0207-131 (RPL)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 t Exp. Date
I.Date t i Signature of Contractor
OWNER -BUILDER
I hereby affirm under penalty of perjury that Itam 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.
�,..) 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:
Carrier 1b33CORI, Policy No. IC7000161
(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
Code,, I shall forthwith comply with those provisio fns.-'
Date: '� i f Y "1 Applicant
Warning: Failure to secure Workers' Compentation coverage is unlawful and
shall subject an employer to criminal penaltiesandcivil 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 r.
construction, and hereby authorize representatives of this City to enter upon'f
the above-mentioned property for inspection purposes. m•
Signature (Owner/Agent) t fP%� Date''�+�
BUILDING PERMIT Y PERMIT#
DATE VALUATION LOT 007-131 TRACT
M=.00 42
JOB SITE
APN
ADDRESS AOkIZIaCOVp
- -
OWNER
CONTRACTOR / DESIGNER / ENGINEER
L'.��!1"�. K DEVELO M
RC}.T4'ERT.AMWGTZ`tH P001. t✓ONVIiLi7MIC
5:3.865 CI. _A -T COVE
�i �55� � �2� c'i:,A ,I 113
1,A Q0.1 4TA. CA 92233
�tp� DESI r 922i I
AJ(-760)568-4993,
3 �+CA
9
60)5 8-499wj7 131 J5
USE OF PERMIT
POM RaDJOR VA.
POOL AND SPli, 023,LY. lkF..AY2M:aJt%.i RRIERS Mk;'..f..:,'54 M Pll,ACY, P{L OR:
TO #'.4 EPLASTER INSPECTION. POOL RQUIPMi NT 1EXC 1903UE Y, NOT
311Ct.iiD D IN laF.,I�1d M
POOL A1vDkOR Mk-,, . 34000,00 Ls
dYRT.dC8dr7!AIT.D COST OY 4..4,iMMiiMON
30,000.00
PLAN 0HECK FR, 101-000.4.39-:318 $184.93
CONSTRUCTION PEP, 101-000-418-000 VFA.53
MI EC •d WHIC.AL FIZZ -- P001, 101-00-421-000 0.421.000 $24,0
ELF= PiCAL PEE -- POOL 101 -OW -420.000 $45.00
PLUM01140I7l? , POOL. 1.01.000.19.000 827100
r
}
- N
}:
8UB-'1OTAL CONSTRE;IMON AND f LAW 01MCK
$565.43
LESS PRETAID F.W
Moo
ALPYMMYr.r4E 00
II 1 i_ 1 8 2002
Crff OF LAQUIRK -
FINANCEDEPT. ..-�-
RECE +
1,
BY
D TE FIN
INSPECTO
V
:a
N
'INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts' '
Forms 8 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
Final
BLOCKWALL APPROVALS
steel
POOLS - SPAS
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
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
_
0—
Gas Piping
Gas Test
Appliances
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)
Final
COMMENTS:
_
07/12/02 FItI A'!; 16 FaX _700 540 9915
�Tradition
July 11, 2002
Ms. Elizabeth Benton
'78641 Deacon Drive East
La Quints, CA 92253
Re: 52855 Claret Cove
Dear W. Benton,
The Tradition Architectural Committee has reviewed and arpproved your
proposed changes to the pool area for lot 42 on Clot with one oamment
Please hava your contractor call for a landscape inspection of this area prior to
the Final Inion. The committee would Oke to verify in the field that all
° appropriats berrying and landscaping is complete.
Thank you for your submittal and patience in our review of the plan. I look
forward to working with you further on the oompietion of this horns.
Sincerely,
�.
Mindy, Gutierrez, Property Manager
Traditlon Community Assoclation
CITY OF LA QUI�NPA
BUILDING & SAFETY
PRO
FOR CONSTRUCTION i
DATE --BY
i
?C.'i1DZ5ERT RESCxT PRCPE2,TY 1AA_`AC_.k1G.NT COMPANY
PosT CFFrCr Box 4772, PALM Dr; E&, GA' ILgA 92261.4772.73- ALESSANORC. SUITES, PALxt DES M, CK .:MNtd 92260
PfIONZ (760) .346-1161.1. -- FAX: (760) 346.4913