0107-094 (SFD)LICENSED CONTRACTOR DECLARATION
;til hereby ettlrm under penally ul peljul y ll ial I aril licenacd under provioionG 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. Dattem.
,Date r'1 /7 ���i Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that l 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 clothe work, and the structure is not intended or offered for
sale (Sec. 7.044, 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.
( QQ) I have and will maintain workers' compensation insurance, as required by
Se ion 3700 of the Labor Code, for the performance. of the work for which this
A
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier rgjgAtif. NP p Ct'SMP'INS Policy No.
(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 a e/h{if should become
subject to the workers' compensation pf, , sions 5e io 3700 of the Labor
Code, I sh 11 ort it comply with those✓`proJiSi S.
Date: lApplicant ,�"r
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.
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"re a0 ,,"of this City to enter upon '
the above-mentioned property for inspec"tib purposes. ,-
� f/ �r p
Signature .(Owner/Agent) r a Date
BUILDING PERMIT PERMIT#
DATE VALUATION- LOT TRACT
11.�tr, l�Alr; 91451146AV 149 26152
JOB SITEy
APN
ADDRESS 4 -'I&S VII6`l:,b�i.c:YYMS
64.1-11"22
OWNER
CONTRACTOR/DESIGNER/EN (NEER
CANADAY &! CG. aMY
CANADAY & C01"ANY
17480R, IM -19f.,4106 ,4106
17!4801', 1711-1'U5.#106
'3'U3"AIN Clik 92760
'% US"rix� `A 92,780
(714)508-4440 CW10 .4
USE OF PERMIT
1 R4(.R, & FAM_ %Y TJI� T G4
a
SPOI-IAN 10:X-PY?_PR 91 s' DOES NOT 7NCf..UDE Bf.00I-:'i;+>7AI L.% POOL Out
i
1'1a.ACT CONI $ RIXTION 200100 8F
13 t: .gi L lL1 / Inl .00 5F
'011T
O.AQ, A,GFXA1 ': 439,00 MY
F-97''am kTX RUWMARY
CONSTRUCTION 1P'%1- 101-000.418-000 $k( otsp
PLAN CHECly PE; 101_000_49_318 S661-03
WE DEPOSIT 101.000-439-318 42SQ;09
f(AEC.ki&N1CALELLE 101-000121-000 0 & F4
ELECTRICAL FFIE 101.000.420-000 3141..05
PLUMB4140 FEX 101-000419-000
��1'.13a�3�Y 1<90 i1b Ft?Lx - $1101X9 101 -�C?G9i)ak i -d1N() 514,51
raRAVIING FUI
:.. ?VVX1A)Iz&t'1MPACT FIN,
a: k
NOV 13 21(11
-
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
_ _
Underground Ducts
Forms &Footings
_ / _
—
Ducts
� _ C✓��_
Slab Grade
v r (�/�
Retum Air
Steel
Combustion Air
Roof Deck
Z
Exhaust Fans
O.K. to Wrap
��,
F.A.U.
Framing
% �� .ate
Compressor
Insulation
l X23 —p
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
_
w
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
_dry _
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPR VALS
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>/
_ _ �
` d
Pool Cover
Sewer Connection
/Y ���
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
_
—� L
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)
— y
ESIIFME, Inc.
Structural Engineers Date : Jan. 5th, 2002.. By: R.R.W.
1800 East 16th Street t-
Santa Ana, California 92705
Company: CANADAY . AND CO. Arch't-/ Designer Len Nobel
Address : 47650 Via Antibes, Project Name : "REGATTA "
La Quinta, CA. 92253 E S I /F M E 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)835-2800/ Fax 835-2819
Phone Conversation a Field Meet'g EDMeet'g @ Client's In -House Meeting
City Of La Quinta .
Department of Building and Safety
78495 Calle Tampico
La Quinta, CA. 92253
RE:
C►ty 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 on the following
lots
Lot
148 Plan 20BR 47-165 Via
Antibes
rTo—f 149 Plan 10A 47-185 Via
Antibes
'r Lot
150 Plan 30BR 47-205 Via
Antibes
Lot
151. Plan 10A 47-225 Via
Antibes
114 Plan 10B 47-720 ViaFlorence
.Lot
Lot
11.5. Plan 30AR 47-690 Via
Florence
OFE Si q{
Lot'
116 Plan 20B 47-660 Via
. Florence
�oF
CD
o. 45.
in
Exp. 12-31-01
rn
v
F
OF C
JAN .'
ESI FME file
7
i
y
1)
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
Phone Conversation a Field Meet'g Meet'g @ Client's
PH.: (714) 835-2800 /Fax 835-2819
In -House Meeting
MEMO. Page 1 of 3
Field observation on the following lots : Tract 26152, Phase 7C
Lot149--PFan 1..OA.. 47-185 Via—Antibes
Lot 151 Plan 10A 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 corner.
ADD (2) 2x4 cripples under Girder 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=117' 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 FME ie: a.
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: 47-185 VIA ANTIBES
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0107-094
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: CANADAY & COMPANY Address: 17480 E. 17"' STREET #106
City: TUSTIN, CA 92780
By: STEVE TRAXEL
l d� Date: 11-13-2002
Building Official
POST IN A CONSPICUOUS PLACE
I