0004-0097 (MFD)47750 Adams Street
LICENSED CONTRACTOR DECLARATION
I here, 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. Date
7216 ,.. n C
Date S 4 Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 TANNER I148BROKE Policy No. WC1-1196954
(This section need not be completed if the permit valuation is for $100.00 or less).
() 1 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' compensationprovisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions -1.1, -__1
Date:: - iP. C t 3 Applicant, If`
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to cnnainAl 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 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 pines
Signature (Owner/Agent f" I . ,. Date
i BUILDING PERMIT PERMIT#
DATE , (( ry VALUATION qq r. aye .yam LOT a7 TRACT 4+ _ry r
F+.38 0, I a7 9M W -S .9 -654
JOB SITE
ADDRESS 41-M IMAMS SIMM
APN
649„030„06
OWNER
CONTRACTOR / DESIGNER / EN (NEER
THE SPtU'CS CORPORATION
THEe SPA140S CORPORATION
$029 1AMAP.TDRIVE :5U A2
1341 W RQBMH(>OD D.P.,
RMRSME CA 92507
SOUTH LAS VEGAS XV 89109
(9,09)786-0-177 C'1 of $906
L&NCR PEPPER ARMITIXTO
USE OF PERMIT
lvl l{ Ti-1? Y DV4M!_JNG
4625 W .fLWNIFF.R, SUITE 101
def. rlJ 3'NI fS-BU1 L DI1gC t2jT 'P81. PERMIT 1=5 NOT iNC'LUD&
6Lr AILS OR POOL
PORM)IFATIO 11032.00 8F
BREEZEWAY 536.00 SF
APARTMEWT UNIT 0336,00 :3F
XbTIMATM COST OF CONITMUC2TON
38%M.20
PEP".TIM S1 bomy
i ) Al Clik',CiC I 101-000-439-318 '$110$2.0
CONS1'AUCTION ?FIE 101-000-r+i$-000 51,633.00
MCr.CN.AN16.t1.LFEE 101.000.421.000 $332,00
R14CTRICAL PEE 101-000-420-000 54102
PWMBIWO FRE 101.000-419.000 $540.00
STROT40 MOTION FRE , R.ESiD 101-000-241-.000 $39.07
hs
_
GRAA,t5J1dc3 PRE 101 i-000- 423.000 $20.00
r • -_
ALIT IN PUBLIC PLACES R&SIE 70'1-000-25:5-000 $451:02
»
DE'VELOPFA IMp,A.CT ,FE.E $%608.00
w ...
gti13-TOTAL t9bNS .UCYLON.t PLAN C CK
67.48
IYSS PRE -PAW FEM
4D $OM
TOTAL PUMVITw 6 DVEE If OW
514,167,0
1111111
VIII III VIII IIII 24
.IE
RECEIPT
DATE
I BY —
Dqj ND
/ !/ AL
INSPECTOR .. ;,.
A
�
_• 4
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
t:
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
INSPECTION RECORD ;
` OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
t:
` 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 DeckzqU
Exhaust Fans
OX 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
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
Encapsulation
Gas Piping.
Gas Test
Appliances
Final
COMMENTS:
,
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)
7
47750 Adams Street
Aug 15 01 01:17p Aventine Rpts
4
}
3
qJT- Y OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
` SOF 777-7012
ZtlIJO INSPECTION REQUEST LINE
777-7153
owner THE gPANOS CORPORATION
Contractor THE SPANOS CORPORATION
Permit Number 0004-097
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 47-750 ADAMS STREET
MFD-BUILDING 12 TYPE 1 -PERMIT DOES
NOT INCLUDE BLOCK WALL OR POOL.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING:
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS 8 GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING 6 VENT -A/C
FIREPLACE
ROOF _ C
BOND BEAM
O.K. TO WRAP -27
GROUT ❑ 4' ❑ 8'
FRAMING ..
INSULATION - . a( -
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR //.. /( A
EXTERIOR LATH ( C t
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK `] • % ? 1
FINALS
ELECTRICAL O
PLUMBING
FINAL GAS TEST 2. O
HEATING • A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
V. 115- nu i Vru irtce nn Mnl lov 01 In nikjr-
i
W'T OF LAQUINTA
BUIS SAFETY DEPARTMENT
• �° -
777-7012
INSPECTION REQUEST LINE
MAY 3 3 2t1� 777-7153
TNOS CORPORATION
Cadractor THE SPANOS CORPORATION
Pwmit Numtw 0004097
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
,108 ADDRESS 47-750 ADAMS STREET
MFD-BUELDING 12 TYPE I -PERMIT DOES
NOT INCLUDE BLOCK WALL OR POOL.
rfPE OF INSPECTON DATE INSP.
CONCRETE
®O NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
O.K. TO WRAP
GROUT ❑ B ❑ w
FRAMING
INSULATION
—mr ftA/1G
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
w
Certificate of Occupancy
City'of La Quinta
Building and Safety Department
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. For the following.-
BUILDING
ollowing.
BUILDING ADDRESS:
Use Classification: MFD
Occupancy Group: R1
47-750 ADAMS ST
Type of Construction: VN
Owner of Building: THE SPANOS CORPORATION
Building Official
Bldg. Permit No.: 0004-097
Land Use Zone: CR
Address: 1241 W. ROBINHOOD
City: LA QUINTA CA 92256
By: KIRK KIRKLAND
Date: 7-12-01
POST IN A CONSPICUOUS PLACE