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HomeMy WebLinkAbout0002-289 (BLDG)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 # Llc. Class Exp.. Date Date � / t�Signature of Contractor U } OWNER -BUILDER DEC(L4)AT I ION 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). a ( ) 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 Policy No. 1 L*€ x" (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, II for�hwi h comply wit those pro sio,s. Date: �Oprphcant - Warning: Failure to secure Workers' Co pensation coverag els unlawful and shall subject an employer to criminal'pen (ties and civil fines'up to $100,000,.in addition to the cost of compensatior, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to ..the. conditions .and 'restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to - any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 't 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certlfy?that I have read this application and state that the above information is %correct. I'agree to comply with all City, and State laws relating to the buildingk consiruction', and hereby authorize! representatives of this City to enter upon_ the above-mentioned property for inspection purposes. Signature )(Owner/ ent) �'�`_ ✓~ Date V� PERMIT # BUILDINGPERMIT .• , f ..,; DATE KA- NRI VALUATION LOT TRACTJOB SITE ADDRESS ,,$LL0159GU4.LENORTE,, _ APN OWNER CONTRACTOR/DESIGNER/ENGINEER CENIURYMOlV►L1,,tiONINMUN7i S CEN!".1UPI:'.°'�2Q1�',L.I.Ca^+'9l:Li;`rMI ES 1535 50- "0" S IRFM', S"1114. Y200 '1535 SO. " IJ" STR £: T, STE.1t200 WN, UURN.AMANO CA 92405 S" BE, PLN ROri`TO CA 92408 I 4 USE OF PERMIT � p p7r7 pw ;V70 L.F. O GAitD ?v WALL A14D 540 L.F, 4' 01ARIA0,T)AIA L 00 LJ,'A11,f.Zc,1*A(N113(s NVALL PER t!PRKOVEl9P3i1::E;4S,SGfi.AJX1q iK JVK' . .-1'S ateV1 •,=;,;z� i.v u F • 'ti'ALL VD.00 .LTA 4 FT, W, ALL 6.40.0011E � r I.) COMO' €-:1`''"MNSR�R3JC'TI.ON 3.1491)0.00 s. .1.�i�I.NIRA d PERMIT FE111. W. AIMriRY t +" C0.K_S 1?_UCf10N'FEE 101 -00&4f8 -W0 Ll I . . r A `+ --cl ti3= 1 A1: CCf�,[S?Nj 1C"I �C h3 k1.T-"M PLAN N C f-M�;�I .'" r _ � Zss &' w, _* � mr) F lis $9,00 't ()'1"A1a b931N: idO RECEIPT `ti DATE By;. ' DA F AILED/ INSPECTOR At; . 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 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 BLOCKWA 9PROVALS 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 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 Litit Notice (Perm) COMMENTS: OK 3/ c 9 &;a— OA --lo, cc ��' �-� 50'-3.%33 0lc� ✓ �' '� 7^ 33 Co/p�+3 0 k— Ze"'Ga �- Dym m.xls ACCOUNTING JOB # 367199 • IN/OFF TRACT # 3671.00 N ,CENTURY CROWELL COMMUNITIES DUNA FAIRWAYS AT LA QUINTA RESORT & GOLF TRACT # 20158, CITY OF LA QUINTA PHASE: MODELS 2.. UNITS ORIG DATE: 4/5/99 .1 PLAN 2 PLAN 3 2107 SF 2395 SF A 0 A 0 B 1 B 1 MKT R D O ST PURCH b g-1.�t ' g q FWAN ACCT VA/DRE UNIT/ LOT# PLAN- ' TYPE : BUYER t , ADDRESS . 40 3BR 78-076 CALLE NORTE 41 2BR 78-978 CALLE NORTE LAST,REV: 11 -Aug -99 "R"= REVERSE FROM ARCHITECT DRAWING :�D6nal.kIs FILE: dunal ACCOUNTING JOB # 367101 A IN/OFF TRACT # 367100- N CENTURY CROWELL COMMUNITIES DUNA FAIRWAYS AT LA QUINTA RESORT & GOLF TRACT # 20158, CITY OF LA QUINTA PHASE: 1 13 UNITS ORIG DATE: 4/5/99 PLAN 1 PLAN 2 PLAN 3 1803 SF 2107 SF 2395 SF A 2 A 4 A 3 9 0 8 2 8 2 KT G 01 DE NST PURCH I - u--ql -� �- !,� -2 S FI E ACCT b' 6 RE UNIT/ LOT# PLAN TYPEADDRESS BUYER �27] 2AR 78-050 CALLE NORTE 28 3AR 78-052 CALLE NORTE 29 2BR 78-054 CALLE NORTE 30 38R 78-056 CALLE NORTE 31 1AR 78-058 CALLE NORTE 32 2AR 78-060 CALLE NORTE 33 3AR :78-062 CALLE NORTE 34 2AR 78-064 CALLE NORTE 35 3AR 78-066 CALLE NORTE 36 2BR 78-068 CALLE NORTE 37 3BR 78-070 CALLE NORTE 38 1AR 78-072 CALLE NORTE 39 2AR 78-074 CALLE NORTE COMMON AREA POOL ON CALLE NORTE LAST REV: 11 -Aug -99 1, "R"= REVERSE FROM ARCHITECT DRAWING So