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0004-0105 (MFD)47750 Adams Street LICENSED CONTRACTOR DECLARATION I'hereB;.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 721664 B OQ130`2C ,2 1-ta(J (/e Date _ Signature of Contractor ` _„ •--: --- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I amjexempt 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 perfgrmance of the work for which this permit is issued. (\0 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: Carver TANNFRINS BROXI Policy No. W101-1196939 (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 Sectio 700 of the Labor Code, I shall forthwith comply with those provisions. Date: w. _21-r1t) Applicant»... Warning: Failure to secure W rkers' 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 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 o this City to enter upon the above-mentioned property for inspection purposes-"' Signature (Owner/Agent) L—L. .. --c Dates BUILDING PERMIT PERMIT# J DATE. `I - fir` 1 VALUATION LOT TRACT r y f} JOB SITEe A ADDRESS 47^ S+ irWS S'Lk f sa APN OWNER CONTRACTOR/DESIGNER/EN (NEER . SPANOS COMRA17014 '1 SP.ANOS CORP01<.p►'1ICU 1341 'W; ROP&MOOD DR. 1341 W.12013MOOT) :DIS, SOI: Tli IM ` L?GAS NST 89109 SOIY'I13CLAs CCAS ITV" 89109 (909)786.0777 CBL# 3906 USE OF PERMIT _MULT[-FA. MY DWELLING MFV—UN1T5 . BU1LLD1XQ ,TYPX 3CI- PEWIT DOES NOT INCLUDE OLW,KWALL OR POOL OARAGEICARPORT 11200.00 OF APARTMENT UNIT 7,660.00 aF k1UFZBWAY $36,00 OF PORrwHIP A.TIO 1,032.0013P F.81"AWRID COSY' OF CrOWWiIC:'1'1ON 402,166AO : t PLAN CHECK I+' 101-000,439-316 $1,330,59 CONSTRUCTION FEE 101-000-41.8-000 $1,990.00 w F MECHANICAL YEE 101-000,421-000 $3M100 ELKITP cAll FEE 101-000-420-000 $639.41) PLUMBING FES 101.000.419.000 $684.00 STRONG MOTION FEB • RESID 101 -OOD-241-000 $43.22 ORADMO FEE 101-000.423-000 $20.00 A-qT fN PUBLIC PL&CM - P..BSit 701-000-255_^000 $70641 DEVE VIPER IMPACT F9Z $9,b06.00 t. ? STM -TOTAL CONS`MUMON AND PLAN 0.71,M $15,399:63 1,LMUS PTti -PAID FM U 00 TOTAL Pwmm "ME DDE Now IIIIIII VIII III VIII IIII 18 ,I IE RECEIPT DATE BY- DF FSE / INSPECTOR f air ' r INSPECTION RECORD OPERATION DATE INSPECTOR BUILDING APPROVALS Set Backs Set Backs Forms & Footings Electric Bond Slab Grade Steel Bond Beam Roof Deck Approval to Cover O.K to Wrap Framing Insulation Underground Electric Fireplace P.L. Fireplace T.O. Final Party Wall insulation Gas Piping Party Wall Firewall APPROVALS Exterior Lath Electric Final Drywall - Int. Lath OPERATION DATE INSPECTOR MECHANICAL APPROVALS Underground Ducts Ducts Return Air Combustion Air Exhaust Fans F.A.U. Compressor Vents Grills Fans & Controls Condensate Lines Final Final I I 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 _.1-rl/ I Ae Final COMMENTS: Final k/.lti,J !J f✓-v_..�� 1 —`!y- Q ! %.� ELECTRICAL APPROVALS Temp. Power Pole Underqround Conduit Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Notice s CITY OF LA QUINTA', cFbo 31 BMWING & SAFETY DEPARTMENT..' 777-7012 OJECTION REQUEST LINE GGtI "" 777-7153- Owner 77-7153-Owner THE SPANOS CORPORATION Contractor THE SPANOS CORPORATION -10 Permit Number POST ON JOB IN CONSPICUOUS PLACE �p INSSPQEpCCTEO�R MUST SIGN ALL APPLICABLE SPACES RPA UILD NOT INCLUDE BLOCKWALL OR POOL TYPE OF INSPECTION DATE \ INSP. FOUNDATION & SETBACK �J 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 7 -25 --or x - o— DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST HEATING & VENT -A/C FIREPLACE BOND BEAM O.K. TO WRAP GROUT O 4' O 8' FRAMING s ��- INSULATION .l PRE -ROOF COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR v/_ C A - O / 51 EXTERIOR LATH POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK FINALS ELECTRICAL L 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 a ,47 CITY OF LA OUINTA a 1"WING S SAFETY DEPARTMENT i 777-7012 i J m2ECTION REQUEST LINE 777-7153 THE SPANOS CORPORATION Ownw j aTHE SPANOS CORPORATION Confroo 0004-105 Prm.it Number POST ON JOB IN CONSPICUOUS PLACE ' INSPECTOR MUST SIGN ALL APPLICABLE SPACES ' M FD -WD NOT INCLUDE BLOCKWALL OR POOL TYPE OF INSPECTION DATE F INSP. FOUNDATION a SETBACK - c + FOOTING STEEL 7- // -W*� MAIN GROUND SYSTEM GROUND PLUMBING PRE-GUNITE DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED CONCRETE SLAB JOISTS A GIRDERS ELECTRICAL GROUND WORK + D:Tot DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ' ROUGH PLUMBING ROUGH GAS & GAS TEST - HEATING 3 VENT - IVC FIREPLACE _ ROOF L BOND BEAM O.K. TO WRAP - ::-J GROUT ❑ 4' O 8' FRAMING Gd INSULATION -/ PRE -ROOF I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR I O - O A - O / I S.T. EXTERIOR LATH POOL PRE PLASTER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING hN 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 STREET BLDG # 4 Type of Construction Owner of Building: THE SPANOS CORP Building Official Bldg. Permit No.: 0004-105 VN Land Use Zone: CR Address: 1341 W ROBINHOOD DR City: SOUTH LAS VEGAS NV 89109 By: KIRK KIRKLAND Date: 2-08-01 POST IN A CONSPICUOUS PLACE