0004-0098 (MFD)47750 Adams Street
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 # Li'V Class Ezpi Date
721664 D q, 0L4130/"tt
Date t -Uta Signature of Contracto)__Ik_"r ," --^---- ----
r I 1,
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.
1 ) 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:
CarrierPolicy No.
TA1d1+iER 1NB: BROYI WCl-1196469
(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 700 of the Labor
Code, I shall forthwith comply with those prov .Ions.
Date: r - i- 126 ApplicantN_
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to crAin ael 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'ihi-%City to enter upon
the above-mentioned property for inspection
purp.
Signature (Owner/Agent) - t. - ` -- Date.' ' ' a 60
BUILDING PERMIT PERMIT#
DATE„ fr VALUATION LOT 0004-M TRACT
JOB SITE
ADDRESS 4 7- 750 Aa)AXIS VnMa
APN
649-W"36
OWNER
CONTRACTOR/[ESIGNER/EN (NEER
IM SPANOS CORPORATION
TM, SPArr08 CO O"170N
1341 W, ROM-100DM
1341 W. i OWNHOOD DR.
eoinwLAS VWAS MV 99109
>O'S M 1 S VEC NV 69109
(309)786.0777 Cwt 5906
USE OF PERMIT
MPDI :, UNITS-BUILIDIINCI I TYPE 2 PERMT DOES NOT INCLUDE
BLOCKWALL OR POOL
PORMP.AT10 2,064,00 8F
i3PX=W'AY I,S'f'i1.b0 sr
APARTMENT UNIT 14,106.00 $F
►'6MA1XD COST OF C0N.Vr1117CM014
84 .9 9.6i3
P=1 M FEE Ot;i11MA.RY
PLAN CHECK FEE 101-000.439.318 SATS&;1S
CONSTRUCTION i
N
:y
y
INSPECTION RECORD
-' OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
'Set Backs
- —rry
Underground Ducts
Forms & Footings
-
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
r
Exhaust Fans
OX. to Wrap
F.A.U.
Framing
l _GCI
Compressor
Insulation
L R r.J
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
�, L
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
I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines'
Heater Final
Water Piping
Plumbing Final
'Plumbing Top Out
_ (:,-E)
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
'..Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
'Appliances
Final
COMMENTS:
7Gt� U �- i • ;z S —
Final O
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
Utility. Notice (Perm)
I
47750 Adams Street
I ( R QUINTA! ^
• cFboFo BUILDING & SAFETY DEPARTMENT`_..'
-
INSPECTION REQUEST LINE ;
Owner THE SPANOS CORPORATION_M
ContractorTHE SPANOS CORPORATION-' -
0004-098
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
pINSPECTOR MUST SIGN ALL APPLICABLE SPACES
Mll-RV M2-FERMIT DOES NOT
INCLUDE BLOCKWALL OR POOL
TYPE OF INSPECTION
DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
2 0
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS IkEEN SIGNED
CONCRETE SLAB
• 7 -GV
JOISTS & GIRDERS
-
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED,
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
_.
HEATING & VENT - A/C
j
FIREPLACE
-
ROOF
BOND BEAM
O.K. TO WRAP
—
GROUT 0 4' O 8'
FRAMING
INSULATION
RC1•
PRE -ROOF
'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
OEW R SEPTIC TANK
FINALS
ELECTRICAL /
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
•> VTV OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
-7012
Z 777-7012
REQUEST LINE
�•� I': - :EPlr. 777-7163
Owner
THE SPANOS CORPORATION
ContradorTHE SPANOS CORPORATION
0004-098
Porrn t Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
RFD -BU
INCLUDE BLOCKWALL OR POOL
TYPE OF INSPECTION I DATE I INW.
FOUNDATION & SETBACK
FOOTING STEEL 1 —77_ a. /
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS 6EEN SIGNED
CONCRETE SLAB 1 7 •'7 -ltd I d7Zo
ELECTRICAL GROUND WORK
-o PLS`tj
-
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT - IVC
FIREPLACE
ROOF
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
FENCE & GATE
A*ftR SEPTIC TANK
FINALS
1 ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
I
�; I
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 ADDRESS: 47-750 ADAMS ST BLDG
Use Classification: ' MFD Bldg. Permit No.: 0004-098
Occupancy Group: R1 Type of Construction: VN Land Use Zone: CR
Owner of Building: THE SPANOS CORP
Building Official
Address: 1341 W. ROBINHOOD DR
City: SOUTH LAS VEGAS NV.89109
By: KIRK KIRKLAND
Date: 2-1-01
POST IN A CONSPICUOUS PLACE