0004-0112 (MFD)47750 Adams Street
LICENSED CONTRACTOR DECLARATION
'71 -here —Iaffirm 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
S 1 X34 73 ,-'~ /, , •- c7i3@ (
Date Signature of Contrac
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. My workers' compensation insurance carrier & policy no. are:
Carrier TANNER IN DROM, Policy No.
Wrr 1-119d489
(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' compenation provisions of Sectio—n-3700 of the Labor
Code, I shall forthwith comply'vith those provisions_:.. '
.-".•
Date: Applican i--t=! .- CP"...
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminCl 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..gf this City to enter upon
the above-mentioned pro erty for insp ectionnpp u'r'poosses.
Signature (Owner /Agent) \_ ("` _.•--- o. Date -5 " 3 +"
r
BUILDING PERMIT PERMIT#
J 0004-112
DATE / VALUATION LOT TRACT
w
Vl:J8 9-4'5Y'
JOB SITE
ADDRESS 47-7.W ADATdS 9rRWff
APN
&V 03CL031i
OWNER
CONTRACTOR/DESIGNER/EN (NEER
J
THE B.PAWOS CORPORA71014
TAESPANOS CORPORATION
1341 W. ROBINHOOD DIL
1341 W. ROBC WOOD
DR.
SOXMI LAS VWA8 NV 89109
SOU 1.A.S "ECTAS
NV
89109
(909)786.0777
CBIJP
$906
USE OF PERMIT
M'f.R'.71-FA4V MY D'iVElloW v
M?D-t UNIrs—oLtILoINa1 ,rYPL4G- PER MIT D0ESINOT iNCl UDY,
DLt~JC WAIL OR POOL .
Q&R.A*EfCAR?0R!,f 3,2 0,00 uF
APARTt1ilMT UNIT 15,304.00 SF
PORCHIPATIO 2,064,00311!
SPJ_?EZ9WAX I,072, 00 SP
COl! r Off' comm ' ®N
'fy g ¢" '}' Y ( '' g ' /( , 1 'a 3. Mf.€ St"m
P.6 .1, a*iY. J. G :75 i E gUAY.Id ' a:R CS..S
'.s.>/
}'Q6,064,00
•w:L F
1'IAM CHECK FU? 101-000.439.318 $Z430.32
CONS RUCTIC IN "It 101-000-419-000 $3,350.50.
* , ; • :
MECH ICAL M 101-000.421.000 s71UD
C)
ELHCT dCAJ1YP.E 101-0004120-000 $1,111.24
r f1
PLUMBING FRIP, 101.009.419.000 $1,324.00
71
STRONG MOTION PF2 • REBID 101 _00044 1-000 $93.61
ORA,.[9RIO FEF 101-00042MOO OO $20.00
'" 1
ARI' IN P'CIDUC; P1 ACP..S • R '"' V701.000 -?55-000 S1,840A6
t 'R
DEVEWIP1:.;RIMPACT FEE $14,216,00
MM -TOTAL COAtB'i UCTJON AND PT." C1 C
$30,002.33
1X39 P PAIU kR191%
$lk00
TOTAL r'—KI.IT 1W.%S 1D1)X NOW
11111111
VIII III
31
I IIIIIIII
M
RECEIPT
DATE
61
DATE FINALED
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
(� -,�Z GZ7
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Insulation
—
Compressor
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
BLOCKWALL APPROVALS
POOLS - SPAS
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
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)
COMMENTS:
`
- '
'Will
PTY OF LA QUINTA
BLAMING
. & SAFETY DEPARTMENT
p!
777-7012
MAY 31 2000 INSPECTION REQUEST LINE
INOS CORPORATION
aorTHE
SPANOS CORPORATION
p
a=
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR S! N A PPL ABLE SPACES
_ —
.a
#
RULE I
NOT INCLUDE BLOCKWALL OR POOL
TYPE OF INSPECTION DATE INSP.
FOUNDATION d SETBACK
FOOTING STEEL
.I
MAIN GROUND SYSTEM
GROUND PLUMBING >
PRE-GUNITE
DO NOT POUR.CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB _
JOISTS 3 GIRDERS
"
ELECTRICAL GROUND WORK
,-Az
'.
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
I :
ROUGH ELECTRIC'
ROUGH PLUMBING
ROUGH GAS 3 GAS TEST
I
l
HEATING d VENT - A/C
FIREPLACE i
ROOF
BOND BEAM
O.K. TO WRAP
j
GROUT ❑ 4' ❑ IY j
FRAMING
f
INSULATION — –�
µ;; •
PRE-ROOF
OVER NO WORK UNTIL ABOVE HAS BEEN SIGNED i
{_
lip: •,> s .
;. ,
DRYWALL INTERIOR
''I r
EXTERIOR LATH O I
.I ,
#
POOL PRE PLASTER I
POOL FENCE d GATE
,: "`°
�.
SEWER SEPTIC TANK
g
FINALS
K`•
::
ELECTRICAL iif
}
PLUMBING
`
NAL
Fl GAS TEST _
HEATING - AM
i
a
HOUSE NUMBERS
• •.I.r. �
G`,
;f
�
JOB COMPLETED
I
TEMP POWER
'
E
s
i
'i
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
Type of Construction
Owner of Building: THE SPANOS CORP
Building Official
47-750 ADAMS ST
Bldg. Permit No.: 0004-112
VN Land Use Zone: CR
Address: 1341 W ROBINHOOD DR
City: LAS VEGAS NV 89109
By: KIRK KIRKLAND
Date: 4-30-01
POST IN A CONSPICUOUS PLACE