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 .