0101-0324 (SIGN)44996 Adams St
LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. ate{
Date _. ! Signature of Contractor e
17
OWNER -BUILDER DEC, 4ARATI N '
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 Policy No.
STATE MID
(This section need'hot 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 the if I should become
subject to the workers' compensation provisions of Se ion 3700 of the Labor
Code, I shall fodhwith comply with those'privisiah '"
Date. J Applicant of 1 "''
Warning: Failure to secure Workers' Compe4isatl n coverage is awful 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 hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on hid m
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/ta
ws relating to the building
construction, and hereby authorize represeofthis City to enter upothe above mentioned property for 'spectio s..
Ai
Signature (Owner/Agent) Date - a4
BUILDING
PERMIT PERMIT
DATE i jw + VALUATION
LOT €1.01-324 TRACT
JOB SITE
ADDRESS -
-
APN
44-9%' ADAMS
OWNER
CONTRACTOR / DESIGNER / ENGINEER
M IM J EJASIMS
25M S DEMOPMM G.R. DUMMID
2300 E i.&iQN: T CLUB
671 980 I'DaTEItM ice.
PATIAf_ ':E4ING!,3'
CA
CA;i'T.*7)P_A ;. arm, CA 92234
(?6,D)37.7.6,5 43 MBLA 6286
USE OF PERMIT
UE -NERAL BU LTi G
(1) MONUMENT WN A.:; PER APPKI -21) PLANS fJ'NLY
VALUATION
5001 DO L2
.S'wa3&.6E RtltRIXID COST OF COIN iTRU3. 7,lALAN
50IJ"rw
PLAN CHIr1Z RM
101,-000.439.318 $9.75
C.ONSTRUC,i'1CY -1 FES
101-000-418-000 1115.00
` I.,F. 4"8 ':D 1 ' 7' iD 3f.F '+`3
w`G►, ifCJ
C 6 TOTAL $'ERRS' YNOMUE NOW
*574,7t.5
FES 23 2001 p
✓ITY (r(Uin` °
. III Illlllllll
VIII 14
.U
RECEIPT /
DATE ">
BY t' /i: `` `
DATE FINALEO
INSPECTOR
f
INSPECTION RECORD
" OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Formst.& 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 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS'- SPAS
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
Equiphienf 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)
'COMMENTS:
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
January 10, 2001
Mr. and Mrs. Mark Hastings
CFirst School- of the,_Desert
2300 Racquet Club Road
Palm Springs, California 92262
SUBJECT: SIGN APPLICATION 2000-526
Dear Mr. Hastings:
rlt4
(760) 7.77-7000
FAX (760) 777-7101
On January 9, 2001, the Planning Commission, on a 4-0 vote, adopted Minute Motion
2001-002 approving your request to install a permanents monument sign for your
future preschool facility at 44-996. Adams, Street,, subject to the following condition:
A. Prior to obtaining a sign permit, the height of the sign shall be lowered
to a maximum height of six feet. The final graphics for this sign
application shall be approved by the Community Development Director.
The Planning Commission's decision may be appealed to the City Council pursuant
Section 9.200.120 of the Zoning Ordinance, provided a written appeal and filing fee
of $175.00 are received by January 24, 2001. Please contact this office for
assistance should you desire to file an appeal.
Prior to submitting your sign application to the Building Department, please submit four
copies of the revised plans to this Department for final approval. Three sets of the
approved plans will be returned to you.
Regarding your building permit issuance application, please contact the Building and
Safety Department at 760-777-7012.
Once a building permit has been acquired, please contact the Code Compliance
Department to arrange an on-site visit during the installation of the building signs (i.e.,
24 hours in advance). They can be reached at 760-777-7050.
Itr SA 526 Hasitngs PC - 46greg •�
If .you have any questions, please contact me at (760) 777-7067.
Sincerely,
JE Y HERMAN
C NITY�DEVELOPMENT DIRECTOR
z
U90ELL
soca
c: Community Development Director
/Building and Safety Director
I
Itr SA 526 Hasitngs PC - 46greg
Nov -10-00 09:25A kb Leung str eng 909 9447983 P_01
Ker. B. LCUr•G AND ASKKJAIE`.•. !'qi:..
^.i In 10. -.4A {.A :" ii_!j
November 9, 2000
City of La Quinta
Re: La Quinta PreSchool 141-W 4, 04?K5 S7.
To Whom It May Concern:
According to my calculations; the foundation concrete may be f = 2500 psi instead of the 3000
psi noted on the plans.
Please accept our adjustment to the plans.
Sincerely,
Kar Ban Leung, President
K. B. LEUNG AND ASSOCIATES, INC.
KBUIsc
AR
HRISTOPKiR S. �Iij. S
10,0. 0 5157
REE.�i�
w
16:32
CHRISTOPHER MILLS AIA FAX NO, 6193276872
P. 01
Fax Transmittal .
Date: 9 mar. 1 Project Name: 1 1 r64 Schon I OT -Ph e JWI
In _ 1 % t 3 of `t - 8og a- Qu; h44— I
is M,i I.1S tom Hcj [ecK 3a'4-
Q . 3 i�c5 . -71 -7 o I I
WE ARE SENDING YOU THE FOLLO'WIN'G ITEM
<V0 I Pages Description
f YC.�► ► -�C f- 'S e V I e
4
1 Total No. of Pages
Comments: (including this page)
{�f
i.
PLEASE CALL IF ALL PAGES ARE NOT RECEIMD (760) 327-X184
Fax Number (760) 3274872
t
255 E. RAMON ROAD 0 PALM SPRINGS • CA • 92264 • 760 327.1184
MIM
=l=
CHRISTOPHER MILLS AIA
PHEt� e. MILLE)
ARCHITECT INC.
FAX NO. 6193276872
9 March 2001
City of La Quinta
Building Department
78495 Calle Tampico
La Quinta, CA 92253
Re: La Quinta Pre -School
To Whom It May Concern:
As the Architect of record, I have reviewed the project as of
7. March 2001. To the best of my knowledge the structure meets the
approved plans and specifications.
LChrlopher S. Mills
cc: Mark Hastings
P. 02
ROAD 9 PALM SPRINGS • CA • 92264 • (7601 327.1184
REGISTERED INSPECTOR'S WEEKLY REPORT
JON TANDY
37630 Medjool Ave.
Palm Desert, CA 92211
Office (760) 772-7192
Fax (760) 772-7193
Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY �B/%}� 6�#Vled VIII-JAIZ%.
❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER
❑ REINFORCED MASONRY ❑ FIRE PROOFING
JOB LOCATION -
O T
r-
REPORT SEQUENCE NO.
TYP OF STRUCTU E
06_
PE MIT N0. _
D TE
DAY OF WEEK
MATERIAL DESCRIPTION
AR !iTECT
c75e/ :�' / f
IN PECK
�'J`
NRS. CHARGED
ENGINEER
ASSISTANTS
HRS. CHARGED
INSPECTION
DATE
GENERAL
CONTRACTOR k
SUB '
CONTRACTOR
df 1
OA--seeveo
2 1,N- or -15//Q// o4 -W17-e
&64501)1
46AI 7- Al v
- 50, -
i — It -0C- AZZOA-6
OU MA 1 -
o
�aTE e
o t1c
1EIO
02 6N% O
ff
E/'o WA 61-67AIAl
2
0 l E,e / 1tow �.
T (o D
COPY SENT TO CLIENT O
CONTINUED ON NEXT PAGE O
PAGE
OF
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV
KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED
PLANS. SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS.
SIG AT RE OF REGISTERED INSPECTOR
0370V -4?Y
TE OF REPORT REGISTER NUMBFR