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0202-251 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am lioehsed 0d6e iifovlsions of.. ChalAbr.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 Exp. Date Date Z Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that/1 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 F"D 1061391-01 (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 become subject to the workers' compensation laws of California, and agree,that ifA rshould become subject to the workers' compensation {prgvisfons pf„Sectiono3700 of the Labor Code,,l s all fo hwith comply with those provlsl Date: >! t7. Applicant .--- arning: 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 Safefy for a .permit subject to the conditions and restrictions set forth on h'is application. `1 1. Each person upon whose behalf this application.is made & each persomat 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 t & hold harmless the City of La Quinta, its officers, agents and employees. i'' 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 construction, and hereby authorize representatives of�this City to enter upon the above-mentioned property for,,ilispeetion purposes ; Y Signature (Owner/Agent) A`'ffi bate, +y0 J BUILDING PERMIT PERMIT# „ DATE VALUATION LOT 0202-251 TRACT JOB SITE APN ADDRESS OWNER CONTRACTOR / DESIGNER / EN (NEER 17480 11'fil ST 0106 17480R, 1711-19..i':*106 `1 i1S'1 CA M780 1'fIS°C.t�l' CA S`27180 (71.4)508-4440 C13Vt 4455 USE OF PERMIT 37.E 1:'ft lLy DvInIN10 SF0 - LOT 136, PLAW 34&.E. :Pt?4blI`f DOES NOT YAlt:;t,f:0Z 01ZCK. 'V IALS, P004 SPA UTd.1:11�"'WA .� PPROACH TRACTCONSTRUCTION 3,934,gt3 SF PORC;tifP. TIO ; ;s.00 SF CMAGEICARPORT 6 :aQ rr. 4 t� CONSTRUCTION ME 101.000-418woo1 S9231011 PIAN CHWX fTrl tot _000-43-9-318 $106.14 FRITH.DEPOSIT 101-000-439-316 42% 00 M2?t'."1iAN NCA 1, M. 101-000421-000 $105.00 ELEC`CR1CAL PC, R 101-000-420-000 $36y.2Sf PLUIMBING WE 101-000-11.P,-000 $19�:31t 9TRONG MOTION” - MID 101.000.241.000 WIN ap-18M2]N0 _ 3U.P-TOT 1' �::0�':1°%1�,TJCb:�`IC19f WL) PLAY+�'k•TWXYM $4,109.01 Lr`�e), , PER-Wr "'ERS IYETE POW ' MAR 2 20 02 Cff.Y0r-LAQU1,4TA { OMC RECEIPT DATE BY DATE FINALED j -d INSPECTOR, INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR d BUILDING APPROVALS MECHANICAL APPROVALS Set Backs — _ Z Underground Ducts Forms & Footings 2- Ducts Slab Grade 1. -3 © Return Air Steel Combustion Air Roof Deck 6 Exhaust Fans O.K. to Wrap F.A.U. Framing _ 5 - Z Compressor Insulation 2 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 C o z BLOCKWALL APPROVALS 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 —2 — Z 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 Wining��5_ off, Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) ( 7 •- - e� $7 COMMENTS: JUL-08-2002 12:13 ESI/FME Y� r ESI/FME, Inc. n Structural Engineers 1800 East ift Street Sanm Ana, Cardomis 92701 Company: CANADAY AND _CO. 7 Itr• S:.s' Address '.47.650 Via AnttIS La Quinta, CA. 92253 Contact: Bob Walker cell (7W)2754MI Date: 714 835 2819 P.01102 7-5-2002 J By : R R W sheet 1 of 2 Project Name.- " REGATTA ' at Lake La Quinta, Palm Springs,_,CA. ESI / F M E Job No.: 1099-9323- Project 099-9323- Project Eng. -. Phone : (760) 771-9636 FAX: (?60)771-0564 F-1PiaI CK Foo Ma tq 0 VW9 0 Ck-ft R.R.W. PH.: (714) 895-2800! F;mt 8354M Qln4imw MAedbnq MEMO Structural walk of PHASE 88 on July 5th, 2002. Lot 136/3QAi4: 47-150 Via Antibes Garage: ADD edge nailing at bottom of header as per detail 12/D2 . ADD 20 under each main hip and 2x4 collar tie under one -car garage hip. Den/Bed4: Detail B1 is supposed to read R1/133. Lqt 131_ / 10AR: 47-040 Via Antibes Garage: ADD edge nailing at bottom of header as per detail 12/132. Hall behind garage: ADD 2-2x8 purlins 10 fully support "califomia" roof Lot 119_ 47-010 Via Antibes Den/Bed4: ADD blocks as per detail B1/D3. Garage-. ADd 2x4 collar be under hips at apex. W 1V / tOA: 47-005 Via 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 . Lot 141 / 10BR: 47-025 Via Antibes Garage: ADD edge nailing at bottom of header as per detail 121132. Great Room: Provide 2x4 under each trip near apex- ADD pexADD CS16 at exterior window sill as per E11D3 . Lot 142 / 10AR: 47-045 'Via Antibes Great Room: Provide 2x4 under each hip near apex. ADD CS16 at exterior window sill as per E11D3 . Garage: ADD edge nailing at bottom of header as per detail 12/D2. NAIL with 16d C 8" o.c. bottom chord of garage truss to "fire -wall". Hall behind garage: ADD 2-2x8 purlins to fully support "califomia" roof. L of t4JLXB' 47-065 Via Antibes Master Bed: ADD blocks and straps as per C1/D3. Master Bed/Bed2 : ADD HDBA holdowns . r,e.1Q,ftAe• Ann htnrks as ear detail 131/D3. — DISC AMETr EarTrt tnt.. w, �, �. •�•••• �., _ - - -- - - s A1{0 sTaucTLlwL oFs�►t.,tatT. ora REv1EW COI1sTTLUCZ1oN sUeSTANsu►Lir ao�uELs wITH TTS voNSTaut:saN DOCtiIENT COVERED Mk= FRN@K' EUMN TS AS REFLECTED IN OUR MCULATKTN6. 7M REVIEW WAS BASED ON VISUAL OOSER VAT10NS MID TITER£ IS NO CIAK EITHER STATED OR NI IAD THAT ALL CONDITIONS WERE OBSERVED. WE 00 NOT CERTEY OR OUARANM CONSTRUCTION WORK M ANY WAY. OUR VISIT DOES NOT RELIEVE THE DEVELOPERS, FRAMERS, CITY INSPECTORS AND DEPUTY .. nc-vrsoa for or-ttINWM AS TO THBR OKKIAT10NS TO FOU.0W AND ALL APPLICABLE CODES. Certificate -of Occupancy City of La Quinhi 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: 47-1.50 VIA ANTIBES Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0202-251 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: CANADAY & COMPANY Building Official Address: 17-480 E. 17T" ST. #106 City: TUSTIN, CA 92780 By: STEVE TRAXEL Date: 11-13-2002 POST IN A CONSPICUOUS PLACE