0004-225 (RPL)I LICENSED CONTRACTOR DECLARATION
I I :aby a�;rr� 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 # �tLic. Class Exp. Date
348768 :'053 '14 Hw c 1/21
Date y--2 7. Signature of Contractor-
OWNER-BUILDER
ontractor
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 STATR FUND Policy No. 127M6-00
(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 S99tion 3700 of the Labor
Code, I snail forthwith comply witht A ovisi n
Date: 17" � 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 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 propertyyffgo soedtion pwrp '
Signature (Owner/AgenT/t) /- �� .. �- Y Date " z 7 —�
BUILDING PERMIT PERMIT#
DATE VALUATION LOT 4-'225 TRACT
8,4 -0.00
04/21/20C OW -0.00
JOB SITE
APN
ADDRESS 7 -16*2 CAL1'a.F.F FLORA'
CONTRACTOR / DESIGNER / ENGINEER
lorforiaw POOLS
77 v 162 CALLIE, FLORA
4 3 3'75 MADIMtON Srf
LA QLTUfA CA 92253
DMI0 CA 92202
(760)347-5959 OBLO 1151
USE OF PERMIT
POOL X&VOR aPA.
POOL c. SPA. ONLY-ALARNIM. ARRYM. SHALL BE IN PLACE AT
PRE -PLASTER INSPRCTION
VALUATION 38,t"DO,JQ Ls
FSMd' IRD COST OF C.O STRUMON
000,00
P.IMFRit ST&WRY
PL4N CHECK MR 101-000.439.318 W183
COA1ST11.UC'TION RE 101-000-418-000 $4SA.30
MECHANICAL FEE •- FOOL. 101.000.421.000 524.00
E1,WrRIC AL ME ea POOL 109 ..000-4.20-000 $45.00
PLUMB1NO FEE POOL 101.000.419.000 $27.00
•t
Y. 0.
3
SIM -1."i'JTALCONST.PCUCTION'AND;PLAN'C`2-91 CK
$8'49,33
14 LESS PRE -PAID FnS
$0.00
i
l.O'I'AL I'1k''•1Wf PUS DTTE A OW
RECEIPT
EWT
BYM `
DATE FINALED
INSPECTOR
I j
3 .;,3 .o I t
,A
INSPECTION RECORD
:.
OPERATION
DATE
INSPECTOR
OPERATION
T DATE
INSPECTOR
s
BUILDING APPROVALS
MECHANICAL APPROVALS
4
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab GFade
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
i
Exterior Lath
Drywall - Int. Lath
t
Final
Final
POOLS - SPAS
.7 BLOCKWALL APPROVALS
steel
Set -:Backs ",.
Electric Bond
Footings
Main Drain
/f
`
Bond Beam
Approval to Cover
--G
Equipment Location
Underground Electric
i
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
Gas Piping ,
Gas Test
is
Appliances
f
Final
COMMENTS:
t.
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS'
Temp. Power Pole
a
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
t '
I
Main Service
Sub Panels
`
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
`
Final
Utility Notice (Perm)
JUL 1 01999
O A S � ; earQ►�.i�,tA► �� s��1
SIZING �"1 )L'�. GAA✓. �i.�l2e�
WORKSHEET 4•vAG1 C�U�WZ'1K1r 1,q
azi
DE!, -,AND FOR POOL/SPA 4QU IPMENT IF SEPARATE
TOTAL DEVELOP M- LIZGTH: 4( SOo FT*
("'INCLUDE'S _ FEET OF EXTERIOR LPG
PIPING FROM TANK TO BUILDING IF
APPLICABLE.)
SIZING PER TABLE 12:&___NAT LPG
1/2 INCH 34 CFH
3/4 INCH 0170 „ CFiI
1
INC U �3Q" 1TH
1 1/4
INCH CFH
1 1/2
INCH CrH
2
INCH Sol CrH
2 L/2
INCU 11,77 CFH
3
INCH ^Fii
3 1/2
INCH CF H
4
INCH CFH
TOTAL DEVELOPED LENGTH: FT On OMEE1149
OEI'IAND IN BTU _ CPR
SIZE FROM TABLE 12— 3L : TN
TABU It" TABLE 12.1
612E OF GAB a1PBJ0 Minimum Dement at Tre,cal Gas A000111MIM
M-"• • a•fOa r Brenn b come re41 a or 4'w Ow rLYM at No 1145 e,rlra e n BTU G4r M4 ur (Wills)
Nen,.n a4F K a.4o 64saitr ft$W final On tW1e 4" N 64I,_ WW Co.— Demarva In
LW6Trer Feat a,0py„0a BTU/Nr Watts
6lrcaal
„
16
v4
70
1 re
20
139
40
ei
�
1`3
�
w
7e
�
Ib
10Q
4 567
30
249
M
,7,
142
136
a+
127
613
tie
45
111
30
104
Wa
W4
1+04
Oro
935
377
775
337
eat
tee
6®
259
432
2N
123
M
Opt
ref
x
2. 102
1,44n
1,151
1160
556
196
4ea
rs4
4�
G1111
04%
1 01
506
=
2.41
1•OW
9./%
2354
4443?
'
34630
,.913
3443
1,665I
1.70.3
7,.39
IA13
2257
1,0,0
2"
1,234
1.165
9
3.11
,1.41:
15.700
FA43
11.55.
e.20a
9.m
5,361
7,03
4.71`0
am
am
axis
3404
0.705
1,20
300
1151`
3aa4
1
23.an
,6.e9e
te447
lawn
a,765
0830
5.531
0,123
SAM
7,aN
Sago
1,041
4906
0M
K
Ib
20
400
do
6011
1fe
600
4
B4
J2
M
5e
60
424
/G40
it
49
70
19
1•tl,
ti
724
135
278
,20
2 48
,O6
13
Z5
106
23
og
161
59
62
M
r1
15
1`5
1.•n
2
4o
413
7,M
JJI
84
301
An
i5a
179
79
'260
159
165
141
311
153
730
2•vr
14401
12777
1,131
'An
1113
ast
en
0�t73
4w
463
413
3
3 A
2d3J
1051
2.237
2,304
2 we
2,929
belt
tam
1,567
3,441,
5,
lion
227
1,4
376
%3012
i,�
ray
i;e24
4
S,Ore
4,690
4.050
3,07
3.401
54164
o,1438i
2,tg6
16601
2.59E
2.541
TABLE 12.1
16,atc,mum Capeclty of FIPa In "auaa„d1
01 BTU Per NOW el UmOlufed
llelueiied Petroleum Gages
(Ba"d
en a
Ptasaara Crop e6 9.6111ah Water. Calum",
rips
Low Pressure 11' 1N®la4
Cah41nt1
e1ce
LENGTH 1111 FEET
Qncheel
10
00
219
40
1 Damrstiegas rafp ................... .. OILu10 19.045
I Dome411arel?eaeedlODb,4rnaraanhnn $1.000 11 22(4
126 I Domestic r"Intim wen c90Itin ... :5.000 `.325
44 I $KVK .'14ner11aa1t3r
w i uam30gaLnusL41.16,.......... ,..... 30000 8,710
I r+ I stere9e water heeler
M 40116,.4uloeool.(11N.WlanL. . . 50.000 14.650
433 I Dwr19aaeclothes aryer'............ ........ 35.000, 10.255
�. Review b0 fighter (Tisa dennaq ............. 20.000 7132:
2.910 FeroWaa9loa0prltortC9mme,uyl..... ...... 50.000 14.550
Baroa99elfleelaat94aq ..................... 50.000 14.060
3,m naera1710erat0r........................... 344 979
B11t15anaumar ............................ 2.500 879
mclbl le tome- Each rsee Ap0ena14 Ei . , ..... .
Getsow". IPa n,xsaaowerl .............. 10 2,930
iSteam eo6ere IDer ncrseaowan .............. 50.900 14.00
TABLE ligq
d4,F0artal PIRn9
Silt of Pipe
fit1pb61 tmml Feat M.
'n121` 6 1 e
u orf 19.1 or 25A mm
1 A Or tafper 31.8 of larper
Itwitiontaq rhmtl2erta11 10 3
1A or lar9m 31.5 or tarot
tvartlawl mirttoaq Every floor level
1,5 2M
180
169
129
W
111
e0
10.1
To
an
e0
89
W
as78
top
125 tae 994
4 567
381
373
287
237
217
tab
155
173
IN
W 63
146 I.W 112
IX71
1•'•: 2.205
TV
1.488
08 ;
1
f•p34
448
AN
�
371
348
322
307
276 252 213
1•'h 3.307
2295
IA%
1,581
1.417
1.
114
1
1 05886
1.023 323
690
075
907 511 440
166 797 870
2 D.221
4.331
],46 5
2 941
2,640
2.391
L54t
1.921
1.611
1.5081.4961209
06ed °UVd9�:V 615-6-Tnr b£99 lb£09L
PLUMPING COWACION
WILUAMS MECHANICAL, INC.
1:119051 CAerwFR. Sib A
rr1Yn cme"n. CA 072211 1Jc 1`,172896
;owi telOSS7 twl(612, 541.bS34
9 l£b9LL6 :;V N3010£ inYd :01
•rONI IVOINVH03VV SWVIIIIN1 :A9 IueS
i
61
McNealy Residence t
77-162 Calle Flora uc.• `
34876
La Quinta CA 925253 P.0.1300047 1047 43 375 Madison St. Indio, CA 92201
(619)347-5959
M .
. • Plent.�r
rB C
T.04.. Covered e
/ 00 Terrace
Dn
- Pool
e
�► 58.00
W. 10' 14'; �'84
�` Water
(b'58.7 55,75 ❑ �—
►�
11?
Fin. Pay. o0
Bridge G2
56.33 Dn) 61 Risers
'�°Do� l4) Ib' Trude ,
_Ali n .'
Fin. Pay.
JaCUZ -Fin. Paw. ' 8.83 '
Elev. '
58.33 r
24,'
Pool Back T O.Bench I
'� �.?� ,•� _ �- _ . Water- _ - Pin _.P,�v, Rest 60.53.
'�� Plantar 65.75 - Elev. .
o Bot.oi Pool 56.33
45.75
1'
T.O.w. Fin. Pay. Breakllne
59.00 jj Elev.
56.33. +
11.0. AB
_
!3) 6' Rlsers T.5707W.5
Fin Pay. On (1) 16' Treads
py
57. 3
i
T.O.W. i
58'83 i= Planter '
Planter rl Fin Fir
I�� Soenn
!m' -m„
8ulld(ng + = Fin. Fir. !"
Setback,~ - Elev.
- 58.00
CIT FLA QUINT _ - - - -s_ -----
BUILDING SAFE
& — ---- _ - ---='
TY DEPT.
- OVED API' -_ _--,-- -.: t - - y -----
I
FOR O STRUCTION
DATE Z W
BY
• d
O (p 0 1
Al i
i I
iSNO AM ON' I
1101133dSNf o
MUMS V 803 311S In
NO ION 38d aae3 80f ONV SNVid — - — '- LL
03AOaddV 3m J 03 o c `
0£$ 30 333 N 113 3A �G1' T.O.W. ,
SNI -3a V 64.00 0 _y
POOL
d3" ' eau i P ,
N
69040,50" VV
_ -
JOHN HACKER &0 'ASSOCIATES JOB
Civil Engineers/Land Surveyors SHEET No. of
.68487 E. Palm Canyon Dr. Suite 44
Cathedral City, California 92234 CALCULATED BY DATE
(760) 324-0216 CHECKED BY
DATE
SCALE
?1.1Ia2 Cam
ST15EL FRAME
BRI DC;E
I
_► ruvL- pvlroL or -A yl
Conor to fooTl
1 a
e
la X 7"wide
8tiolge
Q�pFESS/p,�
F y
C.0
u' 14 �D
.3-31-61
-'OF CA rjl$
At1Fpl
CITY OF LA QUI NTA
BUILDING & SAFETY DEPT.
APPROVE®
FOR CONSTRUCTION I
Pool S6 eil
*'w+A° �b
J / r
� Footi►�g �-go�� �o-s>o�
Clear Pool S ke l i
• "li`,AOHN H HACKER
68487 HIGHWAY 111 SUITE 44
CATHEDRAL CITY, CA 92234
760-324-0216
Title : Job #
Dsgnr: Date: 12:25PM, 29 SEP 00
Description
Scope: ,
R— 510301
User. KV"602024, Ver 5.1.3, 224h 1999, Win32 Square Footing Design Page '
(c) 198399 ENERCALC
Description BRIDGE FOOTING
General Information
4.12 psi
Calculations are designed to ACI 318-95 and 1997 UBC Requirements
Dead Load
...............
" 2.000 k
..........
FootingDimension
::....:.....:.,.............::::., .......... .
4.000 ft
152.05 psi
X'
5 # 4s 4 # 5's 3
Live Load
4.000 k�
Thickness
18.00 in
Short Term Load
0.000 k '
# of Bars
5
Seismic Zone
4
Bar Size
4
Overburden Weight
0.000 psf
Rebar Cover
3.250
Concrete Weight
145.00 pcf
fc
2,000.0 psi
LL & ST Loads Combine
Fy
40,000.0 psi
Load Duration Factor
1.330
Column Dimension
0.00 in
Allowable Soil Bearing
1,000.00 psf
Reinforcing
Rebar Requirement
.Actual Rebar "d" depth used
14.500 in
As to USE per foot of Width
0.244 in2
200/Fy
0.0050
Total As Req'd
0.974 in2
As Req'd by Analysis
0.0002 in2
Min Allow % Reinf
0.0014
Min. Reinf % to Req'd
0.0014%
4.00ft square x 18.Oin thick with 5- #4 bars
Max. Static Soil Pressure 592.50 psf
Allow Static Soil Pressure 1,000.00 psf
Max. Short Term Soil Pressure 592.50 psf
Allow Short Term Soil Pressure 1,330.00 psf
Mu :Actual 1.81 k -ft / ft
Mn ' Phi: Capacity 10.69 k -ft / ft
efZinc-6
/AGR TE
J9r 3"
` r S101,1
- r'
r tJR y ✓cy'-Of 91(
rn
m
14614
Exp. 3.31-01 1}
x.
Footing OK
Vu: Actual One -Way
4.12 psi
Vn'Phi : Allow One -Way
76.03 psi
Vu: Actual Two -Way
15.64 psi
Vn'Phi : Allow Two -Way
152.05 psi
Alternate Rebar Selections...
5 # 4s 4 # 5's 3
# 6's
2 # 7's 2 # 8's 1
# 9's 1 # 10's
1
CG) 144 �.
J•
T
I. 7# ¢ CR!,4"G, G-
s
a
I. 7# ¢ CR!,4"G, G-