0402-021 (SFD)LICENSED CONTRACTOR DECLARATION
I 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
1753503 131 Cr 10 lr�t°v' j /' 04.1lo..1,
Date +s - ^` I Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penklty 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 99EMP T Policy No.
J
(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
3 Code, I shall forthwith comply with those provisions. ///
S Date: - % Applicant—
Warning:
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 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 representatives of this City to enter upon
the above-mentioned property for`inspection purposes.
Signature (Owner/Agent)ln��� �--� Date '9 !�a"�✓
"BUILDIN&PERMIT PERMIT #
DATE VALUATION t r^� LOT O'4Q.V"()21 TRACT
'r • r f _. P12,316.00 6 29147.1
JOB SITE
ADORE SS iV" 1d�ik[aTLnt`�
APN
7dJ1.t" 2(� -EI06
OWNER
CONTRACTOR / DESIGNER / EN (NEER
W"k:SI•1,t0:NI,PARIN 2S 1, LLC
�{P+1 t'lil.1ACO'NWIttUCTIONINC
91-070 CIMMIC:t,�I IER
7R.- 70 CAD
C.P. 92243
LA, 0111 IMAM C!-;,. 92253
r"/60).364a4832 C13L4 3237
USE OF PERMIT
SID a LOT 6, PLAN 7. PSR1L IT DO&S NOT INCI.IdIZ BLOCK VIAL.t-%
POOI,, SPA 012 DRfV'EWAY APPR.OtaCi 76% REDUM71014 10 PLKtq C:Hi..C'1:
FEE DUZ s'O MI L11.. 1PL,i I&UANCE OF SAME PIA14 TYPE
CIlf3'POWC ONSTRUC'T1CYN 31632.09 OF
P011CHPAI1IO 997.04' Sf?
(4.A*RA.QIYCA`RP6 T 378.00 SI?
3`.firl'Q�?'t�lihT.!'w CCyb !' 01+ 4 O.-443 `RUC" °p+C R
312p i.1' 'm
iT '�'.q.K.L7.YJ.�lUS�tuG k�f't7YY��7�
CONSTI. UCTIO N FEE 101..0100.418-000 S1„135.04
PLAN CHECK FEY. 101-000-439-318 $281.75
S156..t10
]�yaEC�HAnNICw'AL tlr�RE 8101-000-42).11-0,.000
f�LWTRICAL VISE 101-00 0-420-000 41/11.14
PLIUMBI-No FEE 101-000.419,000 SY".73
STR.C)NO MOTION” REE • RLSID 101-000-241-000
MA) 100 FRE 101-000.423.000 $15.I10
,OWPIILOP1 R IMPACT "t $7,405.00
PUC'ISE P1w.AW 101-000-441-345 0.441-345 $100.00
-
ART 1N PUBLIC PL ACZE • RESIL 270-000--445-000 $780.W
Jr. r r.. • = Y I`tATi�' 1.1 CT.101tit LiC D PL5'kitl CRl..+l.+ar
CQ
� 3,045.66
p S TIaU.P RWo
$0.00
FEB 10 2004 . P'0041T Ms Dian NOW
$5,045,66
CITY OF LA QUINTA
FINANCE DEPT.
RECEIPT
DATE
BY j
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs_
Underground Ducts
Forms & Footings
/
�
Ducts
Slab Grade
- Z7
Return Air
Steel
Combustion Air
Roof Deck
Pi
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
L
Compressor
Insulation
/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
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 APPROVAL
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
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS: Pa�2�
11k./�Y 64t
6
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)