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BPLR2021-0043BUILDING PERMIT DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type: Pool Permit Number: BPLR2021-0043 Property Address: 50680 CALLE PALOMA APN: 770095003 Legal Description Property Zoning: Valuation: $32,000.00 PHONE (760) 777-7125 �� WWW.LAQUINTACA.GOV APPLIED DATE: 10/20/2021 eca QISSUED DATE: 12/11/2021 CALIFORNIA Owner: Schulz Michael A / Schulz Roseann L 50680 CALLE PALOMA, LA QUINTA, CA 92253 Applicant: juan Soto 81351 ave 46 spc # 37, indio, CA 92201 Contractor: JS INNOVATION POOL AND SPAS INC 81351 AVE 46 SPC #37, INDIO, CA 92201 PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE FOLLOWING: LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2) 1) They are licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and the referenced License is in full force and effect, or; 2) That they are exempt from the Contractors' State License Law for the reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or she is exempt from licensure by a valid exemption. [Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code] Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).) a) As owner of the property, or my employees with wages as their sole compensation, will do all of or portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). b) As owner of the property, will be exclusively contracting with licensed c) Are exempt from licensure under the Contractors' State License Law. As an Owner -Builder, they acknowledge that, except for their personal residence in which they must have resided in for at least one year prior to completion of the improvements covered by this permit, they cannot legally sell a structure built as an owner -builder if it has not been constructed in its entirety by licensed contractors. It is understood that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application was submitted at the following Web site: http://www.leginfo.ca.gov/calaw.html. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If applicable) A construction lender will be used for completion of the improvements covered by this permit and the name and information of which is on file for public inspection during the regular business hours of the public entity. Failure of the applicant to indicate the construction lender on the application does not relieve that person of the requirement to give the construction lender preliminary notice from that duty. WORKERS' COMPENSATION DECLARATION (1, 2 or 3) WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. 1) Has and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2) Has 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. 3) Certifies that, in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. NOTICE TO APPLICANT (1, 2 and 3) 1) Each person upon whose behalf this application was made, each person at whose request and for whose benefit work is being performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2) Any permit issued as a result of this application becomes null and void if work is not commenced within 360 days from date of issuance of such permit, or if cessation of work for 180 days will subject permit to cancellation. On or after January 1, 2019, every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 12 months after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 12 months after the time the work is commenced. 3) Certified that they read the application and state that the information provided is correct. Agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above -mentioned property for inspection purposes. IMPORTANT: An Application for Permit was made to the Building Official, subject to the conditions and restrictions set forth at the time of application, which is now hereby an Issued Permit. If any part of the information being supplied on this permit is inaccurate or untrue, please contact the City of La Quinta at (760) 777-7125 immediately for correction. Printed: 12/22/23 12:14 am Page 1 of 3 :III 14111►Ma4MYi11111 Permit Type: Pool Permit Number: BPLR2021-0043 Property Address: 50680 CALLE PALOMA SCHULZ/ POOL AND SPA AT REAR YARD *** SCHULZ / POOL AND SPA AT REAR YARD. TWO DROWNING SAFETY FEATURES AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. PLEASE PROVIDE WET STAMPED POOL ENGINEERING SHEET ON SITE FOR INSPECTION FIELD VERIFY. NEW EQUIPMENT MUST BE LOCATED IN AN APPROVED LOCATION EITHER WITHI THE REAR YARD SETBACK OR 5' MINIMUM FROM THE SIDE P/L--FIELD VERIFY. 2019 CALIFORNIA BUILDING CODE. Construction Details Type Group Sq Ft Value Invoice No. Fee PERMIT-BPLR2021-004 BSAS SB1473 FEE TECHNOLOGY ENHANCEMENT FEE GUNITE ALTERATION/RESURFACING PC HOURLY CHARGE - CITY BUILDING STAFF RE -INSPECTION FEE GUNITE ALTERATION/RESURFACING RECORDS MANAGEMENT FEE Total for Invoice PERMIT-BPLR2021-0043 Grand Total for Permit Fee Amount Amount Paid $2.00 $2.00 $5.00 $5.00 $113.38 $113.38 $41.75 $41.75 $83.37 $83.37 $208.41 $208.41 $11.00 $11.00 $464.91 $464.91 $464.91 $464.91 Workflow Step / Action Name Action Type Start Date End Date Inspections v.1 10/20/2021 0:00 FINAL" v.1 Inspection FOOTINGS v.1 Inspection UNDERGROUND ELEC v.3 Inspection PRE -PLASTER v.2 Inspection PRE -PLASTER v.1 Inspection UNDERGROUND ELEC v.2 Inspection UNDERGROUND GAS v.2 Inspection UNDERGROUND GAS v.1 Inspection UNDERGROUND ELEC v.1 Inspection UNDERGROUND PLBG v.1 Inspection DECK BOND v.1 Inspection PRE-GUNITE v.3 Inspection PRE-GUNITE v.4 Inspection PRE-GUNITE v.2 Inspection PRE-GUNITE v.1 Inspection Printed: 12/22/23 12:14 am Page 2 of 3 1-311111111]1Z"a4 N IT, lIII I Permit Type: Pool Permit Number: BPLR2021-0043 Property Address: 50680 CALLE PALOMA Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of any material required to allow inspection. It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this code. A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the iurisdiction shall not be valid. A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by the building official. Printed: 12/22/23 12:14 am Page 3 of 3 i Pt'oerty Line Block Wall r, m m m New Pool -Meeting all new pool requirements New P0p4 Slope a SPA +o is' a'° --jam jl an Ij Tan�ninq 1 4' VBG Notes: All construction must comply[ with the 2019 hulIding, elec#rical mechanical, plumbing, and energy codes. Conmucdon complies with California swimming pool safely _' � uding (2) drowning X] revention safety easur". Pool Equipment T 4' Windows are 4' from pool equipment and 8' from property line DRra-WAY _• sung �tlo .4. BPLR2021-0043 SCHULZ/ POOL AND SPA AT REAR YARD. TWO DROWNING SAFETY FEATURES AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. PLEASE PROVIDE WET STAMPED POOL ENGINEERING SHEET ON SITE FOR INSPECTION FIELD VERIFY. NEW EQUIPMENT MUST BE LOCATED IN AN APPROVED LOCATION EITHER WITHIN THE REAR YARD SETBACK OR 5' MINIMUM FROM THE SIDE P/L--FIELD VERIFY. 2019 CALIFORNIA BUILDING CODE. da EXISTING BBQ JOB NAME: 506$0 CALLS PALOMA La Quinta CA 760-275-8957 property line an in. =lft PRE -CAST DOPING W- DECKING WATER SURFACE 4 #30 BOND DDIrANFIVE BEAM 0 v a". Z 'p Z WS T 6` •m MAX EM RAW CONC. is 6' IASM BONITO W//3 Olt 6` CDNC, BLE. W/I3 0 48"aC. V1ERT. STL. SOLID CRCU7~ ALL OW 4 130 BOND FAM F" 6- O.C. POOL SIDE POOL DEPTH 60' OR MORE EXPANSIVE 4CH BOND BEAM STL 4 72 3 9 FOR NCN-bPANSIVE SIGN. SCHIMULE - 1 4 03 FOR EXPANSIVE SOR. RAMS SCHEDULE WATER SURFACE " PCOL DEPTH #W 12. C, MEAT STL• _ _. s_b• V-0' 1'-0' -OR AS BY YTTY- L1_L • THIS SECTkON- - BE __ ` V-6' 3'-0` USED FOR END - RAMPS - - - 0 5' IN CEPTN 4 J4 BAR BOND I AND ZUKIEND I O.C. B.W. MPCOL $`D� 4'�6• AAGIii EA. SIDE-. BOTZOM, CENTER Ali. STI AMPWALL T9llCHM ` -r IN cum TE TO CHANGE UNIFORMLY COPIN G FIN 3 MfJ. CR GRA Jr� READ YrA�S'1'E : BY CITY 7 TRAP DOTAL LEVEL. DOIND DW W/ GROUT -BEFORE POURING DECK �nEW FILL? 4>� � BOND GEM ►[7m 12'O.C. NOR ST THROUGHOU �12'O,G� VERY sTL NAT. GR. =L �"�d I- `I S•]ALLM F LL ADJACW TO POOL 2 03 BOND SURFACE TYPICAL. SITE PLAN T. POOL SHALL BE COMPLETELY ENCLOS.o BY APPROVED FENCE. FENCE SHALL RE LAIN. 6'-6" HIGH ABOW THE GROUND, CATES SHALL BE SELF CIMI O AND SELF LATCHING, PATH LATCH 4'-G' MIN. ABOVE THE ORDNND, A$ PER LOCAL ORDINANCES. PAIUR TO FAIAIG 7NL SYINIWG . POLL TAM WATER, AN APPR04�'O 2 POOL SHALL NOT BE FILLED PATH WATER UNTIL THE &ARE i M UL APPROVED AI YIN FENCE ENCLOSURE HAS BEEN COMMUld= AND S15TE11 OR FEIICE) Muss BE APPROVED, INSTALL-M 3. PUBLIC POCLS REQUIRE COUNTY HEALTH DEPARTMENT PI,1CL CHECK MENWICE CE APPROVAL, BBRNCE CflCP5 1a1H 4. POOL EMIPMENT IS NOT PERMITTED IN FRONT YARD ETECIPoC GOIIPAW1 NY OR A REQUIRED SIDE YARD ADJACENT TO MAIN BUILDING, 5. POOL SHALL BE PROME� WITH APPROVED FILTER AND DRAIN. 6. ELECTRICAL AND PLUMING PERMITS TO BE TALfN OUT � ALL WIMS At THE SANE TIME AS POOL, BUILDING PERMIT. M UMMM 5' OF WAMM 7. CEMENT MALL OWdCORM TO CBCfIBC sm. 2s-1. A.S.T.M, EDGE OR AS REpRRED C 1NITE & CUY AUL N. SHAIA NOT 9E LESS THAN 1 Tp 4 11/2, 2$ ALL PEGESl AM OATdS TO BE 5.3E CAM AND SEFa.UOU; DESIOED 2 PAY 2500 P.Si. COUP. TD IMF ODOR Y CLOSED AT 9- STEEL SHALL CONFORM TO A.S.T.M. A 615 OR, 40. ALL TARS Mal NOT 11 ACTUAL USE. ND OPGIYGS NCRE THAN 'P' LAPPED 40 EfA, GATE TO SWING AWAY FROM POOL *AL. FENDING TO BE MIN, W IN 1C. POM SHALL BE MIN. 5'-0' NM WILDINM TREES. ALL S1l UM TD BE A MR. OF s' FROM 1F POOL EHEIGH IS LESS IHAH 16' FROI OR PROPERTY ONES, 1WAIB6 M UN-. OIHONSE ANY MDCO FiT1Cf ON IY LTNE, h 11. S13NL SHALL HAVE BF�IRING 7000 #I FT, UNDISTURBED APPROIED 6Y THE BGUIBIG 11FF1(7A1, MAY B 5' NSRY, SGtRAI 1TALf, MAY BE EARTH, Rd CROUND WATER_ WtFY ALL 3ETB *l VIAL IW Off/OOUFITY NORM (OM WIT. BlI CHIN. OFFN7ALLjj 12, (ANTE TO BE PLACED AGAINST UNDISTURBED EARTH BEFORE GEMMING PBDJECL Alto ACOM&AB_E CHLY 8Y DOM 04 ACENT. #30 lr aG POOL SIDE VOCEPT FILL & RAMP. AS OF !AN 1. ZRO THE 2019 [GLUONS OF THE CAUFC4;ffA M4 MVL FIE. FMWRICAL, POOL DEPTH 5W OR LESS 13. PLUMBING & ELECTRICAL INVALLATION TO CONFORM PLUMBING, NEMVrAt. EMM AND EAUNNO QUIL NRG CODES WL_ BE ETFECTIA L REP. p9 r O.C. POOL SIDE TO LOCAL CCCES. SECTION 3199 OF SM CODE FOR MUNG POOL ENCL08M AND SAFETY DDLAO£s. POOL OEM NO" OR MORE 14, KEEP COWREM CONSTANTLY DAMP FOR 14 BAYS WATER 3 1/2"AB MASTC Ta TILE i efi: I 3"a y IPLAMFt E•7C 12' aC POOL 15 L8. FELT 11 ti TYP. BOTTOMPLASTER OR 4MLL NSgUEEIV x301rr 0.CHELW fI141SE) IS= BEAM 0 ELECTRICAL PULL BOX I ABOVE WATEIR PER NEC SPECS. _ m tf. 4 PVC N IV MIN. LENGTH 4- MIN s� �/V7jo� I ROTHWAYS1 SEMM AT UCHT BO}( REH4F, GLNITE P" 1r O.A7. BOTH WAYS 030 BOND ETU, STANDA W 00PNQ 4 IL 2 /3 BARS '.i BEND BOND 4" MI . ON, STL. I AROUND NICHE ELM RON 12" 4' Mlhl�� 03 BARS RILAM 81C1A, M Nd-E DOTAL ' MAIN SUMP DRAIN ADO iS 12" aC. LONG QNKAL • AT LOW POINT TRANSITION WHEN DUAL INLETS PER PLUMBING CODE, RRID BY BLDG. DEFT. TYMAL LCN4fTMMAL eEGno N 0 FIN. OR, rWAYM SURFACE 4� o I; ry FILL 4 #36 BOND BEAM , b 00IrO.C. HCRIL gg�712.O.C. STL. THROUGHOUT LERT STL HAT. OIL � TYPFOAL POOL. 0=10 16' �S` MI TRANS, ON TANNTVCi SHELF DOTAL -- o i- MAN. F MIN. 4 W"M= lr CON ■K qR 1Y CONIC. BLLC 'AVM 8 $4'pA 1lRT. STL SOLD GNplt-" GAS UNE PLUMBING FOR SPA I'J.ECSIUru. +:LgClh IOKCAVATIGH DECgN0 3119C6LU.t1E:OV3t SOLOA rT�aaT eu.nswa I 8MMI']DGUSELI tLBMW Al I TO OCI WINE AFPRaMAW 0.;BM13R OF POOL ON DAY OF =UMATIM POOL IRO. TO 9 IN CwNBt PER CauMn ak a `1N�wn �m SE WCNNO. 00 NOT 11" TM FOOL OUT "HEN PDX Is E11FTN ALLC= TIlF 'ALTERNATE TO C 1 MI POOL BARRIER PUT f ONE STORY HOUSE DEEP POM OR SPA 4 pQ BOIf6 114 Come. BOTTOM LIMP �.� ' OR OARACE FOUND- FAIR SSBALLOTI f j ATION" DR ROCK FD INSTALL ON BOND BF54M CAW. C NICFETE DC TEALSECTION El EDW 1 DECK 'DR CAp� 2 13 BOND BM. HCRIz Y 12' O.C. � N I 1B' STRAIG TAT WALL SPA I I !3 VERT STL. 45 4 12' Cm 4" M C 4' TYP. 80TTCA4 SECTION TV/ j30 12" O.B.W. SEE TYP. rODL 9Ec-n SPA ADJACM TO POM T VFCAL SPA SECTION PLANT e-w MIN MASONARY Vi]IEER DECK X£EP HOLES - ..., AS OF JAH 1. - III. - EOTNCW r NNE CAUFinafa E D= CODE "ll NE TFFMIM 15. MINIMUM CLEARANCE BETWEEN EARTH ANT] STEEL TO FU. SECTION 116.4-MNNUATCRY REGLIRENGTS FOR POOL AND SPA S7`"1EMS AND EW WEITI. SE P". (AREAS Or HIGH SULFATE 1N THE SOL IT SHALL BE D IA7FLE'COVERS SHALL BE RIVALLED FM CU180CR FOOLS NTH HEA76W W MIN. AND BE TYPE 5 CEMENT CONCRETE. 4000 PS) AM FOLLOWM T " AS A ATLE ON an PLAN TYPICAL BOND X POOL GENERAL SPA, UAL BEAM W/4 03 Sfa�NEDUIE BOND BEAM 3 �'OI(J BP�Cx9CATiONB BPECRCATIOMB WAWR SURFACES AMINO, r SINE Y nBeA I'T oewrH m ,I ONE SYCRY nMSE % ATIO/L two LB./FT. OR FENCE PLACE ADDIT. VFRT.STL IN WALL. IN ACCORDANCE %NTH SCHEDULE 2. LAP r EXPANSIVE SOIBULDNO 2 POOL EOLIV4 7ENTUIL BOIDINCN GM 1. GRID STRUCTURE. THE MUIPOTENTAL WNDING GRID SHALL COVER THE CONTOUR OF THE POOL AND THE POOL SURCHARC DOW9, YB+'T. STL K =3 to 5 0.5'4o 7111 .7' l0 NR- 3 -O^ MIN I /S M 2TO.G N W fact V• f l= 4'-O' AqN 67 N1�0.L tU • I10.G 5 -0 MI fnx�a.c MI DECK EKYEMDING 3 FT, HomzoNTALLY Am THE INSIDE OF NO THE WALLS OF THE POOL. THE EOIAPOTET4TIAL BONDING GRID BLANK MEANS E)" RIL SHALL BE ARRANEIETS IN 12' X Ir NETWORK OF CONbWTOR5 . REQUIRED L THICKNESS OR IN A UNIFORMLY SPACED PERPENDICULAR GRID PATTERN VA1H EINF TOLERANCE OF 4. 2.SEWRIND, THE BELOW -GRADE GRID SHALL BE SECURED WITHIN OR UNDER THE POOL AND BECK MMIA. 3. YMERE THE REINFORCIND STEU 4 USED IT $HAL.L BE 11r Extruded ROCK P°"�jtr�aarn° BONDED TOGETHER PATH A SOLID DOPPER CONDUCTOR Mln NOT SMALLER THAN Seperallon ALL FOUNTS OF CROSSING, CONNECTIONS SHALL BE MADE WATER SURFACE FLOCH AS REQUIRED BY CM230.120(C) R WHERE ANY REINFORCING STEER. IS EPWY--TIED TQ WALLS 6" IN. 04 REBAR 5/$' DRILL BIT 4 1/4' ENDED 3' E'M.E DISTANCE. v THE HOLE LOCATIONS, HOLE DIAMETER AND DEPTH. HOLE MR MEANING TO BE IN ACCGRDAHGE PATH SECTION 1704.1J IBC AND THE PRINTED INSTALLATION PER BSR-25DIL THE 12" MIN. CARTRIDGE TO BE CHECKED AS TO EI�NRATON DALE THIS INSPECTION CAN BE BY THE LOCAL BULGING INSPECTOR,t AND MAY REWIRE AN ADDITIONAL INSPECTION FEE. X CONC. FT% 1000/ LF. MAX. VHLM OTHERWISE SPEEND CIFIED: NAME L ANDISTURE BARRIER 1D00L SIHCLOTI ADDRESS DOM PAUNA x CA" 0rc - RAI.SM PL�ANTIM PRONOE PLAN & CALKS. 1 'MIN. APPROVED � TODTWO I HANG [RECIEYW A COPY QF LA QUINN tx � OS 4' TARCIL FOR RET WALL ALM'IT THIS PLAN AND HEREBY SPEtYL 14MIION NOT AE911REID SEE BELOW E�#Vw IVE 8OL APPROVE POOL AND THE HILL 6WATIMM. HOLE DWILTER NCO DE t EOUIPMENT LCCATION CROSS HOLE FLE"M TO BE 1N ACL'allIvrE WM SECTIOR 170442 OF TN6 IBC AK THE PRDTTED ISTALLATIdI IFS- PHONE PER CSR-25X. INC CARTRIOGC IS TD BE CHECKED . As To RA D BOND B�Ahi PROJECT : ' - `` N f 4af4 JO /�I CUSMM SIGNATURE DATE eBs PHONE MOTE\7,,,AINDER OF JOINT + SWItilIMING POOL CONSTRUCTION EXPANSION JOINTS CFL _ CR 0T 11 56680 PALOMA REVl: IN DECK AT EXP. MATERIAL IVI JIB Engineers D'-0" ac LA QlfI�fTA, CA. EXPAINEIVIM SL"7 Palm Dftwt CA. UM ND10, AREAS SOUTH OF IN!]IO AND AREAS W EXPANSIVE SOIL" SEE {COTE NO. 15 (760 a 2 CITY OF LA QUANTA 300 ADDRESS 50680 CALLE PALOMA PERMIT NUMBER BPLR2021-0043 OWNER SCHULZ MICHAEL BUILDER JS INNOVATION POOLS This f rm shall be posted on the Job with the Building Insmection Card at all tirrigs in a cgrisalcuous p1@r&,OnIy persons appearing on the 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 commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of buildin ermmit- For each applicable trade, all information requested below must be completed by the aelpficant. "On File" is not an acI a atble resonse. TRADEICLA5SIRCATIOn CONTRACTOR STATE CONTRACTOR'S LICENSE WORKER COMPEN5ATION INSURANCE CITY BUSINESS LICENSE Name Policy Numbers N i arrer a CIa55iCication California CExp. Date 1.ioonse Number Exp. bate Company Name License Exp. page -. , State Fund CalCom ] (For not Varies] ( 9 i P {e.g. A,. B, C-9Y Number EARTHWORK (C-12) CONCRETE CC-8) S.! ] _ f {i 3 I • . 4 i FRAMING(C-5) S lJ T C. } {�7Ly�1:a i-:� Q`•M:..IGrfG'i 7LLA+,j STRUCT. STEEL (C-51) CERDAS STEEL C53 1027453 6131122 JJ INSURANCE SERVICES MASONRY (C-29) JS INNOVATION POOLS C53 1075986 131123 PERFECT BALANCE INSURAt PLUMBING (C-36) JS INNOVATION POOLS C 53 1075986 5131123 PERFECT BALANCE INSURAI• LATH, PLASTER (C-35) .1S INNOVATION POOLS C53 1075986 5131123 PERFECT BALANCE INSURAh DRYWALL(C-9) HVAC (C-20) ELECTRICAL (C-10) JS INNOVATION POOLS 053 1075986 31123 PERFECT BALANCE INSURAh ROOFING (C-39) SHEET METAL(C-43) FLOORING[C-16) GLAZING(C-17) INSULATION (O-2) SEWAGE DISP. (C-42) PAINTING (C-33) CERAMIC TILE (C-54) JS INNOVATION POOLS 53 1075986 131/23 DIERFEC7 BALANCE INSURAI CABINETS (C-6) FENCING (C-13) LANDSCAPING (C-27) POOL (C-53) JS INNOVATION POOLS C53 1075966 131123 PERFECT BALANCE INSURA 6999370E 1/20123 3765474 CE 306926-21 CE 3fl6926-21 CE 306926-21 ICE 306926-21 JCE 0306926-21 VCE 0/02122 769800 0102122 7699DO 0/02122 769800 D102/22 0102122 0102122 1131123 12/3112= 121311202: 12/31/2022 213112022 1 2/31