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SATT (9710-042)78427 Magenta Dr 9710-042 LICENSED CONTRACTOR DECLARATION. " I hereby_ affirm under penalty Of perjury that.1 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. 73,:{ 5 l' License # ,L Lia Classd Exp. ate + _. H 3 trJ / Date_ <Signature.of Contractor r r OWNER -BUILDER. DECLARATION' I'hereby'affirm'under .penalty of. perjury thatl am'exempt from the Contractor's License Law •foe 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.isInot intended'or.offered:for. sale (Sec:'7044;.Business &;Professionals Code). (•,' ).. 1,': as owner,of the property, am `exclusively contracting with licensed contractors: t6'. construct • the project (Sec. 704.4, Busines's & ' FrMessionals Code). I .. :. .... .. _ . O 1'am'exemptunder'Section B&P.C.'forthis,reason Date.:'..' Signature of•Owner WORKER'S COMPENSATION DECLARATION " Iheretiy affirm -under penalty of .-perjury one 'of Jthe following declarations: l,have and.will maintain a;certificate.ot 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.' (fit): l have and will maintain workers' compensation insurance, as'required'by Section.'3700'of the Labor Code, for the performance' of the work for' which ibis permit is issued: My workers' compensation insurance carrier. & policy'°no. are: Carrier, Policy No. 1"A'1`E l"Et'FysL?wStfi int^37S (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; 1 shall'not employ any.person in any.manner so asao become subject tothe workers''. compensation laws'of California, and agree that if:l should become subject -to the workers' compensationpofAl oction 370 of'the Labor Code, I.shall orthwi complywithtthose rovision ` Date: 1611 . • Applicant Warning: Failure to secure Workers' Compensation coverage: is unlawful and shall subject.an, employer to criminal penalties'an'd'civil fines-up:to.$100,000::in addition to the cost ef;compensation; damages as; provided for in Section 3706 of the Labor•Code, interest and attorneys fees.. IMP:ORTANT.:Application.is,hereby made to the Director of_Building and Safety; -for 'a 'permit subject to the .conditions and -restrictions, set forth on'• his ' application: 1! Each person upon whose behalf this application is made .& each'person at whose eecluest•and`for whose benefit Work, is performed under or pursuant to any permit issued as a result of this. applicaton agrees to,.& shall, indemnity & hold harmless `the City of La Quinta, its officers, agents, and .employees: ,' ..2..Any permit issued as a result of this application becomes null and void -if" work is not commenced within -180 days from date of issuance of suchf/ permit; or,cessation 'of work for 180 ;days will subject permit to cancellation'' '' I certify that I have read this application and state that the above information is correct:.! agree to comply with. all City, and State. laws relating• to•fhe building` construction,.and heretiy authorize representatives -of this City to enter uppIq ; tl a above-mentioned property `for iris e-ctio urposes. Signature •(Owner/Agenf), Date 'A V' PERMIT _#._ CONTROL# BUILDING PERMIT " r , .,i► , s> ` TRACT DATEil hU . VALUATION `j:4c9e •'LOT: SSt®: 7. 'JOB SITE ADDRESS+-? ,•d' Cr vC`id • ii i ;... ✓IIC _. AD APN - -OWNER- . _ _ _ ,- CONTRACTOR / DESIGNER / ENGINEER t- V r pp /_ i r t ;i +5. i t :l°i i' 3;. :i.r E i .-a ?'. `tt`!: \ie v 'S, f.M, 1G T YV - A i C •A i.•. %£s=ii7, i IAGO-bit i MOP xlL.t i DR., J t ' 1 t LA QJAP;i'•i'A. CUA. 92253' CA 91,4240 . r0191370-' 49{1' •CMIA i'345'.. l ? USE OF PERMIT 3 isEtiti 3 - i' 'A iC: v`€i.i9I.A.N'ux :•i:l Jlt'[•i ?zd°G+t' ' i2 i1 . . J AY`73Q:oFOR .MUL'!'!PIX;!'.9.`:T1ANC►d(:1.F SAPbEPLAN'1YPE •-1!n3! 3. Lp'a J^l rl .si.~+.iN 'r...'f.si.,',b OF WivTS.i`RUC IFAWtl .. ..d' `iT tl.: d t`.,1 tp'• : S:Uf`tS7Tdi la.'^'?;" ON' F its t01-000-41$-000 M, A—K Q 4E"QK FRE 101-00Q-4129-118 $7M 718 tMCE•MM.C4. F k%ts t: LEC 420-000 f 3: A iwcf 101-000!41,9-000 tzs.so S't +Ott?dii + 1"i'iCiN k a tZb S! 101-000-2.41-000 x.:14 Crl'v _D.1, 1?f ; .. 1U-1-it00->140i)- .1% .i`RA TititCTt:TittG >~ . • ?rx2.FC.E 3$k d.,ftit f i Jd=d3U©,• s 1 4 .C+fJ i -SUB i11? f UN S i'ia UCTiC,_EN AND G f.Ili-C Zi .i'I•.t yl q? r+ ..::• iair' i k 4' 3i .c't,ts.+ l`C.. +.i ". y V.V h RECEIPT DATE BY DATE FINALED INSPECTOR ' N INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs 1 A Underground Ducts Forms & Footings Ducts Slab Grade &&.4/fz Return Air Steel Combustion Air Roof Deck —a — Exhaust Fans O.K to Wrap _ (o —9 k F.A.U. Framing — 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 Final Final 7C— 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 Heater Final Water Piping Plumbing Final Plumbing Top Out --t S' — $ - Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection y7 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: 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: 78-427 MAGENTA DRIVE Use Classification: SFA Bldg. Permit No.: 9710-042 Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RL Owner of Building: BAY CITY ESTATES- INC. Address: 78-479 INDIGO DRIVE City: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: 8-6-98 Building Official POST IN A CONSPICUOUS PLACE