9703-003 (SFD)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty,of perjury that I am licensed under provisions of
Chapter.9A(commencing with Section 7000) of Division 3 of the Business an
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
766410 13 706.4 5/31/97
Date 311o��'t Signature of Contractor v -f%s►�r/�t.I 4
i
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.
(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 those provisions.
-Date: "1110"11 Applicant
Warning: Failure to secure Workers' Compensatioi 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 applicators agrees to, & shalli".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.
l�n!<7
Signature (Owner/Agent),,/ Date
BUILDING PERMIT PERMT# °°NTR°`#
7+)3'11il.� 4791
DATE it 10/0 VALUATION-- S48I1,05.10 LOT, TRACT
JOB SITE
ADDRESS 79-690 TOM 1? Eti/;.10 LANF'', SOUTH
APN
U--,.'i.`?-ow
OWNER
CONTRACTOR/DESIGNER/ENGINEER
FR.AtLIC WADE
TUI.1tVIN CC3INS' IJ(:r ION M.
79-CM'JODNI r'AVO 1.FtiNE
:5-4936 SHOAL CREEK
{..A.QUIWA i':A 9253
1,A 0,1A TA, ('A 92253
(61f1)777- 7 %11 CB114 :3',51
USE OF PERMIT
tiHj)
w
Fri �i;S:lYP kIrl0 I'M I.00 Sir E
0AttA0WC'N1tU,)0R1' 906MI) ail
0l;itOM3C ONSf't<tf{,,"f'I0N 5,67.8.170 ` l
'I i•)ti"tt��tt..ii'1.��,IA:fN, Q21'�.�11�i,�ii'iI.Z �J�LaJl
ii'm DLT1xa3i'r 1 -31.1 rU.tuJ
PLAN (134 CK t:s w 1!i! f}t)t3�.1 tg,31fi �t,,i,^fl. t4
t:t)KTt'i.#:'LfC. rION 1 Rf3 1 i ti((h)-41 {}(Jfl 51.9?3.tyil
n+ifM'4'ii ANICAI.1'1'0' 1 U i -O..W-421-000
F1.kt:TRtgAL Ft'11 1,01 -WO -420-0000
Pt,t.rfyf]�YT�iE:k 4'Fg» 1f)1-r)�i1i_�it9.00f� X323.75
,M)I; O N10113014IFS 1.01-4)W-241-000 S48.03
€> RAJAW, Flf r?, 101 -CW 423-000
INFitA8'i'RUC"rUkF, 1' .2.25-000-443-342 .:1t7iJ,tN)
R1 T M Pf1VAC PLACE'S - RPM, 701-9f1t1-255-thin ag53.t»
X `
S1ttTAI, 3�i 't'l 1JC'iTC�{`i'Aidi)1a1.�t�� r{ �?CK' i i,472.12
.
LESS PRE -WAIL: FEES-$1,0oosU...
RECEIPT'
DATE
BY
FINA
IN
jy
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 p—
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 2 GC
Drywall - Int. Lath U (lig
Final
Final
a POOLS - SPAS
BLOCKWALL APPROVALS
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 O
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
r Connection •Z O
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.F.I.
Smoke Detectors
Temp. Use of Power
Final
Wily Notice (Perm)
A 14f
4
7o3- X03
P.O. BOX 1504 APPLICATION ONLY
Building//,w JJ�� 78-105 CALLE ESTADO
Address �" W V 'Z.tn a C 0_ LA QUINTA, CALIFORNIA 92253
Owner `: — —N\L w�-N�'
Mailing �7C,+ ✓ BUILDING: TYPE CONST. OCC. GRP.
Address l�` `��9ATfiFA
Z?10�;-oV
5 A.P. Number
City Zip Tel. / .0
jA (dti/;.j-!4 1�3 _777 -Poo Legal Description
Contractor Project Description S/�trZE"��1^r r4� (�tit/�k:U.tiCC
%! 2,o�.cr Gory 7' /-'v c- r-1 O.v
Aaaress 5q --934r, _S/{D/1L G26CK
City/ � Zip Tel.
(^ Q(//VTYL J`ZZS� 777-76//
State Lic. City
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
City Zip State ;ti} 1 N
Lic, # f
LICENSED CONTRACTOR'S DECLARATION } /
I hereby affirm that I am licensed under provisions of Chapte%9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. e
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by any applicant, for a permit.
subjects the applicant to a civil penalty of not more than five hundred dollars ($5ooy.
I-: 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, Suisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
orimprovement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
I 1 I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
l I am exempt under Sec. B. & P.C. for this reason
r
Date /Z//3/g4 Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
n Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg 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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-
menlioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING DIVISION
Sq. Ft. 678 No.
Size Stories
No. Dw.
Units
New Ci/ Add ❑ Alter ❑ Repair ❑ Demolition ❑
stimated Valuation -% (1 ' , r.A.
PERMIT AMOUNT
Plan Chk. Dep. ,/v) Of7
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by:
Validated by:
Validati
193 % • --�
"e -q"
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
2ND FL, SQ. FT, d
FORMS
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. S0. FT. @
OTHER APP./EQUIP.
DRAINAGE PIPING
WALL SO. FT. @
TEMP. POLE
DRINKING FOUNTAIN
SO. FT. @
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
=$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11A c
SEWAGE DISPOSAL
LATHING
SO.FT.GAR @ 3/<c
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
INSULATIONISOUND
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
CU. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION `
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Desert Sands Unified School District
Notice: 82-879 Highway 111
Document Cannot Be Duplicated Indio, CA 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
Date 3/6/97
No. 15309
Owner Name Turpin Construction
No. 79-690 Street Tom Fazio Lane South
City La Quinta
APN # 761-535-003-8
Jurisdiction La Quinta-
zip 92260
Permit #
Log #
Study Area 108
Tract # Lot # Square Footage 5678
Type of Development Single Family Residence No. of units 1
Comments
At the present time, the Desert .Sands Unified School District does not collect fees on garages/carports, covered
patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes.
It has been determined the above-named owner is exempt from paying school fees at this time due to the following
reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53.080 in the amount of
1.84 X 5,678 or $ 10,447.52 the property listed above and that building
Permits and/or Certificates of Occupancy for this square footage in this proposed project maY� now be issued
-
Fees Paid By cc/First Community BarWTurpin Construction `'Teleohhone ti,777-7611
Name on -the check e.
By Dr. Carol -McGrew
Administrator in Charge r
Fee collected /exempted by Pauline Pearson Payment Received $10,447.52
Check No. 070665
Signature
�
9
10TICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
bove will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
ollecl them on the Dislrict('s)(s') behalf, whichever is earlier.
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
T
THE_QUARRY'
A T L A Q. U I N T A
March 6, 1997
To whom it may concern:
The architectural plans for Lot 65 for Frank Wade, have been reviewed'and
approved by La Quinta Golf Properties.
If you have further questions, please call 777-1100.
i cerely,
Kendale. Trahan .
General Manager
1 QUARRY LANE - LA QUINTA. CALIFORNIA 92253
. 619-777-1100 - FAX: 619-777-1107
I
May 5, 1998
T4'yl 4 4 "
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (760) 777-7000
FAX (760) 777-7101
TDD (760) 777-1227
Mr. Frank Wade
79-620 Tom Fazio Lane North
La Quinta, CA., 92253
RE: Single Family Dwelling 79-690 Tom Fazio Lane South
Dear Mr. Wade,
Mr. Turpin, Contractor of record for permit 9703-003 Single Family Dwelling, and permits
9705-025 & 9710-002 Garden block wall, has withdrawn his license. This has suspended these
permits pending a new contractor, sub -list or workers comp by owner. Please suspend all
construction on site until a new permit has been issued.
I have included a copy of Mr. Turpin's letter and a current copy of inspections from our
computer inspection log. If you have any questions or need any assistance in this matter please
call me, Daniel P. Crawford Jr., at (760) 777-7027. Thank you for your assistance in this matter.
Sincerel
Daniel P. Crawford r.
Building Inspector I
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
�Ra
May 5,1998
Mr.. Thomas Hartung
Director of Building and Safety.
City of La Quinta, .California
Dear Tom
Thisletter will serve to inform you that Turpin Construction has
i been Terminated, without cause, as the General Contractor from the
Wade. Residence,
79-690 Tom Fazio Lane South, La Quinta California.
Turpin Construction no longer has any Liability or any
,Responsibility for any actions or activities at this residence.
-.77-he Person to contact is Mr. Paul Welchel 771-1644
Sincerely - r
.William T pi President
78-120 Calle Estado, Suite 206, La Quinta, CA 92253 TEL: (760) 777-7611 FAX: (760) 777-7613
CITY OF LA QUINTA SUB -CONTRACTOR LIST
IOB ADDRESS -1q-X90 -&ttv W '60'. PERMIT NUMBER c1 to S- oo:3 - OWNER-fmAL4--" SAM WADE BUILDER
fh*s form shall be posted on the job With the Building Inspection and at all tomes In a conspicuous place. Only persons appearing on this list or their employees are authorized to work
)n this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
1 A b 1'. — , n File" is not an accenta a response.
)f building permit. For
each applicable. trade, all Information
requesteu below MUSL be LARIIIJ CLO
S 6 Ucense'..:;:. 7
y- 01:X "U
W, on
Carrier Name Policy Number Exp. Date
(e.g. State Fund, CalComp) (Format Varies) fxx/xxixx)
Cit Business, License
License Number Exp. Date
1xxxx) (xx/xxixx)
Trade ClassificationContractor.
Contractor
Company Name
Classification
(e.g. A, 8, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
EARTHWORK (P-12)
CONCRETE IC -81
STRUCT. STEEL (C-51)
u C
Oux- 1-� (A -00
MASONRY (C-29)
C-5(037389(0
5 31
1%Nptp icesWe-P
30222-1-
PLUMBING IC 36)
M&CMAratCAL.
LATH, PLASTER (C-351
DRYWALL (C-9)
HVAC (C -201
14 Vo 1r
kki
-loo
1w-s-co-or-nsir w seof
W6 > iss -7 G 1 A
kq
04-3
ELECTRICAL (C-19)
L iEA
�Jor.
CA ImPEtAtTl
%0
.—%, I .: .
*t\ e C
'5 0 7?
Lo
SHEET METAL (C-43)'.
FLOORING (C-15)
15LEG�arJWC4
GLAZING (C-17)
Covyre-j C&ugS t4jejWg_ (IWAO
06130052
1/1 /qq
INSULATION (C-2)
SEWAGE DISP. (C-42)
PAINTING (C-33)
�pcm vt>4-p
c4(6 -115 -woo 5764
J11 LU
CERAMIC TILE (C-54)
J
--7 -7
J,:k)JV1
r— LAeg tor-
TOP 060
CABINETS (C-6)
c -(e,
15a\4 izi-5
JC>0
STATSSTATSFV9p
0(01-q5
6243
FENCING IC -13)
LANDSCAPING (C-27)
POOL (C-53)
L -,K OK �"g
9I14'�t8
CITY OF LA QUINTA SUB -CONTRACTOR LIST
JOB ADDRESS 7 -690 T&A A-7-0 1.4 Sc. PERMIT NUMBER x'103- 003 OWNER F"44- d 3osBlE WADe BUILDEROv.1r1� v14Dce--
This form shall be listed on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
_„ :_r__v_.:__ _ .�..� t..1_, .,, .-* t,n nmmMlntnrl by nnnlid-nnt "On File" is not an acceptable reSDonse.
of buildingpermit. For
P
each a pncaDle trade, an lnforrnauvn
P
[ULIUC,IOU vcww 111UQL .,� �.,,..r..,�....
,.:.. . ..>: ;: ;: ;> .
s..
State Contractor,s Licen.e.
�r err^�� - — - - -
..' saton Insurance
Workers Com en
Carrier Name Policy Number Exp. Date
(e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx)
Crt f3usiness
License Number
(xxxx)
License
Exp. Date
Ixx/xx/xx)
Trade / Classification
Contractor
Company. Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
EARTHWORK (C-12)
CONCRETE (C-8)
8
1 31 9q
63Qi.D61J Ckca6e
NI X- $13�-00
1O 3t'4$
SIC 51
v.
STRUCT. STEEL (C-51)
MASONRY (C-29)
PLUMBING (6-36)
Wt�.4tAN►5 K&6gArJtGA6
C- 542
3738910
513 1(1
t204PLoYCE-6 j-t",r
We,P 302221- 2
12 /O 9$
Co95
2 I Qy
LATH, PLASTER (C-35)
DRYWALL (C-9)
HVAC (C-20)
�^
L � e v
'"T �b
1 OU
W5. Co. —.is Wee<
wsS > 155 1 (01
��t 99
04:3
3 23 9
ELECTRICAL (C-10)
•-74,51 1
l'. O -
CA tMWtAt l
I�$o5242Afi
►(►�q�j
2t$
2 t2 99
-
®mss►'.
_
-Z �[cc, t-�
0 C)3
6
RGPuEiu G to Ma tT
00331$ - 0 (Q1
9
3022.
) 2i q
SHEET METAL (C-43)'. :.
FLOORING (C-151
5 a 13
GLAZING IC -17)'
Cova'(QY Clime lRiwe- Cl4
C -t
2 Q
LEGttnJ 1.15.
WC -1.0530051
R 1 t
I-vm
2 9
INSULATION (C-2)
SEWAGE DISP. (C-42)::.;::.*'n
PAINTING (C-33) : '
CERAMIC TILE (C-54) s`
\I
�. t'C��v�!\
v � C��`t
C'33
C54 CZ
�� 1
�%
�1rR ut.li�
CLAZ2 DOtl Nf}
CA -q8-0000 675
TBD 0601118
Ill
<, l q`1
3
510
1 1
3'Zi7 9q
CABINETS (C;61.
5,;L\4 la
35 r'JQ'
!STA-re1=rVn1D
OG,t-q$ - 000aZ54
1 ► q
6245
5 2q 9q
FENCING (C-13)
LANDSCAPING (C-27)
POOL (C-53)
CITY OF LA QUINTA
SUB -LIST
CONTRACJOR
TRADE
�� F •
ADDRESS (9
d 10YK
a
OWNER f
I<
-L
JOB ADDRESS
5ko,, C__
C-34
This form shall be costed on the iob_with the Buildin4 Inspection Card at all times in a conspicuous Wac
It is the responsibility of the General Contractor or the Owner/Builder to monitor the sub -contractors th
are on this list are the same persons performing the work. Any changes to this list must be approved ti
City of La Quinta Department of Building & Safety prior to work being performed by a changed su
contractor. Failure to comply will result in a stoppage of work and/or the voidance of building permit.
STATE
CONTRACTOR'S
LICENSE.
NUMBER
TRADE
SUB -CONTRACTOR'S':::
NAME
TYPE OF
LICENSE
GRADE/ ` ::::
EXCAVATE::`''
A/C -12
PIPELINES' .
C-34
CONCRETE/. ":
FOUNDATIONS > ':
C-8
ASPHALT.,:'.
A
FRAMING.'..
B
STEEL/
STRUCTURAL
C-51
MASONRY
C-29
,'.
PLUMBING.
', �o►v�,��,
C-36
LATHING
Y.
C-26
►1i a 1A060 -`I,
DRYWALL
1.31-9
�"u`1
C-9
1
\Qin
PLASTERING'
C-36
Gh
HVAC
'1 ��-
C-20
ELECTRICAL::.:�
(General)
\\
C-10
ROOFING�h�
r / .
C-39
SHEET METAL::
C-43
17414W
FLOORING'.':
4 IaL
C-15
C�
GLASS/
GLAZING
CXjj-", Ll \�`, Pktr
C-17
INSULATION.:,::::
C-2
SEWAGE-DISP:.::
C-42
PAINTING/
DECORATING
>j
`�L) �;�r, • ,�� �,..
C-33
TILE
�„ y� ;, f -
- C-54
ABINETS/
NSTALLATION
0
�..
�41\_C6
C-13
LANDSCAPING:.:.....
C-27
//�� �
L' �
POOLS
`�'� � � �- �
1 1r � �l 'L
C-53
OTHER
r�..
r
J j
STATE
CONTRACTOR'S
LICENSE.
NUMBER
WORKER'S
COMP. NAME/
NUMBER ON .FILE
CITY
BUSINESS`'
LICENSE
NUMBER/.
EXP. DATE.:
r
Y.
t -I r119 y9
►1i a 1A060 -`I,
9 S° 74y-9�
1.31-9
�"u`1
S� � F �-�U_-
fy�4432-9B 5 -►-59
1
\Qin
.r
17414W
U
4 IaL
V\"-\,
b�_q �,
',saq])
7 -
CUT
D
1J �
11n� L Li
lo -31 -`1S n
(. 1 /►d r.
7 71
339
G -/7-I-8
FRANK & BOBBIE WADE
78-365 Hwy 111 #309
LA QuINTA, CA 92253
May 8, 1998
City of La Quinta
Building and Safety
78495 Calle Tampico
La Quinta, CA 92253
Re: Residential Construction - The Quarry at La Quinta
-�cj-�90 McM Tom Fazio Lane South
La Quinta, CA 92253
To whom it may concern,
I, as an owner builder, hereby authorize, Paul Whelchel, to act on my behalf in regard to
overseeing the completion of construction of my home and all applicable related matters.
If you have any questions please notify Paul Whelchel at (760) 413-8090.
Kindest Regards,
Bobbie Wade