SATT (9710-051)78445 Magenta Dr
9710-051
}LICENSED CONTRACTO,R.DECLARATION
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hereby afflrm under penalty of pepury,that I am licensed under. provtslons;of
Chapter 9'(commencing, With Section 7000) of bivision,3 of 'the Business and
Professionals Code and my License is in full force and effect. e
r License # Lic. Class Exp14
',
•y ate , > Signature of Contractor
OWNER BUILDERbECLARATiO .
I hereby affirm under penalty of perjury that Lam 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, t and the structure,is nointended or offered for
sale'(Sec:'7044,Business & Professionals Code). •t'.
as' owner of the property,' am exclusively contracting with licensed
contractors too construct - the project; (Sec. 7044, Business &• Professionals
Code).'
()-.,I am exempt under Section', 1; B&P.C. for this reason
Date Signature of'Owner
WORKER'S COMPENSATION DECLARATION
1 hereby affirre.:under penalty of perjury one of:the%following declarations:
(,) I-haveand•will maintain a certificate of consent to self-insure.for workers'
compensation;- as, provided for by Section 3700 of the. Labor -Code, for. the
pertormance ofahe.work for which this permit it 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.:'. .
1, VVIND,
(This sectiomneed.hot be completed it the permit valuation is for $100:00 or. less).;
1 certify that in the performance of the work for which this permi't'is issued,
rshall not employ any -person, in any.manner so as to.become subject to'the
workers' compensation' laws. of California, and agree that if..1 should become
subfect'to the "workers' compensation. provisions of Rection 3700' of the Labor
Code; I shall forthwith comply wdh those pr visions.'
Date: ! eApplicantez
+
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Warning: Failure to secure. Workers' Com in aiion coverage is ;unlawful and
shalLsubfect:an.employer' ' criniinai pen altiesand'civilfines up to $100;000;.in
addition to the cost of compensation,; damages as provided, for in Section.3706
of. the.Cabor'Code; interest:and.attorney's fees.
IMPORTANT Application.is hereby made to the Director of Building and Safety
for a. permit• subject,io the'zo' nditions and resfrictions'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'resulf 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'1 have read` his application'and state that the above information is
correct I agree to comply with all City,' and State.laws, relating to the building
construction, andhereby.. authorize representatives of this. City to enter upon
the above mentioned property for Inspection purposes :7
. b ;rt
/Signature(Owner/Agent); - ' / Date y'
PERMIT# CONTROL#
BUILDING PERMIT-
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DATE i4DJ:t'4rf+JT VALUATION S 44,4M) 4) LOT fI_ TRACT IA, a e
ADDRESS% 5,14AV3. N A .87 9 §JOB SITE * V ' ' F
APN
OWNER
CONTRACTOR/DESIGNER! ENGINEER-
' O-?ii i er C"I,,rit , 11K1 A i I,ARiGF-il rP011ItivO '
VE i. LR A. R4rRICitIT. GA
'7'•INDiGo DR..
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119410,PAL)t,€17
LA, QUIN-T.A. "' CA
DT--'SirIVP 144.1' SR' i7:NOr CA MIAO
OMAN. A33
USE OF PERMIT
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RECEIPTDATE
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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
p — —
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
0. K. to Wrap
F.A.U.
Framing
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
/
— !D —
P/
—I
Final
incl
POOLS - SPAS
BLOCKWALL
APPROVAIIS
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
COMMENTS:
7'0/7
/ r %
GvN 71/ iS P
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)
Certifidate of Occupancy
City of La Quinta
Building and Safety -Department OF
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: 78-445 MAGENTA .DRIVE
Use Classification:
SINGLE FAMILY ATTACHED
Bldg. Permit No.:
9710-051
Occupancy Group:
R-3 Type of Construction:
VN Land Use Zone:
RM
Owner of Building: BAY CITY ESTATES INC
Building Official
Address: . 78-477 INDIGO DR
City: LA QUINTA, CA., 92253
By: DANIEL P. CRAWFORD JR.
Date: 4/23/99
POST IN A CONSPICUOUS PLACE