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0006-303 (SFD)LICENSED CONTRACTOR DECLARATION �I1tie rthy,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 Prefessionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date r Vaer� 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 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. ' 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: Carver Policy No. UNITED PACIFIC 1143 N9,JA1191845.00 (This 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 Seefbn 3700 of the Labor bBode, �6I . orthwith comply with tfiosetpl wis��ens�s ate: Pfd Applicant— `- 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 11 the�ove-mentioned property folrr Inspectig) purposes. SI"gnature (Owner/Agent);f! ''�}- Date (i•- /1 u PERMIT # BUILDING PERMIT-- DATE VALUATION LOT "3�=..) 2934' JOB SITE ADDRESSiaS.CI"n•�arwv� --- APN ,�6%-oi��D OWNER i CONTRACTOR/DESIGNER/EN 1NEER S'IIa"M WALYM I-IO2J.t1::9 ST. V.W N AL.'".R fIOWS 7161 MSMA AVP- 7161 32a1.1MA AVS 1tIVER1I)R CA 92S{14 RXVfilI3E Chi 9250 (P09)784.0840 CBL0 35'l USE OF PERMIT F Clay 1rA1�MY D`t &L1.WCr' :, 3FD- LOT 39 PLAN IBR PXRMI T bOM Naf INCLUDE BLOCK WALLS OR POOL 75 % PLAN CHECK FEE REDUCTION FOR ISSUANCE OC SAME FLAN TYPE .3 CUSTOM CON3TRUCTION 3.077.00 SF P0RCHfPATI0 351.00 SF GARAWCA13PORT (OF) 16.699.20 I sTd1l+1AM COST OF COMM.IIC'nON 20110115.W PO7iViCi` I:3` M gUAVAARY CONSTRUCTION FEE 101-000-4111-000 S1,206,50' PLAN CHECK FU 101 -WO -439-318 $745.168 MECHANICAL, FRE 101.000-421.000 $92,30 ELECTPUCAL FEE 101-000-120-000 $201.74 PLUMBING FFY. 101.000,419.000 x130.50 STRONO MOTION FEE - R.ESID 101-000-241-€ 00 $36.11 C1kADINO FIS 101.4100.423-000 SX00 DEVELOPER IMPACT FEE S1y407.00 ART IN PUBLIC PLACES - RESIC 701 -000-255-000 $15-3.62 SUB -TOTAL CID)WRUCTION AN ' I" CHECK $4,038.19 LJ= PRE -PAID FM $0.00 c "7 TO1,AI TFIVA ' ZW 0 DIJE N43>$+ S493%019 RECEIPT DATE BY i j DAT F INSPE TO �� ZED Z a� /rM�_ INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set backs Underground Ducts Forms & Footings A- Ducts Slab Grade V1 Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing L 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 BLOCKWAII z2 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 V Encapsulation Gas Piping Gas Test Q �, 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 Final Utility Notice (Perm) ut COMMENTS: ' COPY P.O. Box 1504 78-495 CALLe TAMPICO (760) 777-7000 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 Steven Walker Homes 7161 Indiana Ave Riverside, CA 92504 September 27, 2002 To Whom it May Concern, 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 Tumberry Way 0006-299 35 55-825 Tumberry Way 0006-300 36 55-885 Turnberry Way 0006-302 38 55-915 Tumberry 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, eaniel P. Crawf d Jr Building Inspector H dpc cc file V r Mica to of OccupancyCe f j,G� OF9ti Building & Safety Department } t This Certificate is issued pursuant to the requirements of Section 109 of the California Building k Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building . construction and/or use. t, BUILDING ADDRESS: "55-915 TURNBERRY WAY Use classification: SINGLE FAMILY DWELLING Building Permit No.: 0006-303 1 »; t Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL 's b t Owner of Building: DR. STEVE FOUNTAIN Address:* 55-915 TURNBERRY WAY v + City, ST, ZIP: LA QUINTA, CA 92253 z By: GARY HARTMAN <. Date: April 22; 2005 _s Building Official POST IN A CONSPICUOUS PLACE