Loading...
0306-222 (MFD5)N lJJ O � M r� Q u7 r w r O Z r-- 00 . & wWfl- F- F -a U) Z M U7) N O� UQ It a Z 0 Ir LID H O 0 J J mVU O d 0) It Z r CY R LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that 'l 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 13 Dat L' ,Signature of Contractor ,'f�L,�,'1 '"--- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reasons- ( eason:( ) 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&RC. 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 yy workers' compensation insurance c��Ier & policK no. are: Carrier `iC:1�'f. UN;v Policy No. i'!1�!11i8•di'r'.:, (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 Califordfa, and agree thatiif I •'should become subject ��Q,tf`ie w�rkers' compensatio provisions of Section 3700 of the Labor Code5711 all fokhwitkricomply with th se provisions. -ate: j� l i �' Applicant- Warning: pplicant 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 representative`s of, this City to inter upon the above-mentioned property for;in pectIon purposes: / f ,Signature (Owner/Agent) �'`� w" r '� D& i BUILDING PERMIT PERMIT -� DATE VALUATION L FaJ(�.(J�1 LOT isl. ..�^4 TRACT ;Iqi 2i 6121 JOB SITE 40`05550 MSE M,tyiVErR.D M VE APN 73�-1 T( -M ADDR OWNER CONTRACTOR/DESIGNER/EN INEER 1 ] 05 QIJAU.,11'017,r n f'RE"I,-A•. .PES C.t'•t 92,660 �,`A 92¢0.;47 USE OF PERMIT 2w3.UI..7'd-.nhllfi:lL'1'�We'it�t:.�3•�'_1 f� IWt;NUDE BLOCK° Aial S; ORi t �t.511„ P.1 - 1 47 BUiEDRAGS FORCIV?ATI01 101 S,1WNKI1FR. 0 C01'i'19tACT4,MOUNT 314,I0tV 1.1' hSIMATEA COST OI3' �nt�STftt7t".'£Ic)NF'i?l�1�;�^?Ut!•,41R•t?A� �:;;�"J.ti�9 Pl..iU4 CRECK, , NEP♦ 1 E91 z.10p-435F 1 S $403. MECH.AAICAL FEE 101.000-,:1 -000 $281.0 L'1 EC'T1iICA), -000-40.000 .66 PLUMBF9� 0 FEE 101,600-419-000 S6671 CIO STAOI40 MOTION FEE - RESIT) 1"14*0411, 000 $4'3.1 ORADING FEE ;01,0 4 Z3,OW 818.Jt? DEVFXDI''F;R IMPACT PACT FEE ,§ l ;:3Tl•.t f RT t"N PUDUC: PIACKV - R i"si 270-000-445-000 83 - :3t1%t.. Ti�.L C)1,T i'.i* �lrl."}`3�: 1`� �ti1�i %1 1 X cwt, m, I� - ,__ ^'i"�-�'�.i;rl JC.%2�<�3:i,''�'L:.4v.T�f).�:'i*7�'`!rJ J ��.?�r:�+:°`�•c�D 03, RECEIPT DATE' BY l DATE F ED �y INSPECTOR , INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings - - Ducts Slab Grade — 5 Return Air Steel - Combustion Air Roof Deck O.K to Wrap __ Exhaust Fans F.A.U. Framing - Compressor Insulation _ y Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final / = Final BLOCKWALL APPROVALS Steel POOLS - SPAS Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral ©-- ell- - XJ Pool Cover Sewer Connection _ . }d -0 Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Z p^ Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles . G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: l �/�� iU�,/J/—�/S / ,$ C r✓. > / v!� 2,C/ 01/26/2005 08:44 17603401819 PAfiE 22/27 ..: ^raver_ i.s asssi�•r. �eeMw+vnwrssv+ _ ' , .cnoNovros+v►m. �wv�vr►vAe+�-+-+Rw.►�.ve•.sr,rA a INSULA, C R` t I, , T'E r. a This is to o&* that lasuMon hes been tnsWed,n conformance with the cum mt erwW regulMtion, CGllbmia Adminisas" Code, Tdto 24, Slabs of Carftmie, in the building at LA QUINTA VILLAQE APARTM0m#LDfi!10, LA, QUINTA CA z OFALINGS, s TYPE: BAITS MAUNFACTURER: CerbikbmW THICKNESS: R-30 9 TTS MANUFACTURER: Certainbeed THICKNESS: R-18 GENERAL CONTRACTOR: LUCAS GENERAL CONTRACTING CORP LICENSE 9 BY TITLE: jr ,, �� � PARAGON SC MID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 r. TITLE: ACCOUNT REPRESENTIVE DATE'"OZ l]:`..;ii1".ITL! This is to certNy that insulation has been installed in =rfomnaece w11h the current energy regulatlon, CeBfomia Admintebrebw Code, Tft 24, Stwe of Cailfomis, in the bug ft loodscl at IAM.W- LA QUINTA VILLAGE APARTM t ' 211hA QUINTA CA MAUNFACTURER CerWribeed THICKNESS. R -3d WALLS: TYPE: BATTS MAUNFACTURER: Certs fed THICKNESS- R-13 GENERAL CONTRACTOR: LUCAS GENERAL CONTRACTING CORP LICENSE 0 7 BY' ter. TITLE: PRODUCTS A MASCO, Company LICENSE 0 221517 TITLE: ACCOUNT REPRESENTIVE DATE: S26 � Certificate of Occupancy Tar 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: 50-66.0 EISENHOWER DR. BLDG 16 Use classification: A3 Occupancy Group: MFD Type of Construction: V -N Owner of Building: APARTMENTS AT LA QUINTA VILLAGE LP. Building Offici Building Permit No.: 0306-222 Land Use Zone: V -C Address: 110S QUAIL STREET City, ST, ZIP: NEWPORT BEACH CA: 92660 By: G.SHOWALTER Date: 12/21/04