SATT (9710-045)78433 Magenta Dr
9710-045
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. . s 17 q
'i =
License # Lic. Class r.P. Date
34 5X R1 ate Ito -
N 1611_'21
7 Signature of,Contractor
OWNER -BUILDER DECLARATION
I 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, 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).
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
Sedtion -3700 of. the Labor Code, for the performance of the work for which. this
permit is issued. My -workers' compensation ins urande Carrier & policy. no.. are: re:
Cartier. Policy No..
STKIW7. UNP
(This section need not be -completed if the permit valuation is for. $1 00.00,br less):
() I certify that in.the performance of the work for which this permit is issued,
i shall, riot 'employ any person in any manner so as to become subject to the
work&`s' Compensation laws of California, and agree that if I -should become
subject to the. workers' provisions of S/kItion. 3700. of he Labor
. . I.. . I I
Cod6j shall forthwith comply with those provion
,C - Applicant_
5ate: !tC 71,
Warning: Failure to secure Workers' Compen s&tion coverage is unlawful and
Shall subject an employerto criminal penalties and civil fines up to $100,000;. in
addition to the c'ost' of comp6risation,'daimages as provided for in:S66tion 3706
of -the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building a9d.Safety
for a permit subject to the. conditions and, restrictions. set forth on. his
application.
1. Each person upon whose behalf this application is made & each person at
whose. request and forwhose benefit work'is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quihta,'its officers, agents'and employees.
2. Any-,perm.it issued as -a result of this application becomes null and void if
work is not commended within 180 days from date of.issuance.of such,
permit, or cessation of work for 180 days will subject permit to cancellation.
I. certify that I have read this - application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and. hereby authorize representatives of this City to enter upon
the above-mentioned property f6r inspection purposes.
/S 'Date Ah 6vp
-- '1-1
Signature (Owner/Agent)'
PERMIT# CONTROL#
BUILDING PERMIT
DATE VALUATION LOT TRACT
JOB SITE
ADDRESS 40 .13
OWNER -
CONTRACTOR DESIGNER ENGINEER
SA Y ClefTEST)VI TS (,ARIWN.A).W Q
Rff-43,k A. urkKAT.", G., C. k
7847 INDIGO- OR
11940 RALMOft, LIN -T 150
LA. QUIWA 911,25-1
9 413-45
USE OF PERMIT
SFA
2R' DOWN$T AAS tNft. PLAN WriCk, PORT10N 40F HiE,
. AN 21
REOUCED BY 75% FOR 1\1ULTWIX ISSUANCE OF NA1\41, PLAN TYVE-.
TRACT GONS i"IRVIC'TION 912,00 SF
VRI , TED 00Y. F C STRITMON
E MA "Of MN
49,5210
CONSTRUCT101'14 FBIR 101 -OW -419-000 S4 14,N
P1:.: 'ANY CHFC_1t REIP
AZ*C%NN1CAL FIX tot 4)CO-11-121 _10111110
LWCMCA.[.
pumN No, M, 101-000.419-000
GRA IDW01",1331L
114?' Xq e R0 CV, 1 PW F R
PREISE VILAN, 1 -345
8 Q WRTAI, (-'(.-)N 91RAX"T 0 N, A N 1) PL ikN CIREC K
'SS - P1 E -PAID FEES
U-00
T0rftUPVMNHT FERSDI)ENOW
S1,S9&67
RECEIPT-
DATE
BY/
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
A
Ducts
Slab Grade
o
Return Air
Steel
Combustion Air
Roof Deck-
7— -
Exhaust Fans
O.K. to Wrap
" -(o
F.A.U.
Framing
qX
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
IS -3-
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
Heater Final
Water Piping
Plumbing Final .
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Jr.
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
L Final
rUdlity Notice (Perm)
Certificate of Occupancy
City of La Qu'inta
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: 78-433 MAGENTA DRIVE
Use Classification: SFA Bldg. Permit No.: 9710-045
Occupancy Group: R 3 Type of Construction:
Owner of Building: BAY CITY ESTATES INC.
Building Official
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