0006-296 (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
t 748009 B f04/30/2C
v ate l .Signature of Contractor +
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 J`
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 WRT&D PACIFIC INS Policy No. NWAI191"3-00
(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
rode, I hall fo hwith comply wiyhithose'pr visions
Date:
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
It/habove-mentioned property,for inspection puurposes.
Signature (Owner/Agent) V V� , -0Date l/
PERMIT#
BUILDING PERMIT
lei - -�-�--�-
&-:.
DATE .. VALUATION LOT '�'
N�•Y'�
$2�a " AO TRACT 29,47
JOB SITE
ADDRESS 1 % «J�� \N. Y �%A �
�+�"
APN
7457 �.��A'E�S�
OWNER
CONTRACTOR/DESIGNER/EN (NEER
91TV01 WALIM ROWS
5111 " WPJ1M K0.1VW18
7161 INDTANIAAVE.
7161 NDIARAAVL.
RNFIR.SIDA. CA 92504
RIVERSIDE CA 92504
(909)7840844 CKA .5357
USE OF PERMIT
t 'C#LE FAMILY DWM24G
SFD- UGIT 32 PLAN 38 Pl?RMIT DOES NOT TAIC.LUDE BUDCK WALLS OR
P001. 71 % PIAN CHECK FM REDUCTION POP,19SU.ANCE OF SAME
PLAN TYPE
CUSTOM CONSTRUCTION 4403.00 SF
PORCH/PATIO A 1.0(15 '
0ARAOWCARPORT (SF) 12,426.30
NSEWAT= COSI' OF C0WS'nWC 70X
292,MAO
Pkv T°VE sUbVvUY
CONSTRUCTION QTR 101.ON-418.000 $1,200.00
PLAN CHECX FEZ 101-0010-439-318 $237.32
MECHANICAL PER 101.000.421.000 t$5.60
4
KLECTRICAi, PIM 101t000-420-000 $310.29
PLUMBINO FF1 101.000-419.000 $162.50
STROlaU MOTION FSS • PMI0 101.000-241-000 $21.21
ORADINO FEE 101-000.423-000 $20.00
i WF_L00%R IMPACT F'L+IP $1i9(yno
ARS` IN POOLIC PLACES - RE811 701.000.255.000 5.$03.14
SUS-. TOTAL LON8r1:RUCTI0X AND PLAN CEIk.0 K
$4,153,96
723 PR&PAID EM
$0.00
'+
..k�:..)�:�
RECEIPT
DATE BY
'
DA NALE
INSPECTOR
t'
b
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings.2 10mTrz
Slab Graded
Steel
-�� Gro6164
Ducts
Return Air
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing s' da
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
DryVall - Int. Lath
/SM I
Final
Final
BLOCKWALL APPROVALS
POOLS -SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
_
Gas Test
Electric Final
Waste Lines
/ jn
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
2
3 -�
Final
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)
COMMENTS:
F` t91
er/..y..
Lal►
�4
_�� CITY OF LA QUIN,TA `/'
of; BUILDING & SAFET
�cFyY'.DFPARTM.�tNT; `.
777-7012""',
INSPECTION REQUEST,L-'IN.E,
777-7153 `'
4/
Owner STEVEN WALKER HOMES
Contractor STEVEN WALKER HOMES
Permit Number 0006-296
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 55-705 TURNBERRY WAY
SFD-LOT 32 PLAN 3B PERMIT DOES NOT
INCLUDE BLOCK WALLS OR POOL.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN IGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK /1
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEON SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT - A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING 011 -IV J�;(6p[-
INSULATION l
PRE -ROOF py
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNE
DRYWALL INTERIOR
\ EXTERIOR LATH X
POOL PRE PLASTER
POQL,FENCE & GATE f
�EWEF3 SEPTIC TANK / b
FINALS
ELECTRICAL ,$
PLUMBING
FINAL GAS TEST ,�
HEATING - A/C
HOUSE NUMBERS
` JOB COMPLETED
TEMP POWER
&490=113y
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
1
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: 55-705 TURNBERRY WAY
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: . 0006-296
Occupancy Group:. R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: STEVEN WALKER HOMES Address: 7161 INDIANA AVE
Building Official.
City: RIVERSIDE, CA., 92504
By: BILL GORDON
Date: 5/31/02
POST IN A CONSPICUOUS PLACE