Loading...
0012-247 (AC)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that Cam 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. LICLrf52 Tf Lid. Ulass I=zp. U$te Date :! 14 7� 6gnature of Contractor OWNER -BUILDER DECLARATION Thereby 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: () l 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 perfo mance of the work for which this permit is issued. • (V 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.. 0OUD04 €AGLE¢RR 1$006.3-0 y06.q.4 '(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 hwith comply with those provisions. Date: ...Z Applicant-�'»-�'1, +✓��,i,.s:��.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.`u 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.) 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 prope�rtyy for inspection purposes.- Signature (Owner/Agently/ dam/ �°i!�✓ Date BUILDING PERMIT PERM T.# DfATE VALUATION LOT, 0012-247.TRACT JOB SITE APN ADDRESS OWNER CONTRACTOR / DESIGNER / ENGINEER Cw °Y.URY C",.R0`V FLL. Cr"014NMf UF_49 cp I'uky cRCawr,. LL-com uNnua 1:35 so, 0D0 ffMrr1.TM 4.200 • 1535 501 TIDO' + , ', W11 0200 SM EF"A.RMIXII O C'A, 9?AO8 &W 81 T.�.1)T WO CA 42408 (909)381 60(cm,# 2120 USE OF PERMIT R.U'TROOM PAOtl,.tT Y POR C.iOMMION ,ARKA POOL, POFCZ`MRATIO 48.00 9F f:3AR"WC°AP11ORT (3,P) 5,M.40 . 8r r7d i.C�A -TP 4s Al..f. 4� ''f.I?✓.6Sa7 ,iL II.'V.r.Ed4Adf ' aa9v .[C+K''a/ yyyy77��ry1'�y�,y�,,=y'ia``�� �',',", ii CO. NS Ti�UCTi 114 FRE 101 - 01DO-4l8-0059 1P1„,AW CHZCK M9 $114.51 MECHA1`iWAL FE. 101-000421-000 lZ-LZCTR1C_AL FEE 1K?3•-ttC2t8��(? Hilt? $38.78 PLl7KO1-00 PM? 101.0001419 -NK) $132,00 vS'R.U1+ a MOTION COMM '100-000-24.1.,(300 MADIN0 FR1©IMt9C1Q- 3«t1t}0 $20. 6 ART YM PURLJC PLAACES . C:'OMF 30IN000.25 --wo �2'.D.i►'6 WL'w YrA(.,610041, 1,050 PRE -PAD 13 ' I gg•,,����yy y[3 y�g�y�s�+.��; y y'�y�r {�,�/�g�. l.�"�SE24} •I.- 'ti1.B Irv,* Fl2:r now y �y S451 AYI RECEIPT DAjEy V� B1Gy7 ; DA E NAE INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings/ QI 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 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath / Final BLOCKWALL APPROVALS Fina! - POOLS - SPAS Steel Set Hacks Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Waste Lines �2��u " Gas Test Electric Final Heater Fina! Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Late Pool Cover Sewer onnection Encapsulation Gas Pi ' Gas Test Q Appliances Final COMMENTS: 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) I , ,• . ,i . Sia> :<:..... :'; > . . . t City. Quin Ci of La .. . ��� Building 8t Safe Divi i 8 tY Division 4 .. O• - P.O. Box 1504 CANTP 00 L . 78-495 Calle Tampico . , La' uint . Q a CA 92253 Building Permit ml t A licati on PP Tracking'Sheet-, and d Trackin Sh Project Address:. c&% Owner's Name: s . A. P. Number: � Address: . . , Legal Description: Qum City,ST, Zip: Contractor: A�-�- ��`� - r G%l%� e: Address: 153 .S® o -g U40 ii V._ Z,� Project Desc ' ' " . City.ST, Zip: 5�.�- (� 6 � 5 . T e h i el o �e. P D l �� �9� State Lic. # : City Lic. #: - Arch.. Engr.. Designer: �' • � 12 ` . 11 Address: . City. ST. Zip: . . Telephone: hone: P Construction T YP e: Occ u an . P cY• State Lic. #' Pro'e ct a (circle one): : N w e Add'n t ( Alter J Re air P ) Dere p o Name of Contact Person: Sq. Ft.: #Stories: # Units: Telephone # of Contact Person:��J� Estimated Value of Project~. .' .. .::<;.:;.;:.::...;:.;::;:.;:.,.;:.;:.,,.:.:::.;:.;:.;...... ` A:;<:;:::<:> <>::::><:<_ :::::::::`«:::>::::>::>::;?;<::::;::>:::::::><.<'.::.>:::::::: '.<::: <:::::: ':>:,:':<::,;::::::::::::€€€€::>:>::::>:::i.::»??<?` :.:.:.::, ... .. ..:.::::: TE.BELUW::TM 1. CANT...DO..l11E3T .......... VY#il.............. [ :: L :<.;:<.;;:.;; .;:.:;::::.;:•:.::.:..:.:..::::::::::.::.:::..::::::::::::::::::::: 5::::.:::.:::::::::::.::.. `>s:':::>::: >:>:::::::>: < :` < AtE::.::::.:.::::::::::::.:.:::::.::::::::.:..::::::::::::::::..:::.::::.:.:::::::::. ...:::::::::::::::: 4 ...:..:...:::::::.::::::::::::::::: SSSS ..... . # ..Submittal : `.::'.:,," ;:':::>::;:::>:, 4.4.:::::::..:::::::::::.:,:,......,::.:.:.::::::::::::::::::::. :. 8i ; is > Id:.;:.:..:::;Ttiec.:$.::;..::::::.: ::> i;:; ;:<;> ;> <'>': >;> > < > >>::>: :>:>::: ::i :::::<:;::>:» i::i i ' :? SSSS:: ?SSSS:::::: i:::: ;:.:;.:.;:.;:.;.;>:.;.::.:::.:.T ; ::.;:.:........ TBACMIyG:........:...:......::..::.::::..::::.:..:.;:.;::.;:.;.::::.::.:.::: ::::::::::..::::::::::::::::::::::r::::::;::: !' i;::::iiii>:::>::::::::::>:''`<:i':::::i:: <:>::»::>::::!>;>::::::::<: .;::.;:.;:.;;;:.;:.;::.::::....:.. :::::::::.: ........ :. .:.: ;SSSS:.: ..;;;:.....: .....::.....:..:::::::::::.::::.: :. Flsti Sets:::>::,.. .:...: <:i........ =.: :>:. :::<>`.»::: . ................ '> :•;:;:;::;:;>;:. ??` ' .'''>: <'< ::< >:::': >:> ::?:>::::>:' l'laa. )3eeksu�autted.;:;;•.;:.;;:...::::::..::::::::..:.::.::::::::: ............... ::': s:::::'::::: >:> >' : :::>:SSSS >:>:>>>::::>:':<z:>: >:::> `.i item:::;»» ,.:.;:;_...:<.:.;:.;:.;;:::.;:::.......;:;.::,; ':'>:»':... : >`'':<:=><:::':.> ... ...... ::.:::._::• ........ : Structuraf;Gslix:>::> <> . s :. ::..:::..:..::: .% evitewerl, rezAX.Y for rorrechoas ,::.,> > x. "atr Cfik Deposit ... : :.. .:::::::.:::::::.:.:,:.::. ':Tiuss'Calc»SSSS»:>:=:?:=:`<>::>:..>::>::3;::::.., :::...-,:::::::::.:::::::::::::....:::::: .:::..::::::......:.::::::.........., .::::::::::::::::::: : :'•i:- ::..1 ::,:: 3:::.:::: a.;.:;..:;GI[ed.Cuatactl!krsen::•:::::::::.:::::.:::..:.:::.::.::::::::::::..:.. ........:::::.::::.:.::: _::i;;<'i::::::';::>>«>:;«::::;?:i::i:::::<::::<:>i::i::::i:'i:::i::;:';:;::;:;:;:;::;_<.::::::::::::::::::::<:::::: ::<.;:;:;::,-., "::;::;.;;>;::... ...............................................:::.:.::...:......Pisa.:Cb.erk.$atH�ca;«::>.:::i ::>i;:; ;i:i:::::::::>:':i:::::::::::::::::::<:>:::>::::::::::::::::::::::;..::::;:; ::: ::;::3: :::::::::::::>: :: :. : ::ii.;;;:.;:.;:xx:.;:.::.;:.:.;>:;::i:;;:: i::: >.:i:>::::> <:::: :..:: 1 6 ." ' Title 2 Gtlea..::::.:::..:... PJ�asptrked uP : Constcucbon;i:;::::;:::.;....:;::>::;I. - .::.: Gsti n :> '; Dtci1:?:::>: `::>% <:: >:: .::::::::::::::::::::::.....:::::::::.. 4. ::::::::.::::::::::::.:::::::..::::: »:::::::>::::<:::::::: ::«a::::> :::: ' `:..::::::::::.P..17iaek.T�su .............::::::....::::::::::::::::::,.::::........::.::..::.:.......::.::::::..::.:..::::..:::..: "''':::: `:`:::: :>'::::::::::::::::'::> <:' ` ,-*,.::::: <:> ':::::.:.:: mritld::::::::::....:.:..:::..:.....:::::::.:.::::•::•..:.: s....::::::>::>::::::: ' ": :; ::z: SSSS>::::» >::: ..%. :::::::::::•:.: hieci�aaical..X-::::::::::::.::::.::::::::::, � '...:..'..' >:::>: <::::::::>:» : ,... X:X ::::::.:.:::::::.:.:::::::::. ,:7 :::.:..........._.:::::::::. ... :a� ::;;:: ....;:,..: es....:::.::........, .-::::::.::......:........:... .:::,:::::.::::::.::::::::.::.:...........:::.. .. :::::::;.:..:::.:::RcYictked .::rend..<lo:wsua:.;;;:.;:.;:.;:.;:.;:.; ;::.; ......::,....:::::::::::::::::::::::::::.;:::. ::.:<i;::Y:::: :.::.. :.: . , ` '.::ii:::> ,.....: .6°€:.:.:::.:<;:;::;::.:::.::.:::::::::::::::::::::.:::.;:.;:.:..::..:.:....:..::::::::::::::.: :<:i;is:i;:.;i::;:.»>i::i::ii::>:::i::iii::i:::;::;:::.;:.;..:::;::.;;:.;:.::.;:.;>::;::. •:::::i::::`• .::.4**; :: i5'. Li/CDD taCiDl' `'' :;: i:':' ii $.. - Lift :i: i'ii:?i >isi::ii;:2 'i' i asi a sit a%: t ' . i:'<t '2 %.?:?i:<:`:;i`i : : ":i:%: i:`.'xj.... is t ii 4 aUt1{ L�ORfaTt @nB64............... . i;i:'i;`i:ii ';i ::.: ii ;3 ::iG. ` `:i 14.11 i :<` :::i'iii:iii :: i..... -.............. ...... �:': '' :.'�.i: i%;i:.; is :'i:: iii :`:i i:i: i`: .... :.::.c Int <''' n:frac.:. :``" ' Co ro .. o:. .::::..,....::::.::::.:.::.:::.::::..:::::::::::::::�.:::: :::.:;.;::::.::::.::.;:.;;::>::.;:...::.... '?' :'[ ::::::::::::::i::::::::<:::'`>:t::' ?>" :`> «>> Da .%................... cc....... tmlt.3fsae:.::::.::::::::::..........................:..:.:.::.S.lY1lZ:::.::::::::.::::::::::..:................:.:.:::..::::.:::::::.-SSSS:...: t,X::;;:<:::::::::::X-:-::..:::::.::::::::::,:::::::::::::..:::::.:.:::::::::::::::::.:....::...:::.:::::.:::::::::::.:.:.:::::.: > > > »':'. >`»<> ......................... .. '' ' -: :'''{>EI,-*:::::`: _ '':>:'':>''::>>> SSSS> !_ :``'' ....................... :::::—•SSSS::.... C .. Y Lir:>::> >::»::>:!:> < s ::: :::::: »':>:>:'.`<':> :;.:;;.;.;:.;:.:.::::::::::::::.::::.::::x.::::.;:., ii `>` »<''?:>':: > :::: :::::'. >'::>>:>:»'::>>'>:'>: :.;.;:::.;,:.::::::::.::.::..:::::::::: ::::>:SSSS:>?>>: > ::>'< `> ' `i'`"'` :::::::':: ? :::":>::::`i:::ii>::;> Gra�io::::::.::::::::::.:::::::::.:::.:...:.::.:;.;:.;;:::::::::: .... .. ::-::> >:> . . ..:::;%::::;::::::::::::::::::::::::::::::::::::>`::::':?2::::?::;:; Workers::Co® P.:...........:.SSSS:.. :•;:;:;.;;:.::;>:;;:::;::;:;:;;;:.;:;:;;;; 2::::::::::;:::::i::i:::::::::::::::::::::ii:is::;:;::::::::::::::::i:::' ;:;::::<z>:i•;:;:;:;;:;:;:::.;::;:.Y....;;::;;;•;>:;•;:;:;:;>;:::.::<;::;.::.;;:......:;..... ........:::.................................:..................... :<:;:::::::':'':':::::::: .> :::i:::%;::i:::::::::':`:%::::::::::::::i:::::::::::::::::: :: ::.. is i:<::ii z::is ........ tEvetacs:::.::::::::::::.:::::::::.*..: ::'':``::::::::::::::::::?::2:::::i::ii::i::i i;: .:i::::i::::i' is i:<i:..... ;.::::::::::". s i i::: is-,i:.i:.:- ::::::::;.::::::::::•::::.: a._ .?, Bain$.... PPS:.; ,% .A:iE:i?► :..0 Wks::'"`"``= ?<::::::::'::>:::>"SSSS:?>::::>? P.. h:. .....A r...... :..:.:..:::::: ? :>:< :::>::»SSSS». .....` :;::>::::`>..>:::::>::>::::::::W S ::<::::>:':>:>::<:<>:::':::>:.;: <:::::?: ::::>:>::>:::::":::::::<::>s':::[:::`":': _ SSSS:: . :":::.:»>:»[::>::::>:::>::::>:>:>`:_:»:>ii: "H:: A::;A a;::>::::::::''::::'><SSSS»is:'::>::: o.:.....vP Ai.;:::.;:.:.;:.:.;i >::> ::.:::::.::.: >::» >':::;'>: ::>>z::<: <':::>:::`>:::>:»>;:>:::>::SSSS:>'.>>:>::>::>::> .;:.;:.;.......;:.;:.:;:.;:.;;•::::::::.;.......::..:.:::..:::::..::.::::::::.:. >'?:»::%<::'::'::::>>::::<:::::'::::::>:>:<:`:�> :;.;:.;:.:.:;;:::......... ::::::'?:':'>::> :`'•»»><>:: >><: ::>::?SSSS_:>. Fire:Mar Aae"r:'3s:i:i:t::::i: ::::::::<:::i::::::i::ii :::i:::<::: ; :: ':s:; I... :::::::::: .::.;;:.;:.;.. : latzic.U_V'� City of La.Quinta Developers Project Approval Form Prior to the issuance of Building. Permits fo.- the project listed below, the following Departmental clearances must be obtained. Please return this form to the Building and Safety -Department only after approval. Contact applicant for resolution of conditions preventing or delaying approval. Project: Common area pool 54-742 Tanglewood Century/Crowell @ The Tournament Collection PGA West Applicant Contact: Marty Bulter 909 3816007 Application / Circulation Date: 09/08/00 V/ / Date (J� Community Development Department Christine di Iorio, Planning Manager Date Public Works Department teve Speer, Senior/Engineer Date Building and Safety Department Greg Butler, Building and Safety Department Manager Health Department Date Fire Department Date Schools Fees Paid Date City- o La Uinta Developers. Project Approval Form CM*4•Ud RPi AA Q.tJU41JA n� Prior to the issuance of Building Permits fo:- the project listed below, the following Departmental clearances must be obtained. Please. return this form to the Building and Safety Department only after approval. Contact applicant for resc.lution of conditions preventing or delaying approval. Project: Common area pool @ 54-742 Tanglewood Century/Crowell @ The Tournament Collection PGA West Applicant Contact: Marty Bulter 909 381 6007 Application / Circulation Date: Community D opment Department ' n Christine di Jorio, Planning Manager Public Works Department Steve Speer, Senior Engineer Building and Safety Department Greg Butler, Building and Safety Department Manager Health Department Fire Department Schools Fees Paid Date Date Date 00 Date V/51-/06 Dat La LV L"I.V Certificate of Occupancy.. City of La Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the. City regulating building construction or use. For the following: BUILDING ADDRESS: 54-742 TANGLEWOOD Use Classification: COMMERCIAL - COMMON AREA POOL BLDG. Bldg. Permit No.: 0012-247 Occupancy Group: B Type of Construction: VN Land Use Zone: RL Owner of Building: CENTURY CROWELL COMM. --r —.4, /4--L�7 Building Official Address: 1535 S. D STREET, STE 200 City: SAN BERNARDINO, CA., 92408 By: GARY HARTMAN. Date: 1/7/02 POST IN A CONSPICUOUS PLACE