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
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;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�
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u F • 'ti'ALL VD.00 .LTA
4 FT, W, ALL 6.40.0011E �
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I.) COMO' €-:1`''"MNSR�R3JC'TI.ON
3.1491)0.00 s.
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PERMIT FE111. W. AIMriRY t
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C0.K_S 1?_UCf10N'FEE 101 -00&4f8 -W0
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--cl ti3= 1 A1: CCf�,[S?Nj 1C"I �C h3 k1.T-"M PLAN N C f-M�;�I .'"
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$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
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