SATT (9906-219)78461 Magenta Dr
9906-219
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 # Lic. Class Exp. Date
(1:%%?v i
a e-_" — Signature of Contractor , ^ ^ 1
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
Sedtion 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.
0TA1131U11-4) 1422W(19h ,
(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
subjectjto the workers' compensation provisions of Section 3700 of the Labor
Co I shall forthwith comply with those provisions.
te: Applicant—
Warning:
pplicant Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
constructio ,•and hereby authorize representatives of this City to enter upon
the abo entioned property for nspection purposes.
i nature (Owner/Agent) Date f
r L
Vgii(►-21
BUILDING PERMIT PERMIT#in
DATE VALUATION S41.430.90 LOT 15 TRACT 1891.1$
ADDRESS "I MAG f aADRIV :
APN GI -/jI'11 1IS
OWNER
CONTRACTOR / DESIGNER / ENGINEER
BAY 1C."I'X
D ME1,11 1,1 COMPANY GE11! C OINTf;A - Mlt
to CADIZ CIRCLE
74-f85 JUNE DR UNIT I
RANCHO hilItAtAi CA 422' l
PALM DE-si-xi' CSA 92200
t oo, 779-{4154 (11110 'Im
USE OF PERMIT
1[twA.f FA 111A ATVA(. HED
FA, PLAN 3U, I'LKM►T DOLS NOT [NG1U1)L'• BLOCK WALL OR POOL
•f R VC COIN STR C ION 7, 63.00 S
EIS,'Ih1ATIIDC"Q4`7 0 F[0 i rR,IJC,"11Oh`
41.430.90
I'I;E:iAHT f• FT. SUNItAIARV
CONS'PttEX714 )N FUR 101 A )AIN-(IOO g ifr2.51►
PI 4?4 cl-W(W FV17 ftt0liX#W)N1-ARR
'W-3j
i%IECIIAINIriV. 1LE 101 -WO-421-004
izl,EC717RICAL FI:E EOi -W k-42G-OGO S8'.11
PLUIMBINU I -E -k to14YU-4I4-(Xi) $85 4+)
snwnHCiMfnrinN w.i-RF4tf) tai 4kN1'i41-t►fk) $414
GRAVING I"UT! 101 Qf?O 2:3 ON S20,w
tNF,R .SI'RLIC'I9UIu 1,16 22-5-OW443-3421 3-3421 S933 Al
PRECISE PLAN 101-CtflD 41i-3 I5 .SIJ(NJ
Still -TOTAL CONS IUY-110N AND P[i AN r11FCK
$1,86767
LES4 PRE -PAID FT ES
fii) 00
•1•i3•!AL PjE1iACIT lr'1r%S 1)[)1+.` NOW
1,8t►2.b7
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
Return Air
Steel
Combustion Air loor
Roof Deck-
_ — O O
Exhaust Fans
O.K to Wrap
/8•-c> b
F.A.U.
Framing
/ —
Compressor
Insulation
/ ty-b 6
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
b�
Drywall - Int. Lath
Z try
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
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:
�r'Lip �'l�,2 �'/16�a-ii✓� b K /o i3-%� or -E
Daa3/e �lles42 ®tC-�lo��s✓!9k /-8-dam 60`
� D � � !„ �
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)
12
(of Occupancy
j
City o F L a Q uin ta
Building and Safety Department
IV
0
jv,
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Codo,
certifying that, at the time of issiaace, 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
Occupancy Group:
78-461 MAGENTA DRIVE
R3 Type of Construction
Owner of Building: BAY CITY ESTATES(ARIZONA)INC.
Building Official
VN
Bldg. Permit No.: 9906-219
Land Use Zone: RC
Address:
16 CAQIZ CIRCLE
City:
RANCHO MIRAGE,CA.92270
By:
GARY HARTMAN
Date:
7-3-00
POST IN A CONSPICUOUS PLACE