SATT (9710-039)78421 Magenta Dr
9710-039
D CONTRACTOR DECLARAi'101 11
I hereby.;affirm LIC under,'penalty of'pe'rjury that I am licensed Under pisi6iris of -
'(9V
'Chapter 9'(commencing with Se6tion-7000) of Division 3 of the Business and
Pe6fessionals''Codean'd my* Lice'nsb'is in full force and effect..
License #. 31 Lic.06iss E' D a q
Ex
1: , .., v
U
nature of, Contractor '%
OWNER -BUILDER DECLARATION,
I'hereby affirm, under penalty of perjury that- 1. am exempt from the Contractor's
'License Law.for the following reason:.'
a's owner of.the property, or my,.empldVees'with wages as:their,Sole
compenS6tion, will do the work, and the structure'is not -intended' dr. offered -for'
sale' (Sec: --7044,. Business& Professionals Code),,
4s owner of the property, am", exclusively. contracting with• licensed
contractors . to construct the "project (Sec... 7044,. Business'& Professionals
O I am exempt: under Section B&P.C. for this -reason.
Date = Sig'n-aty-r'e- of Owner
WORKER'S COMPENSATION'DECLARATIOW
1: hereby one of the •following declarations -
I have and'will maintain a certificate of consent to self -insure for workers'
compensation; -'as' pi
i*o'vi`6ed foii.Ilby Section- 3700 of the. -Labor C 6de"; for 'the
pbrformance of the workJ6rwhich this i5ermit-is,issued.
I have and 1will . maintain- workers" compensation I . nsurance,-.as required by
Seciio'n' .3700 of the' Labor. CodeAor the performance
ance of the* work for -which : - this
permit is issued. My", workers' compensation insurance carrier & policy
"no. are:
Gamer
Tn-
PolicV No
secti`on'.neiBd not be completed if the- pormit.va.luatio'n is:f6f $1 0O.'00:6,r less).
O I'certify th'di.,in,..thelperfo,rmanc.e.of the work fdrwhichJhis'peemit.is issued,
I shall 'd6t. empl6y any, person in any manner so as:to-become subject to the
workers'- compensation laws of California,- and agree thatfeif 1,§hould become
Subject: to the'workers' c6rnpehSation provisions of Sect& 3700'of the Labor
Code h'th'pl s'e "a
1,shaill forthwith comply wit ,,. pji io,s. -'1/1 y
Waining: Failurejo secure Workers' ,CompensatiZl C. o*Y'erage'is "unlawful. and-S"hall Subject a&.ehioloyer to criminal penalties and civil Jines`bp'.to V100,000; in
addition 'to*thd cost t of c6mpiensation,-damages as proVided for!ifi Section 3706
-.ofthieLab6r Code, interest and attorney's fees.
IMPORTANT Application ishereby made, to the Director bf,Building and Safety,
fora, permit. subject 16"the. conditions: and -restrictions, set forth on 'his
application.
1. ita6h person upon whose behalf this application i§:mad6 & each person at
`whose request ind;for whose benefit Workis performed under'. or, -pursuant to
-any permit issued. -as a-result,of-this applicaton.agrees to, &.shall;. indemn.ify.w
8i ho.ld'harmless the City of La Quinta, its officers, agents and employees:'
.2. An p rmitissued,as'a result of this application. becomes null and void if,-,. 7
Any Pull
work,. is not commenced within 180 .days from .date of issuance of such cl
`permit, or cess.ation.of work for,180,'days will,subject permit to cancellation-.
Certq..t6ait I have read this application and state' -that the above information is
correct. I agree, to.. comply with'all City,- and'S.tate'. laws relating to the building,.
construction, and hereby iuthoHz - e reoreseritai-ives of.this City. to 'enter Upon
I.:He above mentioned prop'ert.y for inspection purposes,.
VSignature (Owner/Agent] ge Date
PEP!i CONTROL#
BUILDING PERMIT
60 4
DATE, 2.1,40 - 10T _ 6
.41.97, VALUATION TkAdf'
JOB SITE RVE,
'ENTAT I
APN
:446 .037
ADDRESS
OWNER
CONTRACTOR/DESIGNER/ENGINEER
RUE R A, WKI 0 1 i
79,1117 114DIG(11 DR
11940 PA L&T 1A, ulmml 56,
LA QkANT.A.. CA 40
CA 92240
WP295490. CA) 4,145
USE OF PERMIT
84 FA
PLAN,,21 - DOW1,48TAIRS ljfifl. PLK9 CHROK PC)ia10Kk0FF Et REPLICM
gy 7,s% vowt -i\A1LTjPLE'lis 3UA_N`CE 0'F SA P, PLAN TY1%,
IRAC11 CON'STRWOON,
•
SPINIATE141) ICOSI 0F1.'C(MTWUCf 10N
4 552
FIVIRAfill J?Ekl SUM(6IARV
CC. NSIMUCfION FEE '101-0010418-0W
ITAN (IMMU11,93 !01 -QW -4.P -3,W. ", 9 1 S6
W
W492
Pulmalwa 10 1, ,419.(W $97..5.0.-
torkoNq M*Tlovi ave - fmsuo )(M. -OM -741-0M $4.95
QRMANG FX11 tnx*
01
12S-fK&443-342
st PKC,' 5 .
fSEt? N AQ!,00 0-34
AND PLAN CHIP —
LEM. PMPAMOUS
RECEIPT
JDATE
BY-./
DATE FINALED'
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
/a
Return Air
Steel
Combustion Air
Roof Deck
- 2-1
Exhaust Fans
O.K to Wrap
_ 5,
F.A.U.
Framing
-,W—qA -,W—
Compressor
Insulation
- Q
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
-
Exterior Lath
Drywall - Int. Lath
o Am C,
Final
Final
— -
POOLS - SPAS
BLOCKWALL
APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
17
Gas Test
Electric Final
Waste Lines
J
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
-
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
/ A$ f 7
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
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)
Certificate of Occupancy
City of L'a 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
78-421 MAGENTA DRIVE
Type of Construction:
Owner of Building: - BAY CITY ESTATES INC.
Building Official
Bldg. Permit No.: 9710-039
VN Land Use Zone: RL
Address: 78-479 INDIGO DRIVE
City: LA QUINTA, CA 92253
By: STEVE TRAXEL
Date: 8-3-98
POST. IN A CONSPICUOUS PLACE