0004-0116 (MFD)47750 Adams Street
LICENSED CONTRACTOR DECLARATION
heret affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of_D.,ivision 3 of the Business and
Professionals Code, and my License is in full force and.effect.
License # Lic. Class Exp. Date
X21664 F
Date' ) Signature of Contractors
OWNER -BUILDER DE %LARATION
I hereby affirm under penalty of perjury that I aPnrexempt 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 du the work, and the structure is not intended or offered for
sale (Sec. 7044, Business & Professionals Code).
( ) 1, 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 Ione 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
pert mance 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 T.AI+Ii4SR INS.BROKE Policy No. WC1-1196919
(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, i„I,,should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, shall, florthwith comply with those p`ovisions./. -:....-,1
Date: Applicant.Cf -
Warning: Failure to secure WoQ ker, ' Compensation coverage is unlawful and
shall subject an employer to crimi'r1'dl 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 inspection purposes.
Signature (Owner/Agent) /-- t j- Date-)
BUILDING PERMIT PERMIT#
J
DATE,, VALUATION LOT DW4 TRACT
;
ly t tpll
91520
JOB SITE
APN
ADDRESS 4 -750 AD.4` S x0'R,r
649-030-W6
OWNER.
CONTRACTOR/DESIGNER/ENGINEER
'M SPAHOS CORPORX17014
TM SPAMOS CCii PORA'MOR
1341 W. ROF@MOD VfL
1341 W,RL BWHOOD DIt
SOMH LAS VEGAS XV 89109
S0 Tf LA8 VW- A8 ATV 99109
(009x186-0,177 CMA 5906
USE PERMIT
pOFFrq1AWLY W TMY0
MFD.B's Utd2'CSAflU1B.1 1%ICf ?„TY'P6 50. PERMIT DOES NOT INCLUDE
BIO KWALL OR TOOL
0A11AWCARPORT 11280A Sly
APARTMENT UNIT 8,965.00 SF
POPICIMPATIO 1,302.6.4 SF
BRE AY 536.00 SP
FSTlWATED COST OF C0N!7navC'n0J4
559,915"
PbAN CHLGY ZBE 101.000.439.318 $1,336.84
CONSTRUCTION A?X 101.«000-418-000 $7,20'"/,50
r t
Li 6
MECHAi'iICALFZE 101«000.421.000 S3 .00
1101,i;CTP.ICA3.ME 4d1«OOa-420-CJi10 3 bf;4.52
;,, ,.
PLUMBING171irR1 1019000.419.000 SI; *oo
S`fiP.ON0 MOT ION FE b RES ID 101-000.241-'000 133.5'3
) 1 _
ORAI ING FU101.000-42'3 000 S20,OI!
rl { µ
ART IN PUBLIC PLACES • W1'E 701-000455-000
r7I .
DEVELOPER IMPACT FBS
SM -TOTAL CQW' WT103+i AND PLP CIAWX
:$15,1368.701
s M—PAW i .5
$0,00
'2'(3'1". L ft -W T Mtn DUE NOS►
IIIIIII
VIII III VIII III 19
IE
RECEIPT
DATE '
BY
DAT`F LEDINSPECTOR
10/
r- -
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
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
- Q
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
O CU rU r
O l
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:
�.�
-
CITY OF LA QUINTA
CBUI IM & SAFETY DEPARTMENT
- 777-7012 '
MAY 31 200 777-7153 REQUEST LINE
777-7153
THE►Sr•�MS CORPORATION
CFv6er
ContractorTHE SPANOS CORPORATION
0004-116
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
MPDIUILD DOES
NOT INCLUDE BLOCKWALL OR POOL
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL Lam_
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 CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBI
ROUGH GAS GAS TEST 0
HEATING 8
FIREPLACE
ROOF - ---h
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING Q j
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR - --p
EXTERIOR LATH _ Q
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL d= d
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 lto the requirements of Section 109" of the' U' n forni ''ui/ding 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 BLDG. # 7
Type of Construction:
Owner of Building: THE SPANOS CORP
Building Official
Bldg. Permit No.: 0004-116
VN Land Use Zone: CR .
Address: 1341 W. ROBINHOOD DR
City: LA VEGAS NV 89109
By: KIRK KIRKLAND
Date: 5-15-01
POST IN A CONSPICUOUS PLACE