0108-349 (BLDG)ry that, I am licensed under provisions of
11 force and effect.
Exp. Pate
of'perjUry that I am exe mpt from the Con tractor'sr property, r -my employees with wages as"their solee workj and the Structure is not intended or offered for,,,Professionals Code).e'-property,, am excl . usively contracting with licensedf,thi.-prbje�t,.(S6c.`, 7044, Business A Professionalsi's, COMPENSATJOWDECLARATIONiintain'wo�ker-s'.'co'm*pen'sauon' in'surance,.as required bybe'_66me' subject to the:an
on
V harmless Ahb, ..'Its 'offid&s,-.ag�nts and. employees.
app [cation -becomes null and void if
[Kai lihavi:f6sid�th[6'60011dat16n"and,�tAtb�thit'.th6'�bove information is
it
Wilt
JOB SITE
OWNER
CONTRACTOR DESIGNER EN&INEER
CA 9;225"
3101ANA.BEACH 92075
USE OF PERMIT'
INFORMATION
US
61' ICAT
VAIMATION i's
8-000
STRONQ MOTION FEE RMID ...10 1-000-241-'000.
SEP
CITY OFLA.QUINTA
FINAN'CE DEPT.
IS (713-310TAL C.014frjr.RU(',fJ0H AND PLAN. CHECK
$169.60
IMS FIRE -PAH) MW
$0.00
UYTAL PRMUT Fal
Is DUE NOW
.$209.00
RECEIPT
BY
FINALID
r
an
1.1
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
- -- — - POOLS -SPAS
BLOCKWALL APPROVALS steel
Set Backs
; Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
4 Equipment Location
Underground Electric
J
Underground Plbg. Test
Final
Gas Pining
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumb;nc Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
J G.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encaosuleicn
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:
!/
Page' of
D'j ,y VE STEAVENS
'Pik
echon Services
J
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BLDG. PERMIT # ARCHITECT 44C N
ENGINEER.I)�' 1) A Jv ► - �,.1 CONTRACTOR.1)c�L N►A re. i4 c �c
INSPECTION TYPE .
INSPECTION -REPORT t
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CERTIFICATION OF COMPLIANCE To the best, of our'knowledge, all of the reported work, unless'otherwise noted,
substantially complies with. approved plans, spe'cificaUons and applicable sections of the building codes. This report covers
the.lo_ cations of the work.inspected only and does not constitute engineenng:�opiriion or projectycontrol. l
CEAT. NO. ( eL. do g� 1D `t
Y �INSPECTORNAME 1 t,O..
', DATE I SPECTORSIGNAT� 's
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CERTIFICATION OF COMPLIANCE To he best of our. knowledge, all of th 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 inspeeted;oniy and,does not constitute engineering`opiniori or -project -control.
CERT.NO. ®� 5 �.3 Z] (� _ INSPECTOR NAME 1 ,, sae y4 r/t
DATEd._
INSPECTOR SIGNATURE. ' .r
tO
ADDRESS'. I SS / 2 ! I I '1 . t !
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. BLDG. PERMIT #
ENGINEER ,p c,�y.:J Jo rL SXj c- -
r...
INSPECTION TYPE
CLIENT ��,14 c ST N o rte.
DATE . Lt A � C... a v v Z
E
ARCHITECT G o L,B A A r? c 4,
CONTRACTOR'btL Ai ;� �,�C f Fr r
n .
INSPECTION REPORT
UL�.yc�/,�i� G.ocA.riv.Js. E�ox Y Sr��son1 ETr` Ex? -7-03
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CERTIFICATION OF COMPLIANCE To -the best of our knowledge, all�of the'reported work,. unless otherv✓'ise noted,
substantially complies with approyed `plans, specifications and 601icalile sections of the,building. codes. This report covers
J the locations of. the work inspected only'and does; not constitute engineering,opinion or project control.
CERT. NO. �- 5� INSPECTOR NAME..
DATE / �riP/L ZZ ri: (pry
INSPECTOR SIGNATURE'