0106-190 (RER)LICENSED CONTRACTOR DECLARATION
Ir4i2re Irm under penalty of perjury that I am licensed under provisions of
S3hap1commencing with Section 7000) of Division 3 of the Business and
Profess) pals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
%t •'. . b' ,� :� { i^. S �� S is
12
Date � t Signature of Contractor-�-"l,��f ,, l �+•
164�
OWNER -BUILDER DECLARATION
1 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:
Cartier Policy, No.
CAL INT.s'EMO Y
(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 provisi 'In s.
,Date: 1 l Applicants Mj � i`7. C :V - ",i #,<Cs ^-
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) .+�+ Ds•,11� 0 ?1 /Ein to
BUILDING PERMIT PERMT/I
DATE .* VALUATION LOT ��11.!^� TRACT •
JOB SITE
APN
ADDRESS
OWNER
CONTRACTOR/DESIGNER/ENGINEER
PGAWFACTf" REZWHN*nA .. �A3SOC,I:Xf, 0H
DEL M a Z'ACOW GENMAL CXWMACTO .
LA QUDB':S::d _ O.A. 92253
SOLANA 1rX ACH CP. 92075
(1358y;92.15m) CSIx 51823
USE OF PERMIT
1��t°:krl fes? Ai�"�,°3f7
75.1.fid! uT. CiriAt.'l,Ir i PL
Z, ?iUJ1UD 0-,T- . TPZ 8 a LUNTAR
AI2�':�iiJYd.•+,w'46iC•�L,� ��.I M�9 �.i.bI�Y7 �i.�i�r�Bys.bA!�n. 0'
- - �itTt••[,IIOV'Y{%'�� •.
VISM�t� T Milt SUMMARY
301-000-416.000 1207,00
STRC3:,90 MOTION sr= • WIND 101 X400- 1 � 0 0
t
A"b PLJW C EMCs
T(Y)r L F.Pa D01rr FE'S D19F NOW
$1419.00
RECEIPT
DATEBYE/
DATE FINALED
INSPECTOR
INSPECTION RECORD
4 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. I ^nth
Finale
BLOCKWALL APPROVALS
Final
POOLS - SPAS
Steel
,Set Backs
Electric Bond
":Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Pibg. 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
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Law Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
.coke Detectors
mp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
W
/
U
N DAVE STEAVENS
Inspection Services
I PROJECT �L-Jk Z Es"'C - fZ 6 E&J D's
ADDRESS SS• 111; 15r3, f 3 �, 71 �
` BLDG. PERMIT #
ENGINEER ,�,J SA J (E . �� C,
Page (_ of I
PROJECT # co ! - O g .
CLIENT ?G a L.J E 5 i H o
DATE d `f A G, 2 v
ARCHITECT 6o t,Z A -A 2C q rre cxz,c t,
CONTRACTOR c L em A 0- PA
!. INSPECTION TYPE
INSPECTION REPORT •
iACQ K1 AJC �Ly &)AkUt3L -
I
!
I
i
ij
CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted,
0 substantially complies with approved plans, specifications and applicable sections of the building codes. This report covers
he locations of the work inspected only and does not constitute engineering opinion or project control.
CERT. NO. INSPECTOR NAME 1�J G S`f�,tl✓t,1J s
(Pri I ry)
DATE u G a dV1 INSPECTOR SIGNATUR-bo—JL—
i
Page- of
'
OAVESTRkVENS
Inspection Services
PROJECT �( A L_r r:E..j 3S PROJECT # .a v'C t . - O 9
ADDRESS �' •1 �� tS3, (3�, f1 �"' _,CLIENT'i!C6i1, u3EST nook
LA►J $ �a >Jeas DATE 2 Ay -G. ;Zoo(
BLDG. PERMIT #.. ARCHITECT oc.3 A AhZC"r 1-IXC-ruAE
ENGINEER ��►.�`l �rAJ�e� 3:aL CONTRACTOR T�Et mAst kc -t <<,
INSPECTION TYPE
' INSPECTION REPORT
• Is .moo Stan?e v3 _rTs,
. .., s44-Peu A- a js-7
' 1rc-Y-f► k I- t S. I j , f — �E
'Aet. T ruR 70 a -ie,
rl -i+ IL QA c. a A r_/3 T ~,
�arca� A ND f� C AT -rt c- ff 0-C►A ,AN � � z�+z l4y"7"� c.
Cozies of I?rl's A-r-rAc��J
.{
CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work; unless otherwise noted,
'{;substantially complies withap' ,plans, specifications and applicable sections of the building codes. This report covers
locations of the work in only sitd does not constitute engineering opinion or project control. .
CERT. NO. 096'? 3 YS • 5 1
INSPECTOR NAM
BATE o�c A K'(� .Z..GT� f PrY+tpwM
INSPECTOR SIGNATU
F ry
PGA -West Residential, Inc.
54-321 Madison
P.O. Box 1060 Phone: (760) 771-1234
La Quinta, CA 92253 Fax: (760) 771-5676
40ITLE: . Field Conditions - Plan Type 8
PROJECT: Legends Reconstruction Phase 1
TO: Attn: RHETT SAVIOE
DUNN-SAVOIE, INC.
908 S. Cleveland Street
Oceanside, CA. 92054
Phone: 760-986-6355 Fax: 760-966-6360
REQUEST:
Reference: Building Type 8 Sheet S6 & S.7
Item 1- 15/S7 6-0" (Bath)
Item 2- 15A/S7 104" (Den/Entry)',,-} r
YY
Item 3- 4/S7 10'-0" (Bath/Bath) Party wall
Item 4- 6/S7 8'-0" (Garage) Party wall
Item 5- 8/S7 12'-0" (Patio) Soffit
". . ,
Item 6- 4/S7 8'+ 8' (Family/tiving Room)
Item 7- 7/S7 6-0" (Dining Room)
Item 8- 5/S7 6-0" (Living Room)
Item 9- 5/S7 8'-0" (Bedroom2/M.Bedroom)
Item 10- 17/S7 6-0" (Entry)
REQUEST FOR INFORMATION
No. 00001
DATE: 8/16/01
JOB: LGD1
STARTED:
COMPLETED:
REQUIRED: 8/27/01
DESCRIPTION: These are the details that were reviewed at the jobiste visit 8/16/01.
Req idential, Inc.
'sign
eve girth
Expedition
Page I of I
W.West Residential, Inc.
1060 Phone. (760) 771-1234
'nnta. CA 92253 Faa: (760) 771-5676
ROJECT: Legends Reconstruction Phase 1
t _
TO: Del Mar Pacific
75-160 St. Charles Place
Suite #4
Palm Desert, CA 92211
ATTN: Craig Robinson. _
DATE: 8/20/01
REF:
TRANSMITTAL
No. 00004
WE
ARE SFNDINQ
SURK[TTED FOR-
ACTION
TAKEN-
❑
❑
❑
Shop Drawings
Lett.
Prints
❑ Appmal
Your Use
❑ As Requested
❑
❑
❑
Approved as Submitted
App --,,,d as Noted
Returned After Loan
❑
Change Order
❑- Review and Comment
❑
Resubmit
❑
Plans
1 8/17/01
❑
Submit
❑
Samples
SENT VIA:
❑
Returned
❑
Specifications
❑ Attached
❑
Returned for Corrections
❑
Other
❑ Separate Cover Via
❑
Due Date:
ITEM NO. COPIES DATE ITEM NUM 3ER
1 1
1 1 '
1 1
1 1
1 1
1 1
1 1
Remarks: See Fax Memo for Item #6
Expedition
#1
REV. NO. DESCRIPTION STATUS
DSI Detail Sheet 1 of 7 (Item #1)
DSI Detail Sheet 2 of 7 (Item #2,8,9)
DSI Detail Sheet 3 of 7 (Item #3)
DSI Detail Sheet 4 of 7 (Item #4)
DSI Detail Sheet 5 of 7 (Item #5)
DSI Detail Sheet 6 of 7 (Item #7)
DSI Detail Sheet 7 of 7 (Item #10)
i
PGAW Residential Association RFI #1
DSI Fax Memo
Signed: .
Steve Herthel
8/16/01 RFI
1
1 8/17/01
Remarks: See Fax Memo for Item #6
Expedition
#1
REV. NO. DESCRIPTION STATUS
DSI Detail Sheet 1 of 7 (Item #1)
DSI Detail Sheet 2 of 7 (Item #2,8,9)
DSI Detail Sheet 3 of 7 (Item #3)
DSI Detail Sheet 4 of 7 (Item #4)
DSI Detail Sheet 5 of 7 (Item #5)
DSI Detail Sheet 6 of 7 (Item #7)
DSI Detail Sheet 7 of 7 (Item #10)
i
PGAW Residential Association RFI #1
DSI Fax Memo
Signed: .
Steve Herthel