SATT (9710-036)78415 Magenta Dr
9710-036
LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect. c /_.,
License # c Lic. Class Expr, at'a
34i 1 r H( 11i 97
f s
Date %/ /6 ignature of Contractor +• j -- S.
OWNER -BUILDER DECLARATION
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
sale (Sec. 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).
( ) I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
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'
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
permit is issued. My workers' compensation insurance carrier & policy no. are:
Cartier Policy No.
STiI'E'Tti i i iki
22? 9fi t1t) t ^S
(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 04, Section 3700 of the Labor
Code, I shall forthwith comply with th6se prov.slo s.
bate: /n / / t" `7 Applicant 1 ', r ..
Warning: Failure to secure Workers' Comp satlon coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such'
permit, or cessation of work for 180 days will subject permit to cancellatiol i
I certify that I have read this application and state that the above information is..
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the7above-mentioned property for inspection purposes.
/Signature (Owner/Agent) — Date
BUILDING PERMITPERMIT# CONTROL#
in
DATE VALUATION S4,prg2l." LOT 'd TRACT 1 V
ADDRESS 415 FIRMA ( JOB SITE
APN
I 1•
OWNER D CONTRACTOR/DESIGNER/ENGINEER
BAY C1'''i 1?$TN ES (ARIZONA) INC 11FTER A_ WRICUT1', G. C
#8477 INDIGO DR 11940 PALM DR, UNT T5I
LA OUINTA CA 92253 DESERT fiuf SPRiN0.1 CA. 14:240
(-'BUI 4M5
USE OF PERMIT
SFA
PLAN 2R - EK)WN81'AW_% UNIT. !'LAN (_1fFK ti K)RTION OF Fla!
iiUAK ,U)13Y 75% FOR MULTIPLE 1&40ANCIS t.W SAME PLAN TYPIE.
TRACT CONSTRUC.7 )N 412.(ti SF
1 ST'CMA T9) COST OF CION t': RUCT QN
49,521.60
Z'FItMIT 1fFW SLIMMARV
CoN,mi t(. m )N F FF
101.000.41 li-tW
$414 9)
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$97.50
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11014M -1414M
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101 0A(1" 1.3 (30t3
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22i4)00443-342
61.114.24
PREC1131I PLAN
101-(M-441-345
324 40
St IWTMAI, (XJN;;MIJ47 ON AND PLAN VHFVK WR 67
LESS M -PAID FEES SO.00
TUTAL FIMM1'l !f'MS Z VIE NOW SIOSA7
RECEIPT I DATE I BY,/ I DATE FINALED I INSPECTOR
;ix
fir
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
- MECHANICAL APPROVALS
Set Backs 17
Underground Ducts
Forms & Footings
Ducts
Slab Grade /
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap /— a$ ,?
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wail Insulation
Condensate Lines
Party Wail Firewall
Exterior Lath 3_ -
Drywall - Int. Lath - �(
Final
Final —
POOLS -SPAS
BLOCKWALL AP ROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment location
Underground Electric
Underground Pibg. Test
Final I I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
PiO�T� woQ•!f OK. a yuSdG /—Ir —Ole
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)
A
Certificate of Occupancy
City of La Quinta
Building and Safety Department
This Certificate issued pursuant to the requirements of Section 709 of the Uniform Bui/ding 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
78-415 MAGENTA DRIVE
Bldg. Permit No.: 9710-036
Type of Construction: VN Land Use Zone: RL
Owner of Building: BAY CITY ESTATES INC.
Building Official
Address: 78-477 INDIGO DR.
City: LA QUINTA, CA 92253
By: STEVE TRAXEL
Date: 5-27-98
POST IN A CONSPICUOUS PLACE