SATT (9906-235)78493 Magenta Dr
9906-235
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
7 i:11.ts iIa13+1r' bi
/at: _Signature of Contractor
i
OWNER -BUILDER DECLARATION le
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.
(vv) 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.
Si P1-s'TtJPd1) 1.4w 511699
(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
subj jpt`to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions.
ate: Applicant—
VP
Warning: Failure to secure Workers' Compensation coverage isf hlawful and
shall subject an employer to criminal penalties and civil fines Op -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 inspection purposes.
.Signature (Owner/Agent), / Date Z
BUILDING PERMIT PERMIT#
gD MNF- :1•rJ
DATE / / VALUATION $49,521.60 LOT 15 TRACT I414911
1
ADDRESSJOBS /. MAGENTA 1M*4' E
OWNER
CONTRACTOR/DESIGNER/ENGINEER
BAY CrrY ESTATES ES [A1 IZONA.] TNN
D:1L1:1r[.iLLI COMPANlY GEN CONvI"Ftt CTOR
16 CADIZ CIRCLE
114-695 JON1 OR UNIT 3
RANCHO MIRAGE CA 92770
PALM D1%S.isltT t;'A92260
(76(1)779-1951 CUP 3782
USE OF PERMIT
ZRINGIU VAMILY A'ITACl•11:17
S.F41A,AAN 2Lf , .1?'MItf fT DaisS NC)T 1NCT IUDE I3t OCb WALT., OR i"CA)L .
'Lr N C'13;FS4 K.1 1 iJ Si l tJi l?1 7390 F01Z%1t.17.T1FLF.1SSUANCE £:k SA I
:P1 AN TYPE.
11'ZACi' t.ONS TRU CION 91200 Sr
O 151AlLa D CO'I'F OF WNTS RU a' ON
PCRA1117 FEE WWWARY
CONS"ICRUC :Ci0N F L+-- 14 K;YJ
PLAN r1 _X11K_ Fin'.
A_WiTANIC,AL 1;11;; 10.1-000-121,N, YJ $46.00
CLEC71{.N'CAL 14.'4x, J01-000-42040 $81.92
FLUI\4BIN10F03 101 -OW -419-000 597.50
iT1'1 0',W k1Q'n''0N F$T,., - RFRIf) 101-() 0 -?4) -0(Y) 4 91
Q; A1vING, rl EG $20.00
iN1'.KA ii`W1X`r'URE FIT,"25-6%,441-342 1,1ti 1..4s
iaFE'F.08H PLIV4 101-000-4,11-345 $25.t► )
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Y
ti€.IIS _iYi"1't11. C:ONS'1rRtsC'1'1.ON .AND PI -AN C f-MC:K
s:1,ii9S.o
USS 1'RE-FAIT) [T ES
$0.00
(3" AL Pt:'RMI iri%RS DUE'NOW
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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
Z
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
—oU 6'
F.A.U.
Framing1000
—�
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wali Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
4 POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Pibg. 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
UtiFial
lity Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures 00,
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final 07%
Utility Notice (Perm)
COM M ENT�S:
'04�����
Ce§llficate of Occup'a'ncy. . . . . . . . . .r
cit f La in to
rr
Building and Safety Department oF Ini
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: 78-493 MAGENTA DRIVE
Use Classification: SFA Bldg. Permit No.: 9906-235*
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RN
Owner of Building: BAY CITY, ESTATES(ARIZONA) INC.
Building Official
Address:
16 CADIZ CIRCLE
City:
RANCHO MIRAGE,CA.92270
By: _
GARY HARTMAN
Date:
9-9-00
L 1 .
POST IN A CONSPICUOUS PLACE