0311-080 (SFD)U)
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LICENSED CONTRACTOR DECLARATION
I 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
Professionals Code, and my License is'in full force and effect.
License # Lic. Class Exp. Date
11 HI, <, , �/ 1 /3111105
Date f.`� s�/� % 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). k" ,
( ) 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
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 Policy No.
(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 provisions of Section 3700 of the Labor
Code, I,sh'all forthwith comply with -those provisions. ,
ate`; & 'ib l A. Applicant'04,�5
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes. E .
Signature (Owner/Agent)' 7 ~�J -• Date�:'�
f
BUILDING PERMIT PERMIT"
DATE VALUATION LOT L13r'l�- .l TRACT
.t 'L7 •i �� �`,tl):a,.rt2 :.�1 14!4 ?..82'6
JOB SITE
APN
ADDRESS
77-13.4 lYRV'ff.rDR1:6 C
ilii:
OWNER
CONTRACTOR/DESIGNER/EN INFER
Z'N.•AN1~iOE LA QUO-WA COVE, LLC
'ii2. IN$ V T H0111M.11 r f9c
99" .YMB RT .ISIXE9r, STE, 102
99681-TCkIMT :1'k 102:
SKhT IM1130 !30 CA 92131
BAN DTF;iuo C,% 92V,3 3 :t
t;858)e~:��I.•3J:f3 C:^'`J.13 �y12
USE OF PERMIT
SM - IX)T 34r,.Y1Xa 64 1S. PEEWIT DOES NOT ItICWDE 13f.,Ucr, I'VALLS,
F004 PA OR 'eltAi IJ• Z§tit'AYAPPROACH
TRACT CONSTRUCTION WMI!110 10
t�.�i�t;J•��1'KC7 9fi.a1t3 ;•'1T
JLAtk1'aAl.' S+�.JII, mmt'�.�`i;iliG�.S.{iSI.
COU8`!'RUCT1CN I} Pri• 101.100-4-"8.000
PI.A:p14:ritfl l: F'et
MZCH411CALT%X' 10)-000--121•-000 �SS,Si
F-l"TP1C.AL Ff S 1{11-00(i• �l..3Gat�Ofl � 119.9
F'i,,'C'fMV4114c"I HIM, 101-(x)0;419.0130 $192.50.
MC(HOMOTION IFLS -R9SID 101••0()0-M1.-000 $20.54.
(AADWIC; FEE 0 41 _000-423-000 V.5.00
i?E='t%EI.Z):_id2 IMPACT .FRYt, $2,hU5.tt0
ART its PUBLIC Vi -ACES - REST 27C -0W, 445.000 I1"1.54
FTEZ L7FFC&T ; U 1-i11'ia'2->1 A�31 F -V750.00
=;- ::AL COIF ?'SC tIOTi MD PLA c��?•t`.�
��2,"15 �.�G
iia -0 1XIMR-11"KID p1nm
47311 Of)
2 9 2003 I
rnnFWIN
! E . lei; p—�iAF10E D_ EIT
RECEIPT
DATE 7 L BY, !
Gr
DATE FINALED
INSPECTOR
/
I/ /
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings p _
Ducts 4_
Slab Grade
Return Air
Steel -
Combustion Air
Roof Deck
Exhaust Fans
OX to Wrap -j< — u
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wali 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 C3 —
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. 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.Widng
Fixtures :.
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
Jun -23.. 2004- 2�,19PM
3914 Murphy Canyon Rd
Suite A-130
San Diego, CA 92123
Phone (858) 576260
Fax (858) 576-3264
McComic Consolidated / Transwest Housing
9968 Hibert Street Suite 102
San Diego, CA 92131
Attn: Matt
Subj.: Inspection
STRUCTURAL FRAMING INSPECTION SUMMARY
. Hidden Canyon - Ridge Gate
Inspection Date: June 17, 2004
Model Number 2B, Lot 145 77-914 Desert Drive
Construction Phase: Models
Summary of Findings: City of La Quinta Structural Observation
No..3878 .. ,P - 2
June 23, 2004
The framing inspection consisted of a visual review of the structural bearing wall, framing
and lateral system including verification of shearwalls, hardware, and building anchorage.
The as -built product was compared to the approved plans. The framed portions of the
structure were found to be in substantial compliance with the approved plans, and the
previously discovered incomplete work was satisfactorily completed.
The visual inspection is limited to the lateral bracing elements normally installed at the
framing stage, including drag straps, plywood bracing panels and holdown anchors. Since
a portion of the project may rely on stucco plaster and drywall bracing panels, no opinion is
expressed or implied about the compliance of the stucco/ drywall nailing.
This letter is provided at your request and is for informational purposes only. It is
intended to confirm the framing subcontractor's understanding of the structural plans and
installation of the framing elements shown on the approved drawings. It does not provide a
guarantee or warrantee against deficiencies or performance of the building product or
provide evidence of building agency approvals or special inspections.
QOFESSIO�
Respectfully submitted, .S
CO
QX
C4 9
4
M W. Swanson, PE Exp. 3/31/06
��OF
Certificate of Occupancy
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OF9�
Building & 'Safety Department
This- Certificate is issued pursuant to the requirements of-Section 109 of the California Building
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.
BUILDING ADDRESS: 77-914 DESERT DRIVE
Use classification: -S.F.D.
" - Building Permit No.: 0311-080
Occupancy Group: R-3
Type of Construction: V-N Land Use Zone: R-L
Owner of Building: TRANS WEST HOUSING INC. Address: 9968 HIBERT ST STE' 102
City, ST, ZIP: SAN DIEGO CA 92131
By: G. SHOWALTER
_7 b'
Date: 02/15/06
Building Officia
POST IN A CONSPICUOUS PLACE