SATT (9710-046)78435 Magenta Dr
9710-046
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. 1 + { t! -I
License # 7 ! ''% Lic. Class Exp. Date
11 j B[
Date 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:
( ) 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:
Carrier Policy No.
S rAIT n-r_a, ) % 001dr5
(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 p6visions of S ct n 3700 of the Labor
Code, I shall f hwith comply with t I S4 provisiq s.
iDate:;.I Applicant f -
i
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 for inspection p oses.
YSlgnature (Owner/Agent) /"`^ ► Date
PERMIT# CONTROLS#
LI
BUILDING PERMIT
DATE VALUATION X9,52' 6# LOT 14 TRACT IG071
JOB SITE
ADDRESS + A ,'VE 10 i v f
APN "4r82#-037
OWNER
CONTRACTOR / DESIGNER / ENGINEER
:3, ;" C''IT ESTATES (ARVON',.A) I -K'
°Enna .'1
%S47; NNW DR
11940 P,AUJ DR., UNIT t 50
1,AfAlINt'A CA 42253
DF81'~1t BOTSPRINO! ('A 92240
(6f9)329-i4W1 ('B[,* 4345
USE OF PERMIT
r"i.Aiv ::k -1 rA;.r uwr. f Lr1.Iv ill:t. ,1 C ft7•lvty r ltt
H 7Vrw Ft At MULTI P1X M:3.`it1AW%' (TF' TAME PI.AN TYPh.
TRAx71' C'0NX1'RLA "T10N 412 00 SF
ESTIMATED COST Off'CONSTRUCTION
19421AQ
I*b;TCMIT FLE SilMMARV
c oNs,rRUC'Pit?N FFF 101-000-418-000 5414 N)
PI AN c1 i lrk FFF 101-.KJt14V-318 W %
MSCI IANICtU, FEE 101-000-421.000
ELI. (;"1'gtdt::AL FM 101-000-420.OW $87.92
P0.JM..B1W4 F'EF 101-000-419-000 "7 50
.VMOWI W)TfON FFF - RF -SK) 101-000-14141100 x4"
GRADING F'Ei. 10t-000-42-1-000 $20.00
IWR&',t'litLVF UREb FEE 221-u11i)-•i4I_Mxl $1.114.A
1'R.FX'1-SE F'3..AN 101 -•NM -441-145 $7.1k 00
S1)}3=T )1' 1,CONSMX 1 ON AND MAN 11714 CK
Rl,i4 1#t6?
LESS PRE-I'Mr) FEES
54.00
TOTAL P€!'RMff tFFS DUE NOW
51. .67
IiAr
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs X
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck _ Q
Exhaust Fans
O.K to Wrap - _- A-
F.A.U.
Framing _ th,
Compressor
Insulation — Q
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath CV -
e2
Final
Final —
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 d
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out _ ls-
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection /Z ,23
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:
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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: SFA
78-435 MAGENTA DRIVE
Occupancy Group: R 3 Type of Construction: VN
Bldg. Permit No.: 9710-046
Land Use Zone: RL
Owner of Building: BAY CITY ESTATES INC. Address: 78-479 INDIGO DRIVE
City: LA O.UINTA, CA 92253
Building Official
By: STEVE TRAXEL
Date: 8-3-98
POST IN A CONSPICUOUS PLACE