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0307-083 (BLCK)LICENSED CONTRACTOR DECLARATION I hereby 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 p� Date .rJ Signature of Contractor`��^' f +yr 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). ( ) 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. ('f 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 &olicy no. are: Carver 27A,'!'I+IaOND Policy No. 4�61.$�°r'�il (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, arid 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.' •' Applicant Warning: Failure to secure Workers' Compensation coV rage.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 Cityyand Siate 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' �'' Date !H� J - - B,WI DING PERMIT PERMIT 0307.00 DATE V ^ 4.1,28 jW LOT TRACT JOB ADDRESS' 7 910MAY AY 1111 - APN OWNER CONTRACTOR/ DESIGNER /EN•.i6i51N.EER B'),TKJFfNL.1A MNIRT LlVwZ 78.4001-UGHWAX- � y 1 "7;s 37. V1 VAIL, LAL(�T1iItrA. CA. 92253 RANCHOIViRABOt CA 92270 �760)25113-8253 C .—A 38 USE OF PERMIT C-1;z�,BiT�?IC Ito �...C. -b'.f=•yy f.`?:5.. C R.I t1T'.�_K6a 4 FT. WAIA. 10.09U, FUM111 CoSr OF CO1VMUMATOR . s� rZIMIX FAR PAS URY COMTRUCTIC)AT �M; 1C3;!•v000.41 HI-pQ� i i JUL, :0 8 2003 ! 4 • Cr-- ntc t. A 01JI dTA 81'M 8`3"fAL t'OitS�"_t RIX-2°TIO,L`3' AND PL.A W amm, TOTALIK MaT FUTS41C UE MIM, V5A.00 RECEIPT DATE. BY ; j DATE F A D I INSPECT R INSPECTION RECORD OPERATION DATE INSPECTOR BUILDING APPROVALS Set Backs Forms & Footings Slab Grade Steel Roof Deck O.K. to Wrap Framing Insulation Fireplace P.L. Firep'ace T.O. Party Wall Insulation Party Wall Firewall Exterior Lath Drvwall - Int. Lath BLOCKWALL APPROVALS Set Backs Footings / Bond Beam Q 9 • OPERATION DATE INSPECTOR MECHANICAL APPROVALS Underground Ducts Ducts Return Air Combustion Air Exhaust Fans F.A.U. Compressor Vents Grills Fans 8 Controls Condensate Lines Steel Electric Bond Main Drain Approval to Cover Equipment Location Underground Electric Underground Plba. Test POOLS - SPAS Final Q Gas Piping PLUMBING APPROVA S Gas Test r 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 - 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 • i, Final Utility Notice (Perm) I / OMI�I.LJJ Ui1VL 1"-I'M4 1.LU,., - - -" " CONCRETE 4 3 3 4 WALKWAY 12 =0 MIN, 1 , I 1 1 I 1 � n BANK y OF AMERICA ;. 4,000 ST, I II �' 4 -- (L Fi 1 r -----------i r� I 6 W 00 W 1 TRELLIS ABOVE 15 111 ; 19 4'-0" HIGH S LI SC EEN WALLS SEE L N SCA E/ ------ 16 ----' CIVIL FOR DE Al S, 1 1 15 L-`--------�--� 1 14 5 0 5 �, j 16 a CD 1 IL LANDSCAPE, PLANTS, SHRUBS AND TREES SCREEN, SEE REFER TO LANDSCAPE DWGS. 7 1 LANDSCAPE " •a 50 = 1 DWGS. BUILDING SGTBACK 1 PROPERTY LINE - - L •1 y 0 0 1 1 1 1 - . - TV 0 I I I �ODFOyed bw _. C7 Planning Conuftsl= 13 City Council ACommunity aeu oem htltials�= Case No. < < .Exhibit €1 With Cor�ditionet�, .t/i2l1`Y c�5wq�rruwS /�T �yi. ir%n i © a PROVIDE 5SQ REFER TO CIVII O7 4'-0" HIGH SO CEMENT PLASTI i BUILDING MAIN' TRELLIS ABOVE 15 111 ; 19 4'-0" HIGH S LI SC EEN WALLS SEE L N SCA E/ ------ 16 ----' CIVIL FOR DE Al S, 1 1 15 L-`--------�--� 1 14 5 0 5 �, j 16 a CD 1 IL LANDSCAPE, PLANTS, SHRUBS AND TREES SCREEN, SEE REFER TO LANDSCAPE DWGS. 7 1 LANDSCAPE " •a 50 = 1 DWGS. BUILDING SGTBACK 1 PROPERTY LINE - - L •1 y 0 0 1 1 1 1 - . - TV 0 I I I �ODFOyed bw _. C7 Planning Conuftsl= 13 City Council ACommunity aeu oem htltials�= Case No. < < .Exhibit €1 With Cor�ditionet�, .t/i2l1`Y c�5wq�rruwS /�T �yi. ir%n i © a PROVIDE 5SQ REFER TO CIVII O7 4'-0" HIGH SO CEMENT PLASTI BUILDING MAIN' ® f- 3'-0" HIGH S01 0 2'-0" HIGH SOI 10 BUILT UP ROOF( 11 BARREL ROOF '1 12 FLAGS POLE, SE 13 LIGHT FIXTURE( 314 �r= FULLY RECESSEI AT DRIVE AISLE ELECTRICAL DWG 15 - RAD. =12'— 7" :' 16 RAD.=23'-0"A" I 6REEN WALL SHALL CITY OF LA QUINTA WALL STANDARDS DRIB E GROUT SOLID CAP AT TOP OF WALL CONT. PRECAST CONC. TRIM PROFILE TYPE 2 SEE DETAIL 1 /Al2.04 - 6" CMU WALL (GROUT SOLID) WITH 7/8" THK. CEM, PLAS. SYSTEM OVER MET. LATH BOTH SIDES TYP. - #4 0 24" VERT. #4 @ 32" HORIZ. 83-95FIN. GRADE it 111 .11l t I ILu � �l ll � Ill u Il�u .u�J .. ■.O..I ��11�11�� Inll 3" CLR. #4 HORIZ. AS SHOWN CONC. FTG. AISLE SCREEN WALL 07 .1l-0" CMUw011 BARREL ROOF TILES INSTALL PER MFR. RECOMMENDATIONS 30 LB. ROOF FELT LAP OVER SHEATHING EAVE END EDGE TYP. ROOF SHEATHING PER STRUCT. DWGS. --- PROVIDE GALV. MET. WEEPING BIRD STOP AT EACH TILE END — CONT. GALV. MET. DRIP EDGE FLASHING CONT. 2X FRIEZE BLK'NG BETWEEN RAFTERS TYP. CONT. SHAPED FOAM CORNICE W/ CEM. PLAS FINISH TYP. CONT. 2X WD. BLK'NG AS REQ'D TO SUPPORT CORINICE AND SHEATHING — 7/8" EXT. CEMENT PLASTER SYSTEM 0/WIRE LATH AND BUILDING PAPER. — TILE EAVE DETAIL _19 SCALE: 144 dt_ex . I 1* QUINTA .54� •• � BULt�1NG-�5B,FETY DEPARTMENT . c`M OF V F �__.;:.::,: : t - 777-7012 INSPECTION REQUEST LINE 777-7153 Owner BANK OF AMERICA Contractor HENRY'S MASONRY. INC Permit Number 0307-083 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 78-400 HIG14 AY 111 183 L.F. 4' GARDEN WALL, PER C/D APPROVED PLANS TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/ .L--UMBING / WASTE U(G ELECTRICAL./ GROUNDING 7;htf?_ FOOTINGS / STEEL CONCRETE SLAB i nn NOT POUR CONCRETE UNTIL ABOVE SIGNED OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST BOND BEAM 1 POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS PRE -PLASTER TEMP. USE OF ELECTRICAL PLUMBING MECHANICAL PUBLIC WORK COMMUNITY D Q,g-,1,e-,/1 e ABOVE APPROVALS DO NOT INCLUDE RIG T TO TURN ON UTILITIES OR OCCUPY BUILDING LA QUINTA kFETY DEPARTMENT VALL STANDARD s• C.M.u. 1'm- 1350psi• ry. 40000psi 04 • 24' vert 0 CL ►4 • 32' Noriz 0 3' CLEAR '1 04 HOR12. AS SNOAN 1 J ti S GARDEN WALL Scole: 3/8' . 1'-0' 6- C M u. "'- 1350p&;. ry. 40000p5, /4 O 24' vert O CL ad o 32' Hoelz 3' CLEAR T +4 HOM.2. AS SH0*N (P GARDEN WALL Sm. 3/8' . 1'-0•