The URL can be used to link to this page

0007-186 (SFD).,-_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 7 Jt151 1� > 0/31/2(. II / /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: Carrier STATE COMP INS FU. Policy No. IS424S"140 (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' compensatio�t proo f eV 700 of the Labor Code, Is all fo Fiwith comply withose Povlslo s. 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. ° n 1. Each person upon whose behalf this application is made & each person af:<a whose request and for whose benefit work is performed under or pursuant io 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 authori a representatives f this City to enter upon the above-mentioned property•for Ins��ection�t�ypos�. Signature (Owner/Agent) ; ��/��` +13� , Date J BUILDING PERMIT PERMIT# DATE Q VALUATION �% LOT' 0007-4.86 TRACT r $138A90.70 14 , JOB SITEi APN ADDRESS 51•-291 AV.NIDA OB C�CDN 77.$ -MI -014 OWNER CONTRACTOR/DESIGNER/ENGINEER MR R1C&4RD 8C�i1 f 1±0R111Wr. r_30L1TKVEiM 1' S1,i71tWPM1.1`lr P O BOX 10612 17-564 A COL7N7fRY CLUB DIt PALM DE91MT CA 92211 PALM DEIMRT CA 92211 (760)408-3495 C.f3V$ 0133 USE OF PERMIT MW LE- FANGLY i3WMJ"O SVD . PERMIT .0OF-9 NOT INCLUDE SIZI :K'SgJALUPOOLIDRIVEWAY APPROACH TRACT CONSTRUCTION 2352.00 SF PORCH/PATIO 122.00 Sr GARAGE/CARPORT (t4F) 9,368.90 ES XW ATMU COSI' OF CO. CnON ITT I'EE 9U.6CdARY CONSTRUCTION FEE 101.000.418-000 8776.00 P" -N CHECK FEE 101-000-439-318 $634.143 ME DEPOSIT 101.000-439.318 4250,00 MECHANICAL ISE 101-000-421-000 $60.00 ELECTRICAL FU 101.000.420.000 5140,35 PLIUMBINO FEE 101-000-419-000 $118.00 STRONG MOTION FLS- RESID 101.000.241,000 50,07 GRADING FEE 101-000-423-000 $26.00 DEVELOPER IMPACT FEE PRECISE PLAN 101-000-441-345 $100.00 F i� HTB -TOTAL. CONSTRUCTION AND PLM CHECK $3,7E9.65 LESS PR `�-T'1>atd 1 -�2;;0„Ofi �� 'TOTAL PES' FEES DUE NOW 8 LOoo SEP 2 g ,519.E ,. q. ftir-� t ' RECEIPT DATEC_ en By jtaj/(/q DATE FINALED INSPECTOR M INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs f Underground Ducts Forms & Footings I Ducts Slab Grade Return Air Steel t Combustion Air Roof Deck } Exhaust Fans O.K to Wrap I F.A.U. Framing { Compressor Insulation I Vents Fireplace P.L. I Grills Fireplace T.O. I Fans & Controls Party Wall Insulationt Condensate Lines Party Wall Firewall I Exterior Lath 1 Drywall - Int. Lath i I f 3 Final Final I BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs I Electric Bond Footings 1 Main Drain Bond Beam I Approval to Cover I Equipment Location I Underground Electric i Underground Plbg. Test Final ; Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines i Heater Final Water Piping I Plumbing Final 'Plumbing Top Out Equipment Enclosure Shower Pans { O.K. for Finish Plaster Sewer Lateral } Pool Cover Sewer Connection I Encapsulation " Gas Piping 1 Gas Test Appliances I I Final I Final I , Utility Notice (Gas) I ELECTRICAL APPROVALS Temp. Power Pole } OD Underground Conduit Rough Wiring } Low Voltage Wiring 1 Fixtures ] Main Service 1 Sub Panels 1 Exterior Receptacles I G.F.I. { Smoke Detectors Temp. Use of Power I i 1 Final Utility Notice (Perm) I COMMENTS: _ - P.O. BOX 1504 Building / /'� tj/J 60 N 7UINT CAE CALIFORNIATAMPIO Address 1 lJf'�C.t9:(J LA QUINTA, AORNIA 92253 g Address ,O, Soy I G 01— Addre I y Zipl I Tel cz�an Dkcw+ I I 2255 Contractor AJ,� �,�. Ci&WQ5+, ' 5 X4140 \ Address 17,5&k4 CDufyt '/v . Sot ts 11-5 Ct� ZI 1^+ Tel Lic. GCity & Classif.6 Lic. # Arch., Engr., Designer L Add, s -f k,W i Q�,4. � Tel ty Zip State �f ;!A) Lic. # LICENSED CONTjt_ACT R'S D LAR N I hereby off rm t at I ar�.pcensed �derr 0 o sions of Chap r commencing with Section 7000) of Div io , of tlr6 fVLsiness �d/PFo sions , e, a m liMse.isLin full force and OWNER -BUILDER DECLARATION I hereby affirm lhat,l am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5.Susiness and Professions Code: Any city or county which requires a permit to construct, atter, improve, demolish, or repair any structure, prior to 'its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant' for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1'.11 , 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, Bulsness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) 1'1 I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 1 am exempt under Sec. B. 8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company - r7 Copy is tiled with the city. ❑Certified Copy is hereby furnished. ' CERTIFICATE OF EXEMPTION.FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I I certify that in the performance..of. thg work. for which this permit is, issued, I shall not employ any person in any manner so as,to become subject to the Workers' Compeq�sation Laws of California. — — . ' tI Date Owner - '" .''" M. f NOTICE TO APPLICANT: If, after making this Certificate of Exemptlonwyou should b ' a subject to the Workers' Compensation provisions of, the Labor Code, you must fort with comply with such provisions or this permit shall be deemed revoked. * ; W .CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending'agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above. mentioned property for inspection purposes. Signature of applicant . Date Mailing Address City, •State, Zip APPLICA BUILDING: TYPE•CONST. OC ^� A.P. Number ` ,— 0 /� Legal Description l -A � � . oey_ ,4c �) (A 1+ 4 Project Description Oil ,... —J i=rz.. ` ZONE t" i BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line ey T r FINAL DATE t' INSPECTOR ' Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Sq. Ft. �^7 ] No. ( No. Dw. Size 7 1 Stories Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT > J% U AMOUNT Plan Chk. Dep. \ / 7 -� �� , 6111-4 f Plan°Chk. Bal Const., Mech'/ Electrical Plumbing S.M.I. Grading Driveway Enc. " Infrastructure 1 TOTAL LREM`A"k�KSA• ,r ` ZONE t" i BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line ey T r FINAL DATE t' INSPECTOR ' Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION r COPY 4 . PLA1V CHECK: CORRECTIONS DATE:. 7/22/2000 PERMIT #0007-186 JOB ADDRESS: 51-281. Avenida -Obregon CONTRACTOR. Northwest - Southwest PLAN CHECKED BY.- Daniel'P. Crawford Jr. Dear Mr. Scott,. The plan reviewfor'your single family dwelling has revealed a development requirement that will not allow me`to proceed with: your plan check Your triangular, ;`shopedaot (measuring [99.49'x 137.63 7/2 6,846 sj)exceeds ,6, 000 sf requiring, per LQAMC9.15,0.060 Table 9-11, a third car garage to be constructed`on.your property. (copy of the code is attached) For the Purposes of considering a bedroom the LQMC def nes a bedroom as.any habitable room that may be used for sleeping purposes other than a kitchen, bathr,6gm,`hallway, dining room, or living room. The;proposed Den is considered as a bedroom when considering the minimum requirements for parking `Please collectyour plans and address'ihe above;r.'.equarement' If I may.beAof any further assistance with identifying the minimum requirements for your proposed plans please -call me at 777-7027, thank you. Certificate of Occupancy o f La Q u n: to Bu."ildn and Safety Department This .Certificate `issued'.pursuant to the requirements of Section 109 of the Uniform Building Code; certifying Ghat, at the ime of issuance, " this structure was in compliance with `the various ordinances o'f the City-. re uloti buildin construction or, .use. For the : fol/o,wing: - B'UILDI;NG ADDRESS;. 51-281 AVENIDA OBREGON Use Classification. SFD' Bldg: Pe rmit No.: 0007.- .1$6 Occupancy Group: R 3 Type of_ Construction: , VN Land Use Zone: RC" Owner of Building: RICHARD SCOTT Address:: P.O. BOX 1.0612 City: PALM DESERT,. CA 92211 By:" STEVE TRAXEL �l e%_t Date: 03-29-01 Building Official POST IN A CONSPICUOUS PLACE