BLDG (9811-028)52360 Avenida Madero
9811-028
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
N W Professionals Code, and my License is in full force and effect.
O=) co License # Lic. Class Exp. Date
Q LOv 3yf 1t )31Ji3
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I 'Z Date !`Jr1aY Signature of Contractor
J U C f . OWNER -BUILDER" DECLARATION
UJ I hereby affirm under penalty of perjury that I am exempt from the Contractor's
to License Law for the following reason:
Z_ ( ) 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).
M () I am exempt under Section , B&P.C. for this reason
LO
N Date Signature of Owner
O' rn
CL Q WORKER'S COMPENSATION DECLARATION
p IrI hereby affirm under penalty of perjury one of the following declarations:
U-) < O ( ) I have and will maintain a certificate of consent to self -insure for workers'
X W LL compensation, as provided for by Section 3700 of the Labor Code, for the
O J Q performance of the work for which this permit is issued.
•m Q U elf I have and will maintain workers' compensation insurance, as required by
O Q Se tion 3700 of the Labor Code, for the performance of the work for which this
a: LO
Z permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier ams 11W. r+i MIVN Policy No. A01r.. nn s rn.n'TC14
•b a 1. t6iJ. IV NStlJ> W ,f-A0' EKWJtIt I.XZ
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(This section need not be completed if the permit valuation is for $100.00 or less).
( ) I certify that ir A the performance of the work for which this permit is issued, I shall not emplo ,•,.,
nylaperson igyany manner so as to become subject to the
workers' comp/enPatio 4aw,s'ofl!California, and agree that if I should become
subject to:the/worke comecisatjon provisions of Section 3700 of the Labor
COP Jl shaf4 forthwith conplytwithfthose provisions.
,! i JP
%ate: A pli' ant
Warning: Failure to "c Workers' Compensation coverage is unlawful and
shall subject an e oyerEto 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 eri"d attorney's fees.
1.1
IMPORTANTJ 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 pe(mit 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, o`r cessation of work for 180 days will subject permit to cancellation
' (A /
I certify that I have read .this application and state that'the above information is
•
correct 'f agreelto'Do pl with all City, and State laws relating to the building
t .t
constructrondjher b authorize representatives of this City to enter upon
the above mentioned property for inspection purposes.
. ''Jjrr
k /Signature (OwnedAaefitl Date
BUILDING PERMIT PERMIT#
DATE IV 3M VALUATION LOTi TRACT
JOB SITE
ADDRESS 52-360 A i f Y.L A M i i!,KG
APN
OWNER
CONTRACTOR/DESIGNER/ENGINEER
KUv,10rTA,1.`u AIr4 T—ITIR)
WAYWIRZ, ROOP11Ii.T6y
52.3150 AVE:NIDA MADERO
PO'BOX 1155
LA QUIMA CA 92253
PALM DESti:Cb'd: CA 911,261
tyw)-, i'i-` 1.51 CKA 48 77
USE OF PERMIT
6ri- ERA,t. BUL1.jt'40
R&RO Or AP1"ROX 2290 SY,,
AUROOF 2,70 0. W LS
L i;'Y'R'f0 yy'' l '8'7.i M1 ((dYC'!' ' BO'C !`MA76.'Y"9,lSrLr '!"!!'050r
JF.I.t'9A J!LA/4tl .sA gag• 4re,➢2'l rs , l\Wj...e.AV'l1
N "7d1dY AIA
r11'61 U.VV
, j p (? g „ (7L'I1A.f,
'JAir(, :'y [r!dl. .115+3✓' '►iJ €i',d. t if,T+.IDd.
RFAQUF 'FEE 100-000-c08•000 $3U UCs
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j
S1.111 -TOTAL C:ON,;M1XT(QN1t AND PLAN
LESS PRL--PATD FEES
$0.00
TOTAL PF.;1iA'lIT 14'>3±:i:'s 1anNOW
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RECEIPT
1:1
DATE
BY
DATE FINALED
INSPECTOR
91
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
Roof Deck
Exhaust Fans
O.K to Wrap
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
Drywall - Int. Lath
Final
Final /
BLOCKWALL APPROVALS
Steel
POOLS - SPAS
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground PI . 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
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)
COMMENTS:
t 4/85M.
'
: am e & Xim Bi1rd.
`fat.11..nta, LA
ti 17.
Michael
Michael C. .Bead
"General Contractor
License .444018
Box •123
La Quinta, CA
P r Mike
_ When'we'b'ought our home and moved in on.October'1.,
1984, you told
us to notify you .of any problems we found and you would correct
them: ;Since that date,you have been -given at least three lists
olehe problems in our home, and every list was left at our home.
' Only.a couple of minor problems have been corrected, or semi
rti« rected,.not'meeting the standards we had given you,
r The,;following is the list of problems that must be corrected,
,;y;
wit., n `the next four weeks, or bv. December 13, 1985,:
Thermostat clock needs to he grounded, still does not keep
"
steady time..
i t
).Door ambs need to be fixed, not the doors, as the doors
stick when the weather changes.,'as the ja.mbs swell,_from
g properly there ore the doors stick or
not being nailed d, s
;4
d:o not shut properly'
s 44>
x wicarag.e .door Jamb., .from backyard to ryarac e, is tie wr.orig
size, :?gtoo wide..
e Repair floor by the tub in the front bath.; you chipped
the cement lump 'away, but You never put any linoleum back
v clown after you corrected the floor.
.S.hower door in the front bath
does not fit, all adjustments
y have ;been tried, asnested
ou suggested,. and n 1 father also.tried
Y 9
"` w_ho Is also a general contractor.
Ceiling in the master bath, drywall is not" finished proe-
r yl:i'rh x, i
Ceiling in the kitchen and dining room where it joins '
the 1.l'vingroom, drywall not finished properly, AND
Water . d:amage . from leaking roof in kitchen and. beginning
dining area..
k r
-tont bathroom door -MUST BE REPLACED- not patched, as
ho.l.e-for doorknob was drilled in wrong place -and then
kE '{ filled. last attempt by you to fix this was -another
t fill 'job; t
::J) Glass :in south-s.ide .window of livingroom must :be. replacedwindow' is scratched.'J
Sliding doer in master, bedroom needs to be repaired by
factory, or replaced, metal frame is loo,,s
e,
Screens on both sliding doors do not close right, space
Y ybetweYen frame and . screen when shut and the scr en
¢ in the
ff,=`xtr d-inin'g area does':not lock.
+15u YF t °•,nt, 4 x,., ,SL.
at . .,; • )ry t„.r _ ',Tires 1i tt'P 4
7'• _ i tP ktf t '1" t'i 5 k6 m ,e4
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«"' '►' .. •r.r .. k. -r :.+... i a ,rt 4 t ,•, _ w .ti.„ , a '8
Page twor
1) Door frame of linen closet ( jamb), in hallway,..is not xs'.et .r t St;,t3`
right; therefore, the right door does not shut pro,perly`,
and when adjusted, does not hold. K.
13) Drywall in several rooms is popping loose, se'condar- `t,'
nails not being set. ;• * .r{A
t z ..•
14) ROOF LEAKS: you have known "a'bo'de -"this for two• months an+d;
we've had two rains that -have caused dr all/cei'lin .,, v ' !,k _Vz
'
damage in the, kitchen/dining area . Current roofing*
material does not meet city codes.
1.5) Foundation of house sealed wrong, -.only, corrected this on
that •` 'y' 'a
the north and east side, not the rest -of-,the house;.
The roller to the drawer ' in the.kitchen, east side, you
.h Ct$rwY
you fixed temporarily, has never been replaced. ,..
Replace toilet in front' bath,.tank. is cracked,and P'atched.'-
Rock wall. supporting front yard, on north sid:e,, is start . ,
ing to fall. into neighbors yard, therefore, needs, to be`.: } Y'
cemented or block wall with rebar put, -in to prevent fur.- ecu
ther erosion.
As stated in the beginning, this work must be completed to`our, ot
.x '..•'
e
expectatioias and to city' codes by the 13th of December.
' T(Y
Sincerely
• r I ,r x
Jamie 5t': Kim Birds ' ''
cc: Tom, Graham, La Quinta City Inspector ;
t:
Our Filey
Our Lawyer •r r e tib} t A•'r4
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