0004-0167 (MFD)47750 Adams Street
LICENSED CONTRACTOR DECLARATION
Il y 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 # 4 Lic. Class Exp. Date _JyF
Date ' t:t Signature of Contract
OWNER -BUILDER DJEC 1ARATION
I hereby affirm under penalty of perjury that a 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 w111 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,t6e 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 . DROKh Policy No. WC1,1196.059
(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 provisions of Section -3700 `of the Labor
Code, I shall forthwith comply with those provisions.--'
Date: 7.1 - l:t) Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to crimicnal.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 pupos
esf
Signature (Owner/Agent)-- % _,is ^ " Date
BUILDING PERMIT PERMIT#
f
DATE ! ` VALUATION ' ex LOT TRACT 3D 99-654
J LJ
JOB SITE
ADDRESS 47 -7,50,A -DAMS STRM'
APN
30—M
64"30—M
OWNER
CONTRACTOR/DESIGNER/ENGINEER
SPhANOS CORPORAnON
THE SPANOB CORPORANON
5029 LATvMT TiRI F 3UffR A2
1341. W. RU13iN1 O D DIt
RMAIll E CA 92507
300 LAS IMA8 IN 89109
(909)786m0777 Me 5906
140FN(M PFPP911 ARCHITECTS
USE OF PERMIT
2H,IfIT., 1 - A1 .YI VJ1~,i.. . Tt3
46e ;'6v3k 3232F'L R 3GlTE 141
M?D-',-UMTS-HU1LDJN0 G6-TYPS I- PLR/ IT DOES NOT 1XCL,U17P.
BLWitWAI,,"L.S OR POOL
PORCWATIO 1,032.00 OF
BR8,ZZEWAY 5X00 SP
APARTMENT U141T 6,336.00 SF
ESIDIA"ik:i3 COST OF COi►1MUCTION
h
1-1 'e*WD,739.20
N 4..
,Pir I CHECK FEE 101.000.439.318 $1,452.87
•.. ' 1 ! t
CONSTRUC11ON FEE 101-00"18-000 $1,6.23.00
'
MECHANICAL FEE 101.000.421.000 $3310'
- i'i # (:€
E C'1 RIC AJ , :FEE 101-000-420-00 0- $471.72
'Z 2
P1+i1NIDTHO FFI$ 101.000-419.000 S54.00""':
• ' _
STl.L?W Mt TION "W- R MO 101-OQp-?.4 3 -Q 30 $38.07
-SlWIHO fIFIF, 101.000.423.000 $20.00
DIPRASTRUCTURZ I"Lolr 223-000-443-312 $9,358.09
ART 1'N' PUBLIC PLACES - RRESI1. 701.000-255.000 $701.$2
RUB-.[` rAL COMSTRUMOR AND TOLAN CTWX
$14-,167.48
L= T'1 PATO KM
$0,00
,
TOTAL P =f_Wr F=,% D171' -1'I41 W
$1407AS
IIIIIII VIII III VIII IIII 27 i
IE J
RECEIPT
DATE "BY,
DATg FJNA 111D
IN
INSPECTION RECORD
OPERATION
T77DATE
I INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
CC/
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
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)
COMMEE/NTS: *-
/
760 777 8773 1 1p.3
A
CITY -OF LA QUINTA
of Z000 UILDING & SAFETY DEPARTMENT
�ZQpp 777-7012
INSPECTION REQUEST LINE
777-71 S3
Owner
THE SPANOS CORPORATION
Contractor THE SPANOS CORPORATION
0004-167
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
4 - 0 A AMS STREET
JOB ADDRESS
MFD-BUILDING 16 TYPE 1 - PERMIT DOES
NOT INCLUDE BLOCK WALL OR POOL
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. - CJ
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING - ch; I
ROUGH GAS 8 GAS TEST - G
HEATING & VENT - A/C
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
- - O
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
- r"
EXTERIOR LATH
l
POOL PRE PLASTER
tq�tFENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TI ICON CIN I ITII ITIFS 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 #16
Bldg. Permit No.: 0004-167
Type of Construction: VN Land Use Zone: CR
Owner of Building: THE SPANOS CORPORATION Address: 1341 W ROBINHOOD DR
Building Official
City: SOUTH LAS VEGAS NV 89109
By: KIRK KIRKLAND
Date: 8-01-01
POST IN A CONSPICUOUS PLACE