0209-145 (SPIN)Jan, 23, 2.008 11: 33PMf' - V ' �.o r ` `� No. 6194 P. 2
b D
v IQUINTA
c Bug E DI=PARTMENT
OF
b1��� �tW77.-7 2
- REQUEST LINE
G� NAp� 777-7153
Owner O ROTHERS INC.
Contractor TOLL BROTHERS, INC.
Permit Number, 020145
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-475 VIA TALAVERA
SFU - LOT 148, VENTANAICASITA, PERMIT DOES NOT INCLUDE
POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH
TYPE OF INSPECTION 1 DATE INSR
TEMPORARY POWER
SETBACKS
U/G PLUMBING /WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS/ STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF z - '
OKAY TO WRAP
MING COMBINATION
. JUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP, BD. DRYWALL
EXTERIOR LATH
GAS TEST ,ter
SEPTIC ABANDONMENT
SEWER CONNECTION_r �4p
SEPTIC / GREASE INTERCEPTOR
y
MASONRY INSPECTIONS
FOOTINGS / STEEL
' 80ND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE/ SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
FINAL INSPECTIONS
TEMP- USE OF PERMANENT POWER ti Z� S;7 -
ELECTRICAL u
PLUMBING
:HANICAL
I-UdLIC WORKS DEPARTMENT �n
COMMUNITY DEVELOPMENT DEPT Io o$
FINAL /.JOB COMPLETED 0
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
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
7711699 WWI(
/Date �' Signature of Contractor4W
OWNER -BUILDER DECLARAT N
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 they 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
Se, tion 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''.P C,,)JC +' PLoYp't i Policy No. WLA, 03,0843W
(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' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those prov'sions.
Date: a Applicant +✓ �"'"°" '
Warning: Failure to secure Workers' Co pensation 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 fmh 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 representatives of this City to. enter upon
the above-mentioned property for inspection purposes.
irSignature (Owner/Agent] --- DateLA
BUILDING PERMIT PERMIT# hLa
8`�i`.�
/ t;iii
DATE •r � / VALUATION`
(,X,4()&40 LOT �Q��-�-�. TRACT n nl
JOB SITE
DDREESS j f 0_ 1 475 W4`A.',Y.AU.� ,SPR
APN t .
OWNER
CONTRACTOR / DESIGNER / EN (NEER
"� 1ar12 iaJ:J a�Y :� is.'4�ssi°:it3�1°L � ZI1
74.9-23HO�t'�LY l Ate. s�����1a,4-220
PAI-AIDESERT CA 0~260
xN LMi:'1 +1E9T CA 52260
(160)674-9699 mill. ?tb32
USE OF PERMIT
y
DWJU1MG
NERidlIT OOMS NOT IAICF.,1 EM
BLOCIVC WAlaiA FOOL til A OR DRiVFWA.Y`.d',,F'Ept.�:t?:F CH
' r
CUSTOM CONST".idJJCTJOi i 4_D711.00 8F
PORCI•TllahiTIO .5111.,06 "IF
704-00, 5?
x'ri ft 3l{'r 7j` rK SUMMARY
C.0N,5Tr,.1JGT ION FEE 101-000-410-000 P151K50
PLAW CHECK 1 ' `. -000-439-318 V"261.08
1yyd��E��pC/���;���.�yYa/rtq<�,%��yFEE . 1011 -00042.1 -000`° $1,5630
J:..Lw'4M�i 6\4ir.1'�!a FEB JAi {I "6L®R7'•.7,0-000
P.i,t�@Ri3Ih13 yin 101-000.419.000 $213,18
,
u Pt0MO MOTION %L • RES1D 101 -000.241 -WO
CiRAi:3INOJN...a
1:WrV WPZR IMPACT Sal?,Z day e6�.42E�
.ART rk PUBLIC,! PLACES - XVSK2'i0-Oti"., 5.00.0
1
SEP. 2.7 2002
CITY OF LA QUINTA
FINANCE DEPT. .
RECEIPT
DATE 4'
BY/"""
DATE FINALED
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
p
Compressor
Insulation
p
Vents
Fireplace P.L.
I
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS -SPAS
BLOCKWALL
APPROVALS
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
5.
Waste Lines _
Gas Test
Electric Final
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:
iX� 3�1w, *, A41- lq"rZ_
Q /%�—
/N rff- �/"'�
2/33
v i
Final
Utility Notice (Gas)
ELECTRICAL APPROVALSvi�✓
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) .p
9