SATT (9710-031)78407 Magenta Dr
9710-031
LICENSED. CONTRACTOR. DECLARATION,
I herebyaffirm`under penalty of. perjury.that I am licensedunder provisions of
. Chapter' 9 (commencing with Section 7000) of Division 3 of, the Business ands
Professionals Code and my License Is in. full force andeffect. }
License # b .} j
: / ' s Lic. Class • Expf Dace i
t
J J r . s
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ate ri' Signature of.Contractoi
-.OWNER-BUILDER.DECLARATIO N',
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
saiOSec. 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). V ;
I am exempYunder Section °` .'b&P.C: for,this,reason "
Date ' ` Signature. of " Owner
z 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'
I as provided' for by Section 3700tof the .Lab'or"Code, "for -the
performance of the.work for which this permit'is issued.
( ) I, have "and.will :maintain workers' compensation insurance as required by.
Secction•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., `Policy -No:
.(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' compensation provisions of, Section 3700,6f the Labor
.Code; I shall forthwith cpp ply witnfthos e provisions: U kl,
Wairining:'.Failiure
P
/C_ A licant "j1 / ecure Workers' Compensate coverage' is. unlawful and
shall subject"an employer tocriminal,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 fee`s.
IMPORTANT Application is hereby made. to the Director of Building and. Safety
for .a;,"permit subject."to''the. conditions and • restrictions set-Jorthon' his
application.,
1.: Each person. upon whose behalf this application is made &each person at
whose request and for whose benefit work is' performed under or•"pursuant to
'any permit issued as.a,result of this applicaton"agrees to,' & shall; indemnify,
& h"old'harmless the City of. La Qulnta,- its .officers, agents_ and employee`s_.,,,,....
2. Any permit issued.as a result of this. application becomes. null and void if
t 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 l have read this application and state that the above information is
correct. l agree to comply' with all City,' and State laws relating .to the building
construction,. and hereby 'authorize_ representatives of this City to enter upon"
the/above mentioned property for Inspection purposes rt
gnature (QwnedAgent)
BUILDING PERMIT.}Tt
PERMIT #
CONTROL #
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DATE' I s' an'j VALUATION rj'±.r . LOT. 16 '. `" ":.:.w ' . TRACT.
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ADDRESS' 7P644' APA sAdd E9flPt6 4
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OWNER
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DATE FINALED
INSPECTOR
All
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
A
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
.-,7g
F.A.U.
Framing
6
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
17
Exterior Lath
Drywall - Int. Lath
— 7 -
Final
Final g
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Q
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Z-2;zig a7
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service {
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS: C
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Certificate of Occupancy
City of La Quinta
Building and Safety Department
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in corhpfiance with the various ordinances
of the City regulating building construction or use. For the following:
BUILDING ADDRESS:
Use Classification: SFA
Occupancy Group: R 3
78-407 MAGENTA DRIVE
Type of Construction: VN
Owner of Building: BAY CITY ESTATES INC.
Building Official
Bldg. Permit No.: 9710-031
Land Use Zone: RL
Address: 78-477 INDIGO DR.
City: LA QUINTA, CA 92253
By: STEVE TRAXEL
Date: 5-27-98
POST IN A.CONSPICLIOLIS PLACE