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0007-082 (RPL)LICENSED CONTRACTOR DECLARATION I herebyaffirm under penalty'of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ProfesG4onals Code, and my License is in full force and effect.` ' License # Lic. Class Exp. Date 574147 A 08f'31lC" Vate !I/y Signature of Contractor OWNER -BUILDER DECLARATION 1 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 or Tne property, AM 8zcliisively 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 wlll 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 . STA 8 FUND Policy No. 04&00-OM.34 (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 ubject to the workers' compensation provisions of Section 3700 of the Labor Code; I shall forthwith comply with -se provisions. Date: !aJ h Applicant /� Warning:' Failure to secure WorkersCompensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on " his application. 1.'Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of sucH permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction,, and hereby authorize representatives of this City to enter upon thh�0above-mentioned property for inspection purposes. rSignature (Owner/Agent) r X13 '� '*� �� Wit ' Date;/, 11`© BUILDING PERMIT PERMIT# DATE VALUATION LOT 0Q07-082 .- TRACT JOB SITE APN ADDRESS :is -90 wmyxmaj) cnmta - - OWNER CONTRACTOR/DESIGNER/EN (NEER ' mCC0mvnak grLeVE DODSON C0NSTRWITON INC. 78-965 AYWI&D CLR.G'LL: � 73011 C0MTrRY CLTJ_A ISR., SL EY14 :LA QUINTA CA 92253 PALMDE SMT CA 92260 (760)34+5=4032 C-BLO 1044 USE OF PERMIT POOL AW:€ OR SPA � POOL & SPA ON Y- .ALARM 18A1 ' '1KR3 SHALLUE IN PRE -PLASTER TFi3KiCT ON, THIS PERMIT DOES NOT INCLUDE BLOC,, WALLS FOP. EQUIPMENT ENCLOSURE. a VALUA1014 WMIATM COS' OF CONS IVC` 011 Sf�iy f0.4BD . PER -AM FEE S"t'J?YUVMY FLAN CHECK FTX 101-000-439-31$ $1 nt.00 CONSTRUCTION FEE 101-000.418-000 $180.00 i T L1i�NlCAL FEE •- POOL 101.0000,421.000 $24.09 &XCTPdCAL NEE -, POOL 101-000-420-000 346s.na PLUM-81NO I -TIE - POOL 101.006.419.000 WIN µ',•rd Ma -SAL COaaMIRUCrWN AND PLAN CK, $393.00 LF -23 PRT-P,TD METS $0..00 AF 'ESIX)FINOW A J RECEIPT DATE BY DATE FINALED INSPECTOR r 1_Z_ min meqVej . 5 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 0. 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 Set Backs Steel Electric Bond POOLS - SPAS \ Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Final PLUMBING APPROVALS Underground Pibg. Test Gas Piping Gas Test-- Electric Final Cvi 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 O� Gas Piping Gas Test ' Appliances Final 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) COMMENTS: } CONTRACTOR cannot assume res onsibility for - GENERAL SPECIFICATIONS damage to curbs, sidewalks,' driveways, cement SIZEX 19 ` slabs, sewers, lawns,trees, fences, retaining AREA 196 11 PERIMETER 57' • walls, sprinklers. telephone lines or shrubs, ; • } �- When access is made through a'neighbor's DEPTH3X5 property-its understood that you. the owner- TILE CHOICE GROUP 3 48 - have that neighbor's permission and assume full RB responsibility.'COPING CANTILEVER 4 - DATE ----- POOL '5,880sgnature GALS PUMP CAPACITY 103 GPM MOTOR HP . 1.5 = , : - f , , < , ild. J'1 • '�, e,y ISL _ a. �Y u .• , _ + , 3 r ,• , . v d ," FILTER STA RITE 3 . , - r , k �.l!, +., k r.. 6ii'At:y ' r .. - �+... ` _. .. 4 - . }, v .. • it "', Y 00 SQ FT A E14 RATE1 2 GPM • HEATER LAARS SIZE 250 13TU 7..r AIRPIPE- TURNOVER 2 -0HRS3 , SUCTION LINES. 2 I 011DI"- / 5 RETURN LINES 2 , LA QUINTA HOMES MUDSILL CROSSECTION SKIMMER MODEL AMERICAN , e, YES GASLINE BY SDC FT. 100 , f , -. 2' 6" q . HOUSE r z r .''�i z, :, i=, ,POOL LIGHT 400 W CLOCK T104R 271-6 i J ' MUD SILL ELECTRICAL BY.SDC ALL - 91 f DECK AU 3 C. PLAY AREA 1 a. CTI Y ,. r ' ,. _ _ • 6 »� 1� � .� �� I�E�iN PLASTER COLOR WHITE Y. r , . LL BE C ` _. 30 ' 'THE L< ►.- ,, SP �;' H 1t `� IAP F .: PIANS AND PROVED DECK BY SDC SQ.5m } � ,. ' 108' CARD ARE SNOT.Q SLT FNSH SD BUFF _ Off DECK TYPE THE SITE4R'A 4CHED1t1E6 STEP FT. Y311 ' llisp TION ' SPA SPECS. 2'6" OFFET UMBRELLA SLEEVE ,;" LIGHT SWITCH �F' �� SIZE 7 y t - s ' /- ECEPTIONS, RAISED +6 t SLEEVE ALL PLANTERS ' ,�' . .� - r DESIGNER 25,, �I - t _. ,. r 3} r, , 1 LITE 100 , WATTS , . RANDY/E RI LEVEL SEATS 22" 24" 27" r . '. r i T . 5' 011 Y1 P/A• _ f � DATE • DAMWALL 6 X 7 FT i� f } F ,• L' _ o i'' ;Q F- LA Q U I NTA .6- DAM WALL TOP TILE Y 3' 12" $ SPILLWAY SIZE ' X WIDE = - master', P/I, BUILDING & SAFETY DEPT. REVISED SPILLWAY PEED' Y L .bedroom M ©,� APPROVED #JETS 4" UPER LOWER G/E' A D VE NJr 1 S ACK R C©NST UCTION Vie: CENTURY MCCORMICK RESIDENCE ,. .. - . '• ,, ,}., 1.,'„ i :t 3:, � S.`'' is z ,�� r-:r .r+: "eT _ 1 • ;r ^' '.r -.' HEAT -,- ' --►. A k. Y.._9 ;� R,:i1,F"- -. y�f,; _ ;' . — G —., 78-965 WAKEFIELD.CIRCLE- '- C� Address`: . •' . ,. ..• n • ..: .;r� '',�'�.{"'•, i ,,, . _ ., :+ta=, ,qtr , , yYr .�' , r• ,, . r , �'- .. DATE -. • ...i inI-: •1 �' �• .r.-•,r; i!-.c_ �.M .'��..:Y . �. ",`.'4 'li r _. x'y 'ut'' •r r -'' _ _ e ° , s •. QijSy LA QUI ATRACt ., • • _ ;. - ',RESIDENCE..'..., -F ° - -�.: t ,, << F , _ S y1 'MARBELLA 2 14 . -.� �� < < •r �, . A- v •.... K.•..1 Y n .i 'k. r 1 4 �,- y. T.. ti �. } - 1 I fi. ••,,..� ` 'r _ - N BOBCAT ACCESS00dSOA d t NO R&R. A� Ada PALM DESERT 'TEMECULA 73-011 COUNTRY. 28910 RANCHO 1' CLUB DR. STE F-4 CALIFORNIA-RD. POO& .1/8"=1' SCALE - PALM DESERT CA. STE 206 NOTE: LANDSCAPE AND FURNITURE 92260 TEMECULA CA. ' ARE SHOWN FOR ILLUSTRATION (760) 346-4032 92590. (909)676-SWIM " ONLY AND ARE'NOT INCLUDED. LI A- - 7 1 7