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0902-394 (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 .)a43tiL 1 1. •� �rij;s;.' 11tSrJ'.17�UI 1.' VDat�� `t IBSignature of Contrac or_ 3 `rte 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 a mpt under Section B&P.C. for this reason Date -4�4 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 . Policy No. S7'A7`Gi'U�9i: 177.I744•99 ` (This section need not be completed if the permit valuation is for $100.00 or less). ( ) I certify that iri'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 wiih se rovisi6ns. pate: v nJ �L) Applicant_ �.. .` } r- Warning!Fallure 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. It sign" ature (Owner/Agent- k �� �Z� Date V i y a � BUILDING PERMIT PERMI10102=•SV4i DATE 02/241260 VALUATION S3_%N9.00 LOT /L TRACT JOB SITE 47-910 V LY OPERA APN q ADDRESS OWNER CONTRACTOR / DESIGNER / ENGINEER KRIMMI., spulvAl",Y 1 A 1. y 1 1f 9f + 41 4 79i0 Vint OP&E'RA i10 BOX 311 RE11d,.Ait DS ��")i3 LA C,?UlNTA. CA VL)53 Fi. NI'ANA CA. 92,l ) USE OF PERMIT 'OiJI., .Alii )AA .S11A r its FtuL .s id -A OXL z (iCAO #24 i71- AI.AftlSiBr Aldi. iZ;a %i�0a,i ,tris IN PLACE PRI0Ic TO FILLINU SPA WI`T'H 41rt1I'I•:f2 Vii;0L ,PuNVO SPA 3,50n7.00 L v.S�'�lt1�3•�lV CMZ' �i C.�('rr����.3�TL�'� �.�;�; L ,��a IL'�i516f+ IT FEE Sll�i�17iAk11 PLAN t:'1`if'rc:K ktt 1.01-000-439-3>.g SA0.95 rtjtde'i'Ii1Tt i'triNt#;I:, 1101 -(KN) -41$4M VA.11%Rfi *.. �1�1A m,Y /moi IV w Alli lv e:.s.ii Uva t y^wra �Pa/1t �`• "ala a' ;:a.o -- a'ta t -�N F�LtIAQBi?.N(jk -- !'t):)1., 1,01-M.)-419_000 STfIi.1Y_ rA1,(;0N) (`t-Rt1(-r1037 ANI) PI.AIIJ(1iPCIC os 03 10 f'.AL 3'ti:1iMIT FE! FN 0113; NOW S 1".9 amt" RECEIPT DATE BY ' F L 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 steel POOLS - SPAS 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 —p�U Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Law Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: A L J,.f1=M t. o ICBO Evaluation Service, Inc. s " 5360 WORKMAN MILL ROAD • . WHITTIER, CALIFORNIA 90601-2299 A subsidiary corporation of the International Conference of Building Officials EVALUATION REPORT ER -2417 Copyright © 1999 ICBO Evaluation Service, Inc. Reissued December 1, 1999 Filing Category: SWIMMING POOLS AND SPAS (266) FIBERGLASS ONE-PIECE SWIMMING POOLS AND SPAS pipe extending to ground level which is utilized to relieve SAN JUAN PRODUCTS hydrostatic pressure by collecting and disposing of ground or 2302 LASSO LANE seepage waterwhen it becomes necessary to empty the pool. LAKELAND, FLORIDA 33801 The pool is provided at the deep end with an underwater SAN JUAN POOLS, INC. recessed light pocket and floodlight. The floodlight and all 3950 INDUSTRIAL AVENUE electrical apparatus in connection with the pool are required HEMET, CALIFORNIA 92545 to be adequately grounded. All plumbing and electrical work 1.0 SUBJECT is required to comply with the codes in effect -at the construc- Fiberglass One-piece Swimming Pools and Spas. tion site. The pool design requires it to remain full of water at all 2.0 DESCRIPTION times. A permanent sign is to be attached to the plumbing 2.1 General: equipment and is to read as follows: "Notice—Pool is de - The San Juan Products swimming pools and spas consist of signed to remain full of water at all times. Pool shell may be. damaged if water level is allowed to drop below the pool skim - one-piece fiberglass construction, shop -formed over a mold. mer. When appreciable drawdown is noticed or if it becomes The model numbers and sizes are shown on Table 1. All refer- necessary to drain the pool, contact San Juan Pools, Inc., or ences to pools in this report apply also to spas. . its agents for instructions." A pressure -sensitive plastic stick- er will be installed adjacent to the above sign by the manufac- form or mold in the following manner. The form is treated with turing licensee, giving his name, address and telephone pum- a parting agent to ensure separation of the liner from the mold be(. after fabrication. An isophthalic/neopentyl-glycol gel coating 2,2 Installation: 30 mils (0.8 mm) thick is spray -applied to the surface of the form. A fiberglass hand layup consisting of a 11/2 -ounce The pool may be installed without a soil investigation by a qu- (40 g) reinforcing mat of random chopped strands of fiber- alified engineer, providing none of the following conditions are glass is applied to the cured gel coating, which is then treated encountered and the site is approved by the building official: with an isophthalic polyester resin applied with a 35 percent 1. The existence of ground water within the depth of the pool minimum saturation factor. A second layer consisting of excavation. 11/2 -ounce (40 g) reinforcing mat is laid overthe previous lay- . 2. The existence of an uncompacted fill in contact with any er and saturated with isophthalic polyester resin. The third portion of the pool. layer consisting of a 24 -ounce (700 g) woven roving is applied 3. The existence of any expansive or adobe -type soils, at or over the previous construction and saturated with another within the confines of the pool area. coating of isophthalic polyester resin. The process of altemat- 4. The existence of any soil types whose angle of repose will ing layers of fiberglass mat and woven roving saturated with not support the walls of the excavation at the desired resin is continued until a total of five layers has been built up. slopes. The completed pool has a minimum cured thickness of 5. The location of the proposed pool excavation so that it 3/16 inch (4.8 mm). The woven roving and reinforcing mats are would have a tendency to endanger adjacent structures. applied so that the lapped splices between the individual rolls If one or more of the above conditions are encountered, the of the material occur at the same locations and are 6 to 8 excavation for the pool shall immediately cease until the spe- inches (152 to 203 mm) wide. This provides an additional cific conditions at the site have been reviewed and recom- thickness (a total of 10 plies) to the liner in the form of periodic mendations made by a qualified engineer. The engineer's re - stiffening elements. The fiberglass has a minimum tensile port of this review and recommendation is to be submitted to strength of 11,360 pounds per square inch (78.3 MPa) and the building official having jurisdiction over the construction a modulus of rupture of 23,500 pounds per square inch site, and his approval obtained prior to continuance of the (162 MPa). work. The pools have a fiberglass coping approximately 6 inches The excavation for the pool consists of removing the exist - (152 mm) wide around all sides, the exterior edge of which is ing soil from the proposed area, utilizing chain -type screeds bent down or depressed to engage the poured -in-place con- to ensure a 6 -inch (152 mm) minimum over -excavation at the crete coping during field installation. One corner of the pool pool bottom and all sides. The required drains and plumbing end is provided with curved steps for access. work are installed and a contoured layer of clean sand is A main drain is built into the fiberglass pool at the deep end. placed in the lower areas of the pool up to a point at which Extending from the main drain box are the necessary service sloughing would occur. The pool is then placed on this sand lines to the filter equipment. A gravel sump is provided be- bed and carefully aligned and leveled to preclude any buck- neath the main drain base to collect any ground water or ling or irregularities in the fiberglass. Water is introduced into drainage from the sand bed on which the pool is installed. the pool proper and up to a level approximately equal with the Leading from this.gravel sump is a 11/2 -inch (38.1 mm) plastic sand layer. The backfilling with sand is carefully continued up - Evaluation reports of ICBO Evaluation Service, Inc., are issued solely to provide information to Class A members of ICBO, 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 recommen- dation for use of the subject report This report is based upon independent tests or other technical data submitted by the applicant The ICBG Evaluation Service, Inc., 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 ICBO Evaluation Service, Inc., express or implied, as to any "Finding" or other matter in the report oras to any product covered by the report This disclaimer includes, but is not limited to, merchantability. Pagel of 3 Page 2 of 3 ER -2417 ~ ward, maintaining approximately a uniform height around the 4.0 FINDINGS four sides of the pool at all times. The sand is consolidated by That the Fiberglass One-piece .Swimming Pools and flooding with water as the work progresses. The pool is simul- ' Spas described in this report comply with the 1997 Uni- taneously filled with water as the backfilling progresses, form Building Codorm, subject to the following condi- . maintaining approximately equal levels. The. sand backfill, is tions: stopped at the level of the bottom of the concrete coping on 4.1 Construction and pool installation comply with this all sides of the pool. report and the manufacturer's installation instruc- The outside lip of the fiberglass pool coping detail,is em- tions. bedded in a concrete walkway installed around the entire 4.2 Electrical and plumbing installations comply with ' pool. See Figure 1 for complete details. The walkway is rein- the respective codes in effect at the construction forced with 6 -inch -by -6 -inch (152 mm by 152 mm) No.- 10-10 site. ` wire mesh. 4:3 Pools are installed by a factory -trained and li= 2.3 Identification: ti tensed installer or agent approved ,by San Juan 8-0 Products. Each pool or spa is identified by a coded imprint above or be- 4.4 • 'Clearances from slopes must be as set forth in Sec - low the skimmer signifying model and date of manufacturing.: tion 1806.5.4 of the code. The company name and factory letter are also noted. 4.5 Barriers in accordance with Appendix Chapter 4, 5,800 . Division 1 of the code are provided where pools are 3.0 EVIDENCE SUBMITTED. located on premises of Group R, Division 3, occu- An engineering report, detailed plans specifications and inter- panties. nal quality .control manual. This report is subject to re-examination in two years. TABLE.1 ' MODEL NO. WIDTH (ft. -in.) LENGTH (ft. -'in.) DEPTH (ft. -in.) CAPACITY (gallons) 1,2,3 Shallow End I Deep End 025 8-0 16-0 2-0 uniform depth 1,800 075b 8-0 16-0 4-0 uniform depth 2,650 910b 8-0 r 17-0 4-0 uniform depth 3,600 025 8-0 19-0 4-0 uniform depth, 3,600 050 - 8-0 36-0 ;, 4-0 uniforn depth 6,500 750bs 8.6 ' 23-0 4-8 uniform depth 5,800 . 775bs 8-6 40-0' 4-8 uniform depth 10,000 085b 9-6 17-6 - >t 4-4 uniform depth 3,200 050b 10-0 22-0 4,800 3-8 5-0 930b 650b 11-0 12-0 18-0 16.0 41400 5,200 4-0 uniform depth 5-0 uniform depth+ 600 12-0 16-0 4-0 uniform depth 4,900 700b 12-0 20-0 4-0 uniform depth. 5,600 920b 12-0 20-0 4-0 uniform depth 5,000. 300b 12-0 22-0 3-8, uniform depth 5,025 175bk 12-0 24-0 6,600 3-6 5-5 175k 12-0 26-0 3-0 5-0 7,500 100 12-0 27-0 " 3-6 '5-6 8,000 800b 124 27-7 -3-6 . -' 5-0' 7,000 125b 12-0 28-0 3.6 15-6 8,500 135b 12-0 28-0 3-6 5-6 , 8,400 210bk 12-0 28-0 3-6 6-0 8,000 150 12-0 28-0 - 4-0 4-10 8,900 3006 12-0 30-0 35' - 8-0 13,000 200b 12-0 31-0 3-6 5-6 " 9,000 145bs 12-0 ' t -` 34-0 3-6 5-6 , 8,500 156bk 13-0 26-0 3-6 5-6, 6,800 870b 13-0 3 29-0 3-6 6-0 10,000 350 13-0. 34-0'• . 3-6 5-0 10,000 400b 14-0 32-0 _ .. _ 3 6 5-6 11,500, 450b 14-0 32-0 3-6 8-0 14,000 470b 14-0 32-0 - 3-6. 8-0 15,500 225bk 14-0 y 33-0 3-6 .5-10 12,000 480bk 14-0 .. 33-0 35 6-0 13,500 490 14-0 33-0,1 3-6 8-0 .15,500 375b 14-3 30-0 3.6 5-6 - 9,500 960b 16-0 32-0 3-6 6-0 13,500 850bk 16-0 33-0., 3-6 5-10 + • 13,000 840b 16-0 34-0 3-6 5-6 13,500 550bk 16-0 40-0 ,'' 3.6 8-0 18,000 575b 16-0 40-0•, 3-6 8-0- 20,500 875bs 16-0 40-0 35 5-6 14,000 590 16-6 40-6 3-6 e4 22,000 500b 17-0 35-0 3-5 9-1, 16,600 525b 17-0 37-0 3-6 9-0 ' 17,500 550bs 17-0 42-0 2-10 9-1 17,000 b denotes pool with bench k denotes pool kidney shape s denotes pool with attached spa For SI: 1 inch= 25.4 mm, 1 foot = 304.8 mm, 1 gallon = 3.79 L. t Page 3 of 3 ER -2417 /Mat! I.W O.C. E 6W jOCAM ANO #MKwAk • ECT/ON. r.,.;�, rl�I rN�4t . ' • � ..• - .:moi.. COitIM G7IO GitArttL r .fia?C�AYG(OG�LI I ,. .:it far trAr(A swL Onr � . Noris.- _yy.i =O/L• Civu: d'rA' L rh1'5 ZWAwuv6 44'4 06 11 USM M COWI/NMON •� GOn/4creD JAWp ()?fV ArIJW CgWA7 MaV SMC111OAr1ON1. £ ff44,CM'Ar SOU M CGVr/N(IO 5 AROUND POLY. MAIR rO Me SNOfOrICA ADDS Aar fl/1 s av, • ' JgbV7 SA4CJA/6S. - 0 7040 FIGURE 1 -i r �I ALIFAJl.alIII I t�VILLLI'ilVlltilr I This agreement, ent re into,.by and betwee a La Quinta Communities, L.L.C. (Developer), and ���l�,tc' (Pool Contractor), and (Buyer), is for the purpose of indemnifying and holding harmless the Developer from any and all liabilities arising from the construction of swimming pools on the Developers property and contains the following c.)venants: ',Vhcreas, it is the desire of the Pool Contractor to construct a swimming pool on Lot ## Tract 26152 - L�7 110 V14 OfeAil , County of Riverside, California, for Buyer, who has the above mentioned lot in escrow, but not yet closed, the following is mutually agreed: 1). It is understood that the above mentioned lot is owned by the Developer at this time and the Pool Contractor has contracted separately with the Buyer to construct a swimming pool on the above mentioned lot.: Therefore, the Pool Contractor and the Buyer agree to indemnify and hold harmless the Developer from any and all liability that may arise as a direct result of construction of said swimming pool; specifically, a). any and all Workmen's Compensation claims, b). damage to Developers or surrounding property, both public and private, c). faulty construction of swimming pool and its ancillary equipment or accoutrements and, d). any and all personal injury claims. 2). It is further understood and agreed that the Pool Contractor gives up all property lien rights during the time that the Developer owns the property and further acknowledges that the contract to construct the swimming pool.is by and between the Buyer and the Pool Contractor and that the Developer is not in any way a party to that agreement. 3). It is incumbent upon the Pool Contractor to supply the Developer a copy of the Pool Contractors State License, City License,, Certified copy of Workmen's Compensation Insurance and Certified.copy of Liability Insurance naming the Developer�as an additional insured, in the amount of $1,000,000.00 per occurrence. 4). The Pool Contractor agrees to obtain all necessary government permits to construct a swimming pool and will be responsible for all government inspections during the . course of construction. 5). i he Developer reserves the right to independently inspect the swimming pool during the course of construction'and requires that the Pool Contractor provide copies of 4 government inspection records if asked to do.so by the Developer. -