0007-088 (SFD)LICENSED CONTRACTOR DECLARATION
I hereby
affirm -under penalty of perjury that I am licensed under provisions of
C'iiipter 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
91.6 0 B ' r .3-39�
Date %~ � ��Signature'ofContractor ���.'
� V
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).
O 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 3706'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 FR�.,�'tONT COMP INS Policy No. 3f1 11000..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
subject to the worke compensation prove o • of Sect%'o 3700 of
j _ .
Code„hsh;ll forthwjt comply with those pro_slO,ns. / .1A A
Date: I /i•r �Applic�ant �/ vl/ry t..
Warning: Failure t securi Workers' Compensation coverage is awful 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 9fi to enter upon
the above-mentioned property-fo'Cinspectiom urpo E S.
Signature (Owner/Agent) D: te'` „
BUILDING PERMIT PERMIT”
DATEJ/ / VALUATION LOT07` TRACT
$145,246.40 66 26152
JOB SITE
ADDRESS 21'�,�i37� '..:
APN
W-IL40-110
OWNER
CONTRACTOR/DESIGNER/EN (NEER
C"ADAY & COW ANY
CAt1ADAY & CO "Y
7 450.)? 171H Of. fil06
174.801x'. 17TH ST. ##106
'liJS'1 Y CA 92 790
TUS3`IN CA 92750
Q14)506.4440 CS18 4465
USE OF PERMIT
SINGLE 1+'/3W .•Y DWEIMG
SFD- PL A14 103 LOT 66 PUMIT 001 NaI' INCLUDE. BLOCK "WALLS OR
Pool..
i
TRACT CONSTRUCTION 2.427.00 SP
PC1RCH/PAT10 3 /x,00 SF
GAI7.&t1E!CARI'ORT ( 5,604:40
FS7'A.T.VI•ATED? COST 00 CONS'MUC170B
145,146.40
CONSTRUCTION .FU 101.000-41$•=000 4590.50
PLAN CHECK FEE 101.000-439-318 9663.93 'f
"
°OSIT - 101.000.439.31.$
_.
MIECHA[dIC:ALIEL , . 10! �-421-000 $90O
>yWTItICAL FEE • 101-000420-000 3$ 4S# QS
' PLUM.BINO FEE 4:101,000419=000 X$125.75
STRONC.i M-OTIOII IEE- RPAI]DI 101Ki00-zd1-000 $14.51
GRADING PEE 101-000.4.2� Od , ' . $20.00
� �
D A'1r1.C) 11t IMPACT ISE 51,907,00
AUG1��
XT
au
„p
SUB-TOTA!. C.t" NSTRUCWO14 AM) PLAN CI&CK
$3,712.24
I MP1tE-PAID. O ,
=$25'0.00
RECEIPT
DATE'BY
D� W /
o
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 Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final4Z�
BLOCKWALC AISPROVALS
Final
POOLS - SPAS
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
Sewer Connection
�Z�
Pool Cover
Encapsulation
Gas Piping
Gas Test
Appliances
4p�
Final
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)
COMMENTS:
147
Aug 30 01 09:02a
Canaday Const.LLQ 760 564.8981 p.2
F
' CITY OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
'SOF
n
71�t0 -
777-7012
INSPECTION REQUEST LINE
777-7153
CANADAY & COMPANY
Owner
CANADAY & COMPANY
Contractor
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS
SFD- PLAN IOB LOT 66 - PERMIT DOES NOT.
..-INCLUDE. BLOCK WALLS OR POOL.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN IGNED
CONCRETE SLAB_p a
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
FIREPLACE
. ,.
ROOF -
pBOND
BEAM
O.K. TO WRAPGROUT
"❑ 4' O8'FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL IN_�
EXTERIOR LATH
-
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING- A/C
HOUSE NUMBERS
JOB COMPLETED
•
TEMP POWER
611-za �� j
Certificate of Occupancy
Citydf La Quinta
Buildingand Safety Department
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:
Use Classification: SINGLE FAMILY DWELLING
Occupancy Group: 14-3 Type of Construction: VN
78-985 VIA TRIESTE
Owner of Building: CANADAY&COMPANY
.Building Official
Bldg. Permit No.: 0007-088
Land Use Zone: RL
Address:
17480 E 17" #106
City:
TUSTIN, CA 92780
By:
RICHARD KIRKLAND
Date:
8-30-01
POST IN A CONSPICUOUS PLACE