0001-198 (SFD)LICENSED CONTRACTOR DECLAaAATION
1 hereby affirm under penalty of,:perjury that I amlicen sed under provisions of -
Chapter 9 (commencing with Section 7000) of Divisio! 13 of the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class / Ezp. Date
7440,9r�1 P
/Date + "` /I.DSignature 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 theproject (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.
( ) 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:
LamerSTATE FUND _ Policy No. 1322941-99
(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
syAect to the workers' compensation p visions of Section 3700 of the Labor
ode, I shall forthwith comply with those provisions.
Date: <—? Applicant X11 -�• i
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
consPruction, and hereby authorize representatives of this City to enter upon
th above-mentioned,property for inspection purposes.
Signature (Owner/Agent) + f- Date
1
s�.
60 BUILDING PERMIT PERMIT#
DATE VALUATION LOT ON14.98 TRACT
9,4;00.70 '
APPN
JOB SITE -
ADDRESS "M-'7951.MA 7o�
(y��
J ,{�
V U
OWNER
CONTRACTOR/DESIGNER/ENGINEER
VAM..°4LY PROPERVES T_=
SUV1 VInA DE.VRL0F$0NT COIRR
PO BOX 1144
77899 WOLY
LA QTIWTA CA 92253
PALM DESERT CA 92260
(760)772-2626 M4 5393
USE OF PERMIT
Stip - PEWIT I30I.3 NOT. INCLI OP. 3LOC;K WA.LI-S OR, POOL
CUSTOM CUNSTRUCT'ION 4,303.00 5F
PORCHIPATIO 642.00 SF
CAibAGFICARPORT t,SI I�739AD
E A%k TE'D COST OF CO:N9"MUC aOTl'
m,9400.70
I MUff FEE SUWAARX
CONSTRUCTION FEE 101.000.418-000 S1,549,$0
PLAN CHECK FEE 101-000-42.9-313 $1,256.25
FEE DEPOSIT 101-000-439.3112 -31,000,00
T•.7
M LCI•:I.ANICAL F99 101-000-421-000 $10.3.50
ELECT. RIC,di% FFE 101.000.420.000 $231,19-
PLUMBINQ rar.E 101-000-419-004 321175
STRONG MOTION FEF • RESID 1€1.000.241.000 535.45
GRADING i 101-000-423-000
UEVEWPER IMPACT FEF; $1,907,00
• AWr IN PUBLIC PLACES - RESH 701-000-255-000
-t.
4^
SUIS -TOTAL Cc3 :t1TTG F(ON AND IFILAN' CHK
$5,-160.89
LMS PRE-PAMFFYIS
41,000,00
RECEIPT
JDATE
�.
DATE FINALED
INSPECTOR
i
INSPECTION RECORD
OPERATION
DATE
I INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade C- 41-Z-164-
Return Air
Steel
Combustion Air
Roof Deck - L , d
Exhaust Fans
O.K. to Wrap
F.A.U.
I
Framing - 07J
Compressor
Insulation A
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 _ CcJ
Electric Bond
Footings (2J
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 , C-16
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 Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm) . {j
COMMENTS:
00 NOT POUR GONCR
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND V
DO NOT POUR CONCR
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH CTAS & GAS TES
HATING & VENT - AIC
FlREPLACE
F40OF
BOND BEAM
p.K. TO WRAP _
GROUT ❑. 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WOT
DRYWALL INTERIOR
EXTERIOR LATH
�.' Mous
JOB c
TEMP
'0�-� - Ai"
OVE APPROVALS INCLUDE RIGHT
TURN ON UTILITIES ORO OCCUPY BUILDINGS
PAGE 01
�I2001 13: 03
17605643810 SUN VISTA DEV
-G` Y OF LA QUINTA
6JILDING & SAFETY DEPARTMENT
° t 777-7012
PECTION REQUEST LINE
J Qst 777-7153
APV�040S
LLC.
owns
C4ntrAa. SUN VISTA DEVELOPMENT
0001-198
PermNun+bmr
POST ON JOB IN CON I US PLACE
INSPECTOR MUST SIfaN ALL APPLICABLE SPACES
78-795 LIMA
JOB ADDRESS
SFD - PERMIT DOES NOT INCLUDE BLOCK
WALLS OR POOL
TE OF IN8PEcWN QAT>I imp.YP
FOUNDATION A SETBACK
00 NOT POUR GONCR
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND V
DO NOT POUR CONCR
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH CTAS & GAS TES
HATING & VENT - AIC
FlREPLACE
F40OF
BOND BEAM
p.K. TO WRAP _
GROUT ❑. 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WOT
DRYWALL INTERIOR
EXTERIOR LATH
�.' Mous
JOB c
TEMP
'0�-� - Ai"
OVE APPROVALS INCLUDE RIGHT
TURN ON UTILITIES ORO OCCUPY BUILDINGS
PAGE 01
Certificate of Occupancy
City of La'Quinta
Building and Safety Department
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. For the following:
BUILDING ADDRESS: 78-795 LIMA
Use Classification: SFD Bldg. Permit No.: 0001-198
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building: SUN VISTA DEVELOPMENT Address: 77-899 WOLF
Building Official
City: PALM DESERT CA 92260
By: KIRK KIRKLAND
Date: 2-7-01
POST IN A CONSPICUOUS PLACE