9706-133 (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
Profe&Sionals Code, and my License is in full force and effect.
_wLfceiise# Lic. Class Exp. Date
. 74127 A 97
J
V4ate- b! 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 Policy No.
STATHFUND
(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' compensati r1 provisions of Section _7 ,0 of the Labor
Cofje, I h II fort ith comply with hos prouis""ions.
V, Applicant ---'r y/��
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
thelabove-mentioned property/far inspection purposes. ;
Signature (Owner/Agent) Da r .
_BUILDING PERMIT PERMT# °°NTR°`#
x,706.,,%3 .539
1.
DATE 6120197 VALUATION ,00 LOT TRACT
JOB SITEAPN
ADDRESS 79-230 VIO1.,FT CF
.
OWNER
CONTRACTOR / DESIGNER / ENGINEER
744M 'Vic: LE'T' C1'
7.3-02'1 COUA1"i R'Y(:LU131 IUVF, S"i'E:. F4
1,.A. QUINTi#
C::A. 9225:3
PALM DESERT Cit
92260
(760)346-4032 CRU
W/4
USE OF PERMIT
POkA, AND SPA. ONLY
PCKA, t1iJi UaJz SPA
14.85g.01i` L5
• ./�iMwb+/lrl.tl•AY 411.�i3 .iF..�11� �S�i`rJ /.,Qi IJ \.~�,��i'1
�Q'�Ow/fY.���
- Cttti'1' T .140", °ri.)`A' MARY
` •
„
PL KM Ck1YA"K FFF
1014y)0_439-31.13 sIo- r
..
CONSTtZUCTI(yNVoi
NIE-CHANTCAL t-1-1,—POOL
103 -WO -X121-000
ELfICT KICAL PRE -- KX)lj'
10 1-000-4,20—WO
PL'[1MBINQ FEE -- :Ptti CiL
10 4 -000-419-000 $27,00
gat
Z
INA
Sj IB-TCIl'AL CONMUG"11ON -h-11) MAN C -HECK
LESS PRE -PAID FEES
S0.00-4.,
TMATI, Pf.9111iff l' FEIRS THI-C' NCJiit''
S363.30
RECEIPT
DATE
BY
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 Wail Insulation
Condensate Lines
Party Wail Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond 11e17 '7"
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 /
Gas Piping
Gas Test
Appliances
Final 101J77 C -)v
COMMENTS:
/v
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)
15' 0' ----►-
3'-0' =
8
air 11 neX Pa..
*,.
CONCRETE BAND I '
-FOR WHROUGHT IRON
+
t
�•-6- I I
1 1 •
_ I _
<, WHROUGHTIIRON I pa
WITH GATE 1 9. -----
' I \
4'-0- +6" RBB/2
SPRAY HEADS
-- J
3' -0 -RBB.
f �.-0
12'-��
Pa
. _
---i �'.,7
GENERAL SPECIFICATIONS
P DECK BY - - Q• 707
STEP FT. gray salt
SIZE 16 x 18
AREA 236 PERIMETER '67
DEPTH :31-5.
TILE -CHOICE T_B_S_ SQ. 54
+6"_8'
COPING CANT
POOL CAPACITY GALS
PUMP CAPACITY 78 GPM
MOTOR HP STA RITE HP 1
MOTOR HP HP
FILTER STA RITE 300 SQ FT
FILTER RATE GPM
HEATER LAARS SIZE 250-1.'BTU
BY' S_D-C_ I R4'—p
TURNOVER HRS
SUCTION LINES 2 ,
y I 3 1 •_rJ- RETUIIN LINA
6'-•3 15/18
„. SKIMMER MODEL
cKvALvE YES
-
10- -- — GASLINE BY S_D.C_ FT.
23
�.� ESQ WALL POOL LIGHT 400 CLOCK 2201
O ELECTRICAL BY. S_D_C_
•_®- � � BY S_D_E_
f, box AUTO CLEANER
N II
CHEM.FEEDER
PLASTER COLOR WHIT E
# 1 SDC s
e NOTE: LANDSCAPE AND FURNITURE 92260
TEMECULA CA.
ARE SHOWN FOR ILLUSTRATION (619) 346-4032 92590 (909)67 _
ONLY AND ARE NOT INCLUDED. 6 -SWIM
P DECK BY - - Q• 707
STEP FT. gray salt
SPA SPECS.
_
R
SIZE 7 RAISED
3
light switch �'
LITE 1 WATTS 100
r'
RI LEVEL SEATS 22" 24"- 27'
y {
DAMWALL 6" X 1 QT
., DESIGNER DAMWALL TOP "CON/CANT
t,
SPILLWAY SIZE '"X — WIDE
)"]Mie SPILLWAY X OPEN CLOSED
DATE #'JETS 4 UPER LOWER'
RESIDENCE,
-20-97
Name: MR STARK
CITY OF LA UII11TA
Address: 79'230 YIOLETTE CT
'
W. La Quanta
BUILDING &--SAFETY DEPARTMENT'
TRACT DEL REY LOT# .
CONDITIONALLY
,Lw
ACCEPTED FOR CONSTRUCTION00
dsm
SUBJECT TO INSTALLATION AS PER
POO/S
•
MRFE9 COPY
DESERT TEMECULA
AND ALL APPLICABLE
73-01 1 COUNTRY _ 28910 RANCHO
fES
SCaI e- 1 f 8— 1 'Q" CLUB DR. STE F-4 CALIFORNIA RD.
�y
— PALM DESERT CA. STE 206
e NOTE: LANDSCAPE AND FURNITURE 92260
TEMECULA CA.
ARE SHOWN FOR ILLUSTRATION (619) 346-4032 92590 (909)67 _
ONLY AND ARE NOT INCLUDED. 6 -SWIM