The URL can be used to link to this page

RER (9709-027)LICENSED CONTRACTOR 1 I hereby affirm under.penalty of perjury that I Chapter 9 (commencing with Section 7000) of Professionals Code, and my License is in full fo License # Lic. Class _ f Date Signature of Contractor, - OWNER -BUILDER :LARATION Icensed under provisions of ision 3 of the Business and and effect. Exp. Date 4l 7 WN, t.. 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). ( ) 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 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: Carrier Policy No. ),-AIAX l�'sa13r ;lv :.iT-e` (This section need not be completed if the permit valuation is for $100.00 or less). ( ,)' I certify that in the performance of thAvork for which this permit is issued, I shall not employ any person in any man�r so as to become subject to the I compensation laws of Califor �ia, and agree that Sf I should become subject to the workers' compensation prbisions of Section.3700-of•the`Laboi Code, I� ital� orthwatr, comply with tho 1proyisions' Dater �� Y Applicant 7 r Warning: Failure to secure Workers( Compensation coverage is unlawful and shall subject an employer to criminal.tpenalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. it 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180' days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is coirect. I agree, to comply with a117City, and State laws relating to the building c nstruction, and hereby authorize representatives of this City to enter upon fie above-mentioned property�for inspection purposes. Signature (Owner/Agent) `;*' Date t PERMIT# CONTROL# BUILDING PERMIT S ES DATE 9t �)pr* VALUATION iia$' LOT TRACTJOB SITE ADDRESS'Y.{Z.�!1i��Jl�t�+F1C'ii��.�F faL�1Sl�. APN OWNER CONTRACTOR / DESIGNER / ENGINEER 8190 NITN VIEW LN 'is-070Ev11.t.L Cholz IA0tIA` �'.53 ♦♦?Ntt�l ^((�a)1' t� USE OF PERMIT ;�s�liit"%uIti c'�:� �+��i�i��c• x"l:{�►I2. . Z' A1.;:lAXK' t4 e,3E ° .ti'iE7 .,.? 3' s��'iti9[a itl:i':le.+� '1.1.+..► N 4d �� .��'l y+.� •n`4�"1..`�,i'a'�E /.t:: .Gti ^�L�Y7.�ii�f P AN G:'tfi3-CV. i:•ELI '10t 0-439.,1. 3 $35.10 f,°tlfi^`,tfdl;l 't'Ei+"3NOPE iiia li$Ni»#:€SZ ii30 Rwi!►t) fez` f ;;"t:MCAL tlM 0i_010042"00 St1ZLW I'1.'f„3I 13f.€�Ils T%M 51) f�I�ff`r.Iti;t�l.'Tt eft #rj f. �?}i:"siA1. .101-00.241-000 y 1110'l;r' AI., CIONS -NI I!,1710 A.NO )'T ,A N C,,10 ICKLESES � fitZ �i+?IIM 5. r C PA 1 " '1'O`fAL I`'fl/:RMIT 3? UZ.1% i)I?E lV•O4"a' SEP ® 9 1997 1 sti I TOF BY DATE FINALED INSPECTOR ,a 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 - t. 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 I 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. Sn'ioke Detectors Temp. Use of Power Final �- 41ity Notice (Perm) COMMENTS: Tot' le +.4 6 If -6FAIJIM T-OP'e,+ Lp I C2-) 7Z- 4`17 ri 1K I A mo . A 1-A- -Ew 12 CITY OF LA QUINTA BUILDING & SAFETY DEPARTMENT 4. CONDITIONALLY `'hACCEPTED FOR CONSTRUCTION %3- SUBJECT TO INSTALLATION AS PER AND ALL APPLICABLE CODES 9 -7 BY ��o �44 54 -VV, TOP W04r.) 6-- 3v' I? m w w lit e4 1)) 01 V1 *r .............. .................:a........-......-.....-.................. NO FIXTURES UPSTREAM c FOOT VENT 1 v,' C.O. �. "b" A. D AND C ARE Y•DRANCH FITTINGS OUT 0 HORIZONTAL DRAIN 2' from the Uniform Plumbing Codo Illustrated Training Manual Special Venting for Island Fixtures Section 614 allows island fixtures such as kitchen sinks that are not attached to a wall to vent at, the nearest wall. Note that all three branch fittings under the floor (drain, returned vent, and foot vent connections) are wye-branch fittings. A cleanout is required on foot vent at wall. The dishwasher at the left is shown discharging through an j approved airgap fitting at the rim of the sink. Note that the flood level marking on the airgap fitting must be at or above -the rim of the surrounding drainboard or countertop. See Section 608(d). Am –�- SZ-A-,vo /_ o PE—rA l L Deb Dei av� �t `105 tom- 00#-)7M W1 U4 L 62, cam, Szzs� M�OF LA QUINTA IL, DING & SAFETY DEPARTMENT CONDITIONALLY ACCEPTED FOR CONSTRUCTIO J SUBJECT TO INSTALLATION ASP R AND ALL APPLICABLE CODES BY km-��2 DRAINDOARD VENT THROUGH ROOF OR CONNECT - r ; TO OTHER VFNTS NEAREST�- 1'/,' PARTITION VERTICAL I FIXTURE /.' PER FOOT VERTICAL. FIXTURE 2' —� VENT GRADE 1i FLOOR DRAIN II dZ�Z_ NO FIXTURES UPSTREAM c FOOT VENT 1 v,' C.O. �. "b" A. D AND C ARE Y•DRANCH FITTINGS OUT 0 HORIZONTAL DRAIN 2' from the Uniform Plumbing Codo Illustrated Training Manual Special Venting for Island Fixtures Section 614 allows island fixtures such as kitchen sinks that are not attached to a wall to vent at, the nearest wall. Note that all three branch fittings under the floor (drain, returned vent, and foot vent connections) are wye-branch fittings. A cleanout is required on foot vent at wall. The dishwasher at the left is shown discharging through an j approved airgap fitting at the rim of the sink. Note that the flood level marking on the airgap fitting must be at or above -the rim of the surrounding drainboard or countertop. See Section 608(d). Am –�- SZ-A-,vo /_ o PE—rA l L Deb Dei av� �t `105 tom- 00#-)7M W1 U4 L 62, cam, Szzs� M�OF LA QUINTA IL, DING & SAFETY DEPARTMENT CONDITIONALLY ACCEPTED FOR CONSTRUCTIO J SUBJECT TO INSTALLATION ASP R AND ALL APPLICABLE CODES BY km-��2