Loading...
0309-267 (RPL)LICENSED CONTRACTOR DECLARATION U) I hereby aZirm under penalty of perjury that I am licensed under provisions of f- Chapter 9 (commencing with Section 7000) of Division 3 of the Business and N W Peofessionals Code, and my License is in full force and effect. O =) ch License k Lic. Class Exp. Date r--CY U -)r` w 7-79165 A.k'3WC 0 1l2S Zr- Date 7%t� Signature of Contractor 1010 co O. "� , f J U � OWNER -BUILDER DECLARATION WW I hereby affirm under penalty of perjury that I am exempt from the Contractor's U) License Law for the following reason: Z ( ) 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). cY) () I am exempt under Section , B&P.C. for this reason V) N Date Signature of Owner ON rn d Q • WORKER'S COMPENSATION DECLARATION p cr I hereby affirm under penalty of perjury one of the following declarations: Lo � O () 1 have and will maintain a certificate of consent to self -insure for workers' X w �= compensation, as provided for by Section 3700' of the Labor Code, for the m� Q performance of the work for which this permit is issued. Q C) (` ,)` I have and will maintain workers' compensation insurance, as required by O Q Q section 3700 of the Labor Code, for the performance of the work for which this 0 Z permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier STATE FUND Policy No. 1689467.2003 ccb O J (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 3 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 'IW rI.rro �y Applicant Warning: Failure to secure Workers Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,0b0, 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.df 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 pu oses, j ,Signature (Owner/Agent)rA�'� -r ` Date 14 71b) BUILDING PERMIT PERMITN 03M-267 DATE VALUATION , LOT TRACT ��. i $20,4E30.0>19 JOB SITE ' ADDRESS 80-932 HOMTAGE1iF"V APN _ OWNER CONTRACTOR / DESIGNER / EN &NEER ZAFMIIA CANYON VIEW POOLS 80.9321~]]M1? ITAOE 2295 E. TAMARI.M. R.D, L.A QUDITA CA 92253 PALM SPRINGS CA 92262 (760)778.2700 (.7BL# 2951 USE OF PERMIT Y P001, ANVOR.V11L PCOUS PA, 4 LF. 4' 1110h HLOCK VJ:;RL1q AL4 RMSMARRIKR ,-.., . BE W PLACE. MOR TO PMPLASTC.R WSPECTION O W , • 03 4 FT. WALL 4.00 I -F F LA QUINTA POOLAN7(OR SPA 19,936.00 U; icFDCPAE j i1MI CO "S BJP' C0117SMUC 1.10 Q 2d3,iB06.€>�d PERAW ]6'KIR UUAUJ"Y PLAN CHECK ,Irpn l Cil -013©-439.318 31 �P. 3S CCNamuCTION P`LE 101-000-418.000 $207.00 MECHANICALFEE --POOL 101.000.421.000 $24,00 ELECTRICAL FEE N• POOL 101-000420-000 $+IS.ntt PLU.T5+113INO F9Z - POOL 401 �t000-419-000 MOO n SUB-'rar4L, CaONIT 3 UC3,70 fi AND PC..AM COCK $4:31,55 IM3 PFX-PAID IMES $0,00 T(KrAIT., PFIRM PUS DTI'. ' HOW 9x431.: RECEIPT DATE A/117 BY / +.fT"! 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 Main Drain Bond Beam r Approval to Cover Equipment Location le- VIP Underground Electric Underground Pibg. 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 COMMENTS: (J d 1 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) 09/23/2003 08:50 760-320-3667 SAUNDERS ENG PAGE 03 60LF COURSE P/L J LAWN AREA 127 LAWN AREA LAWN AREA RAISED 901,D BEAM +6" POUR 1:11111+12". I SPA <---6 0---- 7'0 +18" QRTZ Spill nay 1. +6" POUR CURB / 5' ` 3'0 POOL 9,11 _....110•-- 5'0 " •-- spa set @ +18" P/L p/A 15'0 VAC stucco exterlor P/ - entry cps five spa jets -- - 2018- • u cell sleeve BN " -21"- 2 "-6" quartilte spillway -6"WL T LE E deck drnlns p/a 32'5 4 - 712 5'- 14'3 P/a 9 P/a BB 9 KEEP EXISTING PATIO sleeve all planters stk b Ort p/a p/a Pool Boss P/a D.G. controller ZAPPULLA RESIDENCE LEQwal F 80-932 HERMITAGEDR.H &/E' PGA WEST P 65' revised 9/16/03 s/S a/c a/t bobcat acce GATE +AX 2295 East Tamarisk Road Palm Springs, CA 92262 license No. 77916 09/23/2003 08:50 760-320-3667 09/05/2003 9.5:7.5 7605642329 Mr. Jim Zapulla RE: 80-926 Hennnait p Pool and Spa Dear Mr, Zapulla: SAUNDERS ENG PGAWEST FAIRWAYS ASSOCIATION PAGE 02 HAbE 01101 September 5, 2003 At the August 25, 2003 Architectural/Landscape Committee mf eting the plants that you submitted were reviewed and approved with the following conditions: + Color of the deck must be indicated, NA 2 inch row strip must be added behiaad the pool. 41 Turf is to be removed for bob cat entry, When firiished, the area is to be goaded and Bermuda, sod replaced. + All building matin ials must be placed on your pioperty--1`'OT IN THE STREET. Please check with the Association, before making any final paynnents to your cMtracto:r to confirm that there arc no violations outstanding made by the contra,;tor. If you have any questions or meed to contact me, please call (760) :;64-3858. Sincerely, DONNA MARINACCIO, CMCA Association Manager /ncp CC: Canyon View Pools Post Office Box 1658 • La Quints, Califorr►ia 92253 • Pho»e (i 60) 564-3858 • Fax (760) 564-2329