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0104-236 (BLDG)LICENSED CONTRACTOR DECLARATION I her ffirm under penalty of perjury that I am licensed under provisions of ,ChaW (commencing with Section 7000) of Division 3 of the Business and Profes onals Code, and my License is in full force and effect. License # Lic. Class Exp. Date 7331112 1M Date ' % f Signature of Contractor ' ` t 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 Section 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 CPolicy No. CAI, IF�i�J.EA+iAt9'1'�' N3062.174A (This section need not be completed if the permit valuation is for $100.00 or less). ( ) I 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 h Date: � /B • E. ` Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is her 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 the 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. / J ' •t^Yt � i; /P ..� !1v.{.\. Signature (Owner/Agent) r/" Date BUILDING PERMIT PERMIT# DATE • VALUATION LOT 0104-2,36 TRACT• 11�/ENJG7/'bYb/.Nfi/ JOB SITE ADDRESS 0141C APN OWNER CONTRACTOR/DESIGNER/EN (NEER PGA. WEST RESIiDIMiAL A380=10141 DEL MARPAMEC GENEM: C( NTRAME, PO BOX 1060 462 U1:EMN%3 .SIM x-302 CA VA253 SOLANAB A T CA 92075 r tgi>;1'1A2p1IflG Cis 5823 [.O(..AL OFFIC1; 114 FORMAT low USE OF PERMIT 75-160 'ST. CHARLES .P`L• 0d r9% 00.60 & 90.607 OAK `F! X • IStti'L.3�iN . KS TTP I 21 iief:Tt tf�fi'ARY STRUCTURAL- P�s�DIFICh!%,�. 43 3 � VA1ll:'ATION 2%000,00 Ix Ir COU or CONS T1E�UC1,70V �y¢ �'�j Q �1' { �j6 'q,�'( �g �y $R,pNjI �CSI'+.6 MI .R �r HY.��.iS4.7.i�il:Ldi..7o COMPR U CTION ;FIE 103-000-416-000 $207, 00 S'E`ItONO MOTION R.IL 4LI 101-00&241-000 tvw Ali-B-TOTP1161 . C' C77U�.1 At�T.t31�1:,AN CMGK u Y.IM PRS; -PAX FEE2 $209.00 SO -00 1, 1 3' G IDUE 1g0W APH � z, 2� �`, ' 11- r J CITY OF LA OUINTA FINANCE DEPT RECEIPT DATE 1 BY DATE FINALED INSPECTOR 9,1 INSPECTION RECORD OPERATION DATE INSPECTOR j 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 _ _ S!.�S�a( F.A.U. Framing 8/(? - Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. $ Fans & Controls Party Wall Insulation Condensate Lines Party Wail Firewall Exterior Lath 17 d/ 0/rywa11 Int. Lath t Final Final Q�j POOLS - SPAS BLOCKWALL APPROVAL ; steel Set Backs Electric Bond Footings Main Drain Bond Beam I Approval to Cover Equipment Location Underground Electric Underground Pibg. Test '. Gas Piping �al PLUMBING APPROVALS Gas Test i 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: Final ) Utility Notice (Gas) ELECTRICAL APPROVALS r Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles ; •oke Detectors emp. Use of Power i Final 1 Utility Notice (Perm) a �-._.'ti.-r.....r�r,,,...�..�.'T.,,�,w,,,_��s+�'.r��s..�»....w•-v..;"�Y�"'..rr"in�T^v.-r,.-+Y7�T��-}�"�i't'M,(l'�..�.r..�,,.,,,,- L "1.'"`,-.+�. ^rl.:r++r.`'u. Page ( of DAVE NTEAVENS Inspection Services PROJECT 6� uJ E5 i -?41145E 1 IN SS 9 T9. (o u t G u 7 ADDRESS f&) -(-i 3� [�a> 33 DrA BLDG. PERMIT # ENG INEER-L)v.\,)Q JOte '1_.Jc. INSPECTION TYPE PROJECT # ;- 00 l -0 3 CLIENT t✓S l o� DATE 2k {� v_J(� z oa t ARCHITECT Gbl., AA -i,_CN rye c7ucC� r, CONTRACTOR.bEL W AA DA -t Fi c- -INSPECTION REPORT L.— (-V vJ 05y e CPsi Ao-G 1 3 Ka A1>_ E-A 57 / ! (1/0G Rclor~t AeEA rTic s -Fa,% . leaWCiz+ A I �c e: 80-��3,�f9 GzSt(o31 OAk-riz_ec soA J 9 �c 5 -% �Z9iv�►,.J c�.. �-�'ARa��,�Aa2r. [ PT. 4's 7o c A - 35.s • cooPv=eTE �c�(� (J G. � - � fl • 3 S � - `,.• O n'� p �: � rt4 r r. CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported w4 unless otherwise noted, substantially complies with approved plans, specifications and applicable sections of theibuilding codes. This report covers ,substantially locations of the work inspected only and does not constitute.engineering opinion or.project control. BERT. NO. ' :562 INSPECTOR NAIyIE` Jtz-w ds DATE Af ALA t n ac.,n I INSPECTOR SIGNATURE Page" Z- of DAVE STEAVENS Inspection . Services PROJECT 1 ADDRESS RD -S $ 9 59 05 Got (o 0'1 C. 3 7- P k-ewj } . BLDG. PERMIT # ENGINEER\ka �1 SAJo(r: Z •� INSPECTION TYPE PROJECT # OS CLIENTS WSJ b -l0 R DATE (n ��C� . 2C9ti I ARCHITECT GaL_6sA ARCH crt c."r-itL- CONTRACTORIEC„ M At2 �Aea r (C_ INSPECTION REPORT A LL 4�"`�`:. �c -� • S!� r..�f�. )A � �� � � [ �1..I J LyC J�( f.�At �. � w�G.— �.ow� c -C 5- 9 � �. o c. �� A a l� Qc r 3 (_ZTx. r CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, -j substantially complies with approved plans, specifications and applicable sections of the building codes. This report covers ' �he locations of the work inspected only. and does -not constitute engineering opinion or project. control.•. • CERT. NO. ©`r -3:693f3 ' S INSPECTOR NAMEJC. JA j : t' - '- _ ( int Clearly) •. DATE (�0 ALk C' 1'r.".0( INSPECTOR SIGNATURE �+- ��~ " • , � s-n:�.�e,:.'vw�: ter: 4 _ - ,;T. r•; y;;:. �C- _` A :.: P. ., �yZ'�iYy:'VC.^�Lt':`'i�"S'I..Ti:.��'."a�:'�N;::t�'',�'+lKJ 9i'r;!..; .'=�•.n=t1= ::R Page 1 of. I DAVE STEAVENS . Inspection Services s PROJECT # CLIENT t�� R t:J t_ST 1-4 o & DATE \A u C.. Pool ARCHITECT`6•0L 3 fl A tZQ-H 1 ,,—t_ c?L z f CONTRACTOR I E L m A 2 ?Ac, r- i c.. PROJECT: �At\ � _ �►tnsE t ADDRESS 4 g L -t -s-r< z!, BLDG. PERMIT # ENGINEER Jk--0x1 ZAQU , t, ., ,a L. INSPECTION TYPE INSPECTION REPORT moo- I CDA K -T,ec t PLA -J o tet.._ c_c:�L I.JA LL�5 - St -1 t v%z tJ A, ra j 1 STfZ A 10rJ I til e, .. ac.Cr E :0So-.��i9 S9�:l�or Lov�7 oAu-r�z�� ��►��# 3z r'��..+�� t1 1� �.�. �� �..a �� A �.�.,5 - S H t � iZ '►,ia � �: �'�l C �+• � � SST Z�1?f', J G - C�,�lt � t t6C- L r;/G - 3 s L' 7v g L P `1 g- e 0 vin L ETr`y 1 _7T i – t S- 3r:vc C-10 m i 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 —,)'he locations of the work inspected only and does not constitute engineering opinion or project control. CERT. NO.09? Sg 3 q8 - 119,0 INSPECTOR. NAME 0 E Sfc-A J DATE S AUL ,Zyc� / INSPECTOR SIGNATU .. -. "i.. - ..i .. :'>:.._ � .. .. � Z�'r 4�''.,y.,�. .., ..Yv :'.: "''!._ .-.� .^.'�•i:x•.'9s,.i•t�w^--yS.^.n-mo.'s .. ._ Page _� of _ DAVE STEAVENS _ Inspection Services PROJECT�GA u.) -Z 5 -cam- H ASE t A PROJECT # -a 03 .ADDRESS A �k ,L I A;T t 7 CLIENT u) L ST N a A BLDG. PERMIT # ENGINEER^ ,%o SKoote- INSPECTION TYPE DATE _I 3 (,��� coot ARCHITECT Got -9A AeCw r?Xu'u 2t CONTRACTOR le: I- ;:kc -k F1 C - INSPECTION REPORT LBC. SO 9 LQQ j'%*) 15zr-7,-A?P i J - CZ*A OLC-rC -S4C(.ss kil Lo .11 Jr i�l.-U 1+.�yJ ii �• L'3 - t 2 P. r.� .1 _., � I R Z� 7A 2.�r_ � .J S � A -T � u - • �o M 1 �Z-r �.. 5iS SG' � Llys -AniC,N-%' OR- O cC es, -'T�t C, N7 e oc L EVE R i L Tizu,)T }i_�.1.• A" tC� S�-l�A� A�.1� �%-ot1L tofltc,.tw)c-.— ��.ZAt� 9�14�5-9-�wc►,C -A��� 00A►t'.TZ-C;-7 Lou), U A ��� —"r2fl �� ay -� A(LD �fl�.� ►J 5 w��+� �J - C. aw..\r` i 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 ,:*he locations of the work inspected only and does not constitute engineering opinion or project control. - CERT. NO. INSPECTOR NAME J G.. S—f L) E 13 5 (Prim Cleary) . DATE INSPECTOR SIGNATU r - - � ��.y�,.t,.,r•w' HSI'S�'+'hwf^�'r��..^��`.^'1^�"�"' _�/ 'A`..+�"'„"Ni1Ji.'V�Y�i�!•�S'.I('1nYA'�1•�••'./�ls„'.itirY� Y1X`�"�'�n.'��..+.n. �. Page _ of DAVE STEAVENS -Inspection Services PROJECTPROJECT # a v0 / — o 3 ADDRESS - 5 Sr 1.01, (.,0,7 CLIENT 77-&A uJe—S T Ho of .PLAtJ /I BLDG. PERMIT # ENGINEER1, )„J _SAJy t C .ryL INSPECTION TYPE CPax 4 DATE 9 41e G Zwo / ARCHITECT (r=)oC d * Ae_C 4 r Tecru t2r_ #CONTRACTOR,0 L m A R. Pke-tGi L INSPECTION REPORT en -S'89 da�c�c� ��flLj 4 .REb',a - a2 L.UG- S - /NO C C S - / of t �.U� Prt4 ' , r.D t f� - i° 0 () S 17 rL SIU CST o P/6 rr p t 1r1. „ Cr i„ i-7 I/g ' •t '4 -AR 1,�ie NT t_ �l - t AC.S- a�ZS - 1 Z � PT�-1 k1 3lyr (A • �aOS ' 1 to LClllo�-M z/R Z1 riA ��yZt�� • o� LO L5 - at_..�.5' � .�. 1� E.1�"�-Itiy g 4�� D�� �1 OLS " / L� . L U�}l.T_N-' /g � ►fl. A 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 16he locations of the work inspected only and does not constitute engineering opinion or project control. CERT. NO., -4' !8` Q INSPECTOR NAME` �E S4'cm t1,�"15 (Pr'nt Clearly) �-.•� DATE 9 u r"n I INSPECTOR SIGNATURE-'_-• �-Aa- tZ& CrCiR a U.)C-S• 1404 1 aZ 1EtyrH 3/4 .AiA Z'-eb ,�, ' ,�. t_ O LS - n t �� ^ I �_ C1 G PTt-I tl (A . �J C��j - 1 C . CeJ C� i N lR Z to . RMO_ CA --,-T L t t� " T GvL- 4/04'c- boa t 3 t'T►� 14 D'A . (c e� - I(a t_e a ai `T►; E3 A I=S-r L 00C_ - i-�o���r la.�� '�T►1 (��t�tA. I�r,�' I%���UI�TI-1 ? `ci (JCA. G) to n CRM -1 1 h l A . 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 16he locations of the work inspected only and does not constitute engineering opinion or project control. CERT. NO., -4' !8` Q INSPECTOR NAME` �E S4'cm t1,�"15 (Pr'nt Clearly) �-.•� DATE 9 u r"n I INSPECTOR SIGNATURE-'_-•