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09267 (SPIN)P.O. BOX 1504 l . N o . 09267 -- Building 78-105 CALLE ESTADO 1 1C Address LA QUINTA, CALIFORNIA 92253,_ LLL»> Owner Clifford -T. e BUILDING;, TYPE CONST.-. • _' OCC. GRP. Mailing r� Address A.P. Number City IZIP Tel. sir�� Legal Description Contractor Project Description' �mi'9 X'a.e.•s.o�a o.. s = r Address _ City .. Zip Tela State Lic. City & Classif. Lic. # 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 ' I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and • .effect., _SIGNATURE DATE'S OWNER -BUILDER DECLARATION v Estimated Valuation I hereby affirm that I am exempt from the Contractors License Law for the following 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 i requires the applicant for such permit to file a signed statement that he is licensed, pursuant to PERMIT - - AMOUNT ' the provisions of the Contractor's License Law, Chapter 9 (commencing with Section. 7000) 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, Plan Chk. Dep. 4 subjects the applicant to a civil penalty of not more than five -hundred dollars ($500). Plan Chk. Bal• , •i r0-1, as owner of the property, or my employees with wages as their sole compensation,. will ' ••µ&the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.' ,l,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, Mech. +., provided that such improvements are not intended or offered for sale. If, however, the building ii .or improvement is sold within one year of completion, the owner -builder will have, the burden Electrical' of proving that he did not build or improve for the purpose of sale.) +f] I, as owner of the properly, am exclusively contracting with licensed. contractors to con- Plumbing. • struet .the project. (Sec. 7044, Business and Professions Coder The Contractor's License -Law - does not apply to an owner or property who builds or improves thereon, and whocontracts for S. M. I, such projects with a contractor(s) licensed pursuant to the Contractor's. License Law.) • Grading . O 1 am exempt under Sec. B. & P.C. for this reason r ; Driveway Enc. Date Owner 1 . •/ Infrastructure ft' ez�ft 441' Ynczp 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 •• ❑ Copy is filed with the city.. .O Certified copy is hereby furnished. TOTAL ! nn nn CERTIFICATE OF EXEMPTION FROM - REMARKS ? WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (S 100)valuation or less.) - • • - 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' Compensation Laws of California. X �+�y ireext+,4yysr�t4'_•� "�r�, Wn,t{� Dale Owner w,>ts+ y,rr.a.wa..a+�s w•W. mow. �r a_ �_.> NOTICE TO APPLICANT: If, alter making this Certificate of Exemption youshould become . ZONE: BY, ' subject to the Workers' Compensation .provisions of the Labor Code, you must forthwith' Minimum Setback Distances: . comply with such provisions or this permit shall be deemed revoked. .. _ - Front.Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCYSide 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 building permit 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 .�F ' S•,'� `+: k. , -s:'. '�"e.:S--'�_`zi. �i e ♦ r rs.f 'li Lt Jat`�ti }x �� F... 1�y r0.'s 5lu v' 'k +.,: Se +. i•.� •J ;y :- y. . ..rS ') �, re :+-�:.3.,.X .tif. tl �..-��W'r � - N - �K+>>_-h-.. `: dr., •ii"b� �., -wN, ys,,.-",��.icti"r=s t'`• r - -..... CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. 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 WAIIER PIPING NOTE: Not to be used as property tax valuation ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRYTRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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. SQ. FT. ® c BATH TUB BOND BEAM SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/. c SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR ® 3/.c HOUSE SEWER FRAMING FINAL INSP. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.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 APP./EQUIP. 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 �' _ � l,� � j l!�/ r Ii►"� ' REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL May 21, 1991 Mr. Tom Lyle 54-800 Obregon La Quinta, CA 92253 Dear Mr. Lyle: The purpose of this letter is to confirm the special inspection findings and results of your property located "at'54-800 Obregon, City of La Quinta. The code corrections found were: 1) Smoke detector ,to .protect .sleeping room, and 2) Ground fault interrupter receptacle within 6' of bath sink. Upon reinspection of the above items it was found that the corrections were .in place per code. "ter Thank you for your attention to this.matter. Sincerely, BUILDING AND SAFETY DEPARTMENT Tom Hartung Director of Building and Safety Mark Harold Building Inspector II MH/lc MAILING ADDRESS P.O. BOX 1504 = LA QUINTA, CALIFORNIA 92253 78-105 CALLE ESTADO - LA OUINTA, CALIFORNIA 92253 - (61'j(24: i April 4, 1991 Clifford T. Lyle 54-800 Obregon La Quinta, CA 92253 Dear Mr. Lyle: Upon completing the special. inspection requested by you at the above. location, the City has determined the following`regarding your guest room. 1. Current Building Code requires a smoke detector. 2. Receptacles within 6' of bathroom sink must be GFI protected. 3. All setbacks are in place and in accordance with City standards. The above violations (points 1 and 2) are -very important with regard to life safety, but could be corrected at minimal expense to the owner. If you have any questions, please do not hesitate to contact me. Sincerely, BUILDING AND SAFETY Tom Hartung Building and Safety Director Richard Kirkland Building Inspector II RK/lc MAILING ADDRESS - P.O. BOX 1504 - LA QUINT"r LIFORNIA 92253