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0306-253 (MFD5)H N C0 04 W O Lf) ' W � Q ~ C Z ti CO O O H� F -a U) Z cr) N 0 a� s Z ,acc 0 0 J J maU OV 0� CF) Ict Z coo Q 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. Dapte•-,.,.} Date ! .• 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. 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. (y) I have and will maintain workers' compensation insurance; as required by Se0on 3700 of the Labor Code; for the performance of the work for which this permit is issued. My workers' compensation insurance carver &�o I no. are: Carrier :gip.Nrl, "1'td�lfi'c7 Policy No: '';'' �A l#•aC+�.! (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 370,0' of the Labor Code, 1,0 Il.forttiwithFomply with thbge provisions. 2 Applicant Warning: Failure to secure Workers' Compensation coverage-Irunlawful 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 authorise representatives of this City to enter upon the above-mentioned property foF inspection purposes. Signature (Owner/Agent) i '�` i- Dater r �: ✓ 7- BUILDING. PERMIT 4 PERM&T��� DATE VALUATION ' i� iR,.(j LOT t' Wil? +r TRACT I'd! ; (,?'t i= JOB APN ADDRESS OWNER CONTRACTOR/DESIGNER/EN &NEER AEARTkf411�iI" -t" VLX wGK L IUC1S uUWIaAJ OflkiCtCop , 1*05 111/ QuAo.,.f",u1i7e 02660 19?a AM -1-M' DEt!l IFT C"...1ri; 9�C1"0 USE OF PERMIT as PERM -IT DDF . WO':' QSt:':, G%+t: IfX,:ai:tfi aa:ti'.,i,.9 OR NXA,,, &VIJ-t V,14, NON y i!"_.L'R. 47:rlUVi nll.'OS P0,.ACIA. :3 .,C I:.J 20104 B (71.ArRk(';?a &PI_`_3R1 ?,1142,00 SP COWTRA,'."';` ,':T9, 7Lt:4•ilT 49,323.20 LS TZ .0"TI,t:.i.Y u "i<' OF Ct3NFlCiWO1710H CONSTl"<1dC' ON AFK-, ; 011-t; -000-418-000 46"Al .10 P; CHECK $ fit <i%i'1 •t?t7ri< ��9-� 1 t? a'rs4.&R IJlW1IAN 1CAL �1~I: t t?l (i1J0»A21 ^©f10 'bC�,i1� F-LECTRIC"lam, FEE 101•N, )0•1201 0011) PL[1MBWO WE ) W 19-00(3 its' so .Gt''aRCTltO M0T?i)N .'t 17 111* 1D 10 -1 -AGO 1-(l ) "I51. 4 0".kri 0 PKE 10111006A23-000 513,01, .. t:1VIZLORFSi . ).Mpat:i:" ' 114TE, $1,04.00 AtID Pl_ .a r -r9CJ ` . Li' l I;M'_:-X' UD H11;RS $0-00 YOTAb,.I'14'.i'.A'.tI71'FMDV M Now ' T - RECEIPT DATE BY DATE ALED INSPECTOFf & INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Z-• agas Ducts Slab Grade - le -e OLIN. Return Air Steel Combustion Air Roof Deck ,7.57- Exhaust Fans O.K to Wrap �$ - /O - F.A.U. nk Framing - Compressor - Insulation - />— '4) Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls E]Etz 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 I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines P - - Heater Final Water Piping Plumbing Final Plumbing Top OutIV AS Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test �1511 POC -5 -- Final - Final Utility Notice (Gas) - ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final - Utility Notice (Perm) COMMENTS: 01/26/2005 08;44 17603401819 PAGE 05/27 MULATIQ0 CERTIFICATE This lo,tDcw* that Insumon has been installed in conformance with the current energy mgula0m, Calftmis Adminitnalve Code, Title 24, Stale Of California, In the building at LA QUINTA VILLAGE APARTWWT4#=--- 22,1A QIMTA CA TYPE:BATTS MAUNFACTURER: CoftinbmW THICKNESS: R48 WALLS: TYPE: BATTS MANUFACTURER: Certointeecl THICKNESS, R-13 GENERAL CONTRACTOR: LUCAS GENERAL CONTRACTING CORP LICENSE PARAGON SC ID BUILDING, PRODUC::MASW Company LICENSE # 221617 A. A TITLE: ACCOUNT REPRESENTIVE ..YA, ,►0 --mm— w tow This Certify roguwdaN,�o QMLING& TYPE: 13ATTS TYPE: BAM GENERAL CON BY. INSULATION CERTIFICATE that InsuWdon has been Installed In confbmwnoo with the current energy )mls Adminl9tr011" Code, Tilte-24. Stale of Callfomia, In the building IZWd MAUNF Certl3lnteed R-30 THICKNESS: R-13 CORP LICENSE 9 PARAGON SCHMID BUILDING PRODUCTS AMASCO Company Ll-Nt � C E # 221617 W. TITLE: ACCOUNT REPRESENTIVE DATE, Certificate of Occupancy �y 4 412aw& 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. Use classification: C BUILDING ADDRESS: 50-660 EISENHOWER DR. #22 Building Permit No.: 0306-253 Occupancy Group: M.F.D.. Type of Construction: U-1 V -N NON SPRINKLERED Land Use Zone: M.F.D. Owner of Building: 'LUCAS GENERAL CONTRACTING CORP. Address: 1111 QUAIL STREET City, ST, ZIPS NEWPORT BEACH CA 92660 By: G. SHOWALTER Date: 03/02/05 uilding Offici FEB- 7-0.5 MON 1:14 PM RIV, C'0, FIRE PU INDIO FAX YO, 1 760 863 7072 P. 1 Crafo E. Anthony Fire Chief Proudly serving 1110 unincorporated areas of ltiversWe County'and the rides or: Banning 4 Beaumont 4 Calimesa Canyon Lake fi Coachella Ps Dcsert Hot spaings a Indian Wells 0 Tndio 4 Lake Elsinore 4 La Quinta .Moreno Valley Palrn Desett 4 Perris Rancho Mirage a San Jacinto 4 Tcimcula Board of Supervisors Doh BU q1 x, NOW I John'ravaglianc. uimict.2 klT stone, Di4tiiiat3 Roy Wilson, l..)istriout 4 Marlon MINIev, Dietrict 5 'RIVERSIDE (]OUNTY FIRE DEPAF:TMENT �1 82-675 Highway 111 • Indio, California 82201 • (.'60) 8638886 • Fax (760;863-7072 i February 7, 2005 'lye City of La Quinta Building Department' Re: LAQ-05-BP-044 C' Buildings 19 thru 25 and.27 i The Riverside County Fire Department is granting the clearance for a building permit for the following project located at, 50-oF—Eisenhower Drive. La Quinta. Please call if you should have Questions. W Respa-dfully FRANK KAWASAKI Battflion Chief / Fire Marshall By •fitORS -O�'`t - Tarry De oucy Fire System Inspectors