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12474l PERMIT APPLICATION 11111111111111111111111114o t . Department of Build ngnand Safety — IE — _ rmspCrnuruecomes void if work not commenced within 180 days from date of issuance, OR, if work has been suspended or abandoned for a period of 180 days. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division Sof the Business and Professions Code, and my license is in full force and effect. License Class Contractor Lic. Number OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's 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 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 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500.): O 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 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 improvemnt 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.). C I, as owner of the property, am exculsively contracting with licensed contractors to construct 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 C3niractor's License Law.). C I am exempt under Sec B. 8 P.C. (Attached Certificate). Date Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance , or a certified copy thereof (Sec. 3800. Lab. C.). Policy No. - Company C Certified copy is hereby furnished. C Certified copy is filed with the City Building Inspection Department or City Department. Date Applicant APPLICANT NAME (L F. MI) Riverside County Fire Station 32 A1D8+5136 Avenue -52 JTa °uria;P CA 92253 JOBame SITEADDRESS/SPACE CITY/COMMUNITY/STATE/ZIP BOK PAG PRCC TWN PING SE S TRACT LOT MOD SB TRACT NAME OWNER NAME (L, F. MI) CONTRACTOR -FIRM NAME ' ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE N LICNC N ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP , PHONE N LICNC N USAoirPERMI,T,Compressor installation Bl I I ZON FSB SSB SSB RSB OFC ZONE ORD N I LOT SZ END SIDE CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if the permit is for one hundred ($100) o, 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. Date Applicant NOTICE TO APPLICANT: IL after making this Certificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feel high. (Chap 3.2, Grp 2. Art 2, Sec341, Title B. C.A.C.) 0 As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from that division. O Division of Industrial Safety Permit No. Date Applicant CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address 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 county to enter upon the above=mentioned property for inspection purposes. Signature of Applicant or Agent Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that the information given is correct. I agree to comply with all state laws and county ordinances relating to buidling construction, and authorize a'representative of the City of La Ouinta Department of Building and Safety to enter upon the property for which I have applied for this permit for the purpose of making inspections. Signature of Applicant or Agent Date Print Applicant/Agent Name APPLNRMT j l 1� 0 0 8V (( VTE15' V 3 L' lect • . a.. V Permit for Wiring and Installation of Air Compressor TOTAL FEE None VALUATION ��rJU • �� Arrow Printing 250/1-83 White: Finance Canary: Assessor Pink: Applicant Tag: Bldg. Dept. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1• Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & Ducts 2A Slab Grade 35 Furnace Compart. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P.L. ❑ 43 Final 10A fireplace T.O. ❑ NON ADDITIONAL INFORMATION � 21-- � SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15. Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final Tank Pit L. Line ELECTRIC APPROVALS REAR OF PROPERTY LINE PSL P/I STREET NAME 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final ""III"' 41 IE Building 78-136 Avenue 52 Address Fire Dept. Station #32 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address P.O. $©v 1232 City Zip 7564-4351 La Quintan CA 92253 Contractor Same Address City Izip State LiaI City & Classif. Lic. # Arch., Engr., Designer Address CityI Zip I State I 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 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's 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 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 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 subjects the applicant to a civil penally o/ not more than five hundred dollars ($500). ❑ 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 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.) O 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. & P.C. for this reason Date 16 -7G/ _4; 7nwner �/-fpf A el -2K 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. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (This section need not be completed it the permit is for one hundred dollars (5100) 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. Date Owner NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 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.) 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 BUILDING: TYPE CONST A.P. Number Legal Description Project Description No. 12474 _OCC. GRP. Patio Cover Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $3,930.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. _+ Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTALm ...._ _ Ir d t1"- 2;21iW1r3eC REMARKS ``'`` t ZONE: BY: Minimum Setback Distances: Front Setback from Center Line ,f Rear Setback from Rear Prop. Line ' Side Street Setback from Center Line - Side Setback from Property Line FINAL DATE INSPECTOR ' Issued by: Date Permit Validated by:_ Validation: t CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS ? ROUGH PLUMB. BONDING Y ARD SPKLR SYSTEM 2ND FL. SQ. FT. p FORMS VS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP GAR. S0. FT. Q POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. ® GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN BOND BEAM WATER SYSTEM URINAL SO. FT. ® =$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRYTRAY AIR HANDLING UNIT CFM FIREPLACE 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 I 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 VS 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 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 I 78-495; CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 – (760) 777-7000 FAX (760) 777-7101 TDD (760) 777-1227 December 24,1997 County Fire Department Station #32 P.O. Box 1232 La Quinta, CA., 92253 RE: Patio Permit 412474 Dear County Fire Department The purpose of this letter is to inform you that your Patio Permit #12474, for the project at 78-136 Avenue 52, has expired.. In accordance with 1994 UBC section 106.4.4, no further work may be performed until a new permit has been issued. Please contact Daniel P. Crawford Jr:, Building Inspector I, at (760) 777-7012 to obtain any information you need regarding a new permit and/or any required inspections. Should you choose not to complete the project, we would then have to pursue any or all of the following actions: 1) Abatement of the project through the City Attorney's Office and Code Compliance Division. 2) Notice of non -conforming structure placed upon property profile. 3) Action filed with Contractor State License Board. Optional if Owner/Builder, Please contact us at your earliest convenience prior to 10 working days to resolve this issue, and for any questions you may have. Sincerely, Mark Harold Building & Safety Manager zaniel. Crawford Jr. Building Inspector I cc: file dpc MAILING. ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253�J r r f c Pt o rf t1f L(V'% -f CITY OF LA QUINTA BUILDING& SAFETY DEPARTMENT I CONDITIONALLY ACCEPTED FOR CONSTRUCTION SUBJECT TO INSTALLATION AS PER AND ALL APPLICABLE CODES DATE /0-29-93 Byo-oe� g� No -5ccA I -�) .�ec7rony! ox 00 1 T— , I SHEET a. + W4 -Srlld Z' X* 11 to VRI. 'o• c. S7-vtTto Q-778� L.Q. 61. C -Z, 42 IE CITY OF LA QUINTA BUILDING& SAFETY DEPARTMENT I CONDITIONALLY ACCEPTED FOR CONSTRUCTION SUBJECT TO INSTALLATION AS PER AND ALL APPLICABLE CODES DATE /0-29-93 Byo-oe� g� No -5ccA I -�) .�ec7rony! ox 00 1 T— , I SHEET a. + W4 -Srlld Z' X* 11 to VRI. 'o• c. S7-vtTto Q-778� L.Q. 61. C -Z, CITY OF LA OUINTA EUL n!I'�^ & SAFETY DEPARTMENT CONDITIONALLY ACf*,"E-P'€ ED FOR CONSTRUCTION SU`IJE-U! TO INSTALLATION AS PER AND ALL APPLICABLE CODES DATE BY Zx8�� J5P c%n ( 9 Eff.Vq.Tto.(ScALF Z - `„ Ret j�'Trrs .2 lle. 6 zxG" 5%cIq 79- 13G #of .S.2 L-0. 64. 9ZZs3 /ZI ZS,y FoClAdaT(o*' v Flat L4 r DATE . CITY OF LA QUINTA .T a4a & SAFETY DEPARTMENT CONDITIONALLY p(7,r:F�'FD FOR CONSTRUCTION M iNSTALLATION AS PER AND ALL APPLICABLE CODES BY Yi zl0"4.13 3"D,c." 2 ,ffx y" Trt.%Ted P(gTC Z �X Y 5 Tvd t4/0,11s Cordiet s T -l( Skee- lot( Cor-Aer5 -78-r36 Ave -S�Z L _Q . 69. 9 Z Z.s3 1} BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE i CONSTRUCTION ESTIMATE I ST FL. A10 SQ.FT. @ '2ND FL. SO. FT. @ POR. SO. FT. @ GAR. SO. FT. @ CARP. SO.FT. @ WALL SQ. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM ❑ FAN Cl EVAP. COOL ❑ HOOD APPLIANCE NO. I ELECTRICAL FEES UNITS T MOBILEHOME SVC. POWER OUTLET SWIM POOL. PVT SWIM POOL. COMM SIGN IIIIIII11111III11111Ilil 43 IE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER iAUT01 (DISH) GARBAGE DISPnSAI DST /I FURNACE Cl UNIT ❑ WALL Cl FLOOR ❑ SUSPENDED JOB ADDRESS pPNo -79—AW/J✓e 5 LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM Cl FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. UNITS SQ FT @ ¢ BATH TUB PERMIT ,rj SQ FT @ ¢ jj WATER HEATER SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE @ 'h¢ HOUSE SEWER PERMIT FEE MICROFILM FEE COPIES GAS PIPING MOBILE HOME PERMIT FEE Is MECHANICAL FEE PERMIT FEE PERMIT FEE 2 _PEgMLrjJO._ 8 U 7 4 TO FEE �� MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CNS .FEE �'t G DBL. ELECT. Fere DBL. SMI FEE FEE PLUMB. FEE DBL. J I F I M A I M I J I J A 1 S 1 O 1 N I D 74 JOB ADDRESS pPNo -79—AW/J✓e 5 JOWNER �[ 75 USE O PERMIT �,, Ge � � F.C. ? DATE � &oI7 P M N b 7 4 8 76 � � M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION f ISUPP.TO PERMIT Y MICROFILM FEE COPIES $ LEGA DESCRIPTION / t j j %2+ % --• /5-0- / © br-sc-114CA L, %�, Gf eVl J ?`% 5 MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRP TYPE IZY F.�b 5 © JS a'7S '0000 ��/ PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL.DATE I !PtfTOR CONSTRUCTION FEE DBL $ VO NAME OF CONST. LENDER BRANCH OFFICENO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION OWN /AGNT'S ESIG ATURE� �. ! CONTRACTOR INSTRUMENTATION FEE � pi of 5 'le, �0 it;C �! $ ADDRESS ADDRESS FEE �/� "7C: PLUMBING FEE DBL $ CITY f ZIP CODE CITY ZIP CODE /md�A i �)Fr� ."201 TOTAL FEES TEL. NO. TEL. NO. LICENSE CASH ❑ CHECK ❑ M.O. ❑ N.C. THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA ]j�_' ION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY f cry EES REQUIRED Q�'�""`��� I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC SEWAGE SYSTEM IT LL p AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE nir�i• ni-rr�nc is ni cr�l^i in nn nirccn I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) @L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.