iwoi -36'0- SPA7'0 3 A ----------------------------- 15'3 loggia area light switch 23'4 22'6 MEEKS RESIDENCE LOT 4 EAGLE BEND -- 24'0 FIREPIT A6&l • decking r 15 ❑ I STEP ' .STONES n AGATE -21,00 760-320-13667 FAX 2295 East Tamarisk Road Palm Springs, CA 92262 lawn area P/L ZAINS i bobcat access'