9905-208 (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
706410 05r,511191
r)
gDate Signature of Contract
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( .) 1, 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).
1, 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.
( y) I have and will maintain workers' compensation insurance, as required by
Sebtion 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:
Cartier 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
su6ject'to the workers' compensation provisions of Section 3700 of the Labor
Code� I Shall forthwith comply with those provisions.
,Dla'te: Applicant
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, indemnity
& 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 applic�tion and state th at 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 aboye-mentioned property for i spection purposes.
11�s tu re (Owner/Agent) 4 4,0, 11 )..A I 1I — DateS Ct
BUILDING PERMIT
PERMIT #
'WROs-208
DATE LOT
,5,,7,,,9vA'uA`nO' S6,100.410
TRACT
11 21113 6 11.
JOB SITE
ADDRESS 79-253 111RK0AT,EC0URT
APN
769-162-001,
OWNER
CONTRACTOR / DESIGNER I ENGINEER
11
MRIPM1 12Y)NINTRUCT11011\1 W.
1URPIN, CONSIrK1.11CM), Co.
N
79-120 C At, LE E SiTYWO V 2 06
78- 120 CALLE E' YJ.AQ0 #206
1,A QUIMA CA. 92253
L A Q) U I NT A CA 922.5-3
(7601777-7011 CIATIP 1751,
USE OF PERMIT I
2141.F., 6 GARLINN VVALL, 0.11T STANOARD
6 M WALL
2,9,00 LF
ESTIMATIE3.) CU371'OF
CONTS11TUICTION
(0,1w.0f)
ril' 171, 31f J%,IAJARY
MN,8TKtJUrT0N FIX 101-000-418-000
SLM-TU I'Al, CONS' rR WrION AND P1 -AN C3 4 ECK
$9000
LESS PRE -PAID, FAES
$0.00
XM IT F k*.S 0 U C MAW
WTAL ft
$90-00
CEIPT
DATE
I
By
JDATEX
i I %Y19
JINSPECTOR
-t /
INSPECTION RECORD
OPERATION
T 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
ExhaustFans
OX 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
POOLS -SPAS
BLOCKWALL
APPROVALS
Steel
Set Backs
0
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
oe
Equipment Location
Underground Electric
11
Underground P(bg. Test
Final
Ed 57
Gas Piping
PLUMBING �PPROIVALS
Gas Test
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
Fbdures.
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)