0307-270 (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
+rx9 yx 0113 cm IW.A AM
Dated Signature of Contractor�s�`�
IN r
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 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 j`l',fi,'tF•C{)RMNS., "i1 Policy No. fw1A•fYtb�. fl0 .
(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 workers' compensation1provisions of Sectibn 3700 of the Labor
Code, I shall forthwith comply with those provisions.'
Dater ! ; Applicant i;+ si,"1 1� i
Y e v P ,
Warning: Failure to secure Workers' Compensationfcoverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000; iri,.;
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 khis .
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 representatives of this City to enter upon
the above-mentioned property for m'spection purposes.'
t
Signature (Owner/Agent) f' f f�: -r"+�1 Date
4
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PERMITK `�'Y
BUJING
.PERMIT
DATE VALUATION LOT TRACT- :;
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ADDRESS �'� t�'�IA V.�..�.R.ONA. JOB
APN .
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,
OWNER -
CONTRACTOR / DESIGNER / ENGINEER
'C,sl:11x31POTEMIR10INC
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kl_xL,T.E�uT3; ''., pe.�Ru3 -: a3''�!,.3 (3, -P ioQ�>•i =,:'.a:)
73.121 YEit iYWARLNG 4/100
$6-100 AVE-DIR ;: 4.
CA 52260
COAMIA.,Z. J -A CA 92210
t:'i'15{5���dS«222 'C=I3Lf�� x3{a:3Ny
USE OF PERMIT
-
f:" (,iL: v. Se,-, P.' ::" CE'/►i a :T' MA ii.. ty , J,(R.L&4 4tl A.?:' il irk-Mji.r_
:(.�A?i€vS"�"w' %[ r L Olt IN PLACE ',T'PRE—PLASTER Y142HRE- s1 t0K
3 FF. WALL 4. to LF
I+COr�,F:NGI�i1i.a�" t, 17,;44.00 613
.. 'i� Fs' iaia :ti kr;:E XUAIMARS�
CC+)3S`i'RUCTIt :tLO,` 101-00101,41.8-0-00 $)yiI.00
t;l 0,11*'1'twl.'CA.L FEE .• FC)OL, -101-000-420-000
>a up, -T (Yva , coim "i711r "%"f `t^1.A' n ra-Aw ca- tr<:1i'.:
2,7 0
$0.00
JUL`.2 2.2003:
CITYPF �A ,at183tMA
FINANCE DEPT J :...
RFC-F,IPT =
DATE j' --
DY r5 r i
X11 L
INSPpC
RIP
INSPECTION RECORD
OPERATION I DATE 1 INSPECTOR
BUILDING APPROVALS
Set Backs
Forms & Footings
Slab Grade
Steel
Roof Deck
O.K. to Wrap
Framing
Insulation
Fireplace P.L.
Fireplace T.O.
Party Wall Insulation
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
BLOCKWALL APPROVALS
Set Backs
Footings
Bond Beam
PLUMBING APPROVALS
Waste Lines
abater Piping
lumbing Top Out
-'Shower Pans
#Sewer Lateral
Sewer Connection
Gas PiDina
I Final
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
OPERATION DATE INSPECTOR
MECHANICAL APPROVALS
Underground Ducts
Ducts
Return Air
Combustion Air
Exhaust Fans
F.A.U.
Compressor
Vents
Grills
Fans & Controls
Condensate Lines
POOLS - SPAS
Steel
Electric Bond
Main Drain
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Gas Piping
Gas Test
Electric Final
Heater Final f
Plumbing Final
Equipment Enclosure
O.K. for Finish Plaster
Pool Cover
COMMENTS: