0202-261 (SFD)LICENSED CONTRACTOR DECLARATION
reby affirm under penalty of perjurythat-1 am licensed under provisions -of
j 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 pp .fix Date
Date � V 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). ,
() 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.
STATE G FZ.1ND 1661M -01
(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 ecorne subject to the
workers' compensation laws of California and gree hat if°Ishould become
subject to the workers' compensation provision�of ect on 3700 of the Labor
Code, I s allftrthwithsomply with those provisiogs.
Date: F�ir'd pplicant € •� • .
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'attoiney'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 3agrees to, & shall, Indemnify
& hold harmless the City of La Quinta, its officers; agents and employees
2. Any permit issued as airesult of this application becomes null and void If
work is not commenced within 180 days from date of issuance of such
k: 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
construction, and hereby authorize representatives of this City to enter uponr
the above-mentioned property foord;nl�ctio ��pu4peoses
Si " natureOwner/A ent � ,,.,1Date
BUILDING PERMIT PERMT#
DATE / VALUATION' LOT ({ ` TRACT
JOB SITE
APN
ADDRESS
47-143 VIA ARaS��INS
643
9wY9
Y.G6,'•G,+:Ld
OWNER
CONTRACTOR/DESIGNER/EN (NEER
CIMA17,+t3T & CONIPA,T
S ,01ADAY & COWAWY
174 0 K 1 -r.rf,1f. 3a, 411 6
17480 1"x, I7 TH ': ##106
`l°� 'ill<d C`siA•' x+2'7805
"I TirA1+T C.d9
!M80
'11:4)0S-4440 CBII#
44!0
USE OF PERMIT
EF0 w WT 147 PLAN :.30& F3rR1?,Al i' DOM NOTMMUOK k1WCK
in AI P004 SPA OR 1:,+1`Na'+WAY APPROAC":1i,
,REDUCTIMI IDUE TO LAUL`1'ii' A U UANC OF VNE 111.,AN TYPX ,
TRACT CONS' RUCf'1O1d SP
POR—C•;HIPATIO n;.ars so
�Cy'�vi,:t%`xid`Sm c`Vs oil, commb cA.kl1/:0.7
180,{5,1, 0
tA,�•r �,Y�, �.q y���•p `d
CONSTRUCT10 4 B..-' 101 4=418,�000 5923;0€0
PLAN CHE.CX "let $194.04
WCHA1`ilr AJ, :(EE 101.000-4•21.000 $105.00
0: L•IaXIT1'tlCAL "%, 101-•000-420-400 $167.29
PJ,,UMBINO e ER 101.000.,419s000 81921so
STRO140 MOTION FEE = l�. A1C? 101-000-241-000 MOR
GRANNO V9.9 1(I �4it;Q # .x•00(1 42�i,i +
V,V.1V8I.0PZR INi i TACIT 1 1,9tt .itb
SX, dxmuc
9
MAR 2 0 ioo�
.
t n• tr a a..lw•.^'^ .
RECEIPT" t $ e
'DATE//!'
/f, r
ey fjMRl �DIn INSPE
p
i
INSPECTION RECORD
OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR
BUILDING APPROVALS MECHANICAL APPROVALS
Set Backs -?__ Underground Ducts
Forms & Footings
G
Ducts i
Slab Grade
- Z
Return Air
Steel
L - jp _ Z
Combustion Air 00
Roof Deck
_ ZS-oZ
Exhaust Fans
O.K. to Wrap
_ /2 - v
F.A.U. .00
Framing
Underground Electric
Compressor
Insulation
- d
Vents
Fireplace P.L..
Gas Piping
_
Grills
Fireplace T.O.
Gas Test
Electric Final
Fans & Controls
Party Wall Insulation
Heater Final
Condensate Lines
Party Wall Firewall
Plumbing Final
Plumbing Top Out
Exterior Lath
Drvwall - Int. Lath
Equipment Enclosure
/ 1
POOLS - SPAS
BLOCKWA'LL APPROVALS
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
- /2 v 2,
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
=�� _ Z I�
Encapsulation
Gas Piping
Gas Test
Final
COMMENTS:
Final
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Roush Wirina 7 -7 _ <
Low Voltage Wiring '
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G. F.I.
Smoke Detectors
Temp. Use of Power
Final
JVL—cJO—GYJY7G 1C• lel CJI� iAr-
ESIIF4AE, Inc.
Stiudund Engineers
1800 East 1610 $beet
Sarda Ma, Calftrue 92701
Company: CANADAY AND CO.
Address'. 47650 Via Antibes
La Quinta, CA. 92253 _
Contact: Bob Walker neo mp 2758781
Phone : (760) 771-9636 FAX: 60 771-0564
ElPhWW Calwalin X� Field M.9g
MEMO
'f14 djs> 2dito r. 02/02
Date : 7-5-2002
Sheet 2 of T
By: _R R W
Project Name, `REGATTA ' at
Lake La Quinta, Palm Springs, CA.
ESI/FM E Job No.. 1099-9323-
Project
099-9323-
Project Eng. :
MWO a code's
R.R.W.
PH.: (714) M21100 / Fa Mal9
EJ I
Structural walk of PHASE 80 on July 6th, 2002.
Lot 144 / 20B: 47-085 Ira Antibes
Hips: ADD 2x4 collar ties under hips at apex (two locations).
Bath: ADD (2) 2x4 cripples at rear header.
Master Bed: Fully NAIL girder -to -girder hanger.
Lot 145 / 10AR: 47-105 Ya Antibes
Great Room: Provide 2x4 under each hip near apex.
ADD CS16 at exterior window sill as per E1/D3.
Garage: ADD edge nailing at bottom of header as per detail 12/D2.
NAIL with 16d @ 8" o.c. bottom chord of garage truss to "fire -wall".
Den/Bath3: NAIL. HPAHD22 to post.
Hall behind garage: ADD 2-2x8 purlins to linty support "califomia" root.
Kitchen, Tighten lug at HDSA .
Lot 146 / 1t 47-125 Via Antibes
Great Room: Provide 2x4 under each hip near apex
ADD CS16 at exterior window sill as per EI/D3.
ADD (2) 2x4 cripples to support girder truss at front and rear wall.
Garage: ADD edge nailing at bottom of header as per detail 121D2.
NAIL with 16d @ 8" o.c. bottom chord of garage truss to "fire -wall'.
Den/Bath3: NAIL HPAKD22 to post.
ADD lugs to anchor bolts at front shear walls SW12 .
Hall behind garage: ADD 2-2x8 purtins to fullysupport "califomia" roof.
Kitchen: Tighten lug at HD8A .
LoU4LLMA.- 47-145 Via Antibes
Garage: ADD edge nailing at bottom of header as per detail 12/132.
NAIL with 16d C 8" o.c. bottom chord of garage truss to "fire -wall'.
ADD lugs to arK*wr bolts at front shear walls SW12 .
Master Bed/BED2: ADD HD8A holdowns .
/ FME Gla: FRa706M . WK4
CONSTRUCTION SUSSTAmmuy comPm WITH TmE CONSTRUCTION DOCUMENTS AND STRUCTURAL DES" INTENT. OUR REVIEW
COVERED MAJOR FRAMING ELEMENTS AS REFLECTED IN OUR CALCULATIOW. THIS REVIEW WAS BASED ON VZUAL OBSERVATIONS
AND THERE IS NO CLAVI EITHER STATED OR SUED TWAT ALL CONDITIONS WERE OBSERVED. WE DO NOT CERTIFY OR GUARANTEE
CONSTRUCTION WORK IN ANY WAY. OUR V= DOES NOT RELIEVE THE DEVELOPERS. FRAMERS, CRY WSPECTORS AND DEPUTY
NSPECTDRS (IF REQLG M� AS TO THEIR OBLIGATIONS TO FOLLOW AND ALL APPIJ AME CODES.
TOTAL P.02
Certificate. of Occupancy.
City of La Quinta
Building and Safety Department OF
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: 47-145 VIA ANTIBES
Use Classification: SINGLE FAMILY DWELLING —Bldg. Permit No.: 0202-261
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: CANADAY & COMPANY Address: 1.7480 E. 17th STREET #106
Building Official
City: TUSTIN, CA 92780
By: STEVE TRAXEL
Date: 12-23-2002
POST IN A CONSPICUOUS PLACE C