SATT (9710-033)78409 Magenta Dr
9710-033
_ LICENSED CONTRACTOR DECLARATION:
I hereby affirm under penalty, of.perjury,that I am.licensed under provisions of
Chapter 9 (commenci6g with Section 7000) of Division $ of the Business and
PrOfeSSIOhaIS Code and my License Is In full force and effect. f.
License #,1 Uc::.Class E p ate
4
DateSignature of Contractor# f ✓ f `
x _. ; •
r _
OWNER BUILDER,DECLARATIO
:1 hereby affirm: under penalty of perjury that• I am exempt from the Contractor's
License Law. for the following reason.
(. ) ,; 1, as' owner of the property,.,w my employees with .wages. as their sole
compensation, will do'the work, and the structure, isd not intendeor offered for
sale (Sec:
7044 -Business &;Professionals'Code).,' t
as..owner ofAl a property, am _exclusively contracting with licensed
contractors` to construct'the project: (Sec. 7044, Business. & Professionals
Code),
OI-arh exempt Linder Section' B&P.C. for this reason
Date Signature of Owner
` WORKER'S COMPENSATION DECLARATION
1. hereby. affirm. under penalty of perjury one..of. the following declarations:
(. ). I,have and will -maintain a certificate of consent to self-insureJor workers'
compensation,.as provided. for -by Section 3700 of the Labor Code, for;.the
performance of the.work for.which this'permit-is issued.
.)\ I have and will maintain workers' compensation insurance, as required by'
Section :3700 of'the Labor Code, • for. the performance of the work; for which. this
peri -nit is. issued. My''workers, Compensation insurance car rierA 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 permits issued.,
I shall, not'employ, any person in, any manner so asto become subject fothe
workers' compensatioh,jaws of, California, and agrpee;that, if I should become
su bject'to the workers compensatiorn provisions of S ction 3700 of'the Labor
Code I'shall forthwith comply with those%p'rovi igns/
Date ; %/6/ / 4' % Applicant f %fit • - Gf{' t
Warning..Failure to'secure'VVorkers''Compensation coverage, is unlawful and
shall'subject an employer to.c iminal penalties'and civil find-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.fees..'
IMPORTANT Application is hereby made to the Dieector.of Building and Safety
for a <permit subject to the conditions and restrictions set forth on his
application
1. Each persomupon whose`6efialf'4his applicatiori.ls made &,each person at
whose request:and for,whose benefit.work is performed'Linder or'pursuant to
ariy'permit issued as a result of this applicaton:agrees to; & shalt, indemnify
&' hold harmless the .City of La Quinta,r its.officers, agents and, employees,
2.'Any :permit. issued -as a•result of this application becomes null and void•if
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 :I; 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 inspect'on purposes
rSig
nature (Owner/Agent), ' ' r'f✓1"` "`" :Date jt . 71 "f ,
'. 'PERMIT# CONTROL# -
BUILDING PERMIT
..9 4f-83it,
DATE , VALUATION sal }p430.90 : LOT hE TRACT , .4 f
.--.
JOB SITE .` '" ' " "{' 7APN
ADDRESS des» a S IVd is 1 1 if F :Il:Y a Yr . i
.
1f 'S i + D3 T
OWNER
CONTRACTOR/DESIGNER/ENGINEER
-.}dlt C. iija Is ESt ''i} i.6.AJj1t i,1-dP
':Y':';S i .. pir l,.:,,l. t"i is:.I.. v .. .-1-',Gry•e,;•..
74-17- a:NOTGO :DR,
11940 PALM DR., UNIT 00
L..C tl11s !I't1 ':A 9,2253 J
S1'1 •1.'9i(7'1:'+ ►f' T'{ }Ci; :".E1. y:2240'
4:.145 ..
USE OF PERMIT
a,,. -MR 3 U S ,4.I:itS UN 1', P).,Mq !:,'itrs ° k, oolet low or t .Iris w1b±smm
By 7g1YOFOR Ni.(:11.TU11L. ISSIJAINf .ti OF.13AME PLAN 'f"011. .
'b"POV-1 P CONS 7iZCrCTICiiv' ;ej : 0 V .
. 'ESi• YrI L Gr is a. l./i;i _A '1.J s. a17 •,YIT tr+'9.+.6 .i l. ii '
.. 4A,!e30.90.
11''sl+:' NO '+FIC, S NI'MA r
C 0 NsiiGwT1ON c l1i 1,0144044 8>t0
'x . }31, rlE l.r4 t ?C"Ir..l•i; : 1.0. ' I:IQ-g - 1.?l. . ' ' . ' ,':` .`.
L XCd'WXI.CAL I -'63 },f1f=31'x- 2t-4i3i} n 'J(i
'I01 -int O-4k0-QG+? S 3
t Gl ti4i%itJ 1r?a 1.0lao-4194*0 $85,50
s 1' 'ONI(Y ;v..rrl'T• Jr Y'KI. MISID 1;01-[3(113.4!41400. $4.14
`wt2e1 )t cs f<'t • - _ 1! }. Ui'Ftr 14 Wt, a - - 3.fiS. •
• -.
Vt I S't'R1Tl t i if t ".►-fit; `. Z •Ut0-a43--.3.42 . . tJ
Iit✓1Sk;E,311 i . %<iil1-Q41 4
41.1.
. r 4Y 'iiLt !CiNSM-1TV11i..ONAND MAN fiKIK
rJ "S
o-. -!i r -',,,-„"'.,r: ✓// k % tJ 7
•` Z;_ ''`l *C A&., (' 11MI f ITEODUE NOW
OY` it,j
•
- tea'..
RECEIPT,
DATE
BY°'DATE
FINALED
INSPECTOR
..r
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs A
Underground Ducts
Forms & Footings Lill,
Ducts
Slab Grade /
Return Air
Steel
Combustion Air
Roof Deck e2 — —
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
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 d
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out 02,E — 8
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection / 7
Encapsulation
Gas Piping
Gas Test
Appliances
Final
-a"OMMENTS:V
F ti O — o ` CS v— .p
Finalq ,,rr
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 I
Final
Utility Notice (Perm)
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 compliance with the various ordinances
of the City regulating building construction or use. For the following:
BUILDING ADDRESS:
Use Classification: SFA
Occupancy Group: R 3
78-409 MAGENTA DRIVE
Bldg. Permit No.: 9710-033
Type of Construction: VN Land Use Zone: RL
Owner of Building: BAY CITY ESTATES INC.
.-P. Building Official
Address: 78-477 INDIGO DR.
City: LA QUINTA, CA 92253
By: STEVE TRAXEL
Date: 5-27-98
POST IN A CONSPICUOUS PLACE