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0108-351 (BLCK)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 "Professionals,Code; and my License is in full force and effect. License # Lic. Class Exp. Date 7-.i 13 I2 I, `�� er . (':$/ 11r e !bate 'r _Signature of,Contra� ctor f °� 9 �'j �'� •� 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 oSebtion 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 a Policy No. CAL t x'NFiRA,F3I1'Y ' MOW i4•i'!b This section need not be completed if the permit valuation is for $100.00 or less). O (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'. compensation provisions of Section -3700 of the•Labor Code, I shall forthwith.comply with those provisions.. ,� f t Dated ff1/ ,Fia..� yApplicant�� flrl; 'r. ,..: Jr((x`?i!; Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines4ip to $100,000, in addition to the cost of compensation, damages as providedJfor 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;jhe 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. le 1:�6nt Date ref ! ' ' ; � %/� �' ! Signature (Owner/Arent) _ d• "*T7 i t., Z r- 1 PERMIT PERMIT# 18UILDING DATE f VALUATION LOT 0108-•351. TRACT JOB SITE C p ADDRESS 0AL, K, null APN OWNER s L';'_: CONTRACTOR / DESIGNER / EN (NEER 3: GA."K-GS.liJE— "1°LFL ASHOMA:"aION' DEL 'MAR PACI1^IC MW CONT,.A.>u'YOR PO rAYA 1060 462 EFEVENS AVE 41302 LAQU�,. -,A CA 92253 SO3.Ai+lEiMAIM C,A. 9M 5 (83gpga-I.00 milt :58n, W(:A). OFFI0K INNORMATION USE OF PERMIT ! _ 73.160 ST. CHARLES PL _ 1 r.sslE90 Sfln08S & 54,081 O.A.K HILI. • OU11 T)It+ G 19„ TYPE, � i't3)sLf�9'%,Q,itY ;i ',tSf~i'C7(tr G MtaDUTCWAMS ItAL ATIO a WHOTRUCTION FER 10 1 -000-4 18-00.0 $207.00 .R SEP 10 2001 CITY OF LA QUINTA FINANCE DEPT. P AJCH-6:CK 4u"iYR-11`_?f.'A,i:, 0,,U9WROC24ON A0,H) PLAN - sWidE�-lhAI = $1�01.000t) TOTAL MUM FEMSDUE NOW sranwo RECEIPT DATE BY DATE FI A D ",6- I PE S,11 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 Fire lace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath��/6�- Drywall - Int. Lath- _ _ Final BLOCKWALL APPROVALS Final POOLS - SPAS steel Set Backs Electric Bond 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 COMMENTS: ���/ U` %/�l� 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) j�.'.i��+�v,�;.nig'%4'�.�v�'�f�F�+nC`A�"n`"`�;:;,T'^i�'kN'�+�r:AYN'�tvv76+i��': �i .i�:,.�.�✓�Jv�•rk+r �.it,�`s.-.4fy'�;r,...�iy Page f of DAVE STEAVENS Inspection Services • - 4 PROJECT'{ , A W �� f4 A SE l ADDRESS BLDG. PERMIT # ENGINEER,tA yh iE , Zak - INSPECTION TYPE PROJECT # 2oo a. - D 3 CLIENT t�G A u.)Ef;7 4An DATE 11. A All L Zoo 2- ARCHITECT 6,oZ ,81i AkQ4 CONTRACTOR,&&, AA/l H9Gf9'lC- INSPECTION REPORT nQf QA -ti/ kiLL- 8c.oC..`vI8 r s , Sia 5 '_5 c.1z F - L, -a �-1 A .J 1 A C- 64 U fL 0 c1.7,— -714- EA -t i;:; 0,;-: LATt� D� C CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, !substantially complies with approved plans, specifications and applicable sections of the building codes. This report covers "the locations of the work inspected only and.does not constitute engineering opinion or project control. CERT. NO. & :5r --? 41� Sy INSPECTOR NAME C S�%A LIC 05 ` tint Clearly) DATE I a2- 4,441- L 2 do a-• INSPECTOR SIGNATUREn... �_ `..:roc}--•._:.�s..,.,-' �.w��ti^-x's.�CR-fbtirJ - -�,�y� ..'�=�'^.o� ;1.at. , Page of �1 DAVE 'S.TEAVENS Inspection Services PROJECT^�(:, A WsT - r�- N RS t PROJECT # v a - O ADDRESS 54- v4!!J:6:II LL_ 3 LD& h? ?-LA J 9 BLDG. PERMIT # ENGINEERINy-0rJ SA�b� E_ '=►JL INSPECTION TYPE r,-P0?r- CLIENT t U E S`C Hop, DATE 14 APRle- .zvoZ ARCHITECT CwLA A A ar- vk CONTRACTOR:I)CL (M Ait i?Au r'"i L INSPECTION REPORT lrALL ot. I wl !a LrJ e-�-i�e 5ij Wt P5c;oAJ ETF. EXT: 77-03 I-IDLCr_PrH C' 4EA(zLIAHEJ) ArJ> QLFAP3 OF --�EAeiSf ,APPuc,4-n0Ai Arai) 2"r.JS-r4LGx-rwkJ 6s Ack Ze 419i% oAK'N <<-�-- . D rF. 20 pS - IS' L tr0(;T H �f3 b. A C yi-i- l ;" b U T -H t 4)1 A. Rod - / 7 LEx)(,-rN 16D /A . '54. O i S 0 iA K1,•F (L- L �PL A Q „ n {i .7 tr CAS E5 C AL(6- 14ot- _ (� j)EPT�1 t� A .off - 17 1-eo LTa4 /8 DIP . nw c \ {{�� t `t' 718 @:A& Q 31K(k • oZ LQL5 - 0DL� - (� )e-PT-ggr31." 'll t i �CO1�S IV: 4 06 -rt -I Z/g ,- )114. F1-2LvC•S-A-�OL.fr:5- If�L.-? 4 tZjrA.' (Obs- (I'szdC.-r'-.4 7/81DtA. .x,54 -0e 5T eDAWf4+L(-. PLA r�J ( Q �1 f w r 1-.% -• '/8 „ �DS- t S "% r,A Wy-.,r L , J • RoLE - t 1 �Et'-c�,-1 I 1�:iP tZo�S - l (,. E►.� �-t a-1 8 '� �,P. S:4- o81 PL,40 39 ��2 �asr L � �� - i;-lt��.- 1 �. �� �'r �t � �i � a . �oa5. 1 � t-.E►J�-c�w �(3 �i t� . ����"3 ^ a Lots - �� SES- l 2.`r 1�',P'T1^l 1 �� �a �, ��S- I`"(,{ Le►��� -7�P� �� A CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, Osubstantially complies with approved plans, specifications and applicable sections of the building codes. This report covers F the locations of the work inspected only and does not constitute engineering opinion or project control. CERT. NO. D}5 �Q3 cl �O INSPECTOR NAME J� .�04 VC &->5 ` n n riot Clearly) DATE dI /� r/C / 1--D L INSPECTOR SIGNATURE �� _„ r .A,E F:� _ �;t.. ^ .::r -. 's•N `'•`'I,' ,"-.{.+ DAVE STEAVENS Page a_ of a_al - ,? Inspection Services \ PROJECT 1, t,J E s T- 12W A S e c tb ADDRESS S_�y Aq D iq S. 01 1 BLDG. PERMIT # ENGINEER—SA Jo I E r � L INSPECTION TYPE PROJECT #- �2y O Z- - y 3 CLIENT -* 6.A w C �T A;� DATE // AP2rL �cx» ARCHITECT L-6 Ld A A 2 Ct k CONTRACTOR J E(_ N'� tq cR 3)p., c t INSPECTION REPORT L e i3c.Y AJ -AI LI e, IT is � " ' *- ' � 4 CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, —1 substantially complies with approved plans, specifications and applicable sections of the building codes. This report covers the locations of the work inspected only and does not constitute engineering opinion or project control. CERT. -N0. _Q S� .3 'T ' SC) INSPECTOR NAME Cd -T Imo• DATE �� 19i�,��L o�yoOZ INSPECTORSIGNATUR DAVE STEAVENS Inspection Services PROJECT( ADDRESS BLDG. PERMIT # ENGINEER u. Qj S A J o i C Z hI L INSPECTION TYPE t rt Page I of PROJECT # CLIENT3�'e-., IA sic �T 1r-lp DATE lco AID& IL foo z.._ ARCHITECT (!�n'C)L rbp A YZ C.v-k CONTRACTOR' -b U- rM A Q P,4cu F tC INSPECTION REPORT n E��y �3 S'r 0f3 ( 0 A c.0 4 `1 t -c_. 3 L-A . 1 F +mac. ►J 9 ,AT T I L S — t�3 (1X� � J l F iz P, nn. L Q (.. -1- US -t r Q n� t—P ! 4 S t L.- ?0 54 —.1 0q/oS I0C. 0q 7 ©Ac<'Kt r-[, t LOkJ w�4�u5- SN��2 �AiiiuJ /4 n1 5'i-i2�9P�lrniLe,rG CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, substantially complies with approved plans, specifications and applicable sections of the building codes. This report covers °the locations of the work inspected only and does not constitute engineeringopinion or project control. CERT. NO. INSPECTOR NAME I )►4 J(� ..7 ti UEyL/� (pr'rJt l3 early) DATE �� XIOW14- Q002, INSPECTOR SIGNATURE I /�