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0007-273 (CONR)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provision's 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 # Lid. Class • Exp. Date 7474 Date>,'L-Q; Signature of Contractor— OWN ER-BIJI LDER ontractor 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 cunuaciing w1th Iluumiud 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. ( ) 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: Carrier 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 t 'the workers' compensation provisions -of Se_c�ion 3700ofth2Labor `Code ) sjiall fghhwith comply withrthose provisions. % // Date , /G^ /a 0 Applicant ~N Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to theFcost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application: I.`' 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this. application and state that the above information is correct. I agree to comply I -with all City, and State laws relating to.the building construction, and heretiy•authorize representatives of this City to enter upon •..ahe above-mentionedPproperty for specl purposes. Signature (Owner/Agent),-,/ ' k- Date .;i<..y5.•• r .. BUILDING PERMIT PERMIT# DATE VALUATION LOT a>-271 TRACT JOB SITE APN ADDRESS ,49-,9ZVVXA KATAT MAL OWNER' CONTRACTOR /DESIGNER /EN (•NEER •, t,• f�iG .P`1SG•,:L1f� !�e'N'17!YA31T. i V fv �.k'aJ&� a� 1` l td�,PAJ� `ls�y.4H a% »a1.W 6iL..ib aJ�Ltl 4 T. ynWrA CA' PUS$ Ll',, QUill".4% ' CA 922,53 l f) t,t1�a941 CB1101 USE OF PERMIT n + , LI COMPA014 AREA 1470L HOUSE 44-4 NQ F7 , .AS PPR .APT%0VW, PLAIUS 1. 1�Q��kiC1��P"a ta'1'lc3 • • �a<�I� Fg 7L;�'�i�,s�"!IM CONT 6' F ��R��'.E:f�S'01 �.;I.,i3�3 +rf#P Ci��.3ii.CECK f�p��;',�€�C. ,- $�147.62' 7f{�ggl-:.kM }itil�(G1tryJt��_^�1�.�y�••p�y3•�:t�� EM3ss,IM'�1.V:Y' 4 BC:✓Y�L����d'TEYe Pt�}��g�^��W•F��,,, `���°��T �6))L^�,W1�17//V�� f�TaY:! .•'. KICK I, r. V, 101"VId"5,,0-000 .JlS f.Ji'I k'L1UMBINO FEE, Too -000 414-000 IMS0 ://����c�mgggghhr7t��er��77,��rr�ia n nm r�`�tAm a00-000—'241-oc* ��3�V�7^`yPAt[(1�0!�'? i�Qhfr'++lf{xiy) \8.� -td1 O�{.1ry..{:{{rpp ��7y 9v y� TT.� AR"? 279 PuQ-.1 m PLArrm �' Qlf)w 701-000 "255-000 $59.41 o .. z .t,1s;15I P .' Pe?yQS +SF`s t3.�C MAR,*,16:2001 x U S1 RECEIPT DATE '' DA EtFI INSPECTOR i C�` • o INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & Footings _ 3Q �l Underground Ducts Ducts SlabSlab Grade _ L�� - / f_� v Return Air Steel Roof Deck ` d �- Combustion Air Exhaust Fans - O.K. to Wrap _ _ 6 F.A.U. Framing Insulation _ _�l � Compressor Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall -Int. Lath - Final �- ! ' /-z Final POOLS - SPAS BLOCKWALL APVROVALS Steel Set Backs Electric Bond Footings 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�� / Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans OX for Finish Plaster Sewer Lateral �lo// Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: 'Final Utility Notice (Gas) / Z j/p _ AS ELECTRICAL PPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring _ Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. t Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) �"O ..�/ • L'1 Bin ;9r • City. of La Qu inta Building U Safety Division t ' P.O. Box 1504 - • 78-49 5 Calle Tampico *� is rm+!/, .' Peit - - La�Quinta, CA" 92253. , ' D007— Buildin Permit Application and Tracking. Sheet g �. Z 1//� If A����Nf ONner s Name: Lf//J r Project Address: . Address: + A.P. Number. Le_sal Description: -% 7 .Z / Z �' /` CitysT,Zip: i' .`7 2 L J. �� v Telephone: ..... Contractor_ Address: Project Description: Cit%-.ST. Zip:, C - 2 Z` A Go iLi a Tee hone: Tel f. + State Lic. 0 : o ? City Lic. #: 'Z. _ Arch.. Enar.• Desioer: C+,L f- C C_A� 4 Address: ' . � Cin'. �ST. Zip: •� - � -, ' j ..�. , *+ '.. - - • .� Telephone: C 0 nstru' cti n Type: Occ[Pan cY: • i State Lic �:. Pew d n Alter Repair it DetnoJYPc[rcleone ti ' Name of Contact Person: X160 c9' S r�lC . Sq. FL:.v� #Stories: 1f Units: .. Telephone = of Contact Person: , —77 (� Estimated Value of Project: ::.......... .:................................................... .>:>:::::::.....<::>:<:>;:: ........................:...............:...........:.... 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Uinta Developers Project Approval Form Prior to the issuance of Building, Permits for the project listed below, the following Departmental clearances must be obtained. Please return this form Nickie Gormley,Bailding and Safety Department only after approval. Contact applicant: for resolution of condit;ons preventing or delaying approval. Project: Community Pool 'at 49-924 Via Katalina Applicant Contact: Nolan Sparks, Sparks Construction, 771-1941 ' Application / Circulation Date: \ 8/21/Q1LAT3�' o g LLDate \ _N Commun Development Department j c� T J 61 I �" ------�, i (X�G A Z �O Christine, brio, Planning Manager Date ? Public Works~ Department Steve Speer, Senior Engineer ` Date-- o Building and Safety Department v r Greg Bulter, Building and Safety Department Manager Dat- Health Department Date Fire Department Date Schools Fees Paid Date gA C City of La Quintir.. Developers Project Approval Form o , Prior to the issuance of Building Permits for the project listed below, the following Departmental clearances must be obtained. Please return this form Nickie Gormley,Br-ilding and Safety Department only i(ftr Opproyal: Contact applicant for resolution of conditions preventing or delaying approval. Project: Community Pool at 49-924 Via Katalina Applicant Contact: Nolan Sparks Sparks Construction, 771-1941 Application / Circulation Date: ' 2 jG Community Development Department Christine di Iorio, Planning Manager' Datr Public Works Department ,1D'1 Steve Speer, Senior Engineer Date ` Building and Safety Department Greg Bulter, Buildingand Safety Department Manager Dale , Health Department Date Fire Department Date Schools Fees Paid Date CITY OF LA QUINTA PLAN CHECK CORRECTION LIST ' November 28, 2000 Gouvis Engineering 4400 Campus Drive ' Newport Beach, CA -92660 PLAN CHECK NO.: • 0007-273 FINAL CHECK r JOB ADDRESS: ', 49-924 Via Kataliria OCCUPANCY: R3 } AREA-S.F.- : 444 �. .TYPE -OF -CONST.: V -N {, The submitted plans and specifications have been reviewed,byVANDORPE CHOU ASSOCIATES . It' is our professional opinion that the plans are insubstantial conformance with the l uilding codes and regulations adopted by the CITY OF LA QUINTAand the State of California Amendment. APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING .APPROVALS/CLEARANCES FROM ALL APPLICABLE �CITY DEPARTMENTS, AGENCIES, AND.' ASSOCIATIONS. i Plans checked by: Dorothy Gordon, P.E. ..; VANDORPE CHOU ASSOCIATES. ; 295 N Rampart Street, Suite A r Orange CA `92868 �- (714) 978-9780 VCA File No. LQ -12355.3 x • ] ..