06-3120 (BLCK) IE
53
P.O. BOX 1504 VOICE(7.60) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/05/06
Application Number: 06-00003120 Owner:
Property Address: 81469 ANDALUSIA CORAL OPTION I
APN: 764-200-999-82 -316812- 79295 RANCHO LA QUINTA DR
Application description: WALL/FENCE LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL D
Application valuation: 4300
Contractor: S 10
Applicant: Architect or Engine D TD DESERT DEVELOPMENT L 6
c�5 2006 P O BOX 1716
SEPG
LA QUINTA, CL 92247 ITY OF LA CABIN
(760)771-1941 FINANCE DEPT.
CITYOf:LAQUINTA Lic. No. : 762987
FINANCE DEPT•
-- - ------ - -- ----- - ------------------ --- ------ -- --- ---------- ------------- - ----- -------- -- ----- ---
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000)of Division 3 of the Business ofessionals Co and my Lice in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided
Licens I s: B nse I o.: 7 87 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
ssued.
Dat tractor: 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 workerscompensation
OWNER-BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier COMPWEST Policy Number CA005001482002
following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to _ I certify that,in the performance of the work for which this permit is issued,I shall not employ any
construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any manner so as to become subject to the workers'compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and ee that,if I should become�5t+ to the workers'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 37 of the Labor Code,I s FI'orthwith c ply with those visions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500).: t , Zy
Wlicant:
1_1 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 and Professions Code: The A NTNG: FAILU E TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWF- ,AND SHALL
Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees,provided that the DOLLARS J$1 00,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
one year of completion,the owner-builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT
(_1 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project ISec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon,and who contracts for the projects with a contractor(s)licensed 1. Each person upon whose behalf this application is made,each person at whose request and for
pursuant to the Contractors'State License Law.l. whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. ,B.&P.C.for this reason the owner,and the applicant,each agrees to,and shall defend,indemnify and hold harmless the City
of La Quinta,its officers,agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
Date: Owner: 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 ISO days will subject
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.). city and co my or ances and state laws relating to building co� coon, nd hereby representatives
of thi ty to mer upon the ve-mentioned property f F nspection pu .
Lender's Name:
a �" Si ure(Applicant or Agent):
Lender's Address:
LQPERAIIT
IIIIIIIIIIIIIIIIIIIIIIIII 54 JCM Inspections
IE 39725 Garand Lane Suite F
Palm Desert, CA 92211 To I
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 I N S P E C T I O N S
WELDING INSPECTION REPORT
Project Name: Project No: Date: ��r
Andalusia @ Coral Mountain - Phase 2 06-311 oe—
Project Address: City: AWS Z IBC ❑Title 24 Z1411op
Ave 58 between Madison&Monroe Lot La Quinta, CA PIT161 ❑ Field
Client: Sub-Contractor: [:J D 1.3
Coral Option One, LLC Palm Springs Welding E]D 1.4 ❑Other
General Contractor: Architect: Structural Engineer:
Sparks Construction Pekarek Crandell, Inc. R.F. Structural Consultants
Weather:
Description of Work Inspected:
�Q�SSeS Unresolved Items:
❑ None
/- 116 9 ,�( ❑See Below
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Cert on
File Electrode
Process Welder Yes No Type Size Detail(s) Location/Comments
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I hereby certify that I have inspected all of the above work,unless otherwise noted,and to the best of my ability I have found this work to comply with the approvod
plans,specifications_applicable building laws. Final report issued at project completion.
Inspector: Contractor's Representative:
o-
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of
JCM Inspections
39725 Garand Lane Suite F
Palm Desert,CA 92211LM
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
WELDING INSPECTION REPORT
Project Name: Project No: Date: GN
Andalusia @ Coral Mountain - Phase 2 06-311 -(2-o G
Project Address: City: AWS " EIBC ❑Title 24 op
1
Ave 58 between Madison&Monroe Lot La Quinta, CA .1 ❑ Field
Client: Sub-Contractor: ❑D 1.3
Coral Option One, LLC Palm Springs Welding ❑D 1.4 ❑Other
General Contractor: Architect: Structural Engineer:
Sparks Construction Pekarek Crandell, Inc. R.F.Structural Consultants
Weather:
Description of Work Inspected:
Xto&i- _
Lo1= - 4 6 cl ris r-a L o �oZ - �1-3,1 `� �S;,= Unresolved Items:
LJ (< - - 2 YS -321 Lv's. EJ None
� ❑See Below
4 Y7 Lo /-YSS O Lv1
C O w r O
C4 c!' G r o tea,- . L
- o e< 6 -c to 1 71 -a Le4 7S 6-A '
Cert on
File Electrode
Process Welder Yes. No Type Size Detail(s) Location/Comments
GCoW �.ft/ 21J Z
F614V
I hereby certify that I have inspected all of the above work,unless otherwise noted,and to the best of my ability I have found this work to comply with the approved
plans,specifications_applicable building laws. Final report issued at project completion.
Inspector: Contractor's Representative:
cza dl
L 0-
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of