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0306-254 (MFD5)H N U) 04 W Osco W c Z co 0 ©, �CID F -a CO Z M L0 N O� _) 'Ita Z U.) a CC CC 0 J J m< a� 0) t Z ob5 r, d 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 7,5978 5 Date II �_r Signature of Contractor _ `1 S-..... OWNER -BUILDER _- DECLARATION I hereby affirm under penalty of perjury that 1 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. (,) 1 have and will maintain workers' compensation insurance, as required by Sedon 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policv no. are: Carrier ar1.0 EX.44D 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 wofkers' compensate ppvisions of Section X700 of the Labor Code, I�gill jor�hwith comply with hose provisions. Date: ! Adplicant 1.� 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, indemnity & 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 aj1­6i ; and.State laws relating to the building construction, and hereby authq Ize representatives of this City t 'enter: upon the above-mentioned property or inspection purp ses. J' Signature (Owner/Agent) �73 BUILDING PERMIT PERMIOM °»a DATE VALUATION loll' 114i5 A0 LOT rJAR12 $ TRACT M 30721 ADDRESS 3ffW-J.�N31'.N. ;)k.W&,Rat7%P4.I K iOB APN73--3 70-M OWNER CONTRACTOR/DESIGNER/EN (NEER n;t:ra°A; ns i "=�.?C]lk:�1{>rLx..r..;E., r tak ::ice'.) l:Qi`I�l; "}�i CORP, 3 05 Qu)i? ; mm" " 1111 q" -Aa, mxzm' )TE."MS�l.y1.Z 11.,EACf IIA. ;;.1.41,60 )MWPOI�TBRACK.. l..A 971.60 CMA 1756 USE OF PERMIT .. F. of (:. %. 1, ...�tJ: t..y - 1.. L.r , �y .['lLil?A) 1, 1/0tL''+ NOY hit 'LiUl.'Lr Si.P✓CA• v�f'atlW 4+iL y"•.��7./.p RIAJ•IV144"NOta n?> l-KIL.Fd. 47 2UILDrAG,13 Citi tr4C1??� PORT �,rQ.00 Sir PVC -- l _*;.L' ENTIAi 9r*.M 49F :CATRAC'f kW. OUNT 49,14.30I—S CONS P; UC TIO.;�d 'FEIZI 101-MO—A ) 6-M1 V300,N) K-0iC)MUXIr4k. MIXC'r;R:oC`AL FEF 101-0,00-4"20••000 $161.179 . is1,UMBI CY PER 1014A10.419,00v V�27,so STR.UAirl.1COTICrN M!E - R' SID 101-U ?i} -241 -OGS :;9.,M (IME111110 FEE 10t.e71.' v ,_1300 S)3,gt3 ;�'t_f}3_ )';�'f>�i. (_Ca3��!°1Ttt•C';'t��rA3• f��; .l^'; -.A4'. t:;x3�w•C".",� �;�,�:a;'i�r�.�� 1 1. - 1irF'I7L".t:a/Y.I N�''r.7� •'C C,':.G.41 JL���i r�L�.T{gym �•� y �'y�l! �=� r RECEIPT DATE BY DATE FINALED INSPECTO INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings - j 3 Ducts Slab Grade f Return Air Steel Combustion Air Roof Deck 5 - Exhaust Fans OX to Wrap - fj _ F.A.U. / Framing Compressor Insulation _ Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall -Insulation Condensate Lines Party Wail Firewall Exterior Lath Drywall - Int. Lath 5 _ Final POOLS - SPAS Final BLOCKWALL APPROVALS Steel 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 ine750F Heater Final Water Piping Plumbing Final Plumbing Top Out - Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection 3 Encapsulation Gas Piping Gas Test 3 - - Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final -> Utility Notice (Perm) - - -- 01/26/2005 08:44 17603401819 This is to car* that Insulation has been lnstWW in confbrmr=vfth the cufferd energy requIalion,Calffomis' AdminiWafte Code, Title 24, State of Calftmia, In the building at LA -Qui vuAG APARTuENT0K—i6,-,=-- [NTA _ _ E - tA QLnptTA CA TYPF-'BATTS MAUNFACTURER: Ceftintew! THICKNESS: R-38 WALL& TYPE' BATTS MANUFACTUREM-Ceftintsec! THICKNESS: R-13 GENERAL CONTRACTOR: LUCAS GENERAL cowmanNo CORP LICENSE q TITLE., PARAGON 3GHNliO BkUVILDING PR41DIUCTO A MASCO Company LICENSE #221517 TITLE: ACCOUNT REPRESE", VE DATE- INAULATION QRSTIF19AM. � Th =ML%InsuWftn Na been insWIled in c6nformanoa wft the current energy r. g re AdmInWirtive Code, Tft-24, State of Ceftrrft, In the buikfinu localut at PAGE 06/2� CEILQti TYPE: BATTS :MALU�JNFA�ER: Caftk7fted ICKNESMS. R-30 'TYPE: BATTS MAUNFACTU13pr`C`q'rtsintQed THICKNM$jR-13 GENERAL BY:- 71 PARA@d BUILDING PRODUCTS A MASCO Company LICENSE 0 BY. TITLE: ACCOUNT REPRESENTIVE DATE: � .V-6- Certificate of Occupancy Taf 4 412" 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. #23 Building Permit No.: 0306-254 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. _7_ Building Official T:1 City, ST, ZIP: NEWPORT BEACH CA 92660 By: G. SHOWALTER Date: 03/02/05 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