0106-333 (SFD)U
H
N_ In
W
O =) M
�vL0
ti W
oZr�
c�o�o
J Q
LULUa
U)
Z
C'o
Lr)
N
ON
U °'
Q
i2
`:� Q O
LL
0 JJ
mUU
O
� 0)
It Z_
ooZ)
r'.C)
Q
J
LICENSED CONTRACTOR DECLARATION
k..--b_yj,pffirm. under..penalty of perjury that I am licensed under povisions.of-,-,.,r (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
LiCeense # Lic. Class Exp. Date
Date �C �. "� 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
Cocle).
( ) 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
Skiion 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 Policy No.
00,1 M FAME S. NW -544068-011
(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
su ject to the workers' compensation provisions.of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions. ,, ,
gate: '. �.''> Applicant-,r'?�i �;, F �`✓ r
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.
A
Signature (Owner/Agent)'' ?' :t- Rr:i !.. -: Dater
BUILDING PERMIT PERMIT#
DATE VALUATION LOT !L 1(hS-.1.3,3 TRACT
$2.�'S. p70.60 12 241W-1
JOB SITE
ADDRESS
79-774 D Ai`1'AMIO•N 1aW
[:�:4�i)4-tt72-0
OWNER
CONTRACTOR/ DESIGNER /PEN NEER
t-"1 67°My' CR.vwl"LL COW"MES ES
C,'l-MURY CR.C9WELL CCs. fK9rk a Z
1535 no,'l:°i qi �� '�; �1.;k 4=0
1535 30, 0200
SAN 1 ERNAAMNO CA 92408
S.11U ME[iA+l•ARYNNO CA 92A.G8
(909)361.6007 CISLO 21203.
USE OF PERMIT
SYS) -:1,0T 12 PIAN C33 . PETMIT 009S NOT TNC%lt9a:1K,81.>v1;CX "KA,LLl
P006 0141r3RIV FWAY ,?iPPR0lt.CK
f.9!%� 00 S)�<y'
�pg���R�yy.6�yy�Gy`'g7gy
�C+k°//�'�ry99�71x.IXT)ON
PORCHIVIf0.TIO 1F1.ti0 S
GARAWMARPORT 418,00 3F
EM"AI COSI' OF CONS"MRUCTION
3,,070,60
103,070,60
ppRAW via SUMMARY
C.ON1:i'1'RUCTION 'F_1?E 101-000418-000 S6:5I SO
PLAN C HF41C. FEE 101-000-439-319 $54--4.06
M ECtH.. NICA1, FZR 1 Ol aCtOp� 1,21,_000 X0.00
T1:3ECrlIrC."•.AL f%X 101-000-420-000 $117.24
P1:,L1Pn4BIN10 FER 1,01-000-419-000 $130.00
S T'ROW bAO TTOh'f 08r, - R95:0 101-+tif O-241-000 $10,31
MAD FU 101-000-421-000 =00
DElt'E.t, PER. IMPACT FEVE $?Tmm
,1r Tse �:1�is•W�' b"�.T�
�0.0Cr
JUN 25 2CC1 T .. � .�;�€�ar YEN DIM :tv OW
I
L
CITY OF LA OUINTA
^� FINANCE DEPT
.
RECEIPT
DATE
BY
DATE FINALED
SPECTO
7
:t.: r
INSPECTION RECORD
t OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Forms & Footings
Underground Ducts
Ducts
Slab Grade
�Y
Return Air
_
Steel.,
Roof Deckrj"
0. K. to Wrap �
/D
Combustion Air
Exhaust Fans
F.A.U.
_
- —�
Framing
C-17 �
_ G
Compressor
Insulation
I
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
_
Drywall - Int. Lath
Final
Final
=���
POOLS -SPAS
BLOCKWALL APPROVALS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Waste Lines
��
Electric Final
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection /z :_.�$_ B� �j Encapsulation
Gas Piping
Gas Test q, Lf -0 3 :5-7
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Lour Voltage Wiring _
Fixtures _
Main Service (j
Sub Panels
Exterior Receptacles
G.F.I. _—
Smoke Detectors
Temp. Use of Power
Final r .
Utility Notice (Perm)
t
ESI/FAME,Inc.
Structural Engineers
.1800 East 1 -6th Street
Santa Ana, California 92701
Company: CENTURY HOMES
'Date: July,2,2001 By: R.R.W.
Project Name:
IMONTIC-ELLO
Address 1535 South "D" Street "-Her#,age
San Bernardino, CA 92408 E S I I F M E Job 'No.: 1000-2398-2
Contakt: Burt -cell (909)772-4621. Project :Eng. R.-R.W.
Phone: (760) 200=1533 FAX: (760) 200-4484 PH.: (714) 835-2806 /Fax 835-2819
Phone Conversation EKI Field Meefg a ML-efg @'Clients In -House Meeting
MEETING 'OF .AUC. 4th with Framin4`-.FdreMaft:'.JftnM'
y
MODEL PLAN 3B -Sales 'Office I Lot 12:.
GARAGE. ADD. 2x4 verticals. to .support hips to last flat -top -chord Aruss..
BONUS: ADD. detail. 28/SD2.
a
Front Porch: ADD 2x6. blocking and (2) A35. at end.- of' 4x10. entry beam.
o future ENTRY: 4x12 FL. BW may be deleted .. h fu r6 Or.'o
dudon.units..
W011JEL PLAN 5
'ENTRY: ADD details- .22/SD2 at each
ch side of Entry..
BONUS: 'ADD 3.1 -inches. of 8D1 2 - at front wall only. Shear walls at end. of Bonus
and at opposite side ofgarageare tonsidered'enhanc.enlehts.
S/
CIO
M
M
Exp. 12-
cr_
Nv.
COMPLETION OF THE ABOVE ITEMS WILL BRING STRUCTURES INTO COMPLIANCE.
WITH THE APPROVED SET OF CONSTRUCTION DOCUMENTS.
le: MLO 5201 w
AUG -30-2001 08 54 ESI/FNE
ES111=IVIE, Inc.
Structural Engineers
1800 East 16th Street
Santa Ana, California 92701
Company: CENTURY HOMES
Address; 1535 South T" Street
714 835 2819 P.0110i
Date : 8-29-01 By : R.W.
sheet 1 of 1
^ Project Name : MONTICELLO
" Classics"
San Bernardino, CA 92408 _ E S I I F M E .fob No.: 1000-2398-5
Contact : Burt cell (909772-4621 _ _ _ Project Eng.: R.R.W.
Phone : (760) 200-1533 FAX: (760) 200-4484 PH.: (714) 835-28001 Fax 835-2819
I Phone Conventabon X Field Meet'g n Meerg ® Client's U In -House Mooting
RE: WINDOW ADDITION AT GARAGEISAL.,ES OFFICE
PLAN 3lLca-12
It has come to our attention that a 4040 window is to be added on the
right elevation of the Garage on Plan 3, 4'-10 1/2" from the back wall of the
Garage. We have no objection to this addition provided the revisions presented
in the drawing below are Implemented. A 4x8:header'is sufficient to frame the
window. Calculations supporting this revision have been provided as well.
TOTAL P.01
— —
A
9 r'P. � �rM .•u. �
r
r
,
laeu
,
I.
F(wger at Mght of Qw"s (Wo ®ntc01
—,'r•�_�/�
.
Laekw` a R
uc P- it 7711
[ 1( •
ppid 00)(
t
I ) 4 978.0 08
14
wag -t 1i o-
oo
pts
Sr,S10,
)
O ...... , . , ..
,O
®`OF
Pt+� 1140 Pit.S0`
CO
U. tto$ ism. 1427 fisc
I ,� G?
$ AtORM 1.M pb, . 1Z5 03�
X18 � S2W
Fre 9ti psi ; d z 73i to
Riaiftena
"R � stAB 1R�
Exp- 122°31-01, n�
�
V: IV (1.12.11. A77.7 ms
A = 6E v I r.aao FV .
AIM dM l 780 0.12 in
' A A = 1107 ie'2
E e t.a a 10.8 poi
• I . MG W4
�+F �A�\�fO
4-5WL•41M4"eelq. 10.0 W4
EbtufWadaeA /l= Ln,
u s E 4.
a w.c.". n
3
TOTAL P.01