0209-048 (SATT)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
Date,!( " - —'Signature of Contractorf_ "-� ` �
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
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.
'(4) 1 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 COMMERC1ai4DIDUS' Policy No. WCV699M
(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 6alifornia, and agree that if I should become
subject to the workers' compensation -provisions of Section'870t, of the abor
Code, I shall f r(h�with comprly wit.,those provisloi j
D' e: 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.
r
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
y
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 r
the above-mentioned property for inspection pprposes.
Signature (Owner/Agent,)" Dat
BUILDING PERMIT PERMITN
DATE VALUATIONB-1�y+y LOT TRACT
:23409 .
ADDRESS -7W it'1{fr.1��Xai11ROs4�'.t�.PIAZA JOB SITE
APN �%�� i�X. 'r�i11
OWNER
CONTRACTOR/DESIGNER/EN (NEER
CAMUAS 1_U RC SAS LLC,
JiTF.R:1;T C:'. Ti'C1:t71"F D. BA SUMMIT HUU'.1tDER
P.O. BOX 15030
4700 VCaTXA'faNJM AV11.0100
LA CA. 92253
N��' WX):fZTBEACH A 92660
(9-39)4 50.95?1 1 cauf
s
USE OF PERMIT
BUILDING 97 TYPE 8, 5472 S.P. 3 -UNITS. P9IZ 1I T 13011 HOT
INCLUDE BLOCK 't+3A!..i,.S OR POOLS
PORC HIDA. -110 840.00 Y
APARTMF:WTS, V.N 1,472,00 SF
MA C OtU OF CC71�ST�.'17��:.",I70W
293,,527,20 _
rp t ry� Lypg p �I�S.
�y,��e�. _111M
S d'.�.GiP813. _ .3`,..47- ep V �V.LL?T.1J?1 Y
My
.
CONSTIMICTION F U 101 -GOO -416.000 S!,418,50
PLAN CHIEC.,K 101.000.41 9-318 $3,V14.69
,
MEC.'.HANIC,AL F'EF 101.000-421-000 $262:00
9L.IrIP.TRIC"..Aa;ME 101-000-420-000 a�rnu
PLUMBT00 FEY 101-000-410-000 $389A
STRCYNO MOTION FEE - KV31L? 101--000-24.1-000 $29.39
DENEIrC PER MPA.CT F.ER $)6,008,00
ART IN PUBLIC .'LACES w RESIE 270-d10C?-14 5_Wj sr. a.82
AMDON AND 1-11" a1WX
I,03 PRE-PAMPTUM
$0,00.
GCT 04 2002
'P AL EIVERMYr IMS 01JE Now
CITY OF LA ®UINTA
FINANCEDE
RECEIPTDATE
/
BY
DATEFNALE
INSPECTOR 7
I. It
L,
A:.
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings,
Ducts
Slab Grade
l
Return Air
Steel
Combustion Air
Roof Deck
, D
Exhaust Fans
O.K. to Wrap
- o i
F.A.U.
Framing
p
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
• / 0 7
Drywall - Int. Lath
3 • , o S 7
A%? I
//
jqddle
Sen 6:4&
Final
Final
BLOCKWALL A PROVALS
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 14l�/�Iq
Water Piping
7
( /
Heater Final
Plumbing Final
Plumbing Top Out
—( p �"r'
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Gas Piping
—/97 - Of
.• to -,a *�
Encapsulation
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): ;, _d 3
COMMENTS:
,
Certificate of Occupancy
Tit�t 4 4. Qu&M
Builaling ' &Safety Departrr►ent
This Certificate is,issued,pursuant to the 'requirements of Section, 109 of the California Building
}' Coale, certifj ing that, at the time of issuance, this structure was in compliance with the
provisions of the Building `Code and 'the various ordinances of the .' City regulating building.
construction and/or use.
t
BUILDING ADDRESS: 50=700 SANTA ROSA PLAZA UNIT #1
Use classification: SINGLE FAMILY ATTACHED
Occupancy Group: R-3
Owner of Building: CASITAS LAS ROSAS LLC
Building Official
Type of Construction: VN
INA
Building Permit No.: 0209-048
Land Use Zone: VC
Address: JEFFREY STONE DBA SUMMIT BUILDERS
City, ST, ZIP: 4700 VONKARMAN AVE. #100
By: STEVE TRAXEL
Date: 12-04-2003
Certificate of Occupancy.
T4hf 4 4 a"
Building: &Safety Department
This. Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 50-700 SANTA ROSA PLAZA UNIT #2
Use classification: SINGLE FAMILY ATTACHED Building Permit No.: 0209-048
Occupancy Group: R-3
Owner of Building: CASITAS LAS ROSAS LLC
Building Official
Type of Construction: VN
Land Use Zone: VC
Address: JEFFREY STONE DBA SUMMIT BUILDERS
City, ST, ZIP: 4700 VONKARMAN AVE. #100
By: STEVE TRAXEL
Date: 12-04-2003
CONSPICUOUS
Certificate of Occupancy
4
-00-il gd
&Safety Department
This.�Certificate is issued pursuant to :the.requirements of.Section 109 of the California Building
Code, cerfifyg that, at the time of issuance, this structure was- in. compliance. with the
provisions of the Building ' Code and the various ordinances of the City regulating building
corisiruction and/or use.
x:
BUILDING ADDRESS: 50-700=SANTA ROSA PLAZA UNIT43
d
AI
Use classification: SINGLE FAMILY ATTACHED Building Permit No.: 0209-048
Occupancy Group:.R-3... Type of Construction: VN Land Use Zone: VC,
Owner of Building: CASITAS LAS ROSAS LLC
Building Official
POST IN A
Address: JEFFREY STONE DBA SUMMIT BUILDERS
City, ST, ZIP: 4.700 VONKARMAN AVE. #100
By: STEVE-TRAXEL
Date: 12-04-2003
,
tsl
-Q• . -'�
Certificate of Occupancy
Tar 4
3
G of 9w Building'& -Safety Departrnen#
P.;
;
This Certificate is issued : pursuant - to the requirements of Section .109 of the California* Building
r . Code, . certifying that; at the time of issuance, this ,structure : was in compliance with the
I
f. provisions of. .the Building Code and the various ordinances of the City regulating building
construction and/or use.
I
BUILDING'ADDRESS 50-700 SANTA-ROSA PLAZA UNIT #4
's
Use classification: SINGLE FAMILY ATTACHED Building Permit No.: 0209-048
3
f
Occupancy:Gro.up: R-3' Type of Construction: VN Land Use Zone: VC
Owner of Building: CASITAS LAS,ROSAS LLC Address: JEFFREY STONE DBA SUMMIT BUILDERS
E
City, ST, ZIP: 4700 VONKARMAN AVE. #100
By: STEVE TRAXEL
s
Dater 12-04-2003
r
Building Official
ST
y3
POST INA CONSPICUOUS PLACE
Certificate of Occupancy
ot
Building &Safety Department
This Certificate is issued pursuant to the.: requirements of Section 109 of the California. Building
Code, certifying that, at ° the time of issuance, this structure was in compliance with the
provisions of the Building Code and the' various ordinances of the City regulating building
consfructiokand/or'use.
Y
BUILDING ADDRESS: 50J00 SANTA ROSA PLAZA .UNIT #5
Use classification: SINGLE FAMILY ATTACHED
Occupancy Group: R-3
Owner of Building: CASITAS LAS- ROSAS LLC
Ale -
Building Official
Type of Construction: VN
Building Permit No.: 0209-048
Land Use Zone: VC
Address: JEFFREY STONE DBA SUMMIT BUILDERS
City, ST, ZIP: 4700 VONKARMAN AVE. #100
By: STEVE TRAXEL
Date: 12-04-2003
A CONSPICUOUSPLACE.
I
VolQ
o�`'. •c
a i'M N
0j 1110 ri Ocupanc
Certa to of c
Y
G of 9 �� Bt ldiiiq.,& Sa- Oty ent
a..
This Certificate`, is issued pursuant to the requirements of Section_. 109 of the California Budding
13 ; Coale, certifying that, at the time of issuance, this structure was in compliance with: the
I "
provisions, of the Buildin Code anal the .various ordinances of the Cit re ulatin building p g. Y g _g 9
' construction and/or use.
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BUILDING ADDRESS: 50=700 SANTA ROSH PLAZA.. UNIT #6.
Use classification: SINGLE FAMILY ATTACHED Building Permit No.: 0209-048
'Occupancy Group: R-3 Type of Construction: VN Land Use Zone: VC
Owner of Building: CASITAS LAS ROSAS LLC
kF i
f�A
Building Official
Address: JEFFREY STONE DBA SUMMIT BUILDERS
City, ST, ZIP: 4700 VONKARMAN AVE. #.100
By: STEVE TRAXEL
Date: 12-04-2003
A CONSPICUOUS PLACE
Certificate of Occupancy
-Ofui�ttcv
i Geo 9 Building & Safety -Department
This Certficate,.is issued pursuant'to the requirements of Section 109 of4he .California Building
Code,- ,certifying that, at: "the time of issuance; this structure was in coniplrance with the
i proves ons' of. -the B iildirtg Code ``and the_ various ordinances ,of the- 'City regulating building
consfruction anaUor use.
BUILDING ADDRES5:.50y=700:.,SANTA ROSA�PLAZA UNIT #7
Use classification: SINGLE FAMILY ATTACHED` Building Permit No.: 0209-048
Occupancy Group: R-3 , „, Type of Construction: VN Land Use Zone: VC
Owner of Building: CASITAS LAS ROSAS LLC
IN
Address: JEFFREY STONE DBA: SUMMIT:: BUILDERS
City, ST, ZIP: 4700.VONKARMAN AVE. #100
By: STEVE TRAXEL
Date: 12-04-2003
t -
�- - Certificate of Occupa.ncy
Wp=-
uGv
�'OF�w Building �& Safety Department
This .Certificate is issued.:pursuant to the requirements of.Section 109 of -the California Building
, A z.
Code, cerfify�ng that, at' the time of issuance, this structure was , in compliance with the
i-ov�s ons of 'the' Building Code an'd: the various' ordinances 'of the City regulating building
p -
se. and/or use.
°L., _ ..
BUILDING -ADDRESS: 50=700SANTAROSA PLAZA UNIT #8
Use classification: SINGLE FAMILY ATTACHED . Building Permit No.: 0209-048
Occupancy Group: R-3
Owner of Building: CASITAS LAS ROSAS LLC
b'
Ale -
Building Official
Type of Construction: VN
icu
Land Use Zone: VC
Address: JEFFREY STONE DBA SUMMIT BUILDERS
City, ST, ZIP: 4700 VONKARMAN AVE. #100
By: STEVE TRAXEL
Date: 12-04-2003
DEC=2:4='03 WED. 12:.44 PM R IV, C.O; FIRE P&E IND I0 FAX T:O, 1. 760` 86.3 7072
RIVERSIDE COUNTY FIRE DEPARTIV[ENT
In coopemilon w ktlie'
" Cnli orma De rtment o fForestr,v dhd Fire Pro(ectiofl
t:.
2 est San- acts o venue • Pems; a t a C • (909) . ax,(9W) 94
Tom Tisda!a
Fire Ulet
'Proudly serving the
Uninoorporatod
Aims of Riverside
County and the
Cities of:.
).Tanning
;scat!mo�t
f
Calimcsa
Canyon lake
Coachella
Desert l lot Springs
Indian wolls
ro
Wio
♦b I
0
La Quinta
Moreno Valley
Palm Dcsen
4.
Perris
A.
Rancho Mirage.
G
San Jacinto
e
f:ileCUi3
Board or Su
Bob Buster,
District 1
John Tavagtionc,
1)iStriet 2
lint Venable,
Disiricl 3
Rcy Witsom.
i3istricz 4
Marion Ashley.
ni.wict 5
P. 2
The Riverside County Fire Department-lts:granting. fire:and life safety clearance
for.the following;project Casitas Las Rosas for pha36 I and II, located; 50920
Avenida, Bermudas; La Quinta, ?16ase call if you_should•have and Questions.
SArVTA .R:
Pa
zr4 g
Respectfully
FRANK KAWASAKI
Chief Fire Department
By � O cti
i
Terry DeS cy
Fire Safety Inspector
EMERGENCY SERVICES DIVISION • PtAHNiNG SECTION • INDIO OFFICE
82-675 HlgNiay 111,,2n° F1,,1660, CA 92201. (760) 863.8886 • Fax (760) 863-7072