0004-0099 (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 # Lid: Class Exp. Date
721664 nf)/2(
Date i ' Signature of Contractor \
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 TANNERMS. BROKE Policy No. WC1.1196559
(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 shallorthwith.comply with those provisions
Date: L, - I " C Applicant- w L -• X
Warning: Failure to secure 44kLrs' Compensation coverage is unlawful and
shall subject an employer to crimi0penalties 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,ofethis City to enter upon
the above-mentioned property for inspection purposes./
Signature (Owner/Agent) .t . Date* S.
BUILDING PERMIT PERMIT#
f
000"99
DATE VALUATION LOT TRACT
JOB SITE
APN
ADDRESS 47-M ADAtMS &MET
649-00-& 6
OWNER
CONTRACTOR/DESIGNER/ENGINEER
TM SPANOS CORPORAnoR
'.C!- E SPANOS CORPOIiA`t'ION
1341 W, R0MM001) DR.
1341 W IMMOOD Dat,
SOUTH LAS VF(2AS XRT . 89109
SOUTHLASVEGAS N`si 89.1109
(909)`2861.077' (MVA 590611
USE OF PERMIT
)dLi n-FAMl' Y DWER13 G
M'P'O- UNITS-501.I.:I INCTYPE 20 PERMIT DOES NO'.P INCLUDE
SWC 'A1,1., Ott POOL ,
MPORT 1X0.00141
APARTMENT UNIT 14,1045.00 SP
P01WHIPATIO ?'"4.00 OF
BREEZEWAY 1,472.00 sy
MUMIND IND C(M OF COMMM 113®1 '
Pt LTFT"JE i iI14. 9
PLM CHECK FEE 101.000-459-318 5 ,279,70
t
CONSTRUCTION 1-7e.9 ,101-000.418-000
MFXM' ANJCAL FEZ 101-000-421Y000 $716,00
~
ELr,CTRICAL FIDZ -1 tat-000-4M0t14 $1,066..12
:-
'
PLUMBING FEE 101.000.419-000 11,2200
STRC(NO MOTI 14 FEE. REBID 101-000-24E1-000
GRAi3I1 M WE 1011-000-423-000 Saw
n e;
ART TAT PUBLIC PLACES - RESSIt. 701-000-255-000 $1,576.00
t°"•
t EVE.Lt PFR IMPACT FEE 1'19,226.00
. mil
W&TOTAL CO1dS'i UCTIO AND PST C' CK
$29,427.20
1 S PREPAID F
$0.00
$29,427:20
1111111
VIII III VIII !III 42
IE
RECEIPT
DATE
BY -14-1
I D T INALE
INSPECTOR
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
Q--2
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 - 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
lJ
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
s
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)
id
;.
.,
PLUMBING
FINAL GAS TEST !
HEATING -IVC
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER r
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO ,
TURN ON UTILITIES OR OCCUPY BUILDING
y•. w: -
CITY OF LA QUINTA
_
6UIUW;0 3 SAFETY DEPARTMENT
'
r
777-7012
MAY S 2Q SPECTION REQUEST LINE {
'
a t. ::3
`'
777.7153
O" THE SS CORPORATION +
ICon
tTHE SPANOS CORPORATION i
I' {
0004-099
Prank Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES'
I.
�..
RFD-QBURESS
E
NOT INCLUDE BLOCKWALL OR POOL '
I . '
TYPE OF INSPECTION DATE INSP. I
FOUNDATION
i SETBACK
p I;
FOOTING STEEL ;
3 ' ' n
��:•
MAIN GROUND SYSTEM
ft,
GROUND PLUMBING
PRE-GUNITE
00 NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
,
JOISTS & GIRDERS j
,;j
In I
ELECTRICAL GROUND WORK
?( .� I iii
-
(J4•l -
"
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC I
"
ROUGH PLUMBING
' : E*
J.y :ry • l 7
ROUGH GAS d GAS TESTdL
HEATING a VENT- A/C
;
FIREPLACEFr
3•.:�lF
: 3tt f i i. �a1
"ROOF _ L. _ '
r !�
BOND BEAM I
O.K. TO WRAP <1t i
T. till 11
GROUT ❑ 4' ❑ V
• '
�t
FRAMING - -• I
:jy
INSULATION ! i
-PRE -ROOF v:
'
us
OVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH �' I
POOL PRE PLASTER
POOL FENCE & GATE +
SEWER SEPTIC TANK
FINALS i
,_•: f
ELECTRICAL
id
;.
.,
PLUMBING
FINAL GAS TEST !
HEATING -IVC
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER r
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO ,
TURN ON UTILITIES OR OCCUPY BUILDING
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:
Use Classification: MFD
Occupancy Group: R1
47-750 ADAMS ST BLDG #5
Type of Construction:
Owner of Building: THE SPANOS CORPORATION
Building Official
Bldg. Permit No.: 0004-099
VN Land Use Zone: CR
Address: 1341 W. ROBINHOOD DR. .
City: SOUTH LAS VEGAS NV 89109
By: KIRK KIRKLAND
Date: 4-25-01
POST IN A CONSPICUOUS PLACE