0108-348 (BLDG)hereby. affirm under. - penalty of perjury. that I am licensed under provisions of
�vith'Section `-70- -ro '
00), f Division 3 of the Business and
!cfit'ilorials Code, and my Llciiiis6lilniul[ force and effect.
_ License, 1f.
#, 1,
, _V. --.:-,-11.. i L"16" Class Exp. Date
,,.
tE A"
,
7331523" "AC -0 4QV31121(
ga,;A_:
fl� 1'. w6 .
t SignatuU
I-rBUILDER DECLARATION
wo '3 -,OWNER
4, 4
i.eriaby,'iffirm"uhder,'pehalty- of perjury that I am exempt from the Contractor's
cens'eii�v for tl4_e'f6l1owlng'ieason'
sJ,- asowner 'ihhejpiooerty, or my employees with wages as their sole
: J
)mpensat1on16
',,jWlll166 Work and the structure is not intended or offered for
ile_'(84cr,704'j`,.B6ilKes6 & Professional s Code).;
as I owner'�'_of,, the,"' pr*6perity,: am; exclusively contracting with licensed
)ntractors - td�conitiOct. the., project .(Sec: 7044, Business &"Professionals
l'�, lam ',exempt , -urider,Siktion ;B&P.C.Jorthis r'eason
Ste ySiM .06
,.t��Slgnat6re1of,'.-',0
O. RKERISCOMPENSATION DECLARATION
hereby, affirm tp ride(-. penalty of 'peijury'one',of,the; foll6ing 'declarations:
)�;[have :ancliwlll maintain a certificate of consent to self -insure for workers'
.. , . 1,.f I- — ll , 1�1' *., 4—,, . S
)mpensatbn, ds�provldedJor,,by ection-3700 of the Labor Code, for the
I -t
rf6 .1 -
rmanc-6-6o"f't'h.O.,.'W-b.rk">f'o-r-.which thispermit is -issued.
'have and W
ilPGa11h6fh`-`4i ers, compensation insurance, as required by
e,,fcVttie pirfi:irnAce"of the w6rk'for which this
)rmit is lssued;h
My, workdrs'coffipen6iiti6n; insuritrIcs carrier, &I policy no. are:
126ky Nb.wll
143IM2174A
'
n_ on-heediriot bb.66mpleted if the permit valuation is for $100.00 or less).
',)I I'dertify4hat,in-the performance of work for whiclithis permit is issued,
)hal is; 8 n in.any 61inneir'so as to beconie subject to thp
workers
Satloh:Uws of,California;tand agree that if I'should bbcqfTie
ibject to the '-coinpen'sation,provision-s..of Section 3700 of the, Labor.
ode I shall forthwith comply wlth�those yisiQns
it
,,-,
-�ii`l m A1�5
ef�Zi l
'u��;to�sbcure,Woekees;Com'pensitidncover` 16-
Kand
iAll,iubji6i;aK��ployerto�cNminal�piraitliiind
civil fin-ei up to $1 000, in
Idition to the.cost of compensation,, daTage4'as provided for in Section 3706
'the'LAboe Cdd6,,,"IhterestAnd'eittomay'sfe'es?
0Ptioh,16.hereby*.ffiiadiito the Dir1. '
DRIANT oplic_ciertoroi Building and Safety. A
V
ecV� tothe hecon --i,6itri6tionl -set fokli!_&T his-
ipll&ti6h,-Q.64�V
Y� nl3
V"E9dh,perso.n.pori Whd§e behalf this application ppikiatio'n is' :made & each pers6n-.6t
Whose' request ArId,f4r,whose benefit work is performed under or pursuant t6
any',p&mit'lssuedas af,result-bf:thli�ipplicaitbri agrees to, & shall, indemnify
S� old ; s t
harmleshe City of La?bUi6ta;"its officers; agents and employees.
alr6sul'Ut6f,ffil's �pplicatiorii becomes null and void if
VA' 0#r��it,"16SU`id',,ai' � ' -
workjl§�,not:tdmmenced �Wfthl hi'lk*l db.,days f romdate' of issuance of such
t.dr,cessation o �wor or;180Aays'will subject permit to cancellation.
trti,N, that; ilh6ve?*read ',this �'aopllcatlori and :state '�thikt the,above information is
rrect, ,agree:4o..comply with' aria"Stat'a lawsrelating to the building
�6ifir68tion-,.-,anb'" ere" Y " authorize representatives, . of this City to enter upon
X,L� I I -e
aliove-m6htlon rop4q';fot inspection purposes.
pht. e
J.,
ke,
BUILDING -PERMIT ERMIT4 g;
BUS,'
I C
DATE wmx
LOT )&'t 01 W,
X
t) 3k,
.............
JOBSITE
ADDRESS-�4
kPN
k
OWNER
CONTRACTOR DESIGNER EN
RGA REMMIAL ASSOCIN11014
DEI MAR, PAMIC 6F.WMiA'L'.CN'O'NtTRAL'TOr<
PO'BoX i 060
462 0MF143 ANS 0302
CA 92253
801ANAMACH CA 92(YIS
1823
USE OF PERMIT
1AVAL OFWI('R I WFORMATION
MISCIRUA HIMB
N
"15-160 ST. CHARLES P1,
437, 54-13.7 &M -UM bAK.111111, - BUILD'IN0.13, TYPE
1W.'VOLUNTARLY 9TRUCTURAL MONKCATIONS
VALUATION Ls
F-Sylatm corr
20,(W.60
.VEWU WE STIMMARY
CONSTRUCTION FEE IM -000-418-000! $207.00
ISTROM MO1100 FEE. 80110. I01'0010+ 241-0010 13:00
SEP. 102001
CITY OF LA QUINTA
FINANCE 2EEL___J
BUB-TMAL 100.1�67RUCD. .079 AND PLM C1WXK
$209.00
IMS FRIK-PAW FFM
TOTAL P.KRW.r FW.8 ULTE NOW,
RECEIPT
DATE
BY
DASIN4SE1
1,1
INSPECTION RECORD
OPERATION j
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Retum 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
BLOCKWALL APPROVALS
inal
POOLS -SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam I
Approva! to Cover
'
Equipment Location -
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Fina!
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
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)
COMMEWS: ( /�
4 �t�
��a I� p� �!
Page t of C
PAVE-STEAVEN.
Inspection Services
PROJECT N Wtgi-PROJECT # o2y0 A- O 3
ADDRESS SH -1 y t•, 131 13 3 1 2't CLIENT k.A ,JC -z7- t 4D A
OA"I Lam.. ?L -Yl j Q)
BLDG. PERMIT. #
ENGINEER�uc)w) SJr�rtr
INSPECTION TYPE
DATE 3 A Pi21 t. ac--)02-
ARCHITECT
vo2..
ARCHITECT C�oc.d A A R c,-4
CONTRACTOR��
INSPECTION REPORT
L0LJ J.. J14LL.s - I' 'So eZA2 QAiLiJC.- 6 srleAPP/-06
S=Ee.t�Z L ` COw.T LCr
k lQ 'S7r ? -AF L r
—lie" of PAt3b,
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. n 8 S93 41 ' S 0 INSPECTOR NAME ,� ) 14 y E � AG 5
`— ( ,int Clearly).
' DATE ���L p�Vo INSPECTOR SIGNATURE�'^�i�..�L.
1��,
- c,�
s- - ►
►�
�Q-S 7
SSS
Sc l� �s
AQN
AJCt4y►2
N U -T S
- �"+vwr ►,fit.
S=Ee.t�Z L ` COw.T LCr
k lQ 'S7r ? -AF L r
—lie" of PAt3b,
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. n 8 S93 41 ' S 0 INSPECTOR NAME ,� ) 14 y E � AG 5
`— ( ,int Clearly).
' DATE ���L p�Vo INSPECTOR SIGNATURE�'^�i�..�L.
DAVE STEAYENS
Inspection Services
PROJECT + 4z s i - t7N i15 e 1_6
ADDRESS Tq_I qj, 13-1, 1.1 11 c
OAtCHILL 'ZuD(,-"IT ;DC A0 It)
'BLDI134ERMIT #
ENGINEER_hl.t�,)
`INSPECTION TYPE
1k -
Page t, of I
PROJECT #
CLIENT '�eA
DATE. a A? Zt L, acx, Z
ARCHITECT
CONTRACTOR 1) E'G Y4)4 i2 13Ar- I i (C -
INSPECTION REPORT
L-Dt�.� t_ tJ A t_� �. - • ��. A �M t t..� (, i� A J�_� t ,t� a2. e� �r� S t� L A T i o n1 - �Ow.�7 L� T i=
1 t
SDS Sc,zc..�a # r"iN Acic N c)oe IUc_rS -TI c� NTS ► 1� 1
I T I 5 S H t ,1O rk 0 A I L- t A tJ 7: t�Lo c-� N A I L I.,) C,
1. 3. 1 Li� � LO C.t� /JA ( L r C ►`1+ n PLY
F
t�r_nZ ;Q�'T�c I33t 1211\h�z Cow4,p L -&
S I ►H PSv� CT „(
5'4-131 OPW NIt__ L PoY,)->rAL-,, 4- APP. Pr�_fZ Zc-ao 149YS
s -7 L,9 U c_ i N '7 /� r� b i A
5_4-14,3 -1 :�Lt\0 1\%(mac. t 1i
be Kr \ S A CN I kc-- 01q M kb Lid 7-tW A VZ CL4y Z
r
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. CJT� S�7 �1 S ` �O INSPECTOR NAME
I,(Pr,41early)
46ATE o2 APRIL 20,0?- INSPECTOR SIGNATURE Z�
..DAVE STEAVENS
Inspection Services
PROJECT ;kA Ljes-r- PNASE 1
ADDRESS 1,2%
4A HILL AL& 1 lo ac-g Vis"
BLDG. PERMIT #
ENGINEER lo..JJ SA cfo /C -:rV C
INSPECTION TYPE EI�D X y
Page ( of
PROJECT # 0;2.04 2-03
CLIENT +)GA u1:p-5T HoA
DATE a O0 2
ARCHITECT 60(.011, A 4r—q t T- -Uk 1 C
CONTRACTOR) Z /1 AIC 44C-tFi E_
INSPECTION REPORT
oL-e-6(.-�(A-)C_ l-,ne-A T ie),JS E)090xY-51 W PS 10 fF r` )LP. 7 -U3
�IOG. 5 �� r°7"hl �'1✓�GW 0. R9U5k CQ A &)b CL.t A r.5 d >- I
Oq PPG /c A n o /j A ,J 6 , .T&J5 T' A L-1 r -T- i (,,) A 5 P L. iZ .L C,6 0 q 7 4.5'
5'y -l'41 UAKNiLL tok-AAJ 3Q
*Rz a -c., ,� - L C - 064, - l � ��PiW �g. a 1 R ago - � s r.� rJ�.-r,,r g
�Eb 3- cPwe—S- }'iOLes-�0-VS 11LE#jGTq
� �rA
Sof -• 13 "1 g AK W r L -C. PI- A AJ a4�
2zj�.rz t j — 1 L0 G -14 v LIE - I z l), P rN
44
A5- fS ��,.�-t�►-4J/R 6r �t
// -d A -.�l A A _�.ii/ . A /i A �� / / /• III /i1 �1.L f i Oi
B67D 40,D ' t_vC5 -�-(vc �5- ��rr P7W (r� �r►� 1?t) 05 - l 7't'-ZV67-4 '/8rrl>r�9
/ n � r
t2�w2 C eQTER - cl Loe-5 - �0,e5 '' I1'DrPrW 3ly)rj)tP. 201;5- ('� Lf=L)L, 1,4 Xe Drfl.
LAJE51
RZArL Lir)
54-124 - OAkt4lLL 4)
ILoc OOLC- 12 !SGPT`►- 6 rA. ?o3' /5 Lek)(-TH
f- 0LCS - 1.2 "-bCPTr^i Cbm . /?O 1)5 - l71� LWGTv-+ 76
3
11 yr 4,
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. OF 5" 3 `IA — 5-0 INSPECTOR NAME
rPr r ae 1 )
h r: DATE I aA!' IC r L INSPECTOR SIGNATURE