0108-347 (BLDG)I hereby affirm under penalty of perjury !hat I im licensed under, provisions of�':Chapter 9 (commencing with Section .7000) ot Division 3of the Business and".'Professionals Code; and my License:i§ in full force and effect.License # -4,6c. Class Exp. DateI rierany affirm undR"Oenalty -of perjury that I am exempt from the.,coritractor'sLicense Law for the following reason:1, as owner of the 'property, or my employees with wages iis their solecompensation, will.do th -a, work,and the structure is not Intended or offered forsale'(Sec,7044, Business & Professionals Code)..1,, as owner of, the; property, am exclusively contracting :with licensedco�tractdrs ��to��CDnstnictlhe project (Sec. 7644, Business ProfessionalsB&P.C. for this reasonWORKER'S COMPENSATION DECLARATION,11-hereby affirm under -penalty of perjury one of the following declarations:I have,and will maintain a certificate of consent to ielf-insure for workers'Oc6mpli�sation,. as I provided. for,by',Sqction.370Q of the Laboir Code, for theperformance of the work for�Which this permit is issued.I have and will maintain workers' compensation insurance, as required by."lee'ction'3700 of'the"Labor Code, forthe -performance of the work for which this`,ACiTjer Policy No.is section nee n td 0 be completed if 'the permit valuation is for, $100.00 or less).I certifj that ifi:the performance of the work for which this permit is issued.,I shall not employ any p6rison In -any manner so as to become, subject to the -�Irwork,ers' co ' nsation.lews- "of Califomia,'and agree that if I should become,:'6 kers!: 6Ompensition, provisions of Section 3700 of the. Laboij'Shall subject an em�loyeito Criminal penalties and Civil fine's up to$100,000, into the Cost of compensatlon� damages as provided for in Section 3706, *of the Libor�Qodej- interest and attorney's fees.hereby -mBde to the Qlrector-of Building and Safety,,�Jora permit subject to. -the conditions and restrictions set forth on his1. Ea�h Oerson.upon'iwhosie behalf this application is made & each person at:.wko6e request and for whose benef it work is performed under or pursuant to:any permit issued as.a result of this applicaton agrees to, & shall, indemnifyhold harmless the City of La Quinta, it� officers, agents and employees.it issued as a result of this application becomes null and void if2. Any permi'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.
' |cdrtify that | have read this application and state that the above information is
~
correct. | agree mcomply with all City, and State laws relating to the building
oonstmmiun, and hereby authorize representatives ovthis City menter upon
the above-mentiSignature _
k BUILDING PERMIT
DATE 1, VALUATION LOT IM34 TRACT
JOB SITE
OWNER
CONTRACTOR DES16NER EN61NEER
CA 92253
HOLANADEACH CA 9=5
USE OF PERMIT
--- MWMLAWEOYM
75-16b ST. CliARLES Pt,
VA),UATION L.7
XrF
STRONO 1�0 TION MW RESI 0. .111014
300-24 1 -000
U0,
SEP 1 2001
CITY OF LA QUINTA
FINANCE DEPT.
U33 PRII-PAID PRE21
$0,00
-
1
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
'OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
I MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Duds
Slab Grade
Return Air ` " M
Steel
Combustion Air
Roof Deck
Exhaustfans
` 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. Lam
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
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 I
Encapsulation
Gas Piping
Gas Test
Appliances
Final -
COMMENTL,.,j kv--X At—( 1k -
4 V1'" V,&
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temo. 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)
a .. n.. .�:r:,. • �„ ..{�a;.<„ '. t,.n �:� r .. ,� . +lam ._ : +iar..t�'ht�'yK, � n� . ':Li -r.<ca�r w -.. ,i - — - -
Page ( of
DAVE STEAVENS
Inspection Services
PROJECTS A s • �j N 14s� t PROJECT # ' 0.0.2
ADDRESS 15.q, 0 3 ; I S'l , /(I q, /'S 7 CLIENT: ICDA L) Zs r r-aaPt
DAKN i LL :,F LC. W AA,J , r' I DATE 2 er-r ayu Z,
BLDG. PERMIT # ARCHITECT-- G« aA A 2c44 ,
'`.ENGINEER v -*.1 SAJo.'r.- ►JL CONTRACTOR`` C1— n'IAAo PAL%Fie_
INSPECTION TYPE j PO x
INSPECTION REPORT
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CERTIFICATION OF COMPLIANCE To3he best of.our knowledge,, all of -the repoftedwork, 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 constrtute engineering opinion or project control.
CERT. NO. D�S7- Sy `' lc.,
INSPECTOR,NAME�.EtJS ..
im lear
r� 3`, a .. z t a (PrCy) ,
. .
DATE / %�'J`ii tZLN �OD L`.. INSPECTORSIGNATURE �1�1'U Cr YS��`I:1IG�tJ
'-.w"'n'^.^^'.�^"^�s7'�➢i•�l�►!�•r'r"'"^'�'-rr—�aF"_yv+.-,�tr�.�1c-w�'�j7�FK.�-+�RF�!(�+..-���9wr..�4�.•�^�K::-;-.�:.-"•-ti;,,=.r+�,.�.Fv�-"'s.--;
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ey , *1
Page ;. of Z
DAVE STEAVENS
Inspection Services
PROJECT D��A t,,1 ST-�NIAS� IR PROJECT # (5voA _03
ADDRESS eC I)& S //- / S� CLIENT :?W, t,• e ST "C)V=k-
DATE 91 9 i21 t _ olo0 2
BLDG. PERMIT # ARCHITECT 60c.8A A&4 H-H^�
ENGINEER �,,,,, ,J �A� t o I C Tw_Y_ CONTRACTOR J� �L- Aloik NAc_t rc._
INSPECTION TYPE
INSPECTION REPORT
5q 19 3,181, A69, 11_7 OAKI H ( (_A4,�� 06, � 1 q A_alil. /
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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, 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. 6;99'7 3 9W - S D INSPECTOR NAME w`_ / 1�! �J ti. R 04(/eAIS
' Print leany)
DATE � p91 VOU 2, INSPECTOR SIGNATURE+,f, 4(t�
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