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0304-332 (BLCK) LICENSED CONTRACTOR DECLARATION P PERMIT#' '{ N I hereby affirm under penalty of perjury that I am licensed under provisions of BUILDING PERMIT H Chapter 9 (commencing with Section 7000) of Division 3 of the Business and DATE VALUATION * �} x !<j4f LOT, TRACT W Professionals Code,and my License is in full force and effect. License# Lic.Class�•v Exp.Date I O Q U.) 6561 a i1 C3 e C-9 1()J�J IIW, JOB SITE LLJADDRESS .52APN t� l°.Z � �* � r Z � Date ' �"+ Signature of Contractor "7"�,, ✓ OWNER CONTRACTOR/DESIGNER/EN INEER CA :.i RNIAPOOLS ,%S"P AIII CIVII,rr L14 cc 7-J, _J 0I— ca OWNER-BUILDER DECLARATION , 2 f05•400 AWWLT,54 WLU I hereby affirm under penalty of perjury that I am exempt from the Contractor's LAQTTi�iT�1 CA 92;`5*4 Z;QxS,,M112;{A 4;,r!, 922+f U) License Law for the following reason: t;"JCa�3y�i•yxZ2 r A.ut 0035:3 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 T3T.T3U'Xic contractors to construct the project (Sec. 7044, Business & Professionals Code). isu.i.t. S.':.i+ii•irr: c") () I am exempt under Section , B&P.C.for this reason LO N Date Signature of Owner ON FL Q WORKER'S COMPENSATION DECLARATION 02 Er 31771I hereby affirm under penalty of perjury one of the following declarations: p ,WALL }�td1,W IIF FZ p ( ) 1 have and will maintain a certificate of consent to self-insure for workers' X w �= compensation, as provided for by Section 3700 of the Labor Code, for the mJ Q performance of the work for which this permit is issued. Q U ( I have and will maintain workers'compensation insurance,as required by O U Q Section 3700 of the Labor Code, for the performance of the work for which this liLOF- permit is issued. My workers' compensation insurance carrier & policy no. are: Z Carrier S ATI'� Policy No. 944-r3l88.2%1-i f OET OF IGC.l`i717RY:tM7014 4,5i. VP0 Q (This section need not be completed if the permit valuation is for$100.00 or less). CONI M'RUCTKY4 {EE 101^f11.0, '8-000 ( ) 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. /j Date: y n Applicant Warning: Failure to secure Workers'Compen ation 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 K. $72.GG 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. O 0 2.Any permit issued as a result of this application becomes null and void if L IT.xiNIM-11!'3?UN DIURI M101 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. APR 2 9 2003 I certify that I have read this application and state that the above information is IIIIIIII VIII III VIII IIII 65 correct. I agree to comply with all City, and State laws relating to the building CITy 0—;-LA -6,NTA construction, and hereby authorize representatives of this City to enter upon PINALinr-PT, IE the above-mentioned property for inspection purposes. -- - /� °,t l r r RECEIPT DATE BY DATEFINALEI_ INSP C R Signature (Owner/Agent) f� .�.1' Rt" sr� �t'fie�. Date �' �"��� 1 ca 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 Vents Fireplace P.L. Grills Fireplace T.O. Fans&Controls Party Wail Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall-Int.Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs Q 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 A Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans OX for Finish Plaster Sewer Lateral Pool Cover Sewer Connection 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) A i Resolution No. 2002-130 Conditions of Approval-Final Transwest Housing Inc. Tentative Tract 29436 August 6,2002 Page 14 61 . A perimeter block wall shall be constructed along the project's westerly boundary from Eisenhower Drive to the foot of the mountains. 62. At locations where the proposed development shares a common property line with the Laguna De La Paz project (Tract 20052) where an existing wall encloses properties in the adjacent development,the Applicant shall accomplish the Zoning Code required 5-foot minimum wall height in accordance with one of the following methods: A. If permission from the adjacent property owner is received, and if rr additional wall height can be structurally achieved, add additional course(s) of matching block to the existing wall. --This-alter-mate-v-e-shall — �. be rejected by the adjacent landowner before utilizing the second alternative. B. If the adjacent property owner does not consent to the first alternative, the Applicant shall achieve the 5-foot minimum wall height by constructing a new wall, with matchin bl a existing wall as close as physics y posse le, and fill the empty space between the two walls with pea gravel and slurry cap. The two walls shall be structurally bound together with tie rods. 63.. A 6-foot sidewalk shall be constructed along Eisenhower Drive. The sidewalk shall meander within the 32-foot Right-of-Way and setback. QUALITY ASSURANCE 64. The applicant shall employ construction quality-assurance measures.which meet the approval of the City.Engineer. 65. The applicant shall employ or retain qualified civil engineers, geotechnical engineers, surveyors, or other appropriate professionals to provide sufficient construction supervision to be able to furnish and sign accurate record drawings. 66. The applicant shall arrange and bear the cost of measurement, sampling and testing procedures not included in the City's inspection program but required by the City as.evidence that construction materials and methods comply with plans, specifications and applicable regulations.