0108-344 (BLDG)�:.Ion
y.rVh eb, affirm under enaltt,,:,ol, �0�ba;., I a cens6d under prov of
enc ng with
S6 Sion 3'of the Business oe
�.0
ofessionals, Code, and my �!Oqnse
ha
ter 9 mm ctlon.i0Di" and
Is -in full force and effect.
Exp. ate .
`0" `C C)
License U I
CY
� 7N,
LLJ
tY FPa 'fir �IIe
Date' Signature ,4 dir4 f Iv
v
I;L4��41144IJILD lki A� DE'CLARATION
A
(D (D
!�JI11'L)
Ui. yof perjury am exemptpt fromthe Con
tractors
License Law forthe jbIlowind rebis6h.
tu� Zas or my "employees with wages' as their sole
compensalloi
ij,Will.-do.the'work, and -the stricture Isnot intendedor offered for
salp eq - 704,' "'e
S b6sini'S& & Professionals Code)..,.
of tKe, ofo n ra
1,:-�as.6w erty,j'am-,ex6IusIv6iy.:cO t ctlng.,w'lltfillcen's'ed
contractors t �qonstruct,j je. roji&
(Sec., 7044 , Business&'Professionals
4,
14, ;iZ e).",
Ii ex tlupcler,,becllqp,� for -this* reason
C
I�A All
gna yre"`6b
WK
.4e,
"iDECLARATION IS 0 'KER16 'COMPENSATION
SINZ .-T R
- �l:��hdr-cibi�4afflrffi�uhdertpi)h6ft�of4ped6r�...',ohe-V'6f the 6116` Ih*i,'de6Iiri6Dni:,'
and :will 'iniMAialri a'ceriifi6aie,'bf.o6n,sO!'nt'tc; seilf-insur'e for Workers.
X",�Ipj�Sdcii6njV Labor Code,.foe.the
,. ti ,,:q�,prqy!qed4o! 0(
,LU compensa Io n
performanceofth6woiWfo6Wr h this 'permit is 1s
<koh- 11 as required by
have and mai
_Tpe�pa�on:, insurance,
01, on: 370016f Q�dejoi�:the q5erformance V,the', work ,fdr.which, this
CL P- 17-1 "It" Is: issued My workers' I A 'i 1"'
,,pomp!ansat.on,,'iqsurance-camer-- poicy no are:
z B,
z Ii' " N
PO 19 0.
y
49,
Ai*2YAA
NDRMN1TY:;*-14"
00 -D
r4
section need
not,, b #.,,.00mpletdd'ff the parnift Valdation. Is fdr'$1 00.00 be. lessi
(ti)606
�.Vcertify that'in `thii
rmiride of,the_woi
i forwhich this permit is issued,
�.,`,
>7�I�shail not employ anype"rson in any
manner k as to b'e"c'ome-,'su,bject't-o.,the
iwor ers. pompensa1lon,ilawwof'Califoniaan'd�agrp��
a
if'
!dbecome
ct tot b workers',compensation provisions. of _Section• 3700 ofthe -66i,f_�,
.�
)a 6at*
loh-coverag -1S'UnfA;Al a d,,,
les and civil fines up to ..60,001);, iw
of the Labor Code .Interest -and 'attorneys, fees � Y r
IMPORTANT-Application1S-.hereby'ffiikde`.tO the ':Dlr"eictorof Building ""An, dsafdty'
for ,a permit forth on his-
;'akil �V
applicatlonAg
';'Each persop Upor�,,Wh6�opehilf'this ""4-pild'aiilo6"is' aide46kh person a..
t
,.,;,whbsd: request -and for whose '.bdnefitvorkis performed. under or pursuant to.'
iiiiy,pgrmlt lssbedrag;ik resUlt,,6fthis. applicatori 6gressjqj I 4shgll,jndemnify�:
A&hold agents and employees.'-
dis i iiIs6lt'6f thli'ap- 8 dvoid If
2.;r,.A y,perm SSye" a -�licati n becomes null and
not .,co mmenc
workI' ed*wlthlfi`.180:A6ys I ' rom�aatif'ofJssuance*'bf such
I 'c�a I .or cessation of work4b�, 480 -days vill subf�dt,'Oemrlt to cancellation.
e � tha'-t;l h&Ve--.'read:thIS 6policatlo'n,.*ind,stite.thdt.,ttie:above Informati6n.is..
correct
d agree -t '
o"domplywit'h''iall'Cit'y��f'and'-State laws relating to;the building
construction, and H'erebyf'it6th'o*rlze''rep'er''s'e'n*tativ66.,of this
is City to enter upon
the' .,above,-menti6ned -prop• . erty for inspection purposesdA �
dWA. �- J4
.a III pate '
`67
ILDING PERMIT
DATE VALUATION LOT 01MM41 TRACT
JOB'SITE
ADDRESS -t'!
APN
OWNER
CONTRACTOR/ DESIGNER/ EN INEER
.PGAWFMRF=hVTW.ASS00An01q
JYFL MAR Phr-rf-W GENIOL&J, COMILNIMIR
POBOX1060
462 37EV.PN3 AVE 0302
LA QTJW. 'A CA 92253
SOLANA.BM51 CA .92075
5823
USE OF PERMIT
UVALOFF16.. T44FORIVilk:4
71.160 ST. CHARLES PL
RMM7,^34-3 54 .13 &1_4,304 OAK HIM HIJILDI-NO if. TYPE
PC V0I,1JNTARY 4TRUMI)RAL MODIFICATIONS
NAWATION A10100100 LS
-TI
x9nmAnD cosr or connnucnoff
2o Wo
10 N.
P EBWT FEE 9UMM ARY
�6i4iItjtu`(.!,TJM FEE, 1101- 0 00,418-000
f TRONCf 1101611164 k4 • RESID 101 -000 -111 -WO
SEP , 1.61"2001
CITY OF ILA QUINTA
'FINANCE DEPT.
SUB -TOTAL (MMMUMON A.ND PLA14 CH WJK
$209.00
U33 PRE-PAIDIM9.9
$0.00
TOTAL. PRRMU MN DUF. JNOW
RECEIPT
DATE
BY
DATE FINALED
INSPECTOf
114(
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 - IM. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVAL
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:
4
,
-9A;� �/` �—
2 v O
J
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Law Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
Page / of •Z -
DAVE STEAVENS
Inspection Services
PROJECT I(, A. w EsT- -�NA�S427 13 PROJECT # 01yo Z -D 3
ADDRESS 5-44- 33 �32�. 3 1 3 D 1
CLIENT �t� �J�ST alo t�
nA� N t LL 3LD(� 1 t PL A J 9
DATE o1 v /K A it C-tiQeop Z
BLDG. PERMIT #
ARCHITECT C;OL 8 i4 11401? C -H
ENGINEER1u a f l SA Oo k e 7=-,.3C-
CONTRACTOR, -D6-1, M A 2 PAu t,, c -
INSPECTION TYPE
INSPECTION REPORT
,
��,.IC� LoCA-r roaS �'Pyki
51wAPSOP3 ETF. �><P,
f-� 0 t_,ES e: P-rH Ct4 E ci4 e , -t�,2L- 5we Z� . A kN l Cl -e -A .1 o t- D62, ►zk 5 ,
�t�►�I.tCf"—z- A ---r .JS-rP. Pkv an`.I AS (4<Q Li 5-
sy- 33'1 oAV4 NLL- A'J
'i �c� 3- -►hA.S - a ���5 - (-doc s - t a: �E.Ptrrl t 1, ra. �01� S = 1 '1 LErJGT H 1e 61 A ,
i.%V J&A�c Q'.cL-rA- �.L�c- N4OLIL ' 1 2 � br-PTH t
,. I1 -� 11
O O\-2�tiJS - 1-'(, Lt ►.�G t tom( � ra, A:
A"
S'q - 32S 0AaCMt�L
.
L� ►Zzact 5,,..,--� -\ Lo -�4o,-e - l P� ..I JCA .' RL S- 11 L.t►Jc„T
Rraa
KI 1'7
?()OS- s r s L.«J(,TN Mig J A-
JUS1-�U,LS - �a')>C�'l"A ���A.
-7/ I,
Obs
x'4-3/.3 OAA/ NI t_L. PL A J /0
Rr-A2 Q.40-TC(Z= a L„/-5- 00I-eS-
bIA. 0b S - ISs,r[��c.7►�r �� i)►A .
LIy /�ZA(L, Nn2; ►4" (l,vc.- 16401-C ` 12r,�c:t�'�hl
D rA, 12005 - (-i�'LG.JL-TH '/1, a iA.
54-30► 0A4 iA���.,
Lig 7,E:fk(L S kz ,.► - (� N c - tai v c. C - /;L D CPTr4 ( b I F . �k00-1-7
Z, A
►, ..if
3� ,r
F' ct c1Lyc5 - Wo r -S -la +1�PTH IJrA. �D��/�' Cc"�JGiN 9 OIA
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. DC'S 3 ° Ta d INSPECTOR NAME \ 1 A r 1 C. -f�TZCA J
(Pr' 'Clearly)
QATE CPL] /'►'I A �C-H o'lyQ 2- INSPECTOR SIGNATURE �C�/n c-�
.. -.. : .. .. :+.rc �-+..J7,;;,; �•:N p,�....,,.. ,. afus?"dc:. .::1�:,.�ii ✓..»J?•.. � `�;r ._ c.. a•- � s:. _ �r.�--�-r':s-:.
- Page v2 of Z
DAVE ,STEAVENS_
Inspection Services
,,-.,..PROJECT ?A t PROJECT ;# vo v I. '
ADDRESSCLIENTLJ EST, NoA
oat OG /0= f l l DATE o1y +' M A2 LH a co Z
BLDG. PERMIT # ARCHITECT GoLB A A;QG3-i
�ENGIIe1EER*1uuIJ ►J SA Jy i �:._ =rJ L CONTRACTOR". CL 'A 2 ..:PA �� ;crG
INSPECTION TYPE
INSPECTION: REPORT -4
=.: 3 3'7 3 Z 3 r 3 . �3 o i -- „c5'A�►C r -i` B D '" '� ° j f� LA
A fwk 0'. c., �3r Loc.�C � � � S tii Scx LA— k
LIP 7- cq�s A 35. • - .C'cv'�.1� �-
lE'rA,Ls 1.2.-3:1'y'I5-g;-3k-0CN``e.T,C..
�y r Y3 3 ya 09. X47 D�4K+N"ic.t_ � �G: 'iy I�LAtJ`'
Lo �..� .. tc.1'A ��5. _ `••��J1-i�-� '... �1 A' � �• �,r�-' {�.�J 1 ' ' S'1'i2•�� ►i�G — -'
x
CERTIFICATION OF COMPLIANCE To,the best of our knowledge, all of the reported worki-:unless otherwise rioted,
substantially complies with approved plans, specifications'and;applicable sections of he building codes: -This report covers
the locations of the work inspected�only and does;not constitute engineering opinion .or project control.
.:
CERT. NO. 9 3 - Sa 'INSPECTOR NAME)
r^ /' A v - '4 Prsi Clea
DATE" �O /� , /L'C.rl �V'K Z .C; :c s k: a r
•� INSPECTOR SIGNATI�A,• _
`.?�.. ...k=^+. `"'S::_13�r _�r.�..;it: :J tab;<j�'1•b^•�;Y`'....,ytSnry'3;Q; .3+.?.:a ::ycS'�ca vs; ,_�'.e:.Fc_.'.; :� ,.
Page of Z
DAVE STEAVEN,S
Inspection Service"s
PROJECT -VCA; tZe—z;TPROJECT # c?y03
ADDRESS CLIENT �t G 6.4o At
ol, l DATE o2 1 :; ao 6L
BLDG.. PERMIT # ARCHITECT 60c-dril . A/L cly
:ENGINEERy SR J01: T.oL CONTRACTOR )0,4 C.
'INSPECTION TYPE
1�
INSPECTION REPORT
S
Y.-,.--!3 Aff, .3� 15112 1 Z. r3'o�� 4Ac� N r r tit ��_ /�. �LfltiJ Z)
LOt,J .c.c--ez - �►Z�P•y�; Vic.. �A�R�c�:�4�dtV . =BSc �a7-�a� -`�ow.,'Jc. � rr
5 4 S C Zr_ L,,) s A'ri N 6& , % i TS — % I G'W TCA) C: t
�`ratL.S-�,;,3.:�1�4�5-� i�t.C)C-P<= A � ��.y. i��r�� -
TC
i4 r rG S S
A: i
h/t X1.2:rV`c. I V I-- QO tom' ;21, a r`c
5``i-. � 33 4/11`,' �-t o �} :-,3�i�'7 r��AtiC i►�a tet_ �=c� c, �;.q '
C.T
W l'Yi' 2 K E L)
CERTIFICATION OF COMPLIANCE To the best of our. knowledge;, all of the reported work, unless otherwise noted,
--\ substantially complies with approved plans, sped ications and applicable section'sRof: the building codes. This report covers
the locations of the work inspected only and does not constitute engineenng:opmion-or project control.
CERT.•NO. �� 9_ T B`' SD INSPECTOR NAME 3, i S't" Ad E 0 S,
DAYS � � /Yif�f1 G'�1 .�(.�Z . INSPECTORSIGNATUR