SATT (9710-047)78437 Magenta Dr
9710-047
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.
License # J ,— ` 1 :•. Lic. Class Exp: Date ~
D/ate. fir/
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). ..
O I am exempt "under Section , %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:
(,) V have and will maintain a certificate ofconsent 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.
4 1 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:
CarriIT
er, { y p\ Policy No. r 0
011 11-17, 5
(This section need not be completed if the permit valuation is for $100.00.or less).
O 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 provisions of Section 3700 of the Labor
Code, I shall forthwith comply withthose provis ons. /J
Date:' Applicant' ' i a!' (. "
Warning: Fail ee to secure Workers' Compensa`1 .coverage is unlawful and
shall subject an employer to criminal penalties and civil.fines'u. 04b $100,000; in
addition to the cost of compensation, damages as -provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to.the Director of Building and Safety,
for a permit subject to the conditions and restrictions set forth. on .his
application:
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
' any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the .City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and voi& if
work is not commenced within 180 days from date of issuance *of such
permit, or cessation of work for 180 days will subject permit to cancellation.
i certify that 1 -have read this application and state that the above information is
correct. I agree to comply with all City, and:State laws relating to the building
construction, and hereby authorize representatives of,this City to enter upon
the above-mentioned property for inspection purposes.
Signature (Owner/Agent) "" Date . r, ,
N
PERMIT# CONTROL#
BUILDING PERMIT >
a/ //
0
DATEifl.ta i' VALUATION„ iii LOT TRACT 1 i;
i7 ' 307Rlt G!4 , 1 KFVJV , f' JOB
ADDRESS 1
APN
604-02fg)3/
OWNER
CONTRACTOR/ DE..SIIGNER /ENGINEER
ar 1ii'O i)NC
yaiMt
78471.i;N1 -100 DR
119410 Ms.M DR.,'LM 156
L41t.4i.JiWA. CA 922,5.3
OF°Sl..i..e,i HOT 0,R &Q240
(619)"329,5490 .03114 11345
USE OF PERMIT
SFA.
?%,Age' 1- DOWNSTAIRS' IMT. PLO c,iiEM P01i`J'IOW Oi ` KEDUC\
.N'Y 79:u F'CA.i'r U l'IPLP, ISSUANCE OF SAW. mwrymi
TRACT Cv'idS'1 c(J4 7 is+ N927,00 Sig
,+',r9`, '1(.i .it" !' .r`Z:a ' l' f'' ; t0'•, '. °'$;i.9J :`n 1T
dl, 3f .7•
PERMIT FRE SUMMARY
CONS"fRil4:'iICINFEE 101-00,0-418-M,
1'.f,A.tl0-tRIC* FEE; 1.011_-000-43p. 1 41t a.3?
U11C (`EY.1C`,AL li8C- ICYJ-000-42:11-000 $88.145
i U:t 1N 1 `I:G 1101-000-419=110
i rri z tOT O.ns'1:FF-. ;v 1 .Sl -{t(1() -?4! {X.
ZFi33•( 3((l U-f 2xi-(f00 3'{►;O i .
,`y;C' Zte}il:,ilrJi1'1 1., +1rrq d t 225-00&-4-43-342$0.32_56
LL:,P' .7l wY S l. C U1R ''i .EV 225- /l &-4—!3-3 Iii Si i':';b_56
C 4Ci~. .."' S1~ P :: i1J 113{.-tit?-4+$1;•• 4. $? .U
St.1;EZ-'3'fil}`AL. V,0N,$`1T? (.,rtr'7” QN AND. PLAN CHECK
$1,92143
LESS PR IE-l'I'O.iL
13.0
Ta.rm,if"f+,t".1'!: i oueNi oltV
$1.922,93
RECEIPT
DATE
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 O —5, -
Return Air
Steel
Roof Deck — Z - Q TT
Combustion Air
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing / /S
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wail Insulation
Condensate Lines
Party Wali Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final IA
BLOCKWALL APPROVALS
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground PI . 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
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduft
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: dQ
r 7
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: ..78-437 MAGENTA DRIVE
Use Classification: SINGLE FAMILY ATTACHED Bldg. Permit No.: 9710-047
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: NEIGHBOR
COMMERCIAL
Owner of Building: BAY CITY ESTATES INC
►a
Building Official
Address: 78-441 MAGENTA DRIVE
City: LA QUINTA, CA., 92253
By: DANIEL P. CRAWFORD JR
Date: 3/25/99