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0302-208 (OFC)7here'by LICENSED CONTRACTOR DECLARATION 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 Professiondls Code, and my License is in full force and effect. �Jcense # Lic. Class Exp. Date 401ss7 'Date y-,�-7 Signature of Contractsr �!t•`--� 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 N 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: t Carrier STATE FUND Policy No. ;634612.01 a� (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 oCode, I shall forthwith comply withrthose•provisions. Date: k- r 2 ApplicantL,E`.%i,.lr--- 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 onhis 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 `he above-mentioned property for inspection purposes. Signature (Owner/Agent)/i. li'rDate X. Z Z Q� BUILDING PERMIT PERMIT#.. :D DATE 1 VALUATION LOT, TRACT • ,(� TIAR 4 PM, 30903 JOB SITE t�' ADDRESS 7"05 HIG01'�4 AY.I X APN 45434M.0-017 t OWNER CONTRACTOR, / EN INEER 0A-� NGTON IZT, LTD WH 011YAS aZJf lite . 0. -74.770 HVI 111, RUVE 202 55755 T'agR UXT. UMMAL CA. 92274. )AiDIaT.'i:W CA TW USA ND P,A1:aVW CA 92276 C169'399.5461, C13W" 6556 USE OF PERMIT .- 31,435 aQ.l''t'.'IJAi3FC. "�iHY�l.:l° .'�1315..1�f(n�Tt�. "�'•t P�+d23 t�'C9�S'I'f�',1�C"i"7L7�'N. . tA)"#/A,( -7-0/d PORCH/PAT,946,00 8P SPRIN&'.I,t R 3y433.o0 So' CONTRACT ./Aldir IJWT 3691530.0211 LS CONSTRUCTION FEE 101 _000-48300 £ s Siy730.00 PL�,(t14 Cp WIK FEE 101-00�•i39-A16(.' ^' $1,310.40 XI.LDEPOSIT 101-000439-31g-S.I,000"99 ELZCTitICA1. F EIT 101-000w4,1_0i400?, $117.01 Ptslii'si:6TkSG FEE I OI.000.,p 9.,000 G� $97,30 STRO140 MOT1014 PSE - COMM A 00 -000_,V.1 -Wil -i $6.6.19 (IRADI-90 Pis.Ii.. 101400423,000.., T W100 DEVELOPER IMPACT I'EY, ART 11+1 i'1: B141C PLACl.$ - OM? 2'10.01 Y-445.00€9 1 S2,02.12 .r Sm»ramL cowpwri ri 9k; AC'S ]r; '"_ C-F.4f�.CTC 1'F F �`.S.`5 f r7 Xs,'�,9 Me -PAW MIS .$1.600.00 4 PM13 AMS DITE No dry► $16,07"7 1 7 20J6'r 2 _ 8 4W91 Y OF LA QUINTA FINANCE DEPT. - RECEIPT DATE, / /' BYE DATE FINALED INSPECTOR INSPECTION RECORD _. OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Sei Backs Underground Ducts Forms 8 Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans OX to Wrap F.A.U. Framing O Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Q Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans OX for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas)6 ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power p fVD Final Utility Notice (Perm) COMMENTS: 8/2-7/03 Pm 71+/$ff AK � �j � JC4,4C &c Z ✓� N PES ?S, o.� To �.toGee'� Gr4�iii 04F r6WA R W4 bort ,tib s Lq/3 (//-t- ;1 P/I�rJS /9�i/ Va J��yTv� ?oIr'* ;Z4 f'3 V #=VWC4 A^' ;-. �Q�hG fix �� 12r -400n U4Jf/AQ A X Rin City of La Quints n "rk Building St Safety Division 030 01 _ g P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ~' Project Address: _MS' UL ald Owner's Name: �� L A. P. Number: Address: 7Y_ 770 �� I Su Legal Description: yLf�T Contractor: �. Cin', ST, Zip: ba. As OeA O FTelephone:W 2d6 Project Description: Address: 6 d _ �js' PQ/ City, ST, Zip: 4 zz 31/ /e Telephone: 7110- - X6 State Lic. # : 6 9 1 SS7 Citv Lic. #: 06 "— 6 Arch., Engr., Designer: S Address: ,2 $% ui O i City, ST, Zip: 4f40 Telephone: TQ 35/ State Lic. #: r yI'. Name of Contact Person: Z Construction Type: v_ti Occupancy: Project type (circle one . e Add'n Alter Repair Demo Sq. Ft.: S �� 3 #Stories: # Units: Telephone # of Contact Person: % _ _ 53,0b- stimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES 3 Plan Sets Plan Check submitted Amount 2 Structural Calcs. Reviewed, ready for corrections Plan Check Deposit f 600 Truss Calcs. Called Contact Person Ian Check Balance Energy Calcs. Plans picked upC V/ �' Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready.for)orrecti nsliss Electrical Subcontactor List Called Contact Person Plumbing Grant Deed H.O.A. Approval Plans picked up Plans resubmitted S.M.I. IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee q.IIP! k (, I I , ' ;Uuj Planning Approval Called Contact Person Pub. Wks. Appr School Fees Date of permit issue CITY OF LA 01 INTA F'IAcI,R.MC-9: Mr nT Total Permit Fee_ s 13 v /L b J,Vc, -,r.>F_P7- YOUNG ENGINEERING SERVICES •Engineering •A rchitecture•Surveying• Building & Safety Services �^ v Letter of Transmittal UA To: City of La Quinta Date: 7/23/03 Project: 78-805 Hwy 111 Washington Mutual Attn: Ed Randall PC#: 0302-208(2 ICheck) Tel No.: (760) 777-7012 Tract No.: We are forwarding: X By Messenger By Mail Your Pickup No. of Copies Description: 1 Set of redlined plans/revised plans 1 Set of struct calcs from first review 1 Truss- calcs +" 1 Soils report Comments: Plans are acceptable. e - Thanks This Material Sent for: Your Files Per Your Request Your Review z Approval Checking At the request of: Other By: Eric Frenzel Phone # 760-360-5770 77-804 Wildcat Drive, Suite C, Pale: Desert, CA 92211 (760) 360-5770 Bronz Young Tom Tisdale Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning , 4. Beaumont q. Calimesa 4. Canyon Lake Coachella 4. Desert Hot Springs 4 - Indian Wells 4 - Indio Lake Elsinore 4. La Quinta 4. Moreno Valley Palm Desert Perris Rancho Mirage San Jacinto - 4 - Temecula Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Marion Ashley District 5 j " - RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 Westan Jacinto Avenue • ems, California 92570 • Fax (909) 940-6910 July 31, 2003 79- 505- S To: City of La Quinta Building Department Re: Release for Building Permits Washington Mutual (Shell Bldg) The Riverside County Fire Department hereby releases the above referenced project for issuance of a building permit at the discretion of the Building Department. Respectfully, FRANK KAWASAKI Chief Fire Department Planner By Walter Brandes Fire Safety Specialist H:1PE2\WP MAU QuWaIPROJECfSUMcfing PCLLAO-03-BP-017 BP Releaw.doe EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 It U • h Building & Safety Department Public Works Release to Issue Building Permit To: John Freeland, Senior Engineer Date to PWD: 5.5.03 From: Greg Butler, Building & Safety Manager Permit #: A release from Public Works Department is required prior to building permit issuance for the following project: Description: Ap�-) Address or general location: 76 S0� j / / - APN and/or legal description: Applicant' contact and telephone number: 6=�J< ¢� 85- 5 30,5 f2gl Please do not return this form to Building & Safety Department until released for building permit issuance. For issues delaying or preventing release, please contact applicant directly at the number above. Note: Action required (reply to Building Department or contact Applicant) within five (5) working days from date received by Public Works Department. To: Greg Butler, Building & Safety Manager From: John Freeland, Senior Engineer The Public Works Department has reviewed the above project and finds that: ❑ ... issuance of this Building Permit does not require Public Works Department approval. fin F ...issuance of this Building Permit is approved by the Public Works Department. , Senior Engineer Green Sheet (PW rev1).doc — 4/18/03 1.103 -A i v v v 4-7 )� s1 nl K &1i ciao(- %;9- 'Cre V-35'5 P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 To CDD: 7-28-2003 From: Oscar Orci, Planning Manager Due date: 8-06-2003 Status:IsT Review Building Plans Approval (This is an approval to issue a Building Permit) The Community Development Department has reviewed the Building Plans for the following project: I Description: Washington Mutual Bank(Shell Only) . Address or general location: 78-805 Highway 111 Applicant Contact: Bill Sanchez 760-485-5308 The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Department approval. these Building Plans are approved by the Community Development Department. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Community Development Department for review. )6-3 Oscar 6 rci, Planning Manager Date Tit!t 4 4 Q" P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 To CDD: 7-28-2003 From: Oscar Orci, Planning Manager Due date: 8-06-2003 Status: IST Review Building Plans Approval (This is an approval to issue a Building Permit) The Community Development Department has reviewed the Building Plans for the following project: Description: Washington Mutual Bank Address or general location: 78-805 Highway 111 Applicant Contact: Bill Sanchez 760-485-5308 The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Department approval. ❑ ...these Building Plans are approved by the Community Development Department. / ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Community Development Department for review. Oscar Orci, Planning Manager Date REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY` ❑ POST TENSIONED CONCRETE ❑ ASPHALT O REINFORCED MASONRY ❑ FIRE PROOFING ❑ - THER _ f Ctj6 ((( e—A JOB LOCATION �U-, QVC —7A a 1 REPORT SEQUENCE NO. TVP OF STRUCTURE (.b Ku PERMIT NO. DATE �3 DAY OF WEEK MATERIAL DESCRIPTIONA'� / ARCHITECT I MRS. CHARGED C�C,�' ENGIbEQR ASSISTANTS HRS. CHARGED INSPECTION _ DATE._CONTRACTOR GENERALj� — SUB ` t _ __ CONTRACTOR— "tom sA-.:NS( 7(:6 3 �% 6.vL \/1 lIc (A TC.S Z'O �-�� ''•S- O k (o tic. � �e�.�s Q-V4��.' IR Sgt uCT�l--s S''7't�S COPY SENT TO CLIENT O CONTIN D ON N T PAGE O PAGE OF CERTIFICATION OF COMPLIANCE IHEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. NATURE OF REGISTERED INSPECT D TE OF :PORT REGISTER NUMBER SPECIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ THER n^ 8-000ATIONY�. C � / � A � _.y�� REPORT SEQUENCE N0. TYPE ! STRUCTURE Y� PERMIT NO. - '�-'•�, ��7 _ DAY OF WEEK MATERIAL DESCRIPTION-� ��, ' }1 ARCHITECT INSP C. 1 ' -MRS. CHARGED 1D l.i� EN INE R ASSISTANTS HRS. CHARGED INSPECTION GENERAL DATE - - . -.CONTRACTOR,, , ' _ SUB CONTRACTOR COPY'SENT TO CLIENT O CONTI N NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. ac�v� g-v\-k� NATURE OF 3,Rt"S"KIj, S T;D� DA E OF R P RT REGISTER NUMBER REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED.CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING 4�L p�t.•'J 'fHER / Wcs�L JOB LOCATION_ 8= I�"1 ' J REPORT SEQUENCE NO. T�yE OfYC7URE l/M/IATTEE-RIIAL ,— l� PERMIT N0. 0�1 �� Q� I/ DAY OF WEEK DESCRIPTION��LJ��,'1L ` ARCHITECT TOR MRS. CHARGED P,�r1\.S—� s �tJ V L1 f� `� FC_A eI�EERL (i / C7T 1 jE r v `� ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL j� CONTRACTOR 1 T SUB CONTRACTOR rl lA�T.5- -6100 to-t< /9-eAa i. Aw-Qi 1!55�&x�e, it t�- - 7 flC)- COPY SENT TO CLIENT O CONTINUE TBINNEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK .TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. IG URE OF REGISTEREDP�ECTOR �0 i