SATT (9906-224)78471 Magenta Dr
9906-224
LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Cl) Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
cN W Professionals Code, and my License is in full force and effect.
O =) M c LiAnse # Lic. Class Exp. Date
r- C'1 LO i i.; I I8 BLLJ
ft` 1 +fl 20i
o Z /ate • Y Signature of Contractor-
0
ontractor O
I.-
OWNER -BUILDER DECLARATION
W W r` I hereby affirm under penalty of perjury that I am exempt from the Contractor's
~ a License Law for the following reason:
Z( ) 1, 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).
C`') () I am exempt under Section , B&P.C. for this reason
LO
N Date Signature of Owner
ON
CL Q WORKER'S COMPENSATION DECLARATION
O C1 I hereby affirm under penalty of perjury one of,the following declarations:
Lin H p () 1 have and will maintain a certificate of consent to self -insure for workers'
X W = compensation, as provided for by Section 3700 of the Labor Code, for the
O Q performance of the work for which this permit is issued.
C0 Q U ( I have and will maintain workers' compensation insurance, as required by
O CJ Q Section 3700 of the Labor Code, for the performance of the work for which this
rn H permit is issued. My workers' compensation insurance carrier & policy no. are:
1.t Z Carrier Policy No.
p
g(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
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those. prgVisions.
Zate:"? - '• ? Applicant
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
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for.inspec ion purposes.
_
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v ignature (Owner/Agent) ,f/'^' ~%Date
PERMIT #
BUILDING PERMIT "06-214
DATE '7/1 VALUATION LOT LOT TRACT
JOB SITE
ADDRESS 7"71 1 NL&GEN A, DRIBS' E,
APN 613-790-015
OWNER
CONTRACTOR / DESIGNER / ENGINEER
0 •1 V 0111'V UK,(, 4't•,t; SAT) 17t-%i,t n t 1"h r/"
\1 \It.AJl Yllt 11 !\
f'1 t,xrr tl t t {'+('1i 41)d>,sv -+_r; At r,r%him J Ar' r tf>
I LlI ♦l,R kltllt /111 i 31.1Y \.\II♦1).\A 1\ 1./R•
lel CADIZ CIRCLE
711-881 J 3NI GR UNIT I
RANU3IU KHRtAGH CA 92270
PAUL, 1)ESHRT CA 42100
(7601779-1954 C'RLH 3M
USE OF PERMIT
SINOU , F-MMiM
e
SFA, 11L.AN .2L, PE ' " C Uv b NOT INCLUDE OLClr-K WALL 0R 11000.
PLAN t_'MC K f E1i Rfi1)tX'hU 75*i. FOR MULTIPLE IS:3t1ANCI; t W SAME
PLAN '1YPP,
TRA..4 CONS'! tcUC i 10N 912.00 S
US-►1i31AfISDCOST OFCONST k1JMON
4!s i1.r►!?
PERMU FEE, SUitAMARV
i ctflS'1'ftU1: 1 iC)N 170- ifll (}()fl -/i l?i tk)0 $414.1141
P1,ANtiMsA
;1,`IIXUTANICALI' L I01 -000-42I_000 S'r1t►Uta
1'sf.lic TRIC'AL FIX 101-000-420-000 U7.117
PLUNMfNO FEE 101-000 419-000 $97.u)
TROWO kf0TT()N FVF - RFIRID 101-(ice-24141f►(1 U yS
GRADING FFE 101 -000 -443 -OW S2000
1NFRASIPLUk IRRFLE 2"'i-000-443-342 3 1. 114 24
1/!ik"sC1:;1i 1 t AN 101-OW441-345 S25 tttl
S[til-TOTALi , CONSIV 'TI(AN AND PIAN r14I,.CK
51.998 0
LESS PRETAID FEES
$000
'law, PERM IT IF1+;ES DUE NOW
51,898.v
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs .
Underground Ducts
Forms & Footings
Zjell 4
Ducts
Slab Grade
99 60
Return Air
Steel
Combustion Air
Roof Deck
— 7— pp
Exhaust Fans
O.K. to Wrap
--/ _
F.A.U.
Framing
0 _per
_
Compressor Z01,
Insulation
% —
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
—{�D
Drywall - Int. Lath.
-
Final Z
Final
BLOCKWALL APPROVALS
POOLS - SPAS
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 r
Gas Test
Appliances
Final
Final G�
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 U0
Utility Notice (Perm)
COMME�V,,,�,i�
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•
YCerdficate 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: 78-471 MAGENTA DRIVE
Use Classification: SFA Bldg. Permit No.: 9906-224
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building: BAY CITY ESTATES(ARIZONA)
INC.
Address: 16 CADIZ CIRCLE
City: RANCHO MIRAGE, CA. 92270
By: GARY HARTMAN
Date: 6-22-00