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9705-149 (RER)U) H N to W O=)(h d Lo W � � 1 Z T O 1 0) w W H d U) Z M L0 N ON U °) dQ Lo Q O 0 J J m<0 O tlrnH 't _Z cb 5 �O Q J L LICENSEDCON RACTOR DECLARATIONy I hereby afb'vm under penalty of perjury that I am licensed under provisions of , 01',,pter,9 (commencing with Section 7000) of Division 3 of the Business and` C,liessi4als Code, and my License is in full force and effect. L�/cens& d Lic. Class Exp. Date 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). (X• 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Busines_sr& Professionals Code). f O I am exempt under Section B&P.C.for this,reason . Date ' -' .I;ei Signature of Owner , ,4. 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: Carver. 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 tobecome subject to the workers' compe sation laws of Californi and„agr a that if I should become subject to theorkerrs' compensation,pro sionsofSection 3700 of the Labor Code, I s all forthwi h comply with`those provisions. Date: �r pplicant y�'!! w— Warning: Failure to secure Workers' Compensation covege isiunjawful 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,dky, and State laws relating to the building construction, and hereby auttorizerepresentatives of this City to ent r upon the above-mentioned property for inspection purposes. J Signature (Owner/Agen� &' Dat '►"� 16r --fin.. bete ;__`' 7% BUILDING PERMIT PERMIT# : • C°NTR°`# 741.5.149 5236 DATE5/2/97 VALUATION LOT TRACT JOB SITE APN ADDRESS 49-22 CWX FLORISTA i OWNER CONTRACTOR/DESIGNER/ENGINEER ITIOAIAS.S.SJAEGER 014rNE10 1JUI1-,DIM -4-121 CM,LE FLORRS'F LA. QiJM.A. CA 92253 i;;BL4 USE OF PERMIT ugti ob ADD 60101-'.&W WX'NWW ABOVts �'lt:i'i IN 1"RONT F`s a-fiky. DOURA, VALLIA.11014 V0.00 LS t811MATED COS OF CONSTRUCTION CONS-rRTlf.")'TON FEV 101-000-418-000 $15.60 ! CY) .-�.,. 00 ' ��•�'” Get P, Str.94o1•Ai.l:.i0?N ; T.Vr!0X! AND PLANCHECK LESS PRE -PAID ]LEES-; $0.00 ww3'AL PER'1ilift7' FEES. DUE' NOW RECEIPT DATE BY DATE FINALED INSPECTOR �' INSPECTION RECORD ' OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR w BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Stab Grade_ Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Paity Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath I 4J Final Final POOLS - SPAS 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 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 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) 0 ACCEPTED FUt-,. !" t:. - : - A. SUBJECT TO INS it ., AND ALL APPLICABLE CODES L612 BY---7L� CITY OF LA QUINTA SUB -LIST CONTRACTOR 1"k IsossiA06LEPLIC) .13 ADDRESS 2.Z( CALu, OWNER amwIS JOB ADDRESS. amu,_, .,5 S I ArAs== This form shall be hosted on the iob with the Bu dina Inspection Card at all times in a conspicuous Mace. It is the responsibility of the General Contractor or the Owner/Builder to monitor the sub -contractors that are on this list are the same persons performing the work. Any changes to this list must be approved the City of La Quinta Department of Building & SafetyRLipr to work being performed by a changed sub- contractor. Failure to comply will result in a stoppage of work and/or the voidance of building permit. ... .......... ...... . ........... ....... ....... . ....................... ......................... ...................... .. ... .. .. ............... ............................. .................. ............... ................. ............................... ......... .......... .......... !i�� ...... ... i&..y ....... X; . ... ............. ........... ........... R' M. . .... ... ....... ........................ '�$: ... ORKER .......... ......... ....... .... . NIA . .................. ...... . . 1-............... ..... ... .... . .... .......... '.A ... ........... .1 . ............. .................. ................... ... ......... . ........ .NSE:::;:..........:... ............................... .. ........ ................ .. ... ....... ...... ....... .... ... .... ........... . ........ ....... ................. . ....... ..... .. .... . . ...... .. .... ... ....... NUMBER���ONFILE::: U M ............... X.......... . . .... . ............. .... ... X.:,ax .... ..... ...... ..................... ........... ...... . . . ....... ............. ........... . .............. .............. ............. ............................... ....... EXP. -VA ........................ ... ........................ ............ . GR:A:DE:/:::-- A/C -12 X VA T .......... ................... .............. ............. .. ....... ....... . .............. ...................... ....... ...... . ......... :.-P.IKLI E ...... N C -34 C-8 .................... .......... ................................... iFOUN ............... ................ ... ......... .... ............... A .................. .. ... ........... .... ................... ... ............ A .............. ............ ............ FRAMING; B C-51 .................... .MASON C-29 PLUMBING.................... C-36 ................. ... . ....... . . .... . ... IN . ......................... C-26 DRYWALL ................. .. ..................... C-9 V C-36 ................................... .......................... . ......... ... ..... C-20 ....................... .. . .............. :.ELECTAICA'V�*�:�; ................ C-10 era ................ ...... ............ ............. C-39 SHEETMETAL C-43 ... ..... ..... C-15 .................... ...................... ...................... .. ............ ..... AS ... ... ... .. C-17 .. .. . ... ............... —A! NG .... ... ... .. ............. .. C-2 SEWAGE:.............. S ................ . .. C-42 TAINT C-33 .....RATING.....:........................ .......... 4.4. ........ .... ........... ............ ................ TIL .......................... C-54 .... .......... .. . . ......... (t-6 FEN I G", . . . .... .. . C-13 -AN CA IN.G':.'4'-' C-27 POO. ........... ........ ..... C-53 THER-4.*.-4.:::�-.4..i.�:����]�����-4.:���..i.4:....'...... LAP -,e,, oxa 424016 C,2cem PF gq ...........