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LICENSED CONTRACTOR DECLARATION
.1 hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter § (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
Date Signature of Contractor
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).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code
() am ex mp ,under Section , B&P.G!for this reason
ate X1111P79 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
perfo mance of the work for which this permit is issued.
( 1 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 ►vii;t� !�r�•LO Policy No.
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) 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
workecompensation laws of California, and agree that if I should become
sub]] ct to the workers' compensation provisions of Section 3700 of the Labor
CU e, I shall fort with comply with thos'e pJrovisions(
ate: /Applicant L�`..•r�r .r / (z/ /?
Warning: Failure to secure Workers' Compensation 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
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 to enter upon
Zig
ove-mentioned property for-inspectio .purposes.
ure (Owner/Agent) t�`� �!� �� -✓� Date
BUILDING PERMIT PERMIT#
DATE ff VALUATION LOT 9"74537 TRACT
C ,
S40too.00
JOB SITE
APN
ADDRESS . -05 AVENIDA CARRANZA
- -
OWNER
CONTRACTOR/DESIGNER/ENGINEER
E SL IMS.ERT USORt'S INC"
13"A'NER SUILDER W/ WORKE' S Cf: hIP
49.4SP- USENj"iOWER DR .
LA QLfIrE"f A. CA 92253
t � rE3L�
USE OF PERMIT
COMMERCIAL REAMODFL
rvp75c:"Ei.i.ANCi-�EJa riU2d•S^t t2iSC"T-�.�.tAE.,, �.EC'E (2IC"l�., f: Are%CE:tF►FitC,�ii,
RDICIDEL PFR PLAN;17PURAD:S OF''.PI REC'IR10U. SERVICE FIZON12001*0
400 A>4IP
vav rm 40,OW.60 LS
ESTEEY4 ATEA) COST OF C0114 TRUCTION
40,00o.00 '
PERM HT FEE SUMhURY
PLAN CHEM FE 101-000-439-318 52' '1.18
C.C1N&FT2UCE'.tOI>I F& t01-000-418-" SN9.30
MECE;3PON W,AL FES 10.1-000-421-000 Wk.50
ELECMCAL FEL I0i 4m.X20-wo $15190
FMC)NCT MOTION F'G'E - CfliMNI tCfi?-t 00.24.1-000 $8.40
i
r ,
' a ,
St.EB-T(�TAl� C'ON`sZ�tE !t"11C�N ��Eia Ft�r�i�E C.EEEC t;
$052,55
TOTAL PERI IT FEF_*; DUE NOW
RECEIPT
RECEIPT
DATE 7Y__
DATE
BY
DATE FINALED
INSPECTOR
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
0. K. to Wrap
F.A.U.
Framing _ /a /
Insulation /C
Compressor
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath _ �(
Drywall - Int. Lath Zo
Final
Final I ZQ f 2.1 , _
BLOCKWALL APP OVALS
POOLS - 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
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.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm) O
COMMENTS:
E
v
09/22/99 14:30 FAX 760+771+4132 CONST RSL RESORT
La Quinta Resort & Club
49 499 Eisenhower Drive Phone: 760-777-4855
La Quinta, CA 92253 Fax: 760-771-4132
September 22, 1999
CITY OF LA QUINTA
Department of Building & Safety
Mr. Steve Traxel
78 495 Calle Tampico
La Quints, Ca 92253
Attn: Steve Traxel
Project: Dunes/Mtn Maintenance Lunchroom Ren. Project #: 8Q 6150 C
Re: Storage Room Job #:
Dear Mr. Traxel:
The original plan for the lunchroom addition included a chemical storage room. KSL
subsequently decided that the room would be used for storage, but not of chemicals. It"will
contain rope, small tools, flagpoles, office and paper supplies. Thank you for your assistance in
this change to the plans and the approval process. .
Please do not hesitate to contact me if I may of further assistance.
Sincerely;
'�4ndrea Merrill -Mock
Project Manager
CC: GJ Murphy; Walter Brandes Fire Dept
End-
-
M
O C T - S-9119 F R I 1 6: 3 5 G_ J_ MURPHY C O N S T R U C T _
G. I Murphy Construction
P. O. Box 1124
Palm Desert, CA 92261
October 811999
La Quinta Building Department
78495 Calle Tampico
La Quinta, CA 92253
Fax: 760.777.7011: (3) Pages.
Phone: (760) 340-9423
Fax: (760) 568-4429
Attn: Steve Traxcl
Project: Mountain Dunes Maintence Building Project #:
Re: Fire Department Approval Job #: 009912
Dear Mr. Traxel:
Please find attached a two page document with fire Department approval for the referenced
project.
[ am available to answer any questions you may have concerning this matter.
0
Rod Murp Di,
Project Man
CC: Ron Cone, KSL
Enol. (2) pgs y
P _ 0 1•
OCT.— :13—S19 F R I 1 6::35 G__T_ M U R P H Y C O N S T R U C T _ P_ 0210
v�rN
c..1.41Cs 200AI
ALL PIPE AND MATERIAL USED FOR NEW T.I. WILL BE U.L, LISTED AND
RATED FOR 175 ft. P.S.L, ALL HANGERS AND SPACING REQU=,D W1LI, SE'
ATTACHED AND SPACED per. N.F,P,A. 13. ANY WORK (ADDED HEADS ABOVE
bR BELOW CEILING) BEYOND WALLS OF THIS DESIGN. IS NOT IN THIS
CONTRACT,
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OCT 0 8 1999
G.1. MURPHY CONSTRUCTION Q
E:c SVS. FIRE PROTECTION. INC.
�
4 1599
3584 La Campana Way, Palm Springs,CA 92262
G.1.
MURPHY C0?JS7R!:^`' INSTALLATION- REPAIR
FAX/323.8895 LIC. NO. 476633 760/323.5993
I
:S11)
TENANT IMPROVEMENT FIRE SPRINKLER NOTES
RECUCNC CCUPUNC
i
THIS BUELDING HAS BEEN FULLY FIRE SPRD4KLERED (SHELL & CORE) TO
MEET TIS REQU1REIvlENT'S OF TH% LOCAL FIE AUTHORITY. TMEXISTING
AUTOMATIC SPRYNKLER SYSTEM HAS BEEN DESIGNED TO SUPPLY FUTURE
3/a MIN.
IMPROVEMENT �ROVEMENT FINISMD CEILING SPRINKLER HEADS, SHASTA FIRE
1� MAX.
ilk
PROTECTION, INC'S SCOPE OF WORK FOR THIS SYSTEM IS TO DESIGN AND
INSTALL
AUTOMATIC FIRE SPRINKLERS AT TM FINISHED CEILING LEVEL
PER N.F.P.A. 13 AND ANY FIRE DEPARTMENT REQu=I ?C >:NTS, NEW FIRE
SPR{NKLER MAD SUPPLY WILL BE TAYEN FROM. THE EXISTING
AUTOMATIC SPRINKLER SYSTEM SUPPLY OUTLETS AND/OR NEW
`CENTRAL'
MECHANICAL TAP FOR SUPPLY AT THE EXISTING PIPE. IN EITHER CASE
MODEL ' H' 1/2
TiM PIPE SIZING TO THE NEW HEADS WILL BE THE SAME AS TTM E)aSTINQ
C
RECESSED PENDENT
SYSTEM. EXISTTNO UPRIGHT A171C PROTECTION WILL REMAIN "AS -15",
v�rN
c..1.41Cs 200AI
ALL PIPE AND MATERIAL USED FOR NEW T.I. WILL BE U.L, LISTED AND
RATED FOR 175 ft. P.S.L, ALL HANGERS AND SPACING REQU=,D W1LI, SE'
ATTACHED AND SPACED per. N.F,P,A. 13. ANY WORK (ADDED HEADS ABOVE
bR BELOW CEILING) BEYOND WALLS OF THIS DESIGN. IS NOT IN THIS
CONTRACT,
COU, p",
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OCT 0 8 1999
G.1. MURPHY CONSTRUCTION Q
E:c SVS. FIRE PROTECTION. INC.
�
4 1599
3584 La Campana Way, Palm Springs,CA 92262
G.1.
MURPHY C0?JS7R!:^`' INSTALLATION- REPAIR
FAX/323.8895 LIC. NO. 476633 760/323.5993
I
OCT— 8-9<9 F R I 1 6_ 3 6 G——T. MURPHY C O N S T R U C T
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