SATT (9906-217)78457 Magenta Dr
9906-217
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 # Lic. Class Exp. Date
f N4 I } R P, 03130/. tJl
r -f
fe "" A • + Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contra o '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 rin Policy No.
(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
sub''t to the workers' compensation provisions of Section 3700 of the Labor
C de, I shall forthwith comply with those provisions.
ate: w Applicant
Warning: Failure to secure Workers' Compensation coverage is6irilawful 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
theeaabove-mentioned property for inspection purposes.
signature (Owner/Agent) ~ - -" '" Date 'r ' '
BUILDING PERMIT PERMIT217 0
DATE VALUATION S 11.33C.10 LOT ] S TRACT !801 i
JOB SIfEt
ADDRESS / i7 MAGENTA DRIVE
APN 61J-796, 01,;
r ,
OWNER
CONTRACTOR/ DESIGNER / ENGINEER
iAYMFrAiS [ARILNA1 iNTC
D lt4ii`ONMIPAN (^1,11 .T1T'A a)R
16 CADIZ 1RCLE
74-883 JONI DR UNrr 1
RAN C'H0 iifllUW-,E CA 92270
PALM DESERT CA 9120)
(760)779-19514 OBLtf 1782
USE OF PERMIT
Sliu .ILJ; I:A14]IJ,I' :?A ..i1Lit
SIVA, KA.N IL, PERNUT D_',LS NOT INCLUDE 14L0CK VCV1 Olt POOL.
i
rRAC i %7Na"1' U i1014 9«;.00 SF,
an1isv# cri, C:t?ST 0e, CONSTRUC-1. ION,
50,:336.10
PERMIT N Eta. SI! fll MARY
C ON311tUC TION Fa, 101-(KK)-448-(iW $411001
P1 AN f'viY rK R iAl-f!()f1-4Za-i!R TitS7 i"
"TX1l,iiti1CIA.11M 1t31 a -iaZ %(1 $36M
;
fil.t:.'1 lZiC A1. FEE 101-400-420.000 s' Stf8,45
.
PLUM! INO FEF 101-000419.00{) $97 Sri
`: I'1tf,Ni 1 hfrl•t'f Pi FIr}r . k1::;1C) !ti I-fNl(a- .1i •Ilfjfl Y,S !►
GRADING HY. 101-000-123-000 SJt 0!)
t1 t [ROC 225-000-•1•41-342 S1,1S .St,
PRECISE PLAN 101-4x10441-345' $25 (a3
Sl M-^PMAI.COMM (Y71'10N AND PI,AN C14F('K
$",19! ) i
LESS PRE -PAID ITIS
80 00
tYD'tAL PFRN11T fa'lfMS DUF., NOW
S2.191.11
„/
RECEIPT
DATE
BY /
DATE FINALED
INSPECTOR
INSPECTION RECORD
.-W
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
3
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
—ev
Exhaust Fans
O.K to Wrap
��-/—�fl
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
—C�>
Drywall - Int. Lath•-(��j
Final
Final
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
VPlumbing
Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
HL9.z
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
A /f
° K r2*'��� z—
�,I.,c,ac'�,r. f�✓.aol � ��wCl/Old. .z � o� p4d,
Final—�
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole,��,r�
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service zj
Sub Panels i4-1
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
—&-ci
J
1( 'ertificate ofcupancy
`
_ 1
City of Ld Quinta
Building and Safety Department0-F TN
r w
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 comp/lance with the various ordinances
of the City regulating building construction or use. For the following.-
BUILDING
ollowing:
BUILDING ADDRESS: 78-457 MAGENTA DRIVE
Use Classification: SFA Bldg. Permit No.: 9906-217
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RN
Owner of Building: BAY CITY ESTATE(AR1701uni Iluc
Address:
16 -CADIZ CIRCLE
City:
RANCHO MIRAGE, CA.92270
By:
GARY HARTMAN
Date: 7-7-00
Building Official
POST IN A CONSPICUOUS PLACE