0403-392 (AR)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. Datte
Date1' •rte �� 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).
( ) 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 1i3.4a�'k` Policy No. -
(This section need not be completed if the permit valuation is for $100.00 or less).
(,Y 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, Lshall forthwith comply with those vons. .
./`Date: Applicant—
Warning:
- -ro'fes
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
the above-mentioned property for inspection purposes. _
. �...
Signature (Owner/Agent) Date_
BUILDING PERMIT PERMIT#
0 -?132
DATE VALUATION $.t..7;fOZOLOT TRACT
JOB SITE
ADDRESS 78-46.1 MGHWAY111
APN
OWNER
CONTRACTOR / DESIGNER / EN (NEER
}
125551.il-C4k): IBLL.F r;R M'. 285 •
369 9 A143r7?}?�IB ROAD
SM MEMO CA. 92130
�v.�
P.4214 S CA 92262
(760)910-3631 CBJJ-,' TED
USE OF PERMIT
COMT%4. 72 SQ ".STORAOX ELD0 FVR • DZ114TAI.OFFIC& 2001 COE' RS.
YKAt1EHOU VORM'IS (W) 72 -OD 3F
ESIDIA17D COST OF C011TSMUMION
I °Tr�'itZib r r, hT. 5 C UIVI •A "Ry
PLAN d:MCK ;I;>~;& 101.000.439.31€ 65
CONSTIZZUC!`IO,I0% '101-000-4184 000 $41.00
MECRANICA1., RE 101-000.4?1.000 $28.00
ZIvZC;°PPJCAI, IRE 101-000.420-000 $16.44
PLUMBING IME 101`0 00.419.000 VA. so
D � D
fR9AR 2 9 2004
CITY OF ILA QUINTp,
EINAAICE DIEIT:'
-TH_T(i.IV, C`C?1NS7RUCU Ilow AND P3:.,AR CIEWCX
5!2i 6."1_t
LESS 3?KE-PAID .PH85
$0.100
TOTAL PKI RENTIr 1i E194 DWI NOW
/ 1
RECEIPT
DATE
BY
DATE FIPIALEPINSPECT
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings /
Oucts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing /
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 APPROVALA
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam , D,
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 Q
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)
COMMENTS:
. A
revised as storage room
owner.- Dr. Long
address -78-461 _hwy:.111
la quints, california
contractor. Alexander Development
contact Dennis Alexander
phone (760) 910-3631
contents
floor plan '
interior elevation
exterior elevation
revised gas storage room
new one hour
rated storage
room
136" square vents
)utside
)xygen tank
rogen tanks
n.rior 8" block
1