0107-096 (SFD)LICENSED CONTRACTOR DECLARATION
1 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 # Lic. Class Exp. Date
Date/ Signature of Contractor
,..�...T. 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).
O 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 7� ►:MIC?'�}^�'�'.�.MP IN3 Policy No. 3-PSi�•4>�,9fTd►141
(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 Californ' ,and agree that ' I should become
subject to the workers' compensNm
� i - 3700 of the Labor
Code, J%141, J(th comply witDate- —v Applicant
Warning: Failure to secure Wordrs' 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.
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 authorise representat,i1ves of this City to enter upon "
the above-mentioned property for'` spec o rfrposes.
Signature (Owner/Agent)// ` �•�� ,•'' 'i -r'' Date�•f'
PERMIT#
BUILDING PERMIT - -_ ---
01011.
��
DATE VALUATIONS LOT 5 TRACTJOB
SITE
ADDRESS T � t ,✓�i 1a i n
APIV W,-I.Tt Siw
OWNER
CONTRACTOR / DESIGNER / EN INEER
0, iWAT)A T & COildPAW
CAWADAY & COMPANY
11469Z' 1. 7TH T.C. #106
1'7480: C", 17 1 Lf, r, M 06
a4m CA, .92780
'TUNIS dna 92-780
(71A)508-4440 CST,# 44;&5
USE PERMIT
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►7 ' i. TL6:•.3:.dyR,R1JiLY TYV .a4il 40
SM FLAN 1.J.Ft-P1f,. f'4` 1:2.Od6'S NOT 33YC1.b. DE CL.0?t:1::OR POOL
,*'A AM` Fi.'KI'300110�1 Foil RSI url.I'fo MKITS OF $AMR PLAN TYPE
TRACT CONSTRAXTION 44711,00 8F
PORCHYPAM :;'i'l1.00 sr „
0AR&GWARPORT 430.00 SIP
PERMIT VIM 9MPA'ARY
CONS' 3oC:'3'Im Tim 101-WO.4W-000 tsou 9
PI'M C`1"lnx ,i re, 101-0W-439-319 $165.93
in, rAiposiT 101-W0,4,_49.,318 4250.00 --
M=tiANi'C%.I.,1IFF, 1011-0.00-427-000 t.,so
FLECTR.aCAL FEE 101-000.42Cf•=01YJ $M.%
PLUDP.131140 MIZ 101.000-419.000 125. i
STRONGMOTION.FER, R -01D 10)-000-241 -000 X14,5
C.1RAIDI•NG YZE 101-0100-4123-000 Van
1011+1' dl C1%
$;3, l4.%S1
NOV 13 ?_(l I MW PRE-PAU) M1:
42500 00
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Cg�®FLAQU t
LB ASF QE1"-
RECEIPT
DAIEf , •
BYDAT
F L
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Forms & Footings
> /
/ ` -� (�
Underground Ducts
Ducts
_�
Slab Grade 1/ t �C
Return Air
/
Steel
Combustion Air
Roof Deck
2 -O
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
ompressor
-
Insulation
Z — y" , ��_
Vents
Q
Fireplace P.L.
Grills
_
Fireplace T.O.
_
Fans & Controls
Party Wall Insulation
_
��'
Condensate Lines
Party Wall Firewall
Exterior Lath
1 _ /-67
Drywall - Int. Lath
Final
Final
POOLS -SPAS
BLOCKWALL 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
Waste Lines
_
%% d!
Electric Final
Heater Final
Water Piping
_/Gt _�`
%
Plumbing Final
Plumbing Top Out
4 G���
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral /
/
Pool Cover
Sewer Connection
��
Encapsulation
Gas Piping
Gas Test
Appliances
Final
M
COMMENTS:
-2116101
Final
UtilRy 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
;fly
Utility Notice (Perm)
- �r—
JHN—UY-2002 10:40 t51/Ff1t Y14 b.SS 2U"i9 H.01/04
ESI/FME, Inc.
Structural Engineers Date: Jan. 5th, 2002. By: R.R.W.
1800 East 16th Street
Santa Ana, California 92705
Company': GANADAY AND CO. Arch't / Designer, Len Nobel
Address 47650 Via Antibes, Project Name: "REGATTA "
La Quinta, CA, 92253 ESI /FME Job No.: 9323-7
Contact : Bob Walker cell (760) 275-5731 Project Eng.: R.R.W.
Phone: f60)771-9636 FAX: (760)771= PH.; (714) 835-28M /Fax 8352619
Phona C(Wersaban IKI Fleld Meerg MW9 @ Clients In -House Meefing
MEMO Page i of 1
City Of La Quinta
Department of Building and Safety
78495 Calle Tampico
La Quinta, CA. 92253
R E: City Of La Quinta
Tract 26152, Phase 7 C
On this date, we conducted a field visit with the framing contractor'
and proceeded to point out areas that needed his attention. Upon
completion of these items, the home will be in compliance with the approved
set of construction documents.
Field observation 9n the following lots
Lot 148 Plan 20BR 47-165 Via Antibes
Lot 149 Plan 10A 47-185 Via Antibes
Lot 150 Plan 30BR 47-205 Via Antibes
K -0—t-1 1 Plan 10A 47-225 Via__Antil es�
.Lot 114 Plan log 47-720 Via Florence pFESS�
Lot 115 Plan 30AR 47-690 Via Florence
Lot 116 Plan 20B 47-660 Via Florence.
�n No. S2345 r
Exp. 12-31-01
I
ESI/FME, Inc.
Structural Engineers Date: Jan. 5th, 2002 By: R.R.W.
1800 East 16th Street
Santa Ana, California 92705
Company: CANADAY AND CO. Arch't / Designer Len Nobel
Address ; 47650 Via Antibes, Project Name: " REGATTA "
La Quinta, CA. 92253 ESI /FME Job No: 9323-7
Contact : Bob Walker cell (760) 275-8731 Project Eng.: R.R.W.
Phone : (760) 771-9636 FAX: (760) 771-0564 PH.: (714)83'5-2800/ Fax 835.2819
Phone Conversation ® Field'' Meet'g Meet'g @ Client's In -House Meeting
MEMO Page 1 of 3
Field observation on the following lots : Tract 26152, Phase 7C.
Lot 149 Plan 10A 47-185 Via Antibes
Lot151 Plan 1 -OA 47=225=Via Antibes
Covered Porch. ADD (2) 2x4 cripples to support G.T. on 6x10 purlin beam.
Dining Room: ADD (2) 2x4 cripples to support G.T. over 4x12.
Dining/Kitchen: ADD 2x4 cripples to support hips on truss at high end.
Great Room: Use detail Q/D2 at front wall.
Entry: ADD detail C1/D3 at drag truss .
PORCH: ADD shear panel 4 -ft at each side of Entry above top plates.
ADD Simp. CS16, L=5 -ft at front wall around Den/BED3 comer.
ADD (2) 2x4 -cripples underGirder truss. supporting hips.
Garage: ADD edge nailing of shear panel to. bottom of garage door .header.
lot #51 Front Porch:. ADD 2x4 under hips at apex.
lot #51 BA2: ADD (2) 2x4 trimmers under . G.T.
lot #51 Garage: ADD Simp. A35's at rear wall per Q/D2. .
ADD (2) 2x4 under interior and. exterior supports of G.T. in front of Beam 7.
Lot 114 Plan 10B 47-720 Via Florence
Dining Room: ADD (2)2x4 cripples to support G.T. over 4x12.
ADD shims under bottom chords to develop full bearing.
ADD Simp. 'CS16=11'2" at exterior wall as per. E1/D3 .
Front Porch: ADD 2x4 under hips at apex.
PORCH: ADD shear panel 4 -ft at each side of Entry above top . plates.
ADD Simp. CS16, L=5 -ft at front wall around Den/BED3 comer.
BA2: ADD (2) 2x4 trimmers under G.T..
Den/BED3: SHIM truss bottom chords to develop full bearing over top plates.
Dining/Kitchen: ADD 2x4 cripples to support hips on truss at high end.
Garage` ADD, (2) 2x4 under interior and exterior supports of G.T. in front of Beam 7.
Garage: ADD edge nailing of shear panel to bottom of garage. door header.
ESI FMF_ ie: a.