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0004-0107 (MFD)47750 Adams Street LICENSED CONTRACTOR DECLARATION i'nereby 4ffirm 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 B ''04/30121; Date . ^ 1 611 Signature of Contractor ` OWNER -BUILDER DEf LARATION 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 TANNER W. FSROK]i Policy No. WC1-.1196959 (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 provisionyf Section,3=700 of the Labor Code, I shall forthwith comply'With those provisions. Date: <' l Applicant . Warning: Failure to secure Worke\! Compensation coverage is unlawful and shall subject an employer to crirrtjnal.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 inspectionpins! Signature (Owner/Agent) l j Date `'-*)" BUILDING PERMIT PERMIT# DATE,r• s VALUATION . t ++►► LOT 4'` ' TRACT > U 99"654 Q`sO ,.r.6PJA D 31) ✓ JOB SITEV ADDRESS 47-7 Qr' AXa 7,Sb.ii-'R APN 649.030-t7.1ls OWNER CONTRACTOR/DESIGNER/ENGINEER 17W, SRW0S CORPORATION' THE SANOS C©RPORA1109 1341 W, ROBIVIR-00D DI , 1341 W. ROBINI-1000 OOTJTH LAX VEGAS NV 89109 80UrH LA 8 VWA 8 W 89109 (909,)786-07.17 f B1.40 5906 a ' USE OF PERMIT muLTI IFAMMY DW11- 1V1FD->P,, illd°1T-BUItJDIN0 J7 TYPIt 30. PERMIT DOES NOT INCLUDE BLOCICWALL OR POOL PO)tCHWA TIO 1,032.00 SF aA•.RA.GWCAR,PORT', 1,280.00 file BRZEZE1AY 336.00 3F APARTMENT UNIT 7,620.00 SF ESTDMAM COST OF COIQSWUCnON 482,1.66AO )P'T:itYW FEE Sit A' PLAN CHECK FEE 101.000-439»318 $1,330,59 CONSTRUCTION PER 101-000-4.18-000 $1,900.00 WC}1MICAL FU 101-000-421-000 }Pd::WPW At.II FEE, 101-000-420-000 ri l : PLUMNO F198 101-000-419-000 $04,00 STRONG MOT1014 POP - MID 101-000-241-000 $43.23 GRADINO FEF 301-000-423-000 $20.00 .ART 1N PLIDJJC PLaAM--S - }tL°SK 701-€ OD -2:5:5.000 $705-42 DEVELOPER IMPACT Fri . iJTS-TOT, Y,. dk7'S `1i: 'C'y.° 023 A2 T T 7,.AN Crf1i C 15,3 .63 r•+q •,(1;sg3 ,1y='ykj%yE -1 ►it31_'' r1. f3 `:0.9SSt,*rwiff .T3 N.L!"J, meow S .y 1C 0j ?dt.7 "eiTa7 IIIIIIIIVIIIIIIVIIIIIII 28 „r * IE RECEIPT DATE BY{J 1 I tNv I D INAI ED INSPECTOR 4 INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR b, BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Q ' t0 Exhaust Fans O.K to Wrap _ —p / F.A.U. Framing —O( Compressor Insulation tib"^ Gf — Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath - 0y 7 - 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 Water Piping Q® Heater Final 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 T10 725 __0 Appliances Final COMMENTS: a 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 J lof oe Utility Notice (Perm) - d/ -750 ADAMS b 1 KLZ t I NOT INCLUDE BLOCKWALLS OF POOL ' 4 ,i, TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK FOOTING STEEL MAIN GROUND SYSTEM L " GROUND PLUMBING PRE-GUNITE DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED CONCRETE SLAB JOISTS 3 GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ` , x...,p. ;, #� w ,�- F i I' ROUGH ELECTRIC I ROUGH PLUMBING ROUGH GAS 3 GAS TEST 'a I HEATING d VENT - IVC FIREPLACE ROOF sem_ S BOND AM O.K. TO WRAP C GROUT ❑ 4' ❑ S' FRAMING I ;S- A 91ffC;X4*Z- PRE -ROOF C VER NO WORK UNTIL ABO HAS BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH POOL PRE PLASTER FOG FENCE d GATE R SEP TIC TANK SCI FINALS ELECTRICAL 1 _ i PLUMBING FINAL GAS TEST HEATING - IVC HOUSE NUMBERS I 1F JOB COMPLETED " I °I TEMP POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING Aug 15 01 01:17p Rventir_. Rp ool� +y V- •r 1. ter, A s CITY OF LA QUINTA BUtLDING4SAFETY DEPARTMENT I ?777-7012 INSPECTION REQUEST LINE it `qy 3.1 2Q00 777-7153 p THE SEANQS- CORPORATION Owner _ ContractorTHE SPANOS"CORPORATION 0004-107 Permit Number POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES fipb?BUQ sD 3 PE IT DOES NOT INCLUDE BLOCKWALLS OF POOL TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK G FOOTING STEEL MAIN GROUND SYSTEM GROUND PLUMBING PRE-GUNITE DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED CONCRETE SLAB GC/ JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST S -iy HEATING & VENT- A/C FIREPLACE ROOF 12. BOND MEAM O.K. TO WRAP ,2 GROUT ❑ 4' ❑ 8' FRAMING L INSULATION ICIk�ZEc.;7LrC.EL S // 3/ PRE -ROOF C VER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH < POOL PRE PLASTER POOL FENCE & GATE .SEWER SEPTIC TANK FINALS PLUMBING FINAL GAS TEST HEATING -A/C HOUSE NUMBERS JOB COMPLETED TEMP POWER ABOVE APPROVALS 00 NOT INCLUDE RIGHT TO f 0 d Certificate of Occupancy City of La Qui"'nta 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: R 1 47-750 ADAMS STREET (Building #17) Bldg. Permit No.: 0004-107 Type of Construction: VN Land Use Zone: CR Owner of Building: THE SPANOS CORPORATION Building Official Address: 1341 W. ROBINHOOD DR. City: SOUTH LAS VEGAS, NV 89109 By: STEVE TRAXEL Date: 08-03-01 POST IN A CONSPICUOUS PLACE