0004-0115 (MFD)47750 Adams Street
LICENSED CONTRACTOR DECLARATION
1 hereby 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 II_?4130/2(
Date
j - ' 1 -1, ,.....-
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
p erf/o,rmance of the work for which this permit is issued.
YI 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:
Cartier TwoNn.I143, mon Policy No. WC, I-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,l lshould become
subject to the workers' compe*sation provisloris of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions.'
Date: Applicant r ' ^ ti'•.' :`--
Warning: Failure to secure Workers' 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- this City to enter upon
the above-mentioned property for inspectibn purpose.
, (ice
Signature (Owner-' ..._. Date •-= " -
BUILDING PERMIT PERMIT#
j#
DATE / (t j VALUATION LOT OW4415 TRACT
-654
JOB
JOB SITE
APN
ADDRESS 47 76J ARUAli4S w
649-9M
OWNER
CONTRACTOR /DESIGNER / EN INFER
n; :1.PA&'03 COR.POR.A.'1.'TbN
I= UPPROS COUORA.37cm
1341 W. ROOD DR.
1341 VT, RO13IriTHOOD
DR
SOUM LAS Ir"EGA2 RVQ 89109
SO .i LAS VF-QAS
NV
8 109
(909)786-0777
CBLO
5906
USE OF FERMI I
MFIYI`, tl14ITS'-RU11.,.DINOI TYPIC 5. Pj IZMIT f]iSES 140T INCLUDE
r
BLOCKWALL OR PMOL
PORCHlPATIO 31032.00 OF
BRF..N.' E AY 536.00 SF
APARTMENT UNIT 0,968,00 SF
im A'1:ED COs1' or COwSYIr,l3uc r ov
m45i' w
.PFAZWT Tl`la."F SUAVJ1 URY
PLAN CHECK IME 101-000-439-318 $1,309,21
CONSTRUCTION PEI: 101-000.4.1$-000
r Y
MECHANICAL Ialwaai3 422 Ot1a 538 ,ti0
,,-,
LP-LECTRICALI 101-000-420-000 $658,92
PLUMBING FEE 101.000.419000 $684.00
R-+.:
a
ST12.ONO MOTION FEE - RESi.O 101-O -241-000 $51:42
`""
v.
ORAFi1N0 FEE 101.000-423.000 520.00
7tl
ART IN PUBLICPLACES -- "-Glr 101- 204-255-000 $882s -X5/9
!
DEWIMPAC.tFEE
M-'.! O f'AL CCZAT;T'RU(. 2,J09 AND PLAN C1yIF K
$1.5,675.24
1X30 RRZ-.Ply ri=3
$0.00
TOTAL PER -MI MS .D11.1 NOW
IIIIIII
III I III VIII
IIII 26
IE
I
RECEIPT
DATE
BY '.'
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
_ _ ., �l ,
K•�
Underground Ducts
Forms & Footings
�j
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deckl 7j Zp ap
p - Z,� tXJ ,
Exhaust Fans
O.K. to Wrap
y zo p _
F.A.U.
Framing
:50 9. e!
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
l 0
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
_ _
="f
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
_C 'Qp
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)
7GO 777 8773 P.2
�G
K
2 CITY OFA QUINTA
BUILDING & SAFETY DEPARTMENT
F"OFMAY 31 2000 777-7012
INSPECTION REQUEST LINE
--.--.x7-777-7153
Owner THE SPANOS CORPORATION
ContractorTHE SPANOS CORPORATION
0004-115
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
i • � � • � ' 1 t f ` ei Hyl 11'/ � �� � �I.7►'I IfI M 1Z1)�. ► � 1
INCLUDE BLOCKWALL OR POOL
TYPE OF INSPECTION
DATE INSP.
FOUNDATION & SETBACK
-
FOOTING STEEL
-�
MAIN GROUND SYSTEM
POQL FENCE & GATE
GROUND PLUMBING
SIEWEP SEPTIC TANK
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
Q
HEATING & VENT - A/C
FIREPLACE
ROOF/
7-
BON15 BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
- d
INSULATION
7
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
a
EXTERIOR LATH
POOL PRE PLASTER
POQL FENCE & GATE
SIEWEP SEPTIC TANK
/ ,/'_
ELECTRICAL ue GL'
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED O
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
y H
3 I •,
CITY 6fT4-A QUINTA
c -a6 BUILDING & SAFETY DEPARTMENT
.°F MAY 01 2000 m-7013
INSPECTION REQUEST LINE
i
- r _
-?M-71 S3
Owner THE SPANOS CORPORATION
+ i Contract«THE SPANOS CORPORATION
� - 4 004-115
Peo tt Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
A - T
INCLUDE BLO ALL OR POOL
f
7 '
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK -
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
! JOISTS d GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC I
ROUGH PLUMBING
ROUGH GAS 3 GAS TEST
HEATING a VENT - AJC
ki I FIREPLACE
i ROOFZC-
I
BON15 BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ W
IFRAMING d
INSULATION
--
PRE-ROOF
ala 0" I L. j= _—
COVER NO WORK UNTIL ABO HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH G�
POOL PRE PLASTER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
i
• I
asp
ala 0" I L. j= _—
COVER NO WORK UNTIL ABO HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH G�
POOL PRE PLASTER
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: R 1
47-750 ADAMS STREET (Building #15)
Bldg. Permit No.: 0004-115
Type of Construction: VN Land Use Zone: CR
Owner of Building: THE SPANOS CORPORATION
�a!
Building Official
,Address: 1341 W. ROBINHOOD DR.
City: SOUTH LAS VEGAS, NV 89109
By: STEVE TRAXEL
Date: 08-09-01
POST IN A CONSPICUOUS PLACE'