0004-0106 (MFD)47750 Adams Street
LICENSED CONTRACTOR DECLARATION
I herC'oy;m under penalty of perjury that I am licensed under provisions of
Chapter 9 ;Commencing with Section 7000) of Division 3 of the Business and
FTOfessionalS Code, and my License is in full force and effect.
License #1 td Lic. Class Exp. Date
} ,r I
721.664 B '% J30/2(
Date, - ' -La L? 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.
(V' 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 , J 1 0 RROU Policy No. WC41.1196939
(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 Section' 3700 of the Labor
Code, I shall forthwith comply with those provisions. ✓ r
Date: ''- I - b- 'Applicant , Y' .,° r
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to crimina0penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representativesldi this City to enter upon
the above-mentioned property for inspection purpos s.
Signature (Owner/Agent) `. .. G ''' Date
BUILDING PERMIT PERMIT#
DATE.r "'7 / VALUATION LOT ()GIT 406 TRACT
' 160 ; 2,166AO SD99.654
JOB SITE
ADDRESS 47-750"A.E+0 N STPERT
APN
6494)-036
OWNER CONTRACTOR/DESIGNER/EN &NEER
IM SPPSOS CORPORATION TBE VANOS COR PORA170N
1341 W, R0B11 0O1> DIL 1341 W, ROEW1:00D DP.
SOIT114 LAS VE NV 69109 SO= LAS V FCTM NV 891 09
('909)766•01777 OSP 5906
USE OF PERMIT
M=11-FAM1LYDWMLUXG
M.FD-IA UNITS-SUILDI` O 14 TYPE iii• PKRMJT DOES NOT INCIrUUE
BLOCKWALL OR POOL
PORCHIPA.110 V
GARa9:4 IMC""AP-PORT 1,290,00 SP
BR=EWAY 336.00 SF
APARTMENT UNIT 7,680.00 SF
NS=i'`il"171) CWT Ol, 0(?BrMUC:t.JOW
482,,166.40
P1xT2h fl: ; sl t". ; SIIk94ARY
s
13
FLAN CHECK FEE 1tllaCli=J 43?w31$ 51Na30.i4
_ •__
CONSY'RUCTION FEE 101-000-418-000 31,980.00
MECHANICAL WE 101.000.421-000 $384,00
EUECTJUCA1.. I? 101-000-420-000 $09.+10
^^ , . t c 1
PLu4BINt3 Pa 101.000.419.000 $684.00
STRONG MOTION F IZ - REBID 101 -WO -241-000 $45.22
101-000-423-000 $20.00
ART IN PUBLIC PL&CES • R.ESIr 101-000-2.55-000 M5.42
—f
DEV'E1o0M IMPACT FEW,3v,6i13.00
SUB -TOTAL C.`ONRi=MMON AND PIM C'1MCK
$15,399.63
LESS PRE -PAID 13M
$0.00
TOTAL PEST ir•M DUE NOW
IIIIIII
VIII III VIII IIII 25
IE
J
RECEIPT
DATE
BY T( r
DAT ALED
INSPECTOR
#.».(
LA
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
99_
Exhaust Fans
O.K. to Wrap
g(L/
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)
s CITY OF LA QUINTA
�cFboFo� BUILDING & SAFETY DEPARTMENT
e- - * -7777012
PE
' - -INSCTION REQUEST LINE
s�ppyy 1 nnnnnn 777-7153
Owner PMS CORPORATION
ContractorTHE SPMiPFCORPORATION
0004-106
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
47-750 AJDAMS STREW—
JOB ADDRESS
MFD-BUILD 14 TYPE 3GPERMIT DOES
NOT INCLUDE BLOCKWALL OR POOL
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK -j
FOOTING STEEL Ca
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
S- -,f 1 70-
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT- A/C
FIREPLACE
ROOF 2— - G -i
BOND BEAM
O.K. TO WRAP
G 8'
RAMING
ULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR p
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL / -p
PLUMBING
FINAL GAS TEST n L�
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER _
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TI JAN ON I ITII ITIGC no n (I IDV RI 111 r11Nr.
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
Bldg. Permit No.: 0004-106
Type of Construction: VN Land Use Zone: CR
Owner of Building: THE SPANOS CORPORATION
Building Official
Address: 1341-W ROBINHOOD DR
City: SO LAS VEGAS NV 89109
By: KIRK KIRKLAND
Date: 7-26-01
POST IN A CONSPICUOUS PLACE