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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 057311119'.
vDate 7, A� Signature of ContractorL 1 fi/ „✓R,., ,,E,
OWNER -BUILDER DECLARATION j
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). .
( ) 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.
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:
Cartier Policy No.
7 NA I -t VMUtzANC.13 Z042043250
(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
C9de, I shall forthwith comply with those provisions.
,.Date: s" 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, 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.
r,Signature (Owner/Agenf)^/o/14• it, qtDate r' f1
BUILDING PERMIT PERMIT#
990S.206
DATE 05/1711" VALUATION 54,750.00 LOT .� TRACT 29611 '11
JOB SITE
ADDRESS 7&313 UIRKDt�1�� E COUR APN 769462-001
OWNER CONTRACTOR/DESIGNER/ENGINEER
°riltti-1'tN CONI STRUC'I10N, CO. `I`t:apm, cONsay "'1 am, C.O.
Iii -120 CALLF? EV'ADO X206 18420 C.,taLLP. ES`I'A.DO #206
LA.9V1:NN\_ CA 9:253 LAQUIN'iA CA. 92253
(160)777-7611 C'13t..xr 375t
USE OF PERMIT
GENERAL RIALF)ING
19ti LR. G GARDENWALL, Cn F' STANDMU.)
190.00 1,,i
CSTIAIIIATED COST OF CONSTRUCTION 4,750.00
CON:STRII C"l7ON FEIS 101-000-418-000 t X7100
81J.19M)TA •• CONSTRU r I N AND PIAN $72.00
LESS PRF,PA1DFE1�S $0,00
TOTAL PIb{ktMrf FI&F-V D(Ille, NOW $72.04)
RECEIPT I DATE I BY
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Stab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs f
Electric Bond
FootingsMain
Drain
Bond Beam at
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final I I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final ;
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
Q ao ua:3.3 rAll 114 041 iuvi
TUR P1N G0N5 TRU GT10N
LOT NO. 2-7.e4 30
-,I1Y OF LA OU I NTA
L) C: .A
12"
MIN.
GONGRE'E HOU5E 51.4,$
PER FOUNDATION PLAN
to3S1 T.VK AVENUE
SUI t OWE
SAWTA AWA HOGMS
Ta Zo1
TEL 714 6611545
FAX; )16 6611091
All ASSMATE
cuul
SLAB REINFOROEMENT
PER PLAN
CONGREETE HOUSE SLAB
PER FOUNDATION PLAN
5H01Y�ER SLAB REGE55 DETAIL
DET -!6:2B
I"=i'-O"
11/09/98 114:16 FAX 714 841 1091 D C A
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Mar. 9 '99 20:20 FAX P. 2
Turpin Construction
78-120 Calte Estado, Suite 206
IA Quinta, CA 92233
March 7, 1999
Re: General Framing inspection @ house on Tot 27 "Thc Tradition"
Dear Turpin Construction:
I performed a framing inspwdon on March 7, 1999 for anew single story house. Alt lateral resisting
elements are ok. t also did a quick iuspoetion for the TS coltuwi revision at Lot 30 for the welds of the
plates to the bucket. The welds were continuously inspected and approved by Jon Tandy per my revised
details and calcs bated February 24, 1999 and therefore I accept hig findings of approval.
If I can be of any funther assistance, please let tue know. Thank you very much.
S Ahtu
23 WVia Portola
Laguna Niguel, CA 92677-181958
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LOT 30
4: 12 ROOF PITCH
TILE ROOF
2X4 T0:1 CHORD
will
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Copyright It) CQVPVTPVS Inc.
Mar. 9!'99 20:20 FAX P. 1
PIT 7 •.
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March 9,.1999 5
Re: General Framing Insped ion Q ha�se on Lot 30 "The Tradfion'/'
Dear Sir.
I performed a fuming Inspection on February 7, 190 for a single story house. I spec if ally was looking
for the latera! resisting elerll" ; the shear walls and cantlevered TS column In the garage. A
Complete naUerg Inspection was done by the building inspector. I wanted to rr,�,ke sure that the shear
walls had holdowns with nuts and that the proper holdowns as called for on the plans were installed.
The shear wall at the back of the garage were miWng the nuts for the 1i1�5 each end for shear wall
011. The cantilever steel column in the garage was Installed vvith the base of the column as a pinned
connec Oon why was specified to be anchored to an erection pad with the grade beam poured around
ft. Because of this a revised detail with revised calculations were done to remedy this situation. The
revised Calculations and detail should be reviewed by the building department for approval. Them
board was WevtouSly approved by the bi tkng Inspector as being an equivalent substitute for plywood
as called for In the C 1culatiors and approved plans.
If I can be of any further assistance please let me know. Thank you very much.
1♦ i
1 N
Stephen Ahuna
25101 Via Portole
Laguna Niguel, CA 92e77.1958
(90)495-3214
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REGISTERED INSPECTOR'S WEEKLY REPORT
JON TANDY
37630 Medjool Ave.
Palm Desert, CA 92211
Office (760) 772-7192
Fax (760) 772-7193
Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
❑ REINFORCED CONCRETE
❑ POST TENSIONED CONCRETE
❑ REINFORCED MASONRY
❑ STRUCT. STEEL ASSEMBLY
❑ ASPHALT
❑ FIRE PROOFING
❑
❑ OTHER
JOB LOCA
A l� GT LAU L. r`T
REPORT SEQUENCE N0.
TYPE F-0 L- 6c��` O
PERMIT N0.
— 1—(? q
DA_V OFWE �C
CHARGGEED
MATERIAL DESCRIPTION -
A (142
ARCHITECT
INSPECTOR �
HHRSS..
O L'--7 t7-1' I
ENGINEER
ASSISTAN{`T�S
HRS. CHARGED
INSPECTION
DATE
GENERAL V
CONTRACTOR
SUB
CONTRACTOR G
-SM I I
08sezu-: D ReuA00 LIN-
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All A CoL)L— c�
COPY SENT TO CLIENT ❑
ONTINUED ON NEXT PAGE ❑
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.
SIOGNATI INSPECTOR
DATE OF REPORT REGISTER NUMBER
CiTl' n A n' MTA
0V 2 3 RECD
REGISTERED INSPECTOR'S WEEKLY REPORT
JON TANDY
37630 Medjool Ave.
Palm Desert, CA 92211
Office (760) 772-7192
Fax (760) 772-7193
Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
O REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY
❑ POST TENSIONED CONCRETE ❑ ASPHALT
❑ REINFORCED MASONRY ❑ FIRE PROOFING
❑
❑ OTHER
JOB LOCATION � � - �
� l Co�4n � � �
REPORT SEQUENCE N0.
TYPE FCTURE®��p-,,
PERMIT N0.
DIE ^
DAY OF WEEK
MATERIAL DESCRIPTION-3
Ar—s-3ARCHITECT
INSPECTOR
HRS. CHARGED
--71 I
1 "
ENGI R _� ��
{,�� p
ASSISTANTS
HRS. CHARGED
INSPECTION
DATE
GENERAL
RA S A d 1 e. � A C -
CONTRACTOR y v y�� CONTRACTOR
1
L %
0 6S E)e LCn c.,L�n (tJ C9-
TES
�v l . c�� o� T�
OP 4e,
" ifo � ► N C.e�w�--
COPY SENT TO CLIENT ❑
CONTIN ON NEXT PAGE ❑
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.
it
S NATURE OF _fjEGISTER�t�P�TOR ^ �
ATE O EPORT REGISTER NUMBERRR (y