0011-157 (PAT)LICENSED CONTRACTOR DECLARATION
1"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
Prwfessionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
67 251f , t • C;-t� l l�fl () 1121
Date rT��%'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).
O 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:
() .l 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
perfor ance of.the work for which this permit is issued.
(� rl 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 STATE FUND Policy No. tt4.5R„��1'P Mo-”
(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'pr - itvisionsof Section 3700 of the Labor
Code, I shaLill fort . with comply with these provisioIs:
Date: r 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 au{('onz.e representatives of this City to enter upon
the above-mentioned property or inspection p�urrpposes: /�� /�
Signature Owner/A en), Ar% bate )f Z � o
BUILDING PERMIT PERMT#
DATE VALUATION LOT TRACT
p y�py gy7 ��n
JOB SITE
APN
ADDRESS 78-745 uVY01ANS WEL -
- -
OWNER
CONTRACTOR/DESIGNER/ENGINEER
70. 4.5 WY014M I1 AL
754 NYWAMS ItOA1J
1 t3I3b�%/S CA 922, 53
PALM SPR114GS C.oi 922fA
(760)127.-8466. 1025.
USE OF PERMIT
631 S.F..Al.:I MAR.'dl000 I.A.7" i' 'E PATIO C.CYVFR.d• ! PER ICBO
2621P,13 2A1fl5'idOFOR PATIO t'(,VZR 1•iERDED AS Pik% 3 F.C.• M6
SECTION 68N22
IbORC3•farPA TIO 7P
STBUTED, Cour C3,iI'.c(MM''d C.1ion
FLAN CH LIt°Ff: FU 103 • 000,439.3 IS- I"Fpz
CONSTRUCTION Kelp 101-000418-000 $108.00
�iROlOMOTION'FEM-REBID 101-000.241-000 $.$4
LE i'M17-PIPM 1711M
$0.00
��
��.rr�
.1��' 1-11, 8...RMIF C' S'.EN �I iiE *01'Y
$9
NOV 16'2000
M
_ .
4)0174 UF L&QUAKI
.0k
RECEIPT
DATE
BY.// .,
DATE FINALED�'.
INSPECTOR
� `
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
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
Drywall - Int. Lath
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
OX 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
Final
Utility Notice (Perm)
COMMENTS:
--10-1995 7: 1 SPNI
3 FROM
0' 56803^4 P- 01 -01
AYa1L PROP MGM,
?LEASE COMPLETE FOP"'4, RETURN TO:
LA QUINTA AIRWAYS li.O.A,
AVAIL pRupER"Y UANAGPIMEW
P.O. DOX 1032
PALM DIESCal i CA 92261.1032
(76o) 50,2717
(TS) $63.0324 ktak)
REQUEST FOR ARCHITECTURAL -YARIANCE'APPROV,
:,7ie_k_ 4-L t.v0A
Property Address Q ykA
Contac; Telephone Number(s a- �oq I/
pl:
uri- as ap
Descroon of lmprovenvM (mase 4-eude -SIZ9, color, touvu
0, mato. spec**
?
section attached
14
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ARCHITECTURAL CONTROL COMMITTEE
DATE
DISAPPROVE:'
APPROVED
Conditions for Approval Re2S011S for DiSapproval..
Ac . CITY )FLA
-OWNTA.
ERE -INS -7— IN 7N DEPT. Y
-OiLDIN i & SAFETY DEPT'
$IGNATUSES�� EC I N -FEE OF T3 0
WILL BE CHARGED IF THE APPROVED
APPROVED
PLANS AND JOB CARD ARE NOT ON
THE SITE FOR A SCHEDULED FOR C?NSTRUCTION
INSPECTION.
NO EXCEPTIONS! DATE BY
A,
3-05=1995 t' : OSAM FROM ,�.a xa ^ P: 2
. c
E�a040
iU
Request for Variance
Patio cover for shade to stand 8 feet and extend as per drawing
45 feet across the back of the house on a larger than normal
lot.
The structure is Amerism aluminum coated with wire, finished
in stucco to match the house. The slated beams that block the sun
would not be in stucco but the facer pieces would be covered to blend
to the structure of the house. No wood to be used. The supporting posts
of alumiawn would be co-vered in either stucco or brick block to thatch
the color of the house.
L
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IN
1060 Z.(¢Z! Eo30d•oo
CITY OF LA QUINTA
BUILDING & SAFETY DEPT
APPROVED
FORON /TRUCTION
DATE ( . G�/ By
L LA SS
tZ�l S'`1 lu L I
' O a -o
(mb-r --,o ! LAL A RE -INSPECTION FEE OF $30
WILL BE CHARGED IF THE APPROVED
PLANS AND !OB CARD ARE NOT ON
THE SITE FOR A SCHEDULED
INSPECTION.
NO EXCEPTIONS!
Pieb-pnsra Aw m D w On D "-r-rj c r
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BEl�rns r✓t1.n oTt eos T- .
5�le�sA u o ChLLl
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..................................................................
TL 4S
,AAS'
WN/NG
and SCREEN
PH: 760-327-8466
cant. contractors
License No. 67826
754 Williams Road.
Palm Springs. CA 92264
FAX: 760-327-8467
For: 01C-l� (-1 N OA L U_.1 Nb W'00 D '
245 5PY �lu- 1WA
U I
Park: [,, FAj KWP,-ySPhone: 77 J I
.......................................
...... I............................
...................................................................
IN
1060 Z.(¢Z! Eo30d•oo
CITY OF LA QUINTA
BUILDING & SAFETY DEPT
APPROVED
FORON /TRUCTION
DATE ( . G�/ By
L LA SS
tZ�l S'`1 lu L I
' O a -o
(mb-r --,o ! LAL A RE -INSPECTION FEE OF $30
WILL BE CHARGED IF THE APPROVED
PLANS AND !OB CARD ARE NOT ON
THE SITE FOR A SCHEDULED
INSPECTION.
NO EXCEPTIONS!
Pieb-pnsra Aw m D w On D "-r-rj c r
fe crfb Co crzs �JTw STtCL lKSE'��
BEl�rns r✓t1.n oTt eos T- .
5�le�sA u o ChLLl
Iv1V�+ QE C.l-CAQ C� Tom- kNl�. .
NEG 6�0.2ZC(p ;
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At&sAwmng comPany
" 754 Williams Road UC: 678256
Palm Springs, .CA 92264
PH: 760-327-8466 FAX 760-327-8467
For I IJV (Z_�, Wao
L —c,5 �� ��L✓
u j hjT ZZ -53
Park: tea, _ <Phone: 7
A RE -INSPECTION FEE OF $30
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARD ARE NOT ON
THE SITE FOR A SCHEDULED
INSPECTION,
NO EXCEPTIONS!
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