0307-315 (RPL)LICENSED CONTRACTOR DECLARATION
U) I hereby affirm under penalty of perjury that I am licensed under provisions of
H Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
WProfessionals Code, and my License is in full force and effect.
O M C) License # Lic. Class Exp. Date
r- X r- 8 U1 s" B 05 3�_ �J I31 i2i
Z r- Date '21 2'A Signature of Contractor
�
Oo OWNER -BUILDER DECLARATION
co
W W r– 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).
ce) () I am exempt under Section , B&P.C. for this reason
L
N Date Signature of Owner
p cv
d Q WORKER'S COMPENSATION DECLARATION
p X I hereby affirm under penalty of perjury one of the following declarations:
Lo H p () 1 have and will maintain a certificate of consent to self -insure for workers'
X W LL: compensation, as provided for by Section 3700 of the Labor Code, for the
O J Q performance of the work for which this permit is issued.
M Q () ( ) I have and will maintain workers' compensation insurance, as required by
O U Q Section 3700 of the Labor Code, for the performance of the work for which this
d rn H permit is issued. My workers' compensation insurance carrier & policy no. are:
cb ZCamer Ee3�Tv3PT Policy No.
ao 0
r` 0
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_f_l`
ate: ; i u. 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",1
2. Any permit issued as a result of this application becomes null and void if jJ
work is not commenced within 180 days from date of issuance of sucFi'�
permit, or cessation of work for 180 days will subject permit to cancellationM
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. + `
Signature (Owner/Agent)(' �� vac Date
/r iY •:i�t'rur iey .i art'•} � /
BUILDING PERMIT PERMITtf
DATE VALUATION LOT 0307^315 TRACT
1 . , S2UM.00
JOB SITE
APN
ADDRESS 44_ j10 VIS.+1;r
OWNER
CONTRACTOR/DESIGNER/EN (NEER
CHARLES S7f.Off'ORD
1♦ P 1) b1MV-1
44.31 CS vuizm imov.
80-228 GOLD E'NORS T� OE
LA QUINTA
W..0110 C 92201
(760)32.x:-779. 6 CBLO
USE OF PERMIT
POOL AN.I IDR SPA.
FIBERCLASS PC OUS3PA. ALAR11+I"ali9.iaRtZIEir'S'SHAL1, k3,'V IN PLACE .AT
P.i2FMASTER MISPWTION, EQUIPMENT 1±i+IC1,08"IR : NOT INCLUDED
POOL AND/OR SPA 21,000.00 1
EM9i:IN1A'1T• D COST OF C011TYMII3MON
.25 000.00
PM;MU'F FEE RUAMMY
PLA14 t"HWK E& 101.000.4.351=3118
C:ONSIPPLUCTION Fn 101-000-418-000 $3552,00 .
WCHANI ,ALF ^- POOL 101.000.42:1-000 $24.00
FLF:.MUC.J'AT..Me.. Pool. lilt -000 -424 -OW x•5.40
PLtJMB1140 FEE -• POOL 101-000-419-000 $27M
i
SUB TOTAL COi,1MUM.IQ11 "D .PLAN CIMM.
$311.80
LESS PRE-PA!'%� . � , 9
$0.00
ff °°�� i i
<.^ii1 _ L! 1�
W1.£9
�. Tod' awr �'1�q- DUE NOW
JUL 2 3 iL]13 ,
J
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 Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plembing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
-Sewer Connection
Encapsulation
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:
ICBO Evaluation Set -vice Inc.
5360 WORKMAN h1lILL ROAD - VUHITTIER, CALIFORNIA 90601-2299
A subsidiarycorpol-a/ion of/he International Conference of
EVALUATION REPORT`
l:ulryriyhl Cv 2000 IC8O Evaluation Service, Inc.
Filing Category: SWIMMING POOLS AND SPAS (266)
FIBERGLASS ONE-PIECE SWIMMING POOLS AND SPAS
,!IK1143 POOLS, INC.
1'0,ST OFFICE BCX 96
:'d.'L.L:AMS, CALIFORNIA 95987
1.0 SUBJECT
Fioerola:s One-piece Swimming Pools and Spas.
2.0 DESCRIPTION
2.1 General:
he swimming pools and spas consist of one-piece fiberglass
ccnstruc;on shod formed over a mold. The material is fiber-
Olass reinforced plastic, 1/4 inch (6.4 mrn) thick, composed of
isophtali c resin, vinyl ester resin, fiberglass, and ceramic. The
surface finish is a neo pentyl glycol gel coat_ Viking Pools,
Ir,c_, produces various styles of swimming pools and spas.
The overall pool dimensions, depths and capacities are
shown in Table 1. For mini -pools, see Table 2; for spas, see
TaLle 3.
e Lain models described in Table 4 can be placed up to
i 91;, inches ;49.5 r,m) above ground. Vertical supports con-
s!s1Jno o31 -inch -by -11/2 -inch -by -36 -inch -long (25 mm by 38
m-:. by 914 rnm) Dcuolas fir No. 2 wood members encapsu-
lated in to FRP process at 4 -foot 6 -inch (1372 mm) intervals
E -e reouirec. These pools and spas nay be placed with or
-v;'hout concrete or wood .pecking. Unless elevated portions
o' the uni is are protected from sunlight by soil berms, decking,
eiz , these, portions must be coated with a UV -inhibiting
caaoue paint that is compatible with the laminate.
The fiberglass has an average tensile strength of 13,308 psi
k:;1.76 MiPa), ultimate compressive strength of 23,400 psi
(161.34 N,Pa) and ,flexural strength of 41,976 psi (450.75
MPa). The upper portion of the in -ground pools and spas
is constrained by a concrete -bond beam. See Figures 1 and
2 for details. For aboveground models, see Table 4 and Fig-
ure 3.
All plumbing and electrical work must comply with The code
currently in efiect at the construction site. The pool and spa
must remain full of water at all times. A permanent sign must
be attached to the pumping equipment with the following in-
formation:
Notice—The pool or spa is designed to remain full of water
at all times. The pool shell may be damaged if the water lev-
el is allowed to drop below the inlet. When appreciable
d raw -d own is noticed or if it becomes necessary to drain the
pool or spa, contact Viking Pools, Inc., or its agents for in-
structions.
A permanent label must be installed adjacent to the above
sign by the manufacturing licensee giving his name, address
and telephone number.
Accredilod by 1ho
American National Standards Insthulo
Building Officials
PFG -3608
Reissued June y, 2000
2.2 Installalion.
Viking pools and spas may be installed without a soil inves-
tigation by a qualified engineer, subject to the building offi-
cial's approval, provided none of tie following conditions are
encountered at the site:
7. The existence of groundwater within depth of the pool or
spa excavation.
2. The existence of an uncompacted fill in contact with any
portion of the pool or spa.
3. The existence of any expansive or adobe -type soils.
4. The existence of any soil types with an angle of repose
that will not support the walls of the excavalion at desired
slopes.
5. Proposed pool or spa location endangers adjacent struc-
tures.
6. The existence of any cracks or openings in soil that would
not confine sand bedding_
if any condition above is encountered, excavation must
cease immediately. The specified conditions at the site must
then be reviewed and recommendations made by a qualified
engineer. The building official must approve the engineer's
report before work is continued.
The pool or spa excavation profile must coincide with the
contours of the pool. The overexcavation is approximately 6
inches (152 mm) on the sides and 12 inches (305 mm) on the
ends. At the deep end, the pool width is overexcavaied from
8 to 24 inches (203 to 610 mm) so the first portion of the back-
fill can be manually adjusted forthe initial 12 inches (305 mm)
of backfill. The overexcavation near the pool bottom varies
from approximately 3 to 6 inches (76 to 152 mm), depending
on soil type. The backfill for the pool or spa bottom is a layer
of bedding sand. This sand layer is compacted using a manu-
al tamper and water. Simultaneous watefiil and sand backfill
operations then commence. The sand is compacted with a
tamper and water. The installer must ensure that the backfill
level and water level are approximately the same throughout
this procedure. The pools and spas are installed only by facto-
ry trained and approved agents or by franchised installers in
accordance with the requirements of this report.
Decks are prepared as indicated in Figures 1 through 3. De-
tails specifically for installations in expansive, clay, or adobe
soils apply only when supported by the engineer's recom-
mendaSons and approved by the building official. f=orms are
placed around pool or spa perimeters. Where chains occur,
pockets measuring 12 inches (305 mm) wide and 6 inches
(152 mm) deep are prepared under the perimeter excavation
to ensure anchorage. The concrete is placed within 1/4 inch
(6.4 mm) of coping top and sloped away for drainage.
Cantilevered concrete decks are constructed as noted in
Figure 2. In all cases, when concrete decks are installed, the
Evaluation reports ofICBO Evaluation Service, Inc., are issued solely to provide information to Class membersofJCBO, utilizing the code upon which the report
is based. Evaluation reports are not to be construed as representing aesthetics or any otherattributes not specifically addressed nbrasan endorsement orrecommen -
dation for use ojthe subject report.
This report is based upon independent tests or other technical data submitted by the applicant. The JCBO Evaluation Service, Inc, technical staff has reviewed the
test results and/arother data, butdoes not possess test facilities to makean independent verification. There is no warranty by ICBG Evaluation Service, Inc_, express
or implied, as to any "Finding" or other matter in the report or as to any product covered by the repri This disclaimer includes, but is not limited to, merchantability.
Page 1 of 4
Page 2 of 4
_
,-
PFC-3608
.%.i ;rat cfeptt. of the concrete in the chain pockets should mea
s1„ e 12 inches (305 mm).
- 4.0 FlND1NGS
Barriers are required where pools are on premises of Group
H„ Division
That the Viking Pools, Inc., Fiberglass One-piece Swim -
ming Pools and Spas comply, with the 1997 Uniform
3, Occupancies. The barriers must comply will) .
Appendix Chapter 9, Division !, of the code.
8vAd/ng Code'"", subject to the following conditions:
EK
4.1 The construction and pool spa Installation comply
2.3 identification+:
with this report and the manufacturer's instruc-
Uniform depth
tions.
Viking pools are identified b the following
Y g information im
4.2 Electrical and plumbing In comply with '
printed on the top step of the pool or spa: Manufacturer's
the respective codes In effect at the construction
name, poolor spa model designation, a -coded serial number
site.
and evaluation report number.
4.3 The pools and spas are installed by factory -trained '
The aboveground units also bear the label of the quality
or licensed installers or agents approved by Viking
Pools, Inc.
control agency, Columbia Research & Testing Corporation
13 30 -
,AA -527).
4.4 Clearances from slopes as set forth in Section
12-0
1806.5.4 of the code are observed.
3•tl=V1D�fdCE SUSMlT3 ED
4.5 The pools and spas are produced by Viking Pools
6-0
at 121 Crawford Road, Williams, California. Ele-
Plans, fabrication and installation data, calculations and a
valed units have quality control inspections by Co -
lumbia Research & Testing Corporation (AA -527).
quality control manual.
This report is subject to re-examination in two
5 -0
years
TABLE 7—POOLS
__SERIES
LENGTH (I
L
31-)
Deep End (ri-In.)
37-0
£
t 25-2
1 3-6
34-0
EK
24-0
RC
t 3i-4
Uniform depth
28-0
_
1
- -
1 25-7
G p
33-0
rr
j 30-0
B KD
SL
BP
SF
RS
GC
os
U
3'P
CD
BPD
CP
MY
AC
013
Lr_T_
24-0
39-0
38-0
24-0
30-0
40-0
35-0
31-0
25-0
33-0
38-0
31-0
35-0
39-0
4d-0
30-0
1
DEPTH
WIDTH (fttin.)
Deep End (ri-In.)
Shallow End (hAn.)
34-0
7-0
1 3-6
35-0
8-3
3-S
31-30
4-b
Uniform depth
3 5-0
8-3
3-5
13-30 _
4-6
Usirormdeptb
34 0
5-10
3-4
14-0
5-10
3-6
13 30 -
4-6
Uniform depLh .
12-0
b-0
3-6
3 5-D
6-0
3-6
1.4-0
6-D
3-6
12-0
5 -0
3_6
7-b
4-0
Uniform depth
16-0
6-0
3-6
12-0
6-0
! 3-6
34-0
.6-6
3-6
16-0
8-0
3-6
16-0
5-10
3-6
34-0
5-10
3-6
- 32^0
5-5
3-6
16-0
5-6
3-6
' 16-0
8-0
3-5 '
120
5-0
3-6
14-0
5-6
3-6
16-0
6-0
3-6
16-0
5-8
3-6
14-0
6-0
3-6
CAPACrrY (gm
13.700
20.000
8.103
16,030
.6.000
14,000
3 0,000
34,ODG
9,0M3
34,8D0
12,000
6.0D0
6,503
17,000
9,000
32.500
19.600
15,000
12,800
6,000
15,OD0
20,000
10.500
12,400
16,700
18,900
12,000
Pa`` 3 of4
PFC-3608
-
•a
TABLE 2 -1011141 -POOLS
SERIES
-
LLNGIH !l: )n.
_ ( )
- -
WIUI H (!l: ln.) Uccp Lpd (!1. -in.)
— —_ — •-- — -
DLP) il
Shallow Cod
CAPACITY (gal.)
14.6------
9 G A-0
Uniform dcpUl
2.5(11
• - A377�
74-U
. R -U, _ 4.0
,Uniforrm dcpdL
2. 100
__... 7,911•
1.5.10
g.5 _ 4 0
Uniform depth
2,2M
. + M1'K
!G•p
9.3 -- _
4.0
34
2,300
75.0
9-6 4-6
Uniform dcpol
2.100
SAP
1
21-(1
9-6 4-0
Uniform dcplh
2.800
p
18-0
30.0 5-U
Uniform dcpUl
2,600
S
J_ S P
i
20-0
11-0 5.0
3-5
3.600
}Et
22-0
7 6 • 4-0
Uniform dep111
. 3.5()0
20-0
10.0 5.0 .
3 6
2.75f)
— \\SGA
38.0
8-6 G•fJ
Uniform de U;
3.500
G-0
5-6
3.250
8-0
f -6 5-6
Unilbrm dcptil
3.0(YJ
WGA
3 8-0
E-6
2.750
\,'GL
J g_0
8.6 5-0
Uniform depth
2.500
TABLE 3—SPAS
.
SzRIE£
'• !
SHAPE
1
YADTH OR DIAMETER (1L -in.) I
DEPrH (n,in.)
CAPACr Y (gel.)
1
Hound
5.8
3-0
275
OS
OctagonalEJ
6-0 .
3-0
375
1 SS
Square
6-6
3-0
295
_.OS
Octagonal
7-6
3-0
450
1 RS
�' Round
7-0
3-0
los
OctagonalS-0
j
3-0
_420
475
CS
- Gct omai
g
S -Ox 32-0
3-0 "
700"`
TABLE 4—ABOVEGROU14D (19112'incbes)
ASP
PoflLs
M rr SAP
1 SPAS
WGA
BOS
LRS$
MK
SK WGB
CS
OS
BFf ..
M
Si WGC
S
SS
BK3�
MP
SP WGD
1=P
MTK
TE \\'GE
HL..
Page 4 of 4;
PFC-3608.
• -•- J'U' MIIJ Witt MIST/UI - � o' Y. A• _\VI.�) N•1,.(
-- _ __ I:I�N lJ(� 3•C.YJ 7'O.C."O'MVJ. N'KI W.'.M OI
!• StOl71Y 1/�• 1' ' - 9' —' CW C1.AY IAIJOe1J .. - _— -- —_—J4J1nC.7JO..:1.:71J"]:-0•L. -
_ -1100 OIJIY DiCN'GJ lN_r - q• b.Ul wnY,
701. CNX
1AY ItiD.h1')
J7'. .. , __ .t1��yyJ^r����" /, /, J. , lIl G' ' • � J• �- TY'—T-%Y-7'-]� � - •
- _ I11=11t-111-dH= �-, _ _ •_ =-=�
`r�_-- 1'I(- =11I - � � .� II1-111-11i-11t- •-7 t)1 ,
' •`" II `1/.•GNvealitu 111=111= ill 1� . =T1I - �.
r ... :•%..�,Lc,. _=�--c+:nsv— ---�-" "— ,• _-11 1���`'/''cN�A/r�t�ill=ili lil _ _
t � tol CV.Y 4 • � Qynll]-
' J;!-•1. •-il � J' 1�O:J: CCM1rwC71 () ynu:J�l) P /OI.CIAY
:•.•lJl, it Yrt;,�) y[>r; O1J/1' N n. l _ J• fH1_I:
co-cRD ���-w^��
"NJl 1HK/: C.Cw•rnCTID 7�.• •.'.n1JD (fl'h',•,.11 �lJ4 V41Y
if y r.w 7HCf COAVACS1i7
• _ •..r'== - ')elsCJr, f,l.cr _ - _ '7-.. •71/1
j 7l tALLA I'%CCA�Y
4-n
14x1 l;C.t,' S L IIITTT..T��- \-
- �-7U• YLi.N ..12 1. LS.
"
FIGURE 7-TYPICAL COIJCRETE DECK FIGURE 2-TYPICAL CAtQ77LEVER CONCRETE: DECK
• 741/?' r. 11fJDi4D D1Rt- — — —,
MOUND POOL WOOD DKK
• r • {{ AYPROX b- `
HE3i?—=9I?Eg11=
it
_ - C.
FIGURE 3-TYPICAL ABOVEGROUND INSTALLATION
CITY OF LA QUINTA SUB -CONTRACTOR LIST
JOB ADDRESS Lill r5lb Y1 L,(M PERMIT NUMBER �3t>�. 3i s OWNER n BUILDER F/��(> Cis 1
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to cominencemerit of work. Failure to comply .will result in a stoppage of work and/or the voidance.
of building permit. For. each applicable trade, all information requested below must be completed
by applicant. "On File". is not an acceptable response.
-
Contract ...:_
or,License.
- ._.:.. :
.
<oksC4
;W..r..._._.
eaior:onInsurance
. .:::.... :.
.
ceContrctTradense_
Company Name
Classification
License Number
N
Up. Date,.
Carrier Name
Policy Number
Exp. Date
License Number -
Exp. Date
(e.g: A, B, C-8)
(xxxxxx)
(xz/xx/xx),
(e.g. State Fund, CalComp).
(Format Varies)'
(xx/xx/xx1.
(xxxx)
(xx/xx/xx)
EARTHWORK (C42),-1`��
G 5 3
�d 13`2 •
5-3/-4
CONCRETE
C S 3
FRAMING
STRUCT.;:STEEL :(C.51).
MASONRY
PLUMBING
�3a I�Z
LATH; PLASTER (C:.351" .`
HVAC:
ELECTRICAL(C 10) :
.
ROOFING aC`z39.1`:<:>;:>::::::
SHEET METAL (C 43)
PLO:ORING.fC'=1`5)?'
GLAZING (C 17)
aiiy
INSULATIOK1C
SEWAGE bISP (C;........
_
PAINTING
CERAMIC. TILE. IC 54►..
y
FENCING; C` 1'3 ` ' ><>:<'
.LANPSCAF NG :(:C''27;) ?>'
OL..IC 531:..
v
� S 3
30 132—
�
.