0007-087 (SFD)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
r49 (coynm'bncing 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
'{591561 `�
03,A 117(
Y~
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).
( ) 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:
Carver f,REMONT COMM INS Policy No. SESO.1199010-14179
(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 provsions.
Date:�� : u ., x- Applicant - �a
Warning: Failure to secure Workers' Compensation cove'rafe 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 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 representatives of this City to enter upon
the above-mentioned property f r inspection purposes. r f
Signature (Owni 7 ..Date ,
BUILDING PERMIT PERMIT#
f 0007-087
DAT VALUATION LOT TRACT
$IS4,471.70 65 26152
JOB SITE -
ADDRESS 78-.7, mw
APN
6b440 -W9
OWNER
CONTRACTOR / DESIGNER / EN (NEER
C"ADAY & COIDARY
CANADAY & COWANY
17180 E, 17T -IJ- VT. #106
17480 E, 17111 91'. #106
'CCTa"f1 CA 92786
'i US111W CA 92780
(714)508-44441 C -BU 4485
USE OF PERMIT
SWGIX FAIW X' 1::1VTF.. -LDIG
Std- PLAN 20A R. LOT65 PERMIT GOES NOT I1pCLUDE BLOCK WALLS
OR POOL.
TRACT CONSTRUCTION 2,595.04 3F
PORCHIPATIO 392.00 SF
OARAQElCARPOI'N (SP) 0:349.60
ESTWATED COW O1+ C(.NS11Rt7'GM0N
154,471.70
CONSTRUCTION FEE 101-000.418.000 $832,00
PLA14 CHECK FEE 101.000.439.318 $690.16
RE DEPOSIT 101-000-439-318 425O.00
MECHANICAL FEE 101-000-421-000 $105.00
ELFXTWC.A.:L FEC 101-000420-000 $147.83.
PLUMBINQ FEE 401-000-419-000 $129.25
STRONG M: TION FEE" - i4k,9tt) , 101 -l.104 -MI -000
ORADNO PIEJ� 101-004-4 3r 00 $20.00
DEVEWPER IMPACT FEE , $i,9it7;00
AUG 14 2000
SUB-7?07'AL C.OlsWl RUCTd09 MD PLM CMCK.
$3,8543.? 1
U-33 PRE -PAM, tom" : 3
-$250,00
t
i 'TOTAL 1`100W MS YXIF IYOW
rte••-�,�
RECEIPT
DATE
BY ..
DAT LED
INSPECTOR
'INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION DATE INSPECTOR
�. BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Fbrms & Footings
Ducts
slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
_ UU
�,�
F.A.U.
Framing
— __0
Compressor
Insulation
_ , �J�
6'
Vents
Fireplace P.L.
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
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
�'J'
Pool Cover
Sewer Connection
(
Encapsulation
Gas Piping
Gas Test30
Appliance
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)
t
Sep 11 01 01:01p
Canaday Const LLQ
O
� O
t
760 564 8981
CIJ
s CITY OF LA QUINTA
CF"OF'TN�• BUILDING & SAFETY DEPARTMENT
777-7012
INSPECTION REQUEST LINE
777-7153
Owner CANADAY & COMPANY
Contractor CANADAY & COMPANY
Permit Number 0007-087
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-975 VIA TRIESTE
SFD- PLAN 20AR LOT 65 - PERMIT DOES
NOT INCLUDE BLOCK WALLS OR POOL.
ZSySTEM
F INDATE INSP.
& SETBACK
EL
D SYSTEMMBING �,OPOUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS &GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT • A/C
ROOF
-
BOND BEAM
�._� . ,; a 7
O.K. TO WRAP
POOL PRE PLASTER
GROUT ❑ 4' ❑ g'
POOL FENCE & GATE
FRAMING
_
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
__ 2.�
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK/
wZ/-C b 1lrr
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
JOB COMPLETED
TEMP POWER
; .t lm olF.Po j��% ?0 0r
ABOVE APPROVALS DO NOT INCLUDE RIGH TO
TURN ON UTILITIES OR OCCUPY BUILDING
p.2
_.�
Certificate.Occupancyfo
�.
City of La, Quinta
Building and Safety Department ��,oF11ti
r
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. For the following:
BUILDING ADDRESS: 78-975 VIA TRIESTE
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0007-087
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: CANADAY & COMPANY Address: 17480 E. 17TH ST. #106
City: TUSTIN, CA., 92780
—� By: RICHARD K. KIRKLAND
Date: 8/20/01
Building Official
POST IN A CONSPICUOUS PLACE +
�1=