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0109-228 (RPL)11 .4 LICENSED CONTRACTOR DECLARATION hereby affirm under penalty of perjury that I am'lic6nsed 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. t" License Lic. Class A Exp. Dat" , . 0 - 70)04 B 3}�/�• illy - �. ' Date Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjuy that I am' exempt from the Contractor's License Law for the following reason: 1, as owner of the property, or- my employees with wages as, their sole compensation, will do the work, and the structure isnot, intended or offered for sale (Sec. 7044, Business & Professionals Code). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). O I'Amexempt under Section B&P.C. for this reason Date Signature • of 'Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of - perjury ry 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. Ihave 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 m.er & policy no. are: Cartier UNffF Policy 17S96 -W ,D PA INS y No' N*AM r. (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/dny manner so as to become subject to the workers' compensation laws of California, ayd agree that if I should become subject to the workers' compensation (/iproviAslli pT.o f Section 3700 of the Labdr Coce,'s I fPfhWith comply witlth-6sp Os on Date: Applicant -L'" Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to Criminal penalties and civil fines up to $1100,000, 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 is 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 A hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as. ayesult 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 of this City to enter upon the above-mentioned properlyfor i J nspectlon purposes.. -Signature (Owner/Agent) Date BUILDING PERMIT PERMITS"—. S" -R)7-170 jv DATE VALUATION . $200,6%J0 LOT TRACT 28603-1 JOB SITE 57-42.9 SPAN.1,43WHILLS LANE, ADDRESS OWNER CONTRACTOR DESIGNER ENGINEER MMVEW WALKER HOMES SrEVEN WALKER'ROMES 7161 fNDIAN.A. AVE, :161 INDIANA AVE. RIVERSIDE CA 92504 FiNMIDE CA 92-504 (909X184-0840 CBL # 5357 USE OF PERMIT W-1) - LUT �t,?,L.AN ^.VbK1V11'1 Mibti NVE INULUD4 bloWK WALLQJK i-,om. 7,1% Rmucriom To PrLAN r-mcm FFY. Folt njurrm's I.= ima, OF SANEE-, PLA;4 TWF ctivrold CONSTRUCIT101ky '4379'oo sp PORMPAT TO 2920.11+3 V GARACWCARPORT 05.00 5F FS TIMATED COS f' OF CX)N9fRUCf!0N ft"RMff f%E SUMMARY CON .TFRUCTION FIT. 101-0015-418-000 5.993-00 PLAN C99CK F U 101-=)-43!0-3t9 0M.00 MECRAMCAL FW I a) . XMI31W r—EE 401."419 -WO $142-50 81TRONG M01 ION FEE - R!�SID. 1014W-241-000 GRADINQ FEE 101 -000-42340 320.00 ART IN Ptffi'IIC PLAChS - HESIE-701 D n-'&OPER IMPACT FEE ?A9,6"06.10 SUWTOTAL CON.'TfRUCTION AND PLAN CHECK 53,80238 LESS PRFPAID F -En $0.00 TOTAL PERIWITFEES DUE'NOW Ck"I ,43A,90'2.78 RECEIPT DATE BYJINSPECTOR DATE F1 NALED INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & Footings /lm(/ Slab Grade 7� / Underground Ducts Ducts Return Air Steel Combustion Air Roof Deck // Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation ,L Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final1. POOLS - SPAS BLOCKWALL AP_ ii LS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS 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: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) Iff 77 "., t. ^ Ire pert rica to . of Occupanc Cloty of, La . 1 �BE Building �han Safety Department FFM , O F 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 ollowing:BUILDING ADDRESS:' 57-429 SPANISH HILLS LANE Use Classification: SINGLE FAMILY DWELLING Bldg, Permit No.: 9907-470 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: STEVEN WALKER HOMES Building Official Address: 7161 INDIANA AVE. City: RIVERSIDE, CA., 92504 By: DANIEL P. CRAWFORD JR. Date: 7/11/2000 POST IN A CONSPICUOUS PLACE LICENSED CONTRACTOR DECLARATION ` I hereby affirm under penalty of perjury that l 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 6516 128 1V53 MIC r. 1 /0.0 DateQ •" Signature of Contractor A 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 COMPENSMI W0015163 (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 Code, I shall forthwith comply with tho d"Plrovisilo s. Dater Applicant - ^,5 Warning: Failure to secure Workers' Compensation coverage is unlawful)'and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest.and attorney's fees. t IMPORTANT Application is hereby made to the Director of Building'a d fet for a permit subject to the conditions and restrictions set forth • his application. 1. Each person upon whose behalf this application is made & each p o atSE whose request and for whose benefit work is performed under or pur ua t to any permit issued as a result of this applicaton agrees to, & shall, inem I yCl & hold harmless the City of La Quinta, its officers, agents and em loyees. 2. Any permit issued as a result of this application becomes null and—U-3—id-TV work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit -to cancellation. I certify that I have read this application and state that the above_ information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City. to enter upon the above-mentioned property oPlinspection purposes., Signature (Owner/Agent) �� +!•`Date ~~ u .UILDING PERMIT PERMIT# DATE VALUATION LOT TRACT' tl� JOB SITE rbw ]APN ADDRESS OWNER CONTRACTOR/DESIGNER/EN INFER `:4�C1I7t {? k�• i`�L1 7 i.' - , �. - �r�ii. '� 11 P001.S' £� 49 C'i i'�t? CC! 5 7 -4 29 FTM1:91-I I;1'. 1.11`3 74725 JONYD.1'IVE, OWE OA L.A. Qi;7fNTA Cts .02235.3 P,rgal;.M D,M, T : CA 92*260 ('760)340tl9000 OBL4, 355 USE OF PERMIT ��DC7F�lS3?A, ii�3C�.€�2.1Si �1.5$•'t�fif�, �'!�C!?.�i'.!'� 498 d1.rl:�Al.. ,&FAFiMa1'F3.AR RIERR SJF3,11LL BE N PLACE Alf PRE -PLASTER, TWS'laEt~'I`fC3N ' POOL AWEYOR, SPA W0 160 L RIM CUE"(111K nZ 101-000-439-318 91116,48 CCFNSTRIJ(''TIOW FS F, 101-000-4118-0600 W1,50 "AWRAMC AL r. U, _ POOL 101.000-421.000 VAN ELY,CTRIC:AL FEE - POOL, 01 -f#00 -420 -OW $83.00 PLUMP HO FEE •- P00..11 101.000-119tl0015 WIN t . e Q - P 2 6 2001 - . Cf'°1NVERUC!'IT09.tiNID PLAN 0511 WIN OF LA QUINTA IMS PRF. -PP 1Z FMA4 saw INANCE DEPT- TOTAL -PFSM.V FEES DUE NOW RECEIPT DATE BY DATE FINALED INSPECTOR T.; INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. ' Framing 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 /�,/ �f�/ Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test - Final Gas Piping /6 PLUMBING APPROVALS 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: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.FJ. Smoke Detectors - Temp. Use of Power Final Utility Notice (Perm) SEP-20-01 THU 11 : 88 AIM PGA WEST HOA FAX NO, 76D;'564 2329 P. 1 FAIRWAYS ASSOCIATION September 19, 2001 Mr. & Mrs. Rodger. Mehrer .. 57-429 Spanish Hills La Quinta CA 92253 Dear Mr. & Mrs. Mehrer, At the September 18, 2001 meeting of the Architectural/Landscape Committee, your request was approved upon the following conditions: A. Color of concrete needs to be identified. 8. The drainage on left needs to drain to the front of the street, C. The barbecue may not be attached to the wall. D. The pool equipment needs to be screened. - S If you have any questions, you may contact me at 760-564-3858, Sincer t , • / , �•��,.� • ,'rte'!' Donna M 'naccio , Associati n Manager i P.O. BOX 13710 • PALM DESERT, CALIFORNIA 92255 Tet. (760) 7765100 - Fax (760) 776-5U1 emalh pgawest@monarcbgirp,com .