SATT (9710-055)78453 Magenta Dr
9710-055
4 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.
e)
License #"` 3 ,; Lic. Class Exp. Dat;°
I
;,Date %1 Ignature of Contractor ' i
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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).
( ). f 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. '
`a"'r't;1Yi•.''., i'1?i'+I.i3D.'.:t
(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 shahnot, employ any person in any manner so as to become subject to the
workers' compha
ensation laws of California, and agree tt 4f I should become
subject to the workers' compensation proavisions of Se iorf'3700 of the Labor
C6de, l shall fort with Comply with ,those rovisio" s.'
,Date: I l E Applicant Nye r.
w -
Warning: /Fail re to secure Work s'. Compensa ion coverage, is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000; in -
addition to the cost of compensation, damages' as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety,
for a permit subject to the conditions and- restrictions ,set forth on his
application.
1. Each person upon -whose behalf this application is made & each person'at
whose request and for whose benefit work is performed under or pursuant to
any permit,issued as a result of this applicaton agrees to, &shall; indemnify
& hold harmless.the City of La Quinta, its officers, agents and employees.
2. Any. permit issued as a result of this application becomes null and .void if
work is not commenced within. 180 days from date, of .issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certifythat I have read this application and state that the above information is
correct. I agree to comply with all City; and State.laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
thl above- mentioned property for inspection purposes.
/SiAgnature•(Owner/Agent)` ' Datefl
-PERMIT # CONTROL#
BUILDING PERMIT'
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LA QUINTA CA 97253
OBtiEWr HCM S.PRI,NG! CA. 92240
(oo)379.14" C NA 4345
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USE OF PERMIT
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RECEIPT
DATE
BY 1
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
—$— Q
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
OX to Wrap
4
F.A.U.
Framing
-
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
POOLS - SPAS
BLOCKWALL
APPROVA S
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
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS: /
/2
it ✓v /,40
9c
Final
Utility Notice (Gas)
.ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fcdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final Af
'Utility Notice (Perm)
Certificate of Occupancy
City of La Quinta
Building and Safety Department
This Certificate issued pursuant to the requirements of Section 709 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: SINGLE FAMILY ATTACHED
78-453 MAGENTA DRIVE
Bldg. Permit No.: 9710-055
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: COMMUNITY
COMMERCIAL
Owner of Building: BAY CITY ESTATES INC Address: 78-477 INDIGO DR
Building Official
City:' ' LA QUINTA, CA., 92253
By: DANIEL P. CRAWFORD JR.
Date: 3/19/99