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9608-068 (AR)U I— N Cl) r W C) L.J T W P 1OI•i W w CL C0 Z 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 3f1i.7+lti � �/3G°►y Date" + Signature of Contractor f 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 e� npt rider Section B&P.C. for this sore ,Date 114 s Signature of Owner l'i:fa ORKER'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' compehsation insurance carrier & policy no. are: Carrier- Policy No. `, rx m;'EVNC) 129-91 (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 provisions. Date: Applicant Warning: Failure to secure Workers' Compensation 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 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 for inspection purposes. Signature (Owner/Agent) Date ,.� , - BUILDINGPERMIT PERMIT# CONTROL# ��A�,n. ,►�, 3 91 8 DATE f�i,��i��l VALUATION LOT TRACT JOB SITE ADDRESS 49-64,) VISTA 13ONITA APN 773�`(IU55 OWNER CONTRACTOR /DESIGNER ENGINEER 1 1 1 7/ r ( 1( t/1jy{ 49t4t1VENIDA ``I:--,d}\ BON1 P.0. 1540 I.A, t;iUIN'1'A ('A 92i53 f A ()ufmrA CA 92 141 �)i)liti•-<iri54 iid4�Ci.1d1U53 f:.'.BI..� 1.ki) USE OF PERMIT 118 144 1(:s•)'l' +1i11)I`I I+':�II'C<:) l.1VIlICr AM) IvlAST.l"Jt BEDROON4, Ar)�) MA3c)NVX ,a791) i7F:N-K).1TL BAT1)rtt)OM..5 r�Nt??�i'i't.tif?N. i _r:"; f'f")R "TI(?N 17T.I:ti471'IzICAL, PIATl Vfi'I(r, A11T:) ` IECII 7141Cra L WE-J:! ,11+: 17LBLED MR 1JIBC 107 • +.1, 1rA1.XA,r1,,w 50,00 00 i.S 1'F;IttMIT FEE SUMMARY I'L:,01(IfflwCK V111. 10I -T1C-139-31.8 $269:13 ('CA4 S'(RLJ4*1­11(')N 1-7:C; 101-000-418-000 &114.5o - M-711ANICAL F rU-, 101-000.42.1_000 10,30) TSI.IsI"I'R'I(:°i1i. I F°li Il)l 0tll).:} `U-f100 r3..63 C0 I'l.t!t1)53115<:i I Ll? lr?i (k3{1- t t9 00Ik; 3�,�0 CI STG-h][i Mi:i f [0114 I F ti - W1,1A ? 101-0W-2,11-(M INVESTIOA110I1 FEW 101-000-4234") rn c-2 a f C3 l � SUB-'CMAL (' O NSN RUCTION AND IILAN i;.`.I*.C1K LESS; PRI-AlA.TD I [1,S $0.1.'I) 1'OTAL P i#I!UT FEES Dtill. '.°IOW $1,381.69 RECEIPT DATE 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 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 Q Final Final BLOCKWALL APPROVALS steel POOLS - SPAS Set Backs. Electric Bond Footings Main Drain Bond Beam Approval to Cover y/.r ex o " ldsr // Equipment Location Underground Electric Underground PI . Test Final I 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 Gas Test Appliances 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: �E//�> GflA e7/177(1f-i•�j�L J April 22, 1996 ' John D. Leland, Jr. r 735 Second Avenue San Francisco, California 94118 ; Re-.. 49643 Avenida Vista Bonita Dear Mr. Leland: r Your Architectural Variance dated April 5, 1996 has been approved with the follyring w stipulatiorn(s): • All work shall be done in a workmanlike manner by competent and licensed professionals. • Actual modification must conform to the plans and specifications submitted and approved. • All work is, to be incompliance with local building codes and ordinances. + Any damage to the common_ areas resulting from this modification and its construction will' be repaired at your expense. • Contractor must provide the Association proof of worker's comp., liability and auto insurance , prior to the commencement of any work. • You or your contractor are to provide a list of names of the workmen for the security guardsat the Mazatlan Gate. • All construction debris is to be removed from the site by the close of each l to maintain order and retain the aesthetics of the Santa Rosi Cove. • All electrical wiring must be contained within approved conduit painted to match the surface it contacts. A copy of your approved variance is enclosed. Please contact the Association Office when your r . modifications are complete. If you have any questions, please do not hesitate to ccntact the office at the number printed below. S {r Pamela Neff Hopper Association Manager THE SANTA ROSA COVE ASSOCIATION Ypnh Enclosure . xc: Barrile Construction , • FileS f 4g-991,CisrnhnWrr 1,a Qllinla. Califurnia + (619) 1:7.I611 '(6 14) �7-A1\T 1 A Mailing 4ddrOW ROSACOVE ASSOCIATION 1100 Office Box IN 10 Pain Oeser1. caufi,rnia 1.422-)i -•BARRILE'CONSTRUCTION 8- P.O. Box 1540 La Quinta, CA 92253 Lic. #378318 (619)' 56470053 '1 n C .� � Pros r RE P:4 c:. vu ' /� ''r�.�.y 1� i6CA-T���/S �. �-.�l�r�T�aD . • �`�� • �l��tr1 ��, i � G- . �£���T-I`�:zNT °t�0� � - ' Z , i.,�I? pS£.: 0-r1 "nf6- bJ P1SEgf2:L 0-T1v: Sl f Jos t'f rt -o r . A�.b 4',r A �vG� l o �4' •Grp -C- �� . �G��.�F G�NG'�S . �-R� ' . .: •. l' AM 111F {�(Z;�1'tA�-�S . •G �'h�,ro;J(,.sl,S �-t •�, �,` � C.t,�lt.(�:£*�v" � ''�M�o ��L. u 'AUZPaoA /;mss Iha� �b GBG S aAle �: � pev s���� . l�i�/s'�£GTt��es; r �-�-G-� , �-�• ��;LL • �'.V?�A� , � r `. BARRILE CONSTRUCTION P.O. Bax 1540 ',La Quinta,CA 92253 Lic. #378318 (619) 564-0053, r iU ��- ��r 13- G� 1.1 S '�"� . W , �- rC Q 4.� � Q o+�' f •� . Q� � , Go nl s 1-7-l2 a C-r'l 0 a �. S', iv c LK K 40.0 �w y ow s�Gw-T �f rx- !.L L?u e-�} L l46 H 'ASN GL- 4n4S O �J9'fN£Q ' 915 pu. vo L v i,$ .101/2 m I!; V O AJ i a 'Tl L: J )CI7�t�2 �t//� "4 W &DiZ K HAS, �3 SEA) RMfi-,Q Gn!v►,o�2o,�sz, y -ll -1- POs �,?awl PDLL 0,W/N 6- !9'T.,, MOST ; Do 7tq0tC AJ.5iP' . . !IUV��. U �:s . (,v�R.l•� �'�.��2wi-t.0 �re:r o� .� ��i� - . D l Grl n� L /22 c v 4-1- Q t M o VL Pk itm6l v6- '/AJ /j'I /? s T /�j�y- / ,C D 71,W - 'd}A-T . AS Av Eck • : wi %Z a /� y .. ©P ; J,<- S >~ l .Q nfG- 6-kt4 s5 Al tkt eQ £,Q : W &Ra tL a e t14' f�i Av 1,S tf 0 PSN i vG 141A W l L 1a S 0 Cooc7 8 -OC 94Y Rc,<Po,"s /a14t 7-y BARRILE CONSTRUCTION P.O. Box 1540 La Quinta, CA 92253 Lic. #378318 (619) 564-0053 r�-5 ok ! N 5-'-' . /A A TTic 64/4 /Ns tl -.4 AT f -�/tet � � was �B-�Ji4`,'. )4-6 A'1 �u At .✓mac-T c> i"L (S 7b /3 i9-�3 _ izD. Pre.oP £,e c, y P /2oV TO /or t/toll��`� , ��✓S7'"��LQ 7-A r t cam- 10 A/ Pa o02 `f ! f /NG- /ft), . 4�2 COAJ,d .7r/0AXf /N(.1QI- �1i9'S W,e6 77 /r)- . . A )0'* 4 A /.D yv T PRv P�:2 L�'l Y ( S 7-(A-) 6- COA-) l T! v nJS /S iG1c1� s 2 rY M y �. SJ4D A) ItA-+D rCnJ A-P P A-A),4 C17Gyg ink 7`'` G� .l • � �'xZ, r.G LTI� �,�. L _ /��L N-hJs �J (.9 � /�- , �J �� � .Lc� �i,J�2 . • x 5: '3 G 'a ;i+>s�efi�."t. *1P'1V:Y :?,-�V. -� r,;, ;; t-11 n a RIPf/ EARTH SYSTEMS CONSULTANTS: SOUTHERN CALIFORNIA 79-811 B Country Club Drive Bermuda Dunes, CA 92201.• (619) 345-1588 ,�ueraj e Paler K �a prp �d Client' Address . t Client,,Phone . DATE -T OB NO. PROJECT LOCATION , CONTRACTOR ' OWNER WEATHER :TEMP. o at C at AM PM PRESENT AT SITE . a,,g ocJ 0-614 14 THE FOLLOWING WAS NOTED: TURE f FIEF.