Loading...
0107-327 (RPL)LICENSED CONTRACTOR DECLARATION I hcTeby affirin 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. ClassExp. Date A 7' ft i i - ,, t Date r Signature of Contractor v _ l Y f' I hereby affirm under penalty of perjury that I amkexe4t from the Contractor's License Law for the following reason: 'V ( ) 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 .zr 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 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 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, hall forthwith comply with those provisions. Ls Date: a d �'4 f Applicant C j Af -Warning"Feilu're'to"secure-Workers'-6'jnpef- atioe-coverage is unlawful and shall subject an employer to criminal penalties(and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicator agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property�for inspection purposes. t Signature (Owner/Agent) "� 49-� Date f f j T .. PERMIT •. PERMIT# /BUILDING DATE / / VALUATION LOT TRACT f! JOB SITE' % APN ADDRESS 78-2 .58 11KNAnA++ POINT I y ,- OWNERpp CONTRACTOR / DESIGNER / EN (NEER qq yy L 0 -ft -YE CORWdf y S. X R0R1r�e P AiNSWORTH 1000L COOS TPXIC'TIO PA BOX M2 7485 LM40. 'Pfi.AAM 9,21 PALM 17. A "kmsV.f CA 92261 TIALM, b.{'X:.Ab'ILE d t:;A 92211. . . _•. y �7�Vliri �7W�^Il�Y� �8+f3' .../fib d�Y USE OF PERMIT :F'+t'%f?JL AldDs'OR YPA 1. C40?1AP4f4..A2,FaRNIVIIJ2$f119..1'US a3.JKA1,L,1jN' 1W +'e IL A10E AT P".11-PL•AaV Z1Z INSPECTION, POCKY.1;6�Ui!'1�1�2J�'.��C3t�3(li�� 1t¢ia i1iCL1F0 '�. + a:? JM.S31YWOR S8 ASL 25X 00.00 WV c 1'i A'3ED COST OF�:OR91 Y&<I:��.'1 ON Q1liY�i�tf� "FV.R'.WT FIX SUMMA" C t"i'8d.�',i'3t l7S� `F CYAi FEZ $252.00 HLEC 4.AMIr' LRZ •- POOL 101.000442! -WO $9100 EL,ZCT111C.ALHar.,,POOL 101-000-4,2€-0100 PUMP NI O RZ _.. POOL 101.000.419.001 .._ • &7. oa rm� TP Ma -'['a?}` Ar CC 'ZTs"."E ke Al . &'T.,F 9 C rg(X-X - $511.80 if �., L1I1a_ ._ j SW3 .EY RE—PX0 ;~EBS ` � . FERWrX YN 6. DU: r�ca��r _ AUG — 1 2001 CI"f'r OF LA QUINTA FMOICE DEPT RECEIPT DATE yg J t BY DAT INAL INSPECT INSPECTION RECORD OPERATION 11 DATE INSPECTOR OPERATION DATE INSPECTOR ,'BUILDING APPROVALS MECHANICAL APPROVALS Set Backs li Underground Ducts Forms & Footings Ducts Slab Grade 11 Return Air Steel 11 Combustion Air Roof Deck I1 Exhaust Fans O.K. to Wrap F.A.U. Framing. I' Compressor Insulation (& Vents Fireplace P.L. li Grills Fireplace T.O. b Fans & Controls Party Wall Insulation Condensate Lines Party Wall FirewaW Exterior Lath I Drywall - Int. Lath 11 h ' V Final Final 11 6LOCKWALL APPROVALS Set Backs Footings I.' steel Electric Bond Main Drain POOLS - SPAS g Bond Beam II Approval to Cover ]i Equipment Location i. Underground Electric L/,j 0- /-o— !. Underground Plbg. Test Final Ii Gas Piping / F,,LUMBING APPROVALS I Gas Test Electric Final — Waste Lines r': Heater Final Water Piping I° Plumbing Final Plumbing Top Out 13. Equipment Enclosure Shower Pans V O.K. for Finish Plaster Sewer Lateral I: Pool Cover Sewer Connection Ia Encapsulation Gas Piping 1 Gas Test 19 Appliances 19 1' Final �/ b v 2 - Ir 9 a. I Final !I Utility Notice (Gas) I,: ELECTRICAL APPROVALS Temp. Power Pole II ' Underground Condut Rough Wiring I Low Voltage Wiring I Fbdures ! Main Service 13. Sub Panels p Exterior Receptacles •G.F.I. 19 Smoke Detectors 1a Temp. Use of Power;' k I Final I Utility Notice (Perm)It COMMENTS:. . ' - JUL-31-2001 14:08 TRADITION GOLF CLUB 760 564 2356 P.01i01 racdiffor ARCHITECTURAL DESIGN REVIEW July 31, 2001 Ms. Nic1de Gormley Building and Safety CITY OF LA QUINTA 78-495 Calle Tampico La Quinta, CA 92253 Re Tradirion gip_ 11d_Caiifor_nia Village; Swimming Pools Dear Nicl ie,' Via Facsimile 760-777-7011 This letter will serve as ADRC approval to obtain a building permit for the swimming pools at the Old California Village at Tradtion. If you have any. questions, please do not hesitate to call. Thank you. Sincerely, Christina J. Dores Architectural Review Coordinator /rid cc: Jody Jones, APC (via first class mail) CWY Damos+w�ngaJ,a Il�.wwpo ved,-� 78505 Ow AVDAA 52 --- LA QuNTA — CA 92253-1120 — PHONE 760/564.3355 — FAx 760/564-2356 TOTAL P.-01 Lu 1 \ �\ _04CITY OF LA QUINA BUILDING & SAFETY D .P1 --- ' ; FOR CO STRUCTION / \\\ OAT B Ln �\ o 1.1.1 14. I ' let