9902-047 (SFD)LICENSED CONTRACTOR DECLARATION
�w I hereby affirm under penalty of perjury that I am licensed under provisions of
F- v i Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
�jProfessionals Code, and my License is in full force and effect.
O =) C) License # Lic. Class Exp. Date
I w 504667 T 381toI
o Z
(DOate <x Signature of Contractor--� A i!;
S
~ m OWNER -BUILDER DECLARATION ?/
W W I hereby affirm under penalty of perjury that I am exempt from the Contractor's
~ U) License Law for the following reason:
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). r
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business &, Professionals
Code).
C0() I am exempt under Section B&P.C. for this reason
N Date Signature of Owner
Orn
d Q WORKER'S COMPENSATION DECLARATION
C:) 2 Z I hereby affirm under penalty of perjury one of the following declarations:
O () 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
O _ Q performance of the work for which this permit is issued.
m Q () ( ) 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
11 0 Z permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier Policy No.
r --O 1li+11-3 4PT1711d GIN a 1.111 1,
J (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
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.
,Date: r.. ^r- /Applicant
V 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 -jt
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
the above-mentioned property for inspection purposes.
\ Signature (Owner/Agent) �'-, , / r ri 1 Date fit• Z ty • 1 "'1S
BUILDING PERMIT PERMIT#
DATE '2 fVALUATION LOT TRACT
el 129
JOB SITE}
ADDRESS 7'7.435 Ai`1uai IDA 1,4 VADA
APN t
r C�31-'%7€-Ci2S
OWNER
CONTRACTOR / DESIGNER / ENGINEER
v"Ay p?OYYn^WVCTS
IAACK ~1'GENERAL
i0 qR,A(Y )i
'i*W N 1ULOADWAY W17
51.22011iTNIDA CA'#tRAN T A
09LAf- t: MA C.11T OK 73114
LA. QUI NTA CA. 922S3
(700)564.15 1.1 C I0 1115
USE OtF� PERMIT
h �q 7 q �qY
,3F1V�i1..3'w f.".[iMIL Yy
apt) -P UT DOES NOT INO.WE BLOCX WALLS R,��0�,
4*k JT3TC"NI 0;014,:, 1ZIiC'N0 N 4,147.00 S4
f'aJ1�t 1lF .� '2�5 1340.00 SP
t�i1.!<Pi1.:isJ�f1f^�!'i:i7lti' 235�.i.Nf `�E�
fl: � � a. d"O.'i , ' +' C "ny e 1' lg "'ION
3S O,,671x.:10
(;t)N.%`fRt.Yi:"F1.0NFEF 1!?.l-CiOtJ-�iltl-Ui9V �1,.5i.�.tn?
P1,AW CV _ C FFII 11)11-l♦1(p)t)_4W-3IR �.t, :1`,.17
1'i:1s PL1'ri�;l'K 10f-ULaO-'-3t�;,C►ot�.flu
llfPit ILt1 FE 101-0tlG•�ia1 �Gili7 $1 `u'1.t t}
3�1.IS "I'C4icJAL Vl-li 101-000-420-3,J00
t�f !'liVfFiititt:ial�}:l�r 1t!/?�l�d(►)((�1((1�j3-l/l�/(F�!(�1♦2Ay♦`if3
y+ f
j'� 1\r) Yt.i tt„il ICtAi 3'�:1.;. d:e_w,l122 1011-000.241.-f100 $35,0,
�y1Cr11zttV 113is 101-000-42+,400 52o-00
J1V!'3 i; '-t'It1J�:"1 f1t f l 225-0( -443-_142 $("WLiku
ART fN Pfrtjl,fil P1,AC - RVI,113 7014)(10-'7i5-0fy)
p
a�
'110 TOT .AI, %ON'S PR -o 1701N AND FLAN C;REC! .
$YI i1ryS►, l ck
PAM LUSS MR Ir'AID IT.1 5
41,000.00
MAY 2 61999 TMWL V'tl<:RIM INY>CKS 011)9NOW
_$9,069.14
�1TY Or7 LA OUINTp.
��
R
RECEIPTDATE
Bl %
D� I
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
V.,
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
va 5
F.A.U.
Framing
Compressor
Insulation
_
Vents
Fireplace P.L.
Grills
Fireplace T.O.
–
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
– C/O -57
Drywall - Int. Lath
$
Final t
BLOCKWALL APPROVALS
Final
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Pibg. 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
Z
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)
COMMENTS:
\I\
January 12, 2000
Mr. Mark Harold
Department of Building & Safety
CITY OF LA QUINTA
Post Office Box 1504.
I.,a Quinta, CA 92253
RE: The Enclave
Lot -21-6:v ri id rt aga
La Quint CA
Dear Mark:
WALLING & McCALLUM / LIMITED
ARCHITECTURE • PLANNING • ENGINEERING
45-190 CLUB DRIVE :7'13:430-02::
INDIAN WELLS. CA 92210 FAX 760 307
17 - al -e t 6%-&,
1117
I have inspected the shear walls, posts and beams and their connections to the structure for this
residence, and have found them to be in reasonable compliance with the drawings.
Yours trul
JZGWalling, A.I.A.
Certificate of Occupancy
City of La Quinta
Building and Safety'Department
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
certifying .that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. For the following:
BUILDING ADDRESS:
Use Classification: SFD
Occupancy Group: R 3
77-23.5 AVENIDA ARTEAGA
Bldg: Permit No.: 9902-047
Type of Construction: VN Land Use Zone: RL
Owner of Building: PAPERBOY PRODUCTS
Building Official
Address: 9000 N. BROADWAY EXT.
City: OKLAHOMA CITY, OK 73114
By: STEVE TRAXEL
Date: 12715=00
POST IN A CONSPICUOUS PLACE
Building -7 -7_ �3S
Address
s,4�q.-e>(r�«.—,:�a...�-�::.-�,•,-Q.,,p�,��.r^-1../�-�.-'�-`.,�-.y4•`ri*v"aaw-���_...vsak+.r � ./�. �9�/J�.,.,,�-�,,,ri,�,/„Jr,.�,,. .,.�.
an5
P.O. BOX 1504 APPLICATION ONLY
78-495 CALLE TAMPICO
!rfCACA LA QUINTA, CALIFORNIA 92253
vwrrci TCIii i:Y60'1) [ V'0dt/.C.Ai VIA'S IA/_.
Mailing t
Address
City lZip ITel.
Contractor
Address �J ,
dao Me, C..&vvc�o ?-q
City �G u Zip � Tel.
State Lic.` City
& Classif. rj G 6'G Lic. # j
Arch., Engr.,
Designer
Address ' 1 Tel.
City IZip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5.Susiness and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to 'its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for thealleged 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 ($500).
I] 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
I'1 I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
doesnot apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
1-1 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
177 Copy is filed with the city. 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of lhF 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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Signature of aOplicant Date
Zi
BUILDING: TYPE'CONST. h OCC. GRP.
A.P. Number (03 ! -711 - V 26
Legal Description t1 �%Vl l dot rt -L E�
Project Description ✓l (L" U.% k O UMC.
LM ZI 7 -le 2//20
Sq. Ft. No. No. Dw.
Size Stories Units
New 0 Add 0 Alter 0 Repair 0 Demolition O
>timated Valuation
PERMIT AMOUNT
Plan Chk. Dep. 4> I o0o
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE:
BY:
Minimum Setback
Distances:
f
Front Setback from Center Line
Rear Setback from Rear PrOp. Line
Side Street Setback from Center Line
Ides S&back from Property Line
J
FINAL DATE—ti
r INSPECTOR
F FB Q 8 19�te
Issued by:
Permit
Validated b
T Ul- 111
Validation; 44
4
WHITE = FINANCE YELLOW = APPLICANT
r
PINK = BUILDING DIVISION
411
\I\
?.Z N►A 2 9 5
Mr. kp am 140'riOL-P
bi?J4Q mAqz g -
WALLING & McCALLUM / LIMITED
A RC H ITE.CTU RE • PLANNING • ENGINEERING
45-190 CLUB DRIVE
INDIAN WELLS. CA 92210
(760) 360-0250
FAX (760) 360-0766
� "*via24amommwo"D,Ai¢ 'C:?.,sat c& -r-& owa LQr ?a jiTA&c4' 2 t►2o= ,Ow•+�