0105-284 (RPL)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
Date 3�� 31nature of Contractor r �R
14, 11
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exemptfrom the Contractor's
License Law for the following reason:
( ) I, as owner of theproperty, 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.
( ) 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.
oSTAIT { BUND d�ST 01+�9t�29w��
(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 ag1kee that if I should become
subject to the: workers' compensation provisldns of Section 3700 of the Labor
Code, I shall forthwith comply with. those provislom'
Date:
Warn1Kg---Failure to secure Workers' C8mpenssat on In is unlawful and
shall subject an employer to criminal penalties and cid'il�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
far a Pormit oubjoct to thA c)nditinns and rPRtrictims 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 authorize representa Ives of this City to enter upon t
-the-above-mentioned property for inspection pu os s z
Si nat (Owner/A ant) Date sAl",
BUILDING PERMIT PERMIT # to
DATES'' VALUATION LOT [I - TRA��r F
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$1.
JOB SITE
APN
ADDRESS. "
OWNER
CONTRACTOR/DESIGNER/EN INEER
14-80'x, 17TH U, 0106.
9M DONAtMYN 1,,01
717'I:f T' CA 92780 t
::I ` :1 P,M VAT,T •Y CA 92356
USE OF PERMIT
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PUiNIMMIJ PDT "- POOL, 101.000-419.100
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MAY 2 5 200
- CITY OF LA QUI NTA I
FINANCE DEPT
RECEIPT DATE !r BY I DATE FINALE INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab 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
Party Wail Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
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
149 _A;
Gas Test
Appliances
•
Final
COMMENTS:
Final
Util4 Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
'FI
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)