SATT (9710-037)78417 Magenta Dr
9710-037
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. J_; Y-. 1
License # '"5 1 Lic. Class Exp. Date
/Date 7signature of Contractor y
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).
( ) 1, 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 h%ve'%andWil rr aintain workers' compensation insu cnePaas're'qu`ired 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:
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/fh t if I should become
subject to the workers' compensation p ovisio sof Se on 3700 of the Labor
Code, I shall fo hw_ ith comply with thos - rovi i ns.
Date: %h 7Applicant i e --
Warning: Failure to secure Workers' Compensation 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 cancellation.
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
the above-mentioned property fr inspection purposes.
Signature (Owner/Agent) .r } --r'r' (-* Date
PERMIT# CONTROL# ;
BUILDING PERMITW04W
DATE ,.r
VALUATION ' LOT .' TRACT14V141"
'•`.
JOB SITE
ADDRESS Tfi-4#'I i4 .RG i lrA ' t -\ APN "4-07
OWNER CONTRACTOR / DESIGNER / ENGINEER
18477 INIAk;Q DR,
LA (.2011`41A ('A 42253
USE OF PERMIT
hf, A
PF Inc A. WRIGHT. G C.)
1040 PALM DR., UN rT i 30
DH'SFRT HOT SPRING! CA 92210
fn19)329• +4'iti ORL# 4343
PLAN Zit - ui'ST AIRS UNIT. PLAN CHFICK i ION OF FEE RED X LI.)
HY 7."* FOR MtJLT1P't.E ISS(JANCIE c.W SAW HLAN TYPE.
TRA,(7T CONMRUC-nON 9i'_'100 SF
ClAffINFATiiED COOT OF CONSTRUCTION ION
4,,121.."
PERMIT FEE SUMMARY
CK)Nfi'IRtK7r10N FbT.
101-000-418-000
$4 14.54)
P1 AN 0_1V<"V HTT
1.O1 -i100439-319
M 56
NCO TCAL !'i ',
101-400 42 1.000
su.QO
P; -LiorR IC AL Imo:
101-00"204)00
sol' V1
Pi.OWINO FE
10I-000-419-"
3TR(.)No wyn(YN FFF. - RF'Stn
101-000-744 4W
$495
GRADOX3 F71'
101-004-423-000
fNF R AS`flAWf URI; FOE
22 _5- 1-M2
x 1.114.24
i .('f IE PLAN
141-OW441-3.15
5211 09
RECEIPT
1113: itYI.AI., CONSIR1 K n,( -)N ANIS PLAN rif C'K
LES.` PRE -PAID FEES
TO*fAL PY RMIT FEVS DU F,
DATE I BY ' I DATE FINALED
INSPECTOR
$I,** 1+7
$0.00
SI' 4i'7
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
A
Underground Ducts
Forms & Footings
irlh
Ducts
Slab Grade
Return Air
Steel
r
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
—Q
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
- 3 - s -
Drywall - Int. Lath
-
Final
Final S
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
I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Neater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
y3
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Fialu
UtZf
ility 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:
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Sud 5, [.0 BK �"7°W/��
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:
Occupancy Group:
SFA
78-417 MAGENTA DRIVE
R 3 Type of Construction:
Owner of Building: BAY CITY ESTATES INC.
Building Official
VN
Bldg. Permit No.: 9710-037
Land Use Zone: RL
Address: 78-477 INDIGO DR.
City: LA QUINTA, CA 92253
By: STEVE TRAXEL
Date: 5-27-98
POST IN A CONSPICUOUS PLACE