0004-0111 (MFD)47750 Adams Street
LICENSED CONTRACTOR DECLARATION
, Oo by affir ; under penalty of perjury that I am licensed under provisions of
i,,hapter 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
'121064 B 0''1412(
Date :1—f % Signature of Contractor ` ' y
v ,,, . wl ✓ -. _..
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 1, 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'. :Nly workers' compensation insurance carrier & policy no. are:
Carrier T.A1`dXER NS BRt: U Policy No. •f el -1190059
(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,
a 1 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 73700 of the Labor
Code, *I shall forthwith comply with thoselp`rovisions
Date: _ ^s i. = 1_4) Applicant/_
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer.to riminal 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 offlcers, 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, 6f this City to enter upon
the above-mentioned property for inspection purrposes
' •,,6..e., -rte`
Signature (Owner/Agent) r ti . +- - -- Date-
1
BUILDING PERMIT PERMIT#
{/
DATE ?ry, ffJ VALUATION LOT TRACT
y % ,y 4,pXry
0.:Ra,!.
JOB SITE
ADDRESS 47 4W ADJWUS S'.rRY=
APN
t% Sf iS
OWNER
CONTRACTOR / DESIGNER / EN (NEER
TM SPJW03 WNRX)RArIOR
TF -7, SPAMOB CORPORM1014
1341 W, ROBDWOOD DIL
1341 W. RODIN1100D DR.
SOUIH VEGAS NV 89109
30DTH LJW 'V:1zZCrA2 NV 89109
(9109,Y1>36.0777 C?", 5906g,
USE OOF gPERMIT
yg y
.tCt V1wJ.J.".C.t91lU.l.F P ] Vf_^.L+L+J.,LV 6T
M17a.1 b UNITS-RU1L.};DtN0,1 JT'YPf; 40- PZRMIT DOPS NOT INCLUDE
BL OC kWA,L L OR POOL
GARAWC,A1tPOI 1,280:00 VF
BR.lil?7ZWAY 1,072.00 SF
APARTMENT UNIT 15,304.00 SF
PORCH(PAT10 2,06+4.00 SP
XSMIATKD COST OF COIN. UCn014
PF..I :AIiC'1'.11'tT S'UA+. 11 .t Y
PLAN CHECK FER 101-000.439-316 $2,430,92
C 014STRUCTION FEE 101.000-4193 000 a ,350.50
MECHAAWCA1., R-.9 ).01.000.421.000 S716.00
ZLF,CTF2fCA,1,, WR 101-000.420-000 $1,111.24
PLUMBING FEE 101.000-419.000 11,2244.00
S'YRONG MOTION IEEE • RMD 1031- -241-000 $93.61
,
C11LAI ING WE 101.000-423.000 $20.00
.. r.
ARTIN PUBIJC PLACES - RES"It 701-000-255-000 $1,940.16
s--
DEVELOMIR IMPACT IEEE
ffE)B-TO'PAT: 1wC1MYRUCTION ANT) PT..A~tl WC.K
IMS PRE -PAID 1073
TOTAL P]1 V 9i T Fn 4DM NOW
IIIIIIIIVIIIIIIVIIIIIII
17
4,
IE _
RECEIPT
DATE
BY
r` jf
DAT I D
INSPECTOR
INSPECTION RECORD
w OPERATION
DATE
INSPECTOR
OPERATION
I DATE
I INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Forms & Footings
Underground Ducts
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
_
3 -
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
� Z(]lu�.�
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
I
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:
C) U f
.
`� U
/
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. i
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
�..t
wa
G4 r66 FLA QUINTA"
cfb o� BUitD��SAFETY DEPARTMENT
OF, 7774012
MAY 31 2098PECTION REQUEST LINE -
r - * 777-7153 +
Ff I i r r n�p-�. ----.
Owner THE-SP�&S CORPORATION
ContractorTHE SPANOS CORPORATION
Permit Number 0004-111
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
J013MFD BUELDING 2 TYPE 4 ERMIT DOES
NOT INCLUDE BLOCKWALL OR POOL
TYPE OF INSPECTION DATE '\\ INSP.
FOUNDATION & SETBACK c=--
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE _
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB _
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR C NCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT -A/C
ROOF d.
BOND BEAM
O.K. TO WRAP -3a-
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
- 'COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
ENCE & GATE
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
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
Type of Construction:
Owner of Building: THE SPANOS CORPORATION
Building Official
AM
Bldg. Permit No.: 0004-111
Land Use Zone: CR
Address: 1341W. ROBINHOOD DR.
City: SOUTH LAS VEGAS NV 89109
By: KIRK KIRKLAND
Date: 2-08-01
POST IN A CONSPICUOUS PLACE
47750 Adams Street
S
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
Use Classification: MFD Bldg..Permit No.: 0004-111
Occupancy Group: R1 Type of Construction: VN Land Use Zone: CR
Owner of Building: THE SPANOS CORPORATION
Building Official
Address: 1341W. ROBINHOOD DR.
City: SOUTH LAS VEGAS NV 89109
By: KIRK KIRKLAND
Date: 2-08-01
POST IN A CONSPICUOUS PLACE