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0203-150, 0207-173 (SFD)N fn W O ry� M dLID r W o Z co 0- H J LU LU U) Z 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 iA !/ I Date 7 - t (`' - C L Signature of Contractor, V�°^�� Gl L�•-1t 1-- 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.Linder Section B&P.C. for this reason Date S - % L • 0 1 Signature of Owner 'e• UZ, 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 forwhich 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: PTA'�"F:f.TICiP 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 sous 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, I shall forthwith comply with those, provisions. i Date: 5"'11,.- 07- Applicants - Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject -an employer to criminal penalties and civil fines up to $100;000, in addition to the cost of compensation, damages as provided for in Seqtion 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon %Whosd,behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, &.shall, indemnity & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is: correct. I agree to comply with all City, and State laws relating to the building 1 construction, and hereby authorize representatives of'this City to enter upon the Bove -mentioned property, for inspection//purposes. U' �,�,y'] "tom Date 'Signature (Owner/Agent)' •-�� �-- --h -- _ "� -���•� PERMIT # BUILDING PERMIT 42-0450 DATE VALUATION N'1�y LOT TRACT C f JOB SITE APN ADDRESS .'i1-42. JIM11 G-1A..� OWNER CONTRACTOR/ DESIGNER / EN (NEER JAYASS tit, dpi?l,R41C.CC}US>H.Y WEWF COAaS'[',FARTHWOliK *0130.X it? 77,= WOU RO.,t+73 02W USE OF PERMIT SWULE FA I'vilLY DWUTe G SM). WAM'1A,C1RJ D 01iJ3?S i' ROUSE/ SXC6.,UI)ES WATJ_Rl.4*+ti' 0L.i DIIT.[%WAY AP'i9ROAAC,H/C,`( MANICF V01H .In1C;1, PRORPUU, & t#'A ATF. k.;AVVI , YNCi;71 R -K4 TIM 1SI T l.?t'?yYLi` t D S ' !'`FJQ$ AC't iJl? :97 i U1 &V..iG L F3119,1 i RW3ffZII? Y0RC:tltk+ll.'l'Q(.1 79ACA) sill GAR.2C IVC- 1TAT 1,mmo rap, . MR'NW7.0 0063'09 VOW1'lIw:11G•HOW W, A14 1,114 1MM nE SX)MFt NY C':IC11rf::,SRtX_1'n'CXNt11F-S i(iR�{241�I-�1ltt^�l $naL iat.4Q i PAW ('W -CK kTO 101.000,439-317.3 FTln d:k9il"O..t7' 5101-O ,1391 318 .51,00.00 MECAYAeltC'.AaL FFV 101414W4214ttKi $211.00 r;.LIRICAi, Pim 101-00D-410-000 4.10-10! $323.49 P U3RAMNCi FFM 101-000-419-01V $a91150 S'%9it0,40iM€nIONM-1MS11<i 101-000-241-130 $60.78 C4RAP1140 FF1f 101 -OW -42 -3 -OW S'1,C1.tf3 M191)m A(Tv S�'.1:'iB $1„9tY/.00 /i R.T 3 v F'i)xBM V1,ACT - MIC 270-0 W4454W $'1004. DIN'S YR&PAH) FEES -v'000.00 MAY 16 AIR 'Al. FERAITf viv=1616 D Y,, Now CITYOFLAQUINTA FINMCEDEPT. �{ECEIPT DATE 3 - AY`.� DATE FINALED O� IN C7pR 4 T-1311-0 610, 10010161112111,� �41611 11-:11 OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts d d Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck )" Exhaust Fans O.K. to Wrap F.A.U. Framing - Compressor Insulation 4. X-jo, . o -z 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 " c 4 BL OCKWALL APPROVALS POOLS a 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 Heater Final Water Piping ao Z Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection . tYt- Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) - ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fbtures Main Service Sub Panels Exterior Receptacles G. F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) G COMMENTS: �� Pjiti 7" en T, O 2 ou I dd(j e— Ole- TCf Tradition . '%� May 14, 2002 Mr_ James T. McComsey P.O. Box 81 Rancho Santa Fe, CA 92067 Re: 52320 Def Gato Drive Dear Mr. McComsey, The Tradition Architectural Committee has reviewed your architect's resubmittal of landscape and grading pians in response to our letter dated 5-3-02. The Committee will approve the issuing of a building permit on this home subject W. the following commentr-: 1. The plant rmsterial at the front of the guest house must be up sized to mitigate the wall height of the guest house- A tree will need to be added to soften the view from the street. 2. The construction drawings will need to be updated and resubmitted to the Association incorporating the new retaining wall, the rock veneer and the neoe.ssary landscape changes from above. The plans will need to be received prior to the setback inspection for this home. We are in receipt of your construction performance deposit We are waiting for -your contractor to return the insurance information sheet. prior to the onset of construction. Thank V:►u for your patience in our review of this Information. I look forward to working witi-i you on the construction of your hone;. Sincerely, M Uti'1 vv� Mindy Gutierrez, Props:rty Manager Tradition Community i%ssociation cc: Gordon Stein PC. /LE:ERT RESORT PROPERTY COMPANY PC`_Fr OFFICE BCC 4272, PALM DESERT. ('_j► jMX�-U 92261-4772 - 73a -i0 .A%.E:E,1.�'DR0, SUM5, PALM DESF.itS, CavtPORNIA92260 'HOSE:, (160) 346-1161 -- FiX: (760) 346-99:18 Dec 17-02 11:25a Hash'ar Abdelfatah SDS CERTIFICATION December 17, 2002 Greg Van Malsen 949.435-1064 West Coast Builders 77848 Wolf Road Palm Desert, Ca 9221102.3 a �' 5 Re: McComsey Residence (5D5) Project #312001. T (760} SbB� 3696 'Mr„ Malsen, Please be advised that we have completed our framing inspection of the main living portion of the house. And as such, the framing contractor may continue his work of lathing the exteriors and apply his interior drywalls and finishing. However, it should be noted that the OUTDOOR LIVING portion of the house has not been inspected by our staff as of this date, and shall be excluded from this certification letter Please feel free to contact us with any additional services you may require, Very Truly Yours, Structural Design oAnF�: ,5/t�4Ilk Inc. � No.OGo3024 !! �f��!•n.1F4�� Bashar Abdel f attah - Principal - 1820 C. Garry Ave., Suite 108, Santa Ana, California 92705, Tel- {949) 435-1065„ Fax (949) 435-1064 support@ sdsstruttural. co m p.2 Jun 13 02 04:05p SD June 13, 2002 Hashar Abdelfatah�_r Gordon Stein Stein & Associates 41-945 Boardwalk, Suite.K Palm -Desert, California 92261. Re: The McComsey Residence (SDS Job #302001) Dear Gordon, 435-1064 Please be advised that we have performed some revisions on the structural plans (Foundation plans) -of the referenced project dated 429-02 as shown and clouded on the structural plans (sheet. S-1.0). The revisions we made were minor modifications to the depth of the foundations for certain locations of -the structure based on the actual depth obtained,from the grading plans. Some foundAon details.have been revised and clouded accordingly. The structural integrity of the foundation has not been affected and NO STRUCTURAL calculations are required for the revision. It 'is always a pleasure to service :you Sincerely, Bashar Abdelfattah/ P.E 1820 E. 6orry Ave., Suite 108, Santa Ana,, California 92705 Tel. (949) 435-1065, Fox (949) 435-1064 suwxwtf?dsdsstructural.ccm P.2 -7 76-,;>36— 01_5 - REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3336 TYPE OFroo INSPECTION PERFORMED REINFORCED•CONCRETE POST TENSIONED CONCRETE REINFORCED MASONRY RUCT. STEEL ASSEMBLY ❑ �( Qi(/ ❑ASPHALT _5 OTHER 11' ❑ FIRE PROOFING l� JOB L 3 VlW1 REPORT SEQUENCE NO. TV T TUBE PE 1 0.p D DAY OF WEEK MATERIAL DESCRIPTION 3. ] IL`,/• ARCHITECT IN�TO� MRS. CHARGED ' _ 9f `( n ENGINEER/ �, ASSISTANTS HRS. CHARGED INSP DATE ECTRJN GENERCONTRACTOR-� SUB CONTRACTOR V • VI.L. �� CSS a Z '�S Cl LAV8 M L� LL L#Je_iP_ `C as e CXS =0-ee� �w K Mow -A' Cz'G v, C�_ 3- COPY SENT TO CLIENT O' CONTINUED CIN 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 IC; ORE OF• REGISTERED INSP�EGTOV� D TE OF REPORT REGISTER NUMRFR 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 ❑ ST.RUCT. STEEL ASSEMBLY ❑ V ., ❑ POST TENSIONEDCONCRETE ❑ ASPHALT 76THER ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB Lg) 49\ r D � LA Q J `�� REPORT SEQUENCE N0. TYPb`,,`OOFF SBUUCTUR.� ^ /�J�'wr e ^ fY/JVi" PERMIT ;LO+ I ^J // J D2yb 07 .40 DAY OF WEEK MATERIAL DESCRIPTION ARCHITECT INS TO ' a HRS. CHARGED ENGINEER ^ ASSISTANTS HRS. CHARGED INSPECTION, DATE GENERALy` SUB CONTRACTOR 0" �tt4e4 CONTRACTOR �'• �dQ- -�.IN. 1Vl W 10 / O O WAS u I t ltd 6i�1�- 6* I COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE. I HEREBY CERTIFY THAT I HAVE INSPECTED, TO THE BEST OF M? KNOWLEDGE 'ALL OF`THEABOVE 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: S NATO E OF REGISTERED NSPECTOR g.0 �a4 DA14' OF REFORT REGISTER NUMBER 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 J THER$g ❑ FIRE PROOFING / _ JOB LOCATIONI �� k- I -A- Qu � REPORT SEQUENCE NO. Tr,P , UCTUREih , + PERMIT NO.Ft� D OF WEEK MATERIAL DESCRIPTION ARCHITECT _ HRS. CHARGED 7(7 OENGINEER ASSISTANTS MRS. CHARGED INSPECTION DATE GENERAL CONTRACTOR - SUB • CONTRACTOR Ll A-%) �A ? R l I ?l40A4A 9:� W !S N A& cS42" a COPY SENT TO CLIENT ❑ CONTINUEDEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST_ OF MV KNOWLEDGE ALL OF THE ABOVEAEPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE`APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. TITURE IF P GI TEREO SPECTOR 'l, 0 -TC 4-A (o It q-] �' DATE O EP RT REGISTER NUMBER 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 ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE O ASPHALT ❑ REINFORCED MASONRY ❑ FIREPROOFING ❑ HER FOP 1 JOB LOCATION LA w t �• y�yT REPORT SEQUENCE N0. T yiTRU TTUURE �� ; PERMIT NO. O DAY OF WEEK MATERIAL DESCRIPTION q `1�� ARCHITECT MRS. CHARGED 0 491 ,^ V E INE R�" ASSISTANTS MRS. CHARGED INSPECTION GENERAL DATE - CONTRACTOR_ _ SUBg CONTRACTOR N' W �a-qo, 1 C, x �4 UtV.- COPY SENT TO CLIENT O CONTINU N NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT 1 HAVE INSPECTED TO THE BEST OF MV 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. Vr� N TURF Of REGISTERED INS CID R S t�?Cf ATE F RE�PVORRT REGISTER NUMBER sT JON TANDY 37630 Medjool Ave. s_ Palm Desert, CA 92211 Office (760) 772-7192 -SPECIAL' • Fax (760) 772-7193 REGISTERED INSPECTOR'S WEEKLY REPORT Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETERUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE ASPHALT �THER LL O REINFORCED MASONRY ❑ FIRE PROOFING l.�L JOB CO TtWI,`„+j __30 D4e1 A � �� ` a r V REPORT SEQUENCE NO. TVP OF STRUCT`UR � ,T T „� PERMIT NO. mlTf ^ DAY OF WEEK MATERIA',1LLDEESCRIPTION ' \ _3 J A-5-3 1/V•• 5-3 ARCHITECT II P�GTo(f J ✓ HRS -CHARGED l ' ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL J �n �` `� SUB CONTRACTOR W C.� (` CONTRACTOR `r^ J4 V KL CIhT1AV\ bj".Ad Cowes606Z2 COPY SENT TO CLIENT ❑ C UEO ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE; INSPECTED TO .THE BEST OF MY KNOWLEDGE ALL OFTHE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND'THISWORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS A— % �IEGIST15RED I SPI U DRT REGISTER NUMRF.R Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 Date 5/13702 No. 23211 CERTIFICATE OF COMPLIANCE API # 770-280-015 Jurisdiction La Quinta ownerNamerames'and Joel Mccomsey Permit#0203-150 N0.52320 Street Del Gato Log # City La Quinta zip 92253 Study Area Tract# 28470-1 Lot# 85 s4dare.Footage 5995 Type of Development Single Family Residence No. of Units 1 Comments Cash Check for $12829.00 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessorystructures4,or replacement mobilehomes. It hasbeen determined the above-named.owner is exempt from paying,school fees at this timedue to the.following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 2.14 X 5,995 or $ 12,82930 the property listed above. and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By CC Bank of America - Lenora VanMalsen Name on the check By Dr: Doris Wilson Superintendent Fee, collected /exempted by Crystal. Scott Signature Telephone Payment Received $12,829.30 Check No. 405.163589 NOTICE: Pursuant to Assembly Bill 3081 (CHAP 548„sTATs..1 wM this will serve to notify you that the 9D -day approval period in which you may protest the fees or other payment identified above will begin, to run from the data on which the building or installation permit forthis,projeet is sesued or on which they are paid to.the District(s) or to another public entity authorized to collect them on the.DistrictC's)(e) behalf, whichever is earlier. Collector: Attach, a copy of county or cityplan check application form to districtcopy for allwaivers. Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy - Accounting JON TANDY e94t37630 Medjool Ave. Palm Desert, CA 92211 ,SPECIAL 'INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT Office (760) 772-7192 Fax (760). 772-7193 Pager (760) 776-3338 TYPE OF' INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL.ASSEMBLY O POST TENSIONED CONCRETE O ASPHALT` '❑ REINFORCED MASONRY C3 FIRE PROOFING' ❑ / Y HER cf 0�C JOB LOCATION , '^ REPORT SEOUENCE'.NO. TVP CTURE ihG W � PERMIT NO. a -15D p�=(/ DA OF WEEK MATERIAL DESCRIPTION ARCHITECT IN ` HTOR RS. CHARGED O ENGINEER &ASSISTANTS / HRS: CHARGED INSPECTION DATE GENERAL CONTRACTOR .7 SUB/- CONTRACTOR _ � � (�(�J gM M (,J l L� a 1 L & t� �W A(Ih4ftsI = as COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGEOF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT (..HAVE _INSPECTED TO THE' BEST OF MV KNOWLEDGE ALL OF THE ABOVE'REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUNDTHIS`WORK TO'COMPLY'WITH 'THE 'APPROVED PLANS: SPECIFICATIONS, AND APPLICABLE SECTIONS OF. THE GOVERNING BUILDING CAWS. .. ;�&AV SIGNAT RE �0 EGISTER I PECCTOR 0 V V �' ATE OF REPORT REGISTER NUMBER _C14 LLJ O � M LLJ r o Z 0' Q H to ti ~a CO Z 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 ,368452 A C-1.2 C-27 r Date- +� tfc- 0? Signature of Contractor - 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). O 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. S) I have andwill maintain workers' compensation insurance, as required by ection 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 :: EATB FUND Policy No. 22100221:-51 (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 C99de, I shall forthwith comply wit t os rovisio s. bate: -1.. /3'Applicant— -44* 4 — 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: 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. Signature (Owner/Agent)—T a—��' ,,0 / ry BUILDING PERMIT PERMIT# 1 0707- IWA DATEVALUATION LOT e TRACT i 422,824.70 13., Z11� 110_) _ JOB SITE APN ADDRESS 2,,42iY}llLGA�.ODMIR 7id3-1ff�-���i OWNER CONTRACTOR / DESIGNER / EN (NEER � A f K*i.. MrrC`'0M.&Y 1vkg1 ,q elC)I "1.' l4k:S Tt IU C PQ $Cih: R1 7':i'-540 WOLF ROAD 0200 ih.r CHO SAWA FE rikk 1 PALhU.AWW .: CA 922H (760)2400.45€3 CB0 35'16 USE OF PERMIT "SM- 1.ANK03 SUPPLL"N`E'l+sL TO Pii;RMIT E!"�k 3450 li.L!,r. UCIraea id4"iMO AP.L?A t)3r ffou:IT: illy "Fo, &F, DURr. O WNS'rRUCTION EbUMAT.D COST OF -.12,824.70 lei AW 31FIC 111 r1T $`l4510 L �l _ — JL_.— CI�IPIAWCEDEP lry of TA -- k`�YfJ.PLAN ONECkW .too :t.P. s PTIUK-P.AOF .1 0 $0,00 1 T(YrAL P'KIMI7 V%7.18 DUE NOW RECEIPT DATA / ' J iIs BY - - _._.... DATE FINALED INSPECTOR INSPECTION RECORD 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 OX to Wrap F.A.U. Framing Compressor Insulation !-vb ,a2 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 BLOCK@fl ALL APPROVALS 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 PLUMBWG 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 Fbctures Main Service Sub Panels Exterior Receptacles Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: