9810-148 (BLCK)LICENSED CONTRACTOR DECLARATION
= 1 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
634981 U31.100
spatesignature of Contractor !iii 1 i
r 7 .r r ,
OWNER DER 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 riot 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 Sectiori'3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Se( ) I have and will maintain workers' compensation insurance, as required by
ction 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:
4�`�f:1X.DEN ;EA>.`XE INS. NWC=A.IL" . 0
(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
worke�/compensation laws of California, and. agree that if I should become
?ate:'
'ect to the workers' compensation✓provisions of Section 3700 of the Labor
eI shall forthwith, comply with hose provisions.
,IApplicant—
Warning:
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 rep (Aentatives oWhis City to enter upon
the above-mentioned propertyfor inspection purposes.
,,Signature (Owner/Agent)! f • / (� �r .� ./ Date
BUILDING PERMIT
DATE 4012303 VALUATION S90I11.00 LOT
A
OWNER
31-33() trisi".ei°riO ER DR.
LA QWN'I'A.
USE OF PERMIT
CHNERAL BUILDING
PERMIT # CONTROL#>
TRACT 06
APN
CONTRACTOR / DESIGNER / ENGINEER
CA 92253 1,la. f; U I Nr I'A C A 92253
(7150)564-4604 ('1911>#4 12261
50 L.1",, 4' ii1;TlU1v:I•NO WALL. 30 L.P. b RETAi1d11>iQ W:\LL. CITY
STANOAfLIJ
4 IT WALL
&.STIf%I ATIM CX) ST OF CC) NST11. tIiC"X` QN
1'EAtti9. T FEE SLdI6 MAR''k
C0N3'rRt3GTKJN HE 10I-000-418-000 $21.00
RA I
OCT 2 3 1998
11
tJi3-1'�f'►_.C'(1NCI`1t.1!t�"!'inN"tm11PIJ1 JCF.}?t.
° LESS PRE-1='r1.1D FEES
Tt.3'i'.AL PEt2MI"F F EE44 IME NOW
I
RECEIPT I DATE I BY I DATE FINALED I INSPECTOR
P00.4.)()
$- 1,41)()
$0.00
521.00
INSPECTION RECORD
r" OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
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
Finat
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond peam _
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Neater 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
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.
jSmoke Detectors
&Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS: