10716 (RPL)P.O. BOX 1504 1 No. 10716.
Building 7&105 CALLE ESTADO
Address 54-605Ave • 0breg®n i LA QUINTA, CALIFORNIA 92253
Owner
David Roes Miller
Mailing BUILDING: TYPE CONST. OCC: GRP..
Address P. U. Box 722
A.P. Number •
City Zip Tel.
LaQitfar�a 92253 564-5823 Legal Description
Contractor �`0
Pacific Trades
Project Description
._.
Address.
same
City Zip Tel.:.
State Lic. City
& Classif. B425381 Lic. # 1955 Sq. Ft. No. No,'Dw. '
Arch.; Engr.,' � .. ..
Size Stories Units
Designer - _. - New ❑ Add ❑ Alter ❑. Repair ❑ ' Demolition ❑
Address Tel.
City Zip State `
Lic. #
LICENSED CONTRACTOR'S DECLARATION ~
1 hereby affirr(�nm that,lzam licensed under provisions of Chapter'9,(commencing with Section
7900),of D Jisldn 3 oft the Business andiProfessions Code, and my4 cense Is in full force and
effect•_�y1
_SIGNATURE '�L DATE
I hereby affirm
OWNER-BUILDER DECLARATION _
Estimated Valuation .8 0 V 0
that I am exempt from the Contractor's License Law,-for the following 'b
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which -requires a - -
permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance also -
requires the applicant for such.permd to We a signed statement that he-Is'licensed pursuant to �PERMIT' AMOUNT S
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section •7000) of -
Division 3 o/ the Business and Professions Code, or that. he is exempt, therefrom, and the basis Y -
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep.
subjects the applicant to a civil penalty or not more than Ove hundred dollars.(8500).' -
O 1, as owner, of the property, or my employees with wages as their sole compensation, will Plan Chk.. Bal: 64.35 4,35
do, the work, and the structure is not intended or offered for sale. (Sec: 7044,. Buisness and Const. ' ^ } e
Professions Code: The Contractor's License Law does not apply .,to an. owner of property who - - _
00
builds or improves thereon and who does such work himself or. through his own• employees, -♦
provided that such improvements are not Intended or offered /or sale: I/, however, Mech 1 0.O
the building e
or improvement is sold within one year of completion,. the owner-budder will have the burden Electrical 31�.P"tl� -
of proving that he did not build or Improve for the purpose of sale.) . ,
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con•. Plumbing 24.80
Strutt 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 S.M,I, - ;r
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) • -
• O I am exempt under Sec Grading B. 8 P.C. for this reason -
Driveway Enc.
Date Owner ` Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self- insure;''or a certificate of
Worker's Compensation.lnsurance; or a certified copy. thereof. (Sec: 3800, Labor-Code.) . .T ... 1
Policy No. Company•-
Li Copy is filed with the.city. ❑ Certified copy is hereby furnished.
TOTAL 239.15
CERTIFICATE OF EXEMPTION FROM.. __REMARKS.- .
WORKERS' COMPENSATION INSURANCE ' ' `
(This section need not be completed if the permit is for one hundred dollars ($100) valuation - • - • or less.) - -
I certify that in the performance of the work for which this permit is Issued, I shall not - jlt'i'rv4 any;,, AA 9-K 9i-•M.' :-•,'n,"' e`�'% -
employ any person in any manner so as to become subject to the Workers' Compensation: - ,.•�, - c.naf r s c ws ns.. .c• , +.
Laws of California. `
Date Owner
NOTICE TO APPLICANT: ff, after making this Certificate , of Exemption you should become -ZONE: BY:
subject' to the Workers' Compensatiori provisions of the Labor. Code,. you must forthwith,
comply with such provisions or this permit shall be deemed revoked. .. -Minimum Setback Distances: -
Front Setback from Center Line
Rear Setback from Reay Prop. Line y
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
I hereby affirm that there is a construction lending agency for the performance of the -
work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line
Lender's Name
Lender's Address
This is a bulldingpermit when properly filled out, signed and validated, and Is'subject to FINAL DATE INSPECTOR
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: Issued by: , Date Permit
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. Validated by: -
Signature of applicant Date
Mailing Address ; Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO, FT. ®
CARP. SO. FT.
WALL SO. FT. ®
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK .,
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET`
COMPRESSOR HP
POLE,TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
/% , (�
ej r
/ ���/9� P_ l`
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//�
SO.FT.GAR ® Vic
HOUSE SEWER
VENTILATION
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
Cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
/% , (�
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/ ���/9� P_ l`
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//�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL %
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
4
78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
FAX (619) 564-5617
May 26, 1993
Pacific Trades
P.O. Box 722
La Quinta, CA 92253:
Dear Mr. Miller: -
It has come to the attention of the City of La Quinta Department of.
Building and Safety that your building permit number 10716-at 54-
605 Obregon has expired.
According to the Uniform Building Code, Section 303(d), no.further
work shall be performed on the above permitted job-site until a new
permit has been issued or an extension-granted. An extension of
this permit can be requested in writing within 14 days of the date
of this letter.
If a final inspection has not been .requested due to an oversight by
either yourself or your contractor, please schedule that final
inspection within 14 days to resolve thin matter.. Failure to do so
will result in further action by the City.
Please contact me at your,earliest.convenience. We appreciate your
immediate attention to this matter..
Sincerely.
BUILDIN AND SJftTY DEPARTMENT
Lonnie Day -
Building Inspec or
kt
Attachment
MAILING ADDRESS P.O. BOX 1504 LA QUINTA, CALIFORNIA 92253"