Loading...
0312-014 (SFD)LICENSED CONTRACTOR DECLARATION y affirm under penalty of perjury that I am licensed under provisions of igr 9 (66mmencing with Section 7000) of Division 3 of the Business and Profen {?nals`CGde, and my License is in full force and effect. License # Lic. Class Exp. Date 783503 131 C10MC! .31/1;x• Date 1 ? - ";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. for4his 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. � J4)r I have and will maintain workers' compensation insurance, as required by Sec tion 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 EMrr Policy No (This section need not be completed if the permit valuation is for $100.00 or less). ty) I certify that in the performance of the work for which this permit is issued, li§hall not employ any person in any manner'so as to become subject to the (vorkers' compensation laws of California, and agree that if I should become subject to the Workers' compensation provisions,of Section) 3700 of the Labor Code, I shall forthwith comply with those +provisions. Date: o at_ e,^Applicant {'_;.r -t .._ �C t Warning: Failure to secure Workers)s'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 inspectiop�purposes. Signature (Owner/Agent) 'i�.,! .�,.� Date I I • I • �r� r' BUILDING PERMIT , PERMIT# DATE VALUATION �y LOT.�12-0.�4 TRACT $,1484 U� ' 4e.,� 2910-1 JOB SITE ADDRESS 571960'jl;f.0O WAY APN OWNER CONTRACTOR / DESIGNER / ENGINEER . W %'1;�'KOPF PAIGNM, 1= KAKL XTLtA CC3NV1'tiFMIOPJ INC 8) -071 CHANT.K 3•.M - 78-070 CADZ I A QUWT , CA 5,,225.E LA QU-MrA CA ✓225.3 (760)564.483 CID1111 .3237 USE OF PERMIT 1 81;tdMX:1~,ttAIAlY. Y U'V&rLDiJG SM . LOT 33; I?LA14 4. PERMIT DOES NOT INCLUDE BLOCK WAk,d,,S, P001, SPA OR iyRivi `mAv AP1'11.CAC Fi 1 CUSTOM C04 371RUCTAOkJ 4,1M40 SP PGF,C:HJPA110 708-0030 CIA.;RMMAit1'CyRC 8F CONSTRUCTION TIM 1111..000-418-000 PLAIN Ci'3WK F",',",3,' 101-000-439-318 $1,336.44 kv ECHANIC.AL F911' 101.000.421.000 %169100 YLECT. RIC.&& WE 101 -000 -420 -WO $43.69 r l.,i7A5MA1C3 rer., 101-000-419-000 S ,25 ST1tONO MID`f t N IME , USO 101-000-24 1-000 S U48 ORdt,T,1E140 FEF 101 -000-42,11 .000 M.00 1 LVZ1:DPER XMF'hCT FEE + p,405.00 ART EN PUBLIC! }3J AC)~',q #CMIJE 270=000-445.000 $462.08 ? , D - 1 1C321ei,�i"4'ZU(`rl•O.W AaJD iQ� PLJ C".g'�t&':C1, '4• DEC 10 2003 T(Yr-A-f. PKEMMI-M7.9, DVE NOW CITY OF LA QUIN ITA FINANCE DEPT. RECEIPT DATE t BY DAA F ALD INSPECTOR �4 1��� .3 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 3Q t�_ O.K to Wrap Exhaust Fans F.A.U. Framing /? 6 Compressor Insulation �� -0� (� Fireplace P.L. Vents Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Slim V Final Final BLOCKWAL A PROVALS POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I Gas Piping PLUMBING APPROVAL 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 Seager Connection D Encapsulation Gas Piping Gas Test / /9 5 -- Appliances Final Final ZEE Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring. Low Voltage Wiring Fixtures 44 Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: Jun 04 04 09:38a Jahn.Read . 760-777-8789- p.1 • a THE S�UMMI T A T*-P.GA . WES T ; TRANSMITTAL SHEET To: Kay — City of La Quints Building r From: Kelly Koger Fax: 777-7011 Pages: 1 Phone: Dater 6'4/04 s Re: License-C*ges CC: Fite ❑.URGENT, O FOR REVIEW I PLEASH COMM,.' 0 PLEASE REPLY O PLEASE RECYCLF Please find the following permit numbers that are to be changed from Kahuilla Construction over to SouthernHills Development: Inc.. Thank you for -your help in this matter, and if you have any further questions, please do not hesitate to contact me. The Summit at PGA West 1 81-010 Shinnecock Hips Permit # 0402-016 2 81-020 Shinnecock Hills Permit # 0402-017.. . 3 81-030 Shinnecock Hills Permit # 0402-018 4 81-040 Shinnecock Hills Permit # 0402-019 5- ' 81-050 Shinnecock Hills Permit #,04027020 6 81-060 Shinnecock Hills Permit # 0402-021 �7 81-070 Shinnecock Hills. Permit # 0402-022 35 57-870 Troon Way Permit #0312-011 36 57-900 Troon Way , Permit #0312-012 37 57-930 Troon Way Permit #0312-013 960 Troon -Way. y Permitw#031-2-014 39 57-990 Troon Way. . Permit #0312-015 The Tradition 113 53-900 Del Gato Permit #.0310-184 The Enclave. , 7 49-045 Calle Flora Permit # 0306-48.1 , 81-070 Chantidcer Drive * La Quinta, CA 92253 *760 771-3497 " 76(1-777-8789 fax CITY OF. LA QUINTA SUB -CONTRACTOR LIST • JOB ADDRESS PERMIT NUMBER OWNER c"/SMoPr= Yartf,JcRs ILLGBUILDER l�A11LlrZ414 C'ds�ir�tc� a,J L�, This form shall be Dosted on he iob with the Building Inspection Card at all timet in a cQnspicuous place. Only persons appearing on this list or their employees are authorized to work on this#ob_ Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File"is not an acceptable response. In ��••••�--�• - _•__• �_ workers tom enation insurance City Business License .. ' Company Name Clessi�cation (e.g. A. 8, C el License Number Ixxxxxx) Exp. Date (xx/xxlxx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Data fxx/xx/xxl License Number (xxxx) Exp. Date (xx/xxlxx) E/1RTHWORK(C421 .: /9.�4jCrs 41t%iriF4�v�i�01 S?' rc fWAV 60-7,; C31 t l�l�t- do'4rs% 371-�y C6NCRETE(C-8)�5(h 2'f '/ �% 77�/ 'j-'jl- L' �f>`PPA'11tOn �i4te'eJaJ7 G Oyal'.03 Ilt.p O'IG-C(1(J+lcao¢r�2 it'\ o3Sry �G7k6 3-rPt) FRAMING (C-51 „' ���( L6rSS�.%L' ni GG, 8 C/4 r ":::._... Ii' rr0 1 ?-z7(� STRLICT?:crFPl ,. .,.,."�� wcwrN .r -•' i+« 5 to ' I -P 31 YAC FJ,l� V',4LA4044 (a5aaasaE /�'7Wp5eo-o( (Ja-123149'3. J0/tU c{1r lot D3orZ p(c214 3 z2 6�l rl PLUMBIN(i(C=36). .' TOli(c1liAAjtG;3L G-3tF ,-999'9 to/3i r'i-,azr4o.jirlJ 1AW+ �tivle6(6 to-eo LATH; PLASTER (C-35)' MAA 1 A i?9•(44u-f(145 4ak C- 3' 72c49y 1:•-4rC r,►1y 785 0 oRywALLlcysl •:<r .:,:., MAr-(rlADXV-A/Acr_< r r <-¢ 7-za<r`i� pr. s;a�Filep �GyBy�o �/ r o 6'(rr{r rz 3Iv?S HVAC IC- 2ol'<.`'::<':.;::..: ER�ctri GORra 1 c -2O 3'52'14 3 / �3! FS FsJ/1D r��29of!-e 03-07. /0-rt7>' F,t ECTiiICAI (6-101 AC -We C.. /O 7'10/7!UL 1C41 4Jcr W3P/7$Si/rs�-ol j /1 Do Zr 8 /D-�-p , l.OUFINta.IC=35):aR^`. r' El (�tT<i�0 ll ujG G 39 77"'IYYo 3%0-1Z .Fwlja`1'71.6�'i /yV7 SHEETMETAL,`,(C431:>._"r. KLiQP�{17 LAQ$;p/ 0 3 S.A7Kfi1vD /54 il( p cry3llJ /a-27-0� ;j ICI 70 5 /oh � � 7 tJ 0 OLA2tNG {C-171 '::' . Gadri llfJ6 �-00XI e�Lts� C-(7 -770400 / r/v 1 .0223y j_12 Q tysiiuiTlor� rc=z);':: 41J 1Ah!raLdToal G..�- 79,1 �S� �.. ,- f�tifc" /.)'5 '155'2 `/ 0(936 '4-(,-2laau !� p' 2-zl- SEWAOEDISP.IC�2j.^. 4�w�<,•(A7ir�(<r� %pCr.fr(e 64LOY4�N,I/KCo. �trt_�'�/'1 �' 6112 9 X.) =I AIN''• P9. (C -331 G14 Ff�Inrl r • - tl_ C V. & <»r t cERiinaic rtF,(c,5gf "� ,�f, `� •�. (' L 3�'6 jq 5 lv v-! f 3i 9r F,(l.�p i(Yyo l/+ a� CABINETS IC aI'.. :". ;'.' � I f3 rr1e_ILS. gr_ J7 SAa-R MASo4127' C_ 24 !v'/p9m3 -7 3i vai:4 4A Q_-4-/431 Z`77 LANDSCAPING (C-27) -z'1-c•- F-456rrrar,rp C,6 L 9C-C)I q 1-1-oy _Pi,ecl,+x ..v PotiLrc•s3) "� �.I t In r Apr 29 04, 02:51P RAYMOND -FRANG I E 760-836 0856 P. 1, ; " EZ F STRUCTUQ_2AL CQNSULTANTS. INC. • ' rr ---- 44-1-00 MUN-TEREY'AvE.•SU-Ire.Z©7:,Ca'ItAL-M DESERT,`CA. 92260 ,' t' {. }. !PHONE. (760) 836-1000 FAX {76(3) 836-0656 k' E -M AIL 'i s•,#M1 R.FRANGIE@yeRIZON:NET, QUI:. _2U, 2004 e SOUTHERN`HU LS DEVELOPMENT 1r . 8I-070" CHANTICLEER DRIVE ` LA' QUINTA, A. 92253 Attn.: MEQ. JIM EVANDELL +' f Re.: THE SUMNfiT,,LOT #38 PLAN 4 (OR PLAN "A") 577960 TROOM WAY-, `, t LA QUINTA, "CA. - FOLI:094TTJP TQ "WALK THROUGH JOB NO.. 4034 • . DEAR JIl1iI -THIS.LETTER ADVISES:THAT-WE HAVE'-OB,SER-VED,TBE STRUCTURAL REQUIREMENTS TWAT -ARE VISIBLE DURING CONSTRUCTION AT THE TIME OF - ' OUR SITE VISIT. 'WE BEthI W:THAT-THE AS=BUILT CONSTRUCTION -Al -PIE —TR%4E OF OUR VISIT IS IN GENERAL CONFORMANCE WITH OUR STRUCTURAL. -PLANS AND RELEVANT , CORRESPONDENCE ISSUED BY QUR OFFICE.' WE OBSERVED THE BUILDING IN. ITS, FRAMED CONDITION PRIOR TO INSTAII;ATION`'O TDRYWALL AND STUCCO. WE*OBSERVED, THE VISUAL AND ACCESSIBLE STRUCTURAL REQUIREMENTS. (EXCLUSIONS,ARE ITEMS SUCH AS: FOOTING SIZE-AND�REINFORCEMENT; TOTPLATE`-SPLICES ]tOOFTSIIEATfi[NG; AND ANY STRAP_ S ABOVE THE ROOF SHEATHING.): RESPECTFULLY SUBMITTED QIVIL FNC .E/,yam ` ~•.+` `.r ' NICHOLAS -'F. `ABQU FADEL; -PE L c� • , , JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 'E C- I A L INSPECTIONFax (760) 772-7193 REGISTERED INSPECTOR'S WEEKLY REPORT Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE�cSTRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ s� p HER JOB LOCATION_ A - =qT�� yw_A`� H Mfr i REPORT SEOUENCE NO. TYP.! UtrpJURE J 0 SCX, PERMIT NO. - Df E Q DAY OF WEEK MATERIAL DESCRIPTION ARCHITECT IN=T R ' HRS. CHARGED _ G`7 ( ( l�3'Vw Ar ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL(� ( SUB (� CONTRACTOQ�(J��'N i� \ CONTRACTOR 'p- pII, II,u)Q—c-vo iev (j 544JL�(QS w ( o X Ls .d.a e+ COPY SENT TO CLIENT O CONT UE N NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIG TRE O REGISTERED SPECT �� / 6 J ATE W REP RT REGISTER NUMBER