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0009-163 (SFD)C6 l'— Cl) Cl) W O M Q oZr� 0- ro JV� IW- a U) Z C0 L0 CV - 0-� �. Z 'U Q C' 0., XW U- CO Q 00vCO - 0 o kx_a''L ~ LICENSED CONTRACTOR DECLARATION Thereby 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 # Lic. Class Exp. Date I(74�DatSignature of Contra��' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am 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). e. - ( ) 1;' as owner of the property, am exclusively contracting''with licensed contractors to•construct the •project (Sec. 7044, Business & Professionals . Code). O 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: O ,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 performance 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: Carver Policy No. a.'r.AnLE-1M 'WC444068.02 (This section need not be completed if the permit valuation is for $100.00 or less). ( ) d 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 t e wofkers' compensation provisions..of Section 3700 of the Labor Code � s 1 o hw.sth comply wit o ovals!° s_ Date/� Applicant r Warning: Failure to secure Workers' Comp nsation 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 madeto the Director,of Building and Safety for a. permit subject to the conditions and restrictions `set Jorth on his application. r: " 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 toe ter upon the above-mentioned propeiiy-ffor, i pection • urpo es. �( Signature (O.wner/Agent) Date BUILDING PERM_ IT PERMIT# DATE VALUATION LOT. 000940 TRACT. # t _ • ! °.- ;"• :.:? 1 L, 93.1� 2 23773wS JOB SITE APN ADDRESS �,,4'I•-5185U01MM �.°A.R CCD'1TM' 609-08Ct-Cl26 OWNER ' :, CONTRACTOR / DESIGNER / EN &NEER 9'L'MAIRT .DUNES LLC CWfulty CROWET-L f.`fJmwUAtt'diE-9 )?O Bb �: S 1.40 1535 SO. ND" U'IRM, UPE. 4200 NMPORT BEACH CA 92662 ;HAAT RWAR DWO _.,....CA _;92408,r,.�.,...r.- �• (909)PV1.6007CHO 2120 USE OF PERMIT ►'�`i1,it�-1_�E::1��Y I��iiTES.:! Il�3'G� � . S1n:). ?LA,N-3S I.DT:2 PEP -MIT DOES 140T Il CL VD.E BLOCK � WAIASIP 01rll RIVEWAY AP. R ACH• TRACT CONSTRUCTION 31? PORMPATIa 20.00 SF c(AF.. OEMAR.POFLT (OV) A,1`i3.20 yM [j%��}JAMIMA.M,co�'!'()FC't1���s.['d�Ti�;`'.t`3.Q1V Moo C()11�,T)1L]CTION ME. IOi'-000.418-00 ► 8730.50 PLAN CHXCK FEE 101-000-439-31ft $647.0' iV UMHANICAL FF,E 101- 000.421 vOOO x'7'7.00 EL.FXTRICAL FEE 101-000-420-000 $1W1,39 PL:UMBIAIC FL7 1tD1a�10a-X1'19.000 Si?4,75 STRONG MOT ION FEE R ID 10'1-004.241-000 $14.16 OR�l�►i1dCl f�ER 101.000.423.000 $20.00 P. LArFLOPLI1. IMPAM FIE, X -'r( 0_0X8 RTJC".i`1©N AND P NECK 'AL �3,'� 14: ! � . ,r B PRE -PAID FUS WIN + vi ry o RECEIPT 4 DATE BY DATE FINALED INSPECTOR r INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs J 2j � Underground Ducts Forms & Footings of Ducts _ _ Slab Grade f Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap(g % F.A.U. Framing -� Compressor Insulation 3� Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath K Drywall - Int. Lath f°Q�If1( _ Finales BLOCKWAL V�PROVALS Final �^ _ POO S 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 b_ Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral �� ate' 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 f� Utility Notice (Perm) Ej 7— COMMENTS: JUN -13-2001 15:18 WESTERN INSULATION 909 696 9796 P.041�1 iN ESTERIN'r lam"Rivu-MA`TI ON, Love 9-2 11 Jae= Street, Riverside, Califorrila 92501 Tr -L (909) 686-8760 Fax (909) 6854786 INSULATION CERTIFICATE THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: TRACT I PHASE: STARLIGHT DUNES #23773-61PHASE 4 LOT #, 3 SITE ADDRESS: 43-555 MORNING STAR CT. LA QUINTA, CA ------------------------------------------------------------------- EXTERIOR WALLS: MANUFACTURER, JOHNS MANVILLE THICKNESS: 3 6/8 A -VALUE: R-13 C CJLINrjg! BATTS (:zLo7w_ MANUFACTURER: GREENSTONE THICKNESS: 10.3 R -VALUE: R-38 CEILINGS!, 0;:BAT T17 BLOW MANUFACTURER: MANVILLE THICKNESS: 13" R -VALUE: R-38 GENERAL CONT A IgR: CENTURY HOMES BY: TITLE; DATE: IN611LATION CONTRA WESTERN INSULATION, L.P. LICENSE NUMBER: 794484 BY; TITLE: P!�TIONNAGER DATE JUNE 13, 20DI