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0304-0171 (SFD)LICENSED CONTRACTOR DECLARATION PERMIT# I hereby affirm under penalty of perjury that I am licensed under provisions of BUILDING PERMIT f yX1144 -x171 H Chapter 9 (commencing with Section 7000) of Division 3 of the Business and DATE VALUATION LOT TRACT 3x7331 (n �;LSYIt,rFi 11 N W •'Professionals Code, and my License is in full force and effect: ch 'License # Lic. Class ..,Exp. Date Kj n w•` �• +� JOB SITE �! ,,,!.�d tF �, ^�•n� �r f?•a APN Fq r- d F 70103 �` 1%, ��\ ] f `.f � 1 �5 ADDRESS 't.9'• o7C!!0 x::l[.��.•t.:'. K.A. COUJIT � o Z r-- Date-��;-� Signature ofCoritractor %'� w OWNER CONTRACTOR/DESIGNER/EN INEER O. ��,-- .. ` ,til x1 ;;3 • � �+u ! '' �; L f t-- 'MAIM -0 a:iGMgW ? WC J U OWNER -BUILDER DECLARATION l�f>X133' +�`rFf4a .( j1SE 10bw 1k3:F' €Ff�"at !t' W d r- I hereby affirm under penalty of perjury that I an ,� xempt from the Contractor's SAW- LUCK) CA. 9 2 13 S ; } ? ;a (7 CA 912111,1111 U) License Law for the% following reason: (c50",�55.3gLL 03:i CY13LO 49772 Z_ ( ) 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). USE OF PERMIT ( ) I, as owner of the property, am exclusively contracting with licensed ►s#}23Ci.''Iii_•` 1�;1:�k7L� contractors to construct the project (Sec. 7044, Business & Professionals �_-- -•. _ •,,, Code). wise.. • 1.,07 : s tzm at A:lS 41 .f f A ! �7 ltlar.! �z+w Lour t:. !►A.� ��.i� rrc6it# ( ) I am exempt under Section B&P.C. for this reason POOL, OP. D►tl`+Ff�th°&•','.0P'Rt7,l' (!H 771% REDUC-1-901A TO FL -A-9 .`•%YEM F101 ul N Date Signature of Owner FaL7 O MIULFIP E R:1X1;XHCZC;;FS">v' iaj.i N 13"PE ON . rn d Z WORKER'S COMPENSATION DECLARATION n Q Cr I hereby affirm under penalty of perjury one of the following declarations: T)RA.CT �C;-�?NST;t lJi:�l.']0 3 ; „13 ,riff k)` _ l.- O O 1 have and will maintain a certificate of consent to self -insure for workers' WMIC1VIv'a 1110 49.00 Sit < W L: compensation, as provided for by Section 3700 of the Labor Code, for the "MIS&C'NUCNRT D � Q performance of the work for which this permit is issued. n Q () ( ) I have and will maintain workers' compensation insurance, as required by U QSection 3700 of the Labor Code, for the performance of the work for which this LO L H permit is issued. My workers' compensation insurance carrier & policy no. are: `t Z Canier STAIT FUND Policy No. tfiE 9404881:1.102 XIGI,L' MAMED Ce„ CYT i 1"' 1770USUTICS<: I���N ���•�eSa'.•"��� w5 - '3%'Tt11 F i' l IEF ISTFA F . 't'Ry Q (This section need not be completed if the permit valuation is for $100.00 or less). 001MMUCT1014 101 -000 ,-418-00Q, J () I certify that in the performance of the work for which this permit is issued, P;I.Aid CtTi.l'.iC ,t 3F14 ^CtG►�J +� .£+ %(1l.'ifi I shall not employ any person in any manner so-,as•to,.become subject to the Mr-,CHAXiC.A°.Ia t:1: 101-000421 _000 $11L workers' compensation laws of California, and''agree that'if,I should become U wg•WCA•1,1,.01_UOt,'F.420-0110 3 subject to the workers' compensation, provisions of Section 3700 of the Labor PWMB5NO HEI 101p00pu,�1 00(a 1IT 00 Code, I shall forthwith comply with thse provisions.) _ Date:>' Applicantr ^ r,_ _ St f2.f:hiE� 1►7a IT ?ia ?� :i` xL TP. lri-4lCltt-7. w: �$9S. r£ rd?�,1;�iCFis1% Warning: Failure to secure Workers' Comp sation coverages 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 i n� Section 3706 of the Labor Code, interest and attorney's fees. J IMPORTANT App lication,is, hereby made to the Direcfor 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'pe son:at 3L:�a c� At�F £�$3'1"F+trla;Yt`�i r�ld''i.�id47[s;;,c:, 'j�)*r+S•� whose request and for whose benefit work is performed under or pursuant to:'Fff4P :4 `k'.°2~'IAI"b<` h�Cw'f•©Cg any permit issued as a result of this applicaton agrees to, & shall,' indemnify 6! a l & hold harmless the City of La Quinta, its officers, agents and employees. Ir N•M1i1e4 D " NOW Vf;062 1. 7 2. Any permit issued as a result of this application becomes null and void if Dom' 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. 1 certify that I have read this application and state that the above information is f MAY 2 7 2003 IIIIIIIIIIIIIIIIIIIIIIIII 36 ' 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 uponQUINTA IE CITY OF LA .: � - — the above-mentioned property for inspection•purposes.._--- BY DATE FINALEp INSPECTOR Signature`(Owner/Agent) �T .� u5� Datei'� �- INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings -/ Ducts y Slab Grade - Return Air Steel - 7 D ombustion Air Roof Deck -2 y-- 3 Exhaust Fans O.K. to Wrap �.3 F.A.U. Framing _/ -3 Compressor Insulation -/ - 3 Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls .Party Wail Insulation _ Condensate Lines Party Wall Firewall Exterior Lath 5 Drvwall - Int. Lath - 2 3 Final /- 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 P gip. --y IA5 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 5 Final I ELECTRICAL APPROVALS Power Pole (round Conduit Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power COMMENTS: POOLS - SPAS o Certificate of Occupancy L.cweoanhn �� G OFBuilding & Safety Department This Certificate is issued pursuant to the requirements of 'Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. ? BUILDING ADDRESS: 49-860 ALTHEA COURT Use classification: SINGLE FAMILY DWELLING Building Permit No.: 0304-171 Occupancy Group: R-3 Type of Construction: V-N Land Use Zone: R-L Owner of Building: LA QUINTA-TALANT LLC Address: 9968 HIBERT ST. STE 102 City, ST, ZIP: SAN DIEGO CA 92131 By: GARY SHOWALTER Z-� Date: 11/25/2003 'Building Officia POST IN A CONSPICUOUS PLACE +7211 + 5411 MATERIAL STONE TILE. BOULDERS, DECK COLOR CONTROLLER PEBBLE PLASTER DAM WALL EQ WALL rl�V1510N5 16Y POOL SIZE --------- POOL S.A. ---------- POOL PER. ---------- DEPTHS ----- TO ------ POOL PUMP ------- HEATER 400,000 m FILTER CCF 420 UGHTS 2-400 WAff CONTROLLER SPA SIZE r -o, x a -o - SPA PER. 122 5a, rf, SPA S.A. 49 L, rf, SPA DEPTH 36" JETS JET PUMP DECK AREA ---------- PAVER AREA Pm FAJ a _ r ._ fir'° � o c ph mom is Ld a - cn O +7211 + 5411 MATERIAL STONE TILE. BOULDERS, DECK COLOR CONTROLLER PEBBLE PLASTER DAM WALL EQ WALL rl�V1510N5 16Y POOL SIZE --------- POOL S.A. ---------- POOL PER. ---------- DEPTHS ----- TO ------ POOL PUMP ------- HEATER 400,000 m FILTER CCF 420 UGHTS 2-400 WAff CONTROLLER SPA SIZE r -o, x a -o - SPA PER. 122 5a, rf, SPA S.A. 49 L, rf, SPA DEPTH 36" JETS JET PUMP DECK AREA ---------- PAVER AREA Pm cri, BUILE)"';'! FE; bu kk Ji ud m R,F,,!Q!, Fr,nno, �11 0 n, � cr ED Ul L El D L IN NO IL-4'1TIEFFiol"IS'll DATE: 12/18/05 SCALE: 17871 DRAWN BY: DT JOB: GREEN SHEET I OF SHEETS FAJ a co ph mom is Ld a - cn O cy- Pisa U) C> cri, BUILE)"';'! FE; bu kk Ji ud m R,F,,!Q!, Fr,nno, �11 0 n, � cr ED Ul L El D L IN NO IL-4'1TIEFFiol"IS'll DATE: 12/18/05 SCALE: 17871 DRAWN BY: DT JOB: GREEN SHEET I OF SHEETS