0006-300 (SFD)U)
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LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
`chapter g (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License
�# Aye Lic. Class Exp. Date» „X
/Date X Signature of Contract t`p►�t 7� !
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:
Policy No.
Carrier UNITED PACIFIC INS NWA119130.00
(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 bject to the workers' compensation provisions of Section 3700 of the Labor
Gode, l,s 'all forthwith comply w`it thoNe•; -'visions. %/
Date:(�� ` k ApplicanY� N�� ��
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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.
'1 7
F Signature (Owner/Agent) Date //� " _.
PERMIT-
r BUILDING PERMIT
'DAT VALUATION OT TRACT
$271 5.30 36-,' 29347
JOB SITE
7ADDRESS
767-3 040
OWNER
CONTRACTOR/INFER
arMtlCLIfHONM
MffiwCYly"R $OAm
71611NDLWAAVF.
7161 INDIANAAVS,.
RWERSIM Z CA 92504
XYMIDE CA. 925 , .�
(909)784,,0$40 (MtR 5357
USE OF PERMIT
MWME TAWLY DW-ILNG
M. - LOT 36 PLAN 2AR PERMIT DOES NOT INCLUDE BLOCK WALA..S OR
POOL. 76 % PLAN CHECK ft 9 RREDUCT1014 POR ISSUANCE OF SAME
PLAN TYPE
CUSTOM CONSTRUCTION 1193.00 Sr.
PORCWPATIO V1.0 SF
CIARAOFI ARPORT ($N) 17,444,00
XST7.MTED COST OF C ONMUCTION
3171,035.1.0
MAW VFX 01S9MRy
CONSTRUCTION FEE 101.000.418-000 $11241.30
PLAN CHECIC FEE 101-000-439-318 $231,16
MECHANICAL FIE 101.000.421.000 392.00
EL V%_ f RICAL FPL.+ 101-000-420.000 $206,02
PbUMBINO FEE 101 -OW-419-000 $169.75
SrRONQ MOTION FEE • RESID 101-000.241.000 $27.10
131LA ING PER 101.000-423.000 $30.00
DEVELOPER :HPAPACT FELE $1,407.00
ART I)N PUBLIC PLACES • RESII 701.OW-2.55000 SI7B,34
M7B-TOTAL. CONMR UCUON ,AND PLM CHFCK
T4,092.12
LESS PRF. -PAID 17M
$0.00
C!'( Ac! f
TOTAL '1 m'i DUE NOW
RECEIPT
DATE
BY /J
'..
DATE FINALED
INSPECTOR
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a
A
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms &Footings
Ducts
Slab Grade 67
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
OX 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
!0
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
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
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 S p
Final
Utility Notice (Perm)
COMMENTS:
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Steven Walker Homes -
7161 Indiana Ave
Riverside, CA 92504
September 27, 2002
To Whom it May Concern,
(760) 777-7000
FAX (760) 777-7101
In mid 2000, the City of La Quinta issued a number of Single Family Dwelling permits for
Steven Walker Homes. The permits of concern are :
Address Permit Number Lot
55-645 Turnberry Way 0006-294 30
55-675 Turnberry Way 0006-295 31
55-765 Turnberry Way 0006-298 34
55-795 Turnberry Way 0006-299 35
55-825 Turnberry Way 0006-300 36
55-885 Tumberry Way 0006-302 38
55-915 Turnberry Way 0006-303 39
Under the administrative provisions of the 1998 California Building Code, "Every permit issued
by the building official under the provisions of this code shall expire by limitation and become
null and void of the... work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of 180 days." (CBC section 106.4.4) Consequently,
these building permits are expired. With no provision for further extension, no further work may
be performed until a new permit has been issued.
Please contact me directly at (760) 777-7027 as soon as possible to coordinate a plan to obtain
information you need regarding new permits and/or any required inspections.
Sincerely,
Vaniel P. Craw f d Jr
Building Inspector H
dpc
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