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
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cc file
V
r Mica to of OccupancyCe f
j,G�
OF9ti Building & Safety Department
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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.
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BUILDING ADDRESS: "55-915 TURNBERRY WAY
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 0006-303
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t Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
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Owner of Building: DR. STEVE FOUNTAIN Address:* 55-915 TURNBERRY WAY
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City, ST, ZIP: LA QUINTA, CA 92253
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By: GARY HARTMAN
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Date: April 22; 2005
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Building Official
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