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11722 (SFD)
� - �. Pr� '• i I j� � ♦ •I�• Qu ♦i••II Tt u�t� iI i:Llt�tl� ��. � ♦ 1 � ♦ ♦ ♦ �tSP tk�t ton � I II I I '! lit I � I II: This` Certificate issued pursuant to the requirements of Section 306 of the Uniform Building! Code certifying that at the time of issuance this structure was in compliance with the various j jli ' ordinances,. of the City regulating building construction or use. For the following. '- 54-805 Obregon BUILDING ADDRESS g. I i . I ; Use Classification Single Family Dwelling Bldg. Permit No. 11722 I j I Group R3 Type Construction VN ' Fre Zons Use Zone SR til iii i : i iI� •I R. Vallin 2069 Guizot Street Owner of Building Address ` i i . ' City San Diego, CA 92107 Lonnie Day I. BY; Dote: August .19, 1993 ' Building Official— Pas T IN A CON'S'PICUOUS PLACE — — _ P.O. SOX IN4 71si05 CALLE ESTADO LA OIIINTA, CALIFORNIA 92253 Contractor Owner Address Job -Address La Quinta City License No.: Expires: Bldg. Permit No.: This form shall be posted on the job with the Building Inspection Card and it shall be the duty of the General Contractor or if Owner -Builder Permit, the owner to see that all sub -contractors sign this card, giving his City of La Quinta Business License Number, Contractors License Number and a current certificate of Workman's Compensation Insurance Certificate when he starts the job. Failure to comply may cause Building Inspectors to stop work, or complaints to be filed against such contractors or owners. CITY CONT. SUB -CONTRACTORS NAME LIC. NO. EXPIRES LIC. NO. EXPIRE: 1. 2. 3. 4. 5. 6. 7. S. 9. L0. Li. L2. L3. L4. L5. L6. L7. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. Grade.& Excavate Pipelines.. Cement -Foundations Cement Walks i Drives Asphalt Paving Framing Steel Structural 9 c� Masonry Plumbing $ 9 Lathing Drywall Plastering HVACE2UlC� Electrical 13ea Roofing Sheet Metal Floors -All Types Glass - Glazing Insulation/Weatherstrip Sewage Disposal Painting/Decorating Tile Cabinets -Installations Ornamental Metal Fences/Blockwalls Landscaping Others "10IRTOVA ,• ♦MY40 DO NOT REMOVE THIS CARD Before Final Building Inspection Will Be Made 'T'F1i•e Fnr!+t Mlist qn rcmnleteo! and r'..1ori tqi}►, t+�i�lo )1 r`�I ' P.O. BOX 1504 N O . 11722", Building " 78-105 CALLE ESTADO 4 - Address 54r:805 ' ©bregon LA QUINTA, CALIFORNIA 92253 " Owner t R. Vallin Mailing BUILDING: TYPE CONST.- OCC. GRP. Address 2069 Guizot St. A.P. Number City Zip Tel. z,. . '�:• 774.293— San ' SaDiego,gip, 92107 '22'386628Legal Description Contractor Project Description Finish work. residentiieal. Address- . 2068 HI� Guizot St. CityZip Tel.: Saxe Diego, CA 92107 221-0344 State Lic. City & Classif. 31018-9-B Lic. # Sq. Ft. No. No. Dw. ` Size - ' Stories, Units Arch.; Engr., Designer Steve Jones/Chateau Development New Add ❑ Alter ❑ Repair ❑ -Demolition ❑ , Address Tel. , 616 D -t- Arlington Ste. 1:6 3276749 CityZip State N116-1-1,ownd.r%contractor changes Riversidep In, 92504 Lic. # _ ' LICENSED CONTRACTOR'S DECLARATION _ • ,. - r I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section r. a 700 0) of'D i ision 3 o4the Business an Professions Code, and my license is in full force and .effect. ( (y,r +.._.� �y SIGNATURE `: -i ✓ DATE .. _ - _ _ •:,r , - OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following (� j! 4 O Q 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 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 r - 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. subjects the applicant to a civil penalty ofnot more than five hundred dollars ($500).' -Plan Chk. Bal. • ' ❑ 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, Buisness and Const,,, 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. e.mployees, Mech 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 Electrical' of proving that he did not build or improve for the purpose.of sale.) - - O 1, as owner of.lhe property, am exclusively contracting with licensed contractors to con- Plumbing • 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 S• M. I'; - - - such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) • - - ❑ I am exempt under Sec. � B. & P.C. for this reason Grading Driveway Enc. Date - - 'Owner Infrastructure WORKERS' COMPENSATION DECLARATION _ t Ihereby 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 O. Copy is filed with the city. ' ❑ Certified copy is hereby furnished. - - TOTAL'" CERTIFICATE OF EXEMPTION FROMREMARKS '.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 thg work for which this permit is issued, I shall not employ any person in any manner so asto become subject to the Workers' Compensation Laws of California. Date'_ �`y.?Owner Fi�"r'ysti�? NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should 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 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 Coda.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR 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. 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. PUTMBING FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO, FT, @ CAR P. 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 SLAB GRADE FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM. FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROUGH WIRING. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM LTEMPSE KITCHEN SINK ABSORPTION SYSTEM B.T.U. PERMIT SVC WATER CLOSET COMPRESSOR HP EM/PERM LAVATORY r HEATING SYSTEM. FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ® c BATH TUB WATER HEATER SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/. c SEWAGE DISPOSAL BOND BEAM SO.FT.GAR ® 3/ic HOUSE SEWER GRADING cu. yd. $—P lus 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 APPJEOUIP. •REINF. STEEL GAS (FINAL) MP. E Apse 1.9P aunt, GROUT WATER HEATER -41 SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $—P lus x$ _ $ LUMBER GR. FINAL INSP. ` q3 (10 FRAMING FINAL INSP.a— JCj 3 �/J p // S / 3 / �,r ROOFING r_ 7 �7 G13 L.b �J REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH t INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL av i a - .c . a CITY OF LA OUINTA �•a, ~ a DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 24-HOUR NOTICE FOR.IS ECTIONS Owner R. Valli n Contractor Harris Nieusma Permit Number 11722 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOBADDRESS 54-805 Obregon Finish work ' TYPE OF INSPECTION TE INSP. FOUNDATION & SETBACK FOOTING STEEL MAIN GROUND SYSTEM GROUND PLUMBING PRE-GUNITE _ DO NOT POUR CONCRETE UNTIL ALL ABOVE NAS BEEN SIGNED CONCRETE SLAB JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST HEATING & VENT -A/C FIREPLACE ROOF BOND BEAM O.K. TO WRAP GROUT ❑ 4' ❑ 8' FRAMING. INSULATION PRE -ROOF COVER NO WORK UNTIL ABOVE HAS BEEN SIG DRYWALL INTERIOR EXTERIOR LATH POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK FINALS ELECTRICAL / 4.V PLUMBING FINAL GAS TEST HEATING - A/C HOUSE NUMBERS 11> JOB COMPLETED TEMP POWER ABOVE APPROVAL DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING are8