PAT (001314)52960 Avenida Martinez
001314
APPLICANT NAME (L. F. M1) Pai—A E.Btohe ,
`!
PERMIT APPLICATION '
City of
La Quinta
Department of Building and Safety
This permit becomes void if work not commenced within 180 days from date of
issuance. OR, it work has been suspended or. abandoned -fora period of 1BO.days..
r
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if
LICENSED CONTRACTORS DECLARATION: 1 hereby affirm that I.am licensed under provisions of Chapter 9 I
" the permit is for one hundred ($100) o, less. I certify that in the performance,of the,work for which this permit is ..
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force •
-issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
and effect.
California.
License Class Lic. Number
Date Applicant
Date + Contractor. ^
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to'the Workers' •.
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from tfie Contractor's License Law for the
Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall
following reason (Sec..7031.5. Business and Professions Code: Any city or county which requires a permit to
be deemed revoked.
construct, alter, improve. demolish, or repair any structure, prior to its issuance, also requires the applicant for
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
01 hereby certify that no excavationfive(5)ormorefeetindepthintowhichapersonisrequiredtodescend,willbe•"
(Chapter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code) orthat he is exempt
made in connection with work authorized by this permit, and that no building structure, scaffolding, talsework, or '
therefrom and the basis for the alleged exemption. Any violation of Section 711.5 by any applicant for a permit
- demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp Z Art 2, Sec341, Titfe8, .
subjects the applicant to a civil penalty of not more than five hundred dollars ($500.):
- O 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the
C.A.C.)
%which
O As owner -builder, I will not employ anyone to dowork would.require a permit from the Division :of
structure is not intended or offered for sale (Sec. 7044; Business and Professions Code: The Contractor's License
Industrial Safety, as noted above, unless *such person as a permit to do such work from that division..
Law does not apply to an owner of property who builds, or improves thereon, and who does such work himself or.
through his own employees, provided that such improvements are not intended or offered for sale. If, however, the
O Division of Industrial Safety. Permit. No,
building orimprovemntissold within one year ofcompletion. the owner -builder will have the burden of proving that .
Date Applicant
he did not build or improve for the purpose of sale.).
_ 1.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance
O I; as owner of the property, am exculsively contracting with licensed contractors to construct the project (Sec:
., of fhe•work for which this, permit is issued (Sec. 3097, Civ. C.).
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who
Lender's Name
builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the
-
Contractor's License Law.). ._
Lender's Address
O 1 am exempt under Sec. B.4-P.C. (Attached Certificate).
I certify that I have read this application and state that the above information is correct I agree to comply with all • ,
DateOwner %`mss-- - V'' - = 4' %
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
''
of this county to enter upon the above-mentioned property for inspection purposes.
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, ora
'
certificate of Workers' Compensation Insurance . or a certified copy thereof (Sec. 3800. Lab. C:).
Signature of Applicant or Agent Date r
Policy No. Company_
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that
O Certified copy is hereby furnished. >
the information given is correct. I agree to comply with all state laws and county ordinances relating to buidling
O Certified copy is filed.with the City Building. Inspection Department or City Department.
construction, and authorize a'representative of the City of La Ouinta Department of Building and Safety to enter.
upon the property for which I have applied for this pelmit for the purpose of.making inspections.
Date Applicant
r e . ,
Signature of Applicant or Agent Date
APPLICANT NAME (L. F. M1) Pai—A E.Btohe ,
ADDRESS 52•-960 Avenida tbztinez
CITY/COMMUNITY/STATFJZI P
Ia Quinta, CA 92253
JOB SITE ADDRESS/SPACE ab^ , ., ove -
e
CITY/COMMUNITY/STATE/ZIP ,
La Quinta, CA 92253
BOK
773
PAG
332
PRC
027
C
TWN
RNG
SE,-
S'
TRACT
L>?' /
i
•F_
i.J
MOD
SB_
'
TRACT NAME '
OWNER NAME L. F. MI) AWlicant
CONTRACTOR -FIRM NAME li, ' w. ,,,
m It
ADDRESS
a,,, , ,,,„
bove
CITY/COMMUNITY/STATE/ZIP ., M
above
PHONE . 564-2644
LICNC F
ARC/ENG FIRM NAME '
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE M•
LICNC 0
USE OF PERMIT Patio Cber
BL
ZON
FS8
SSB
SSB
RSB
ZONE ORD N
LOT SZ
END
SIDE
Print Applicant/Agent Name
APPUPRMTQn J .114 DATE' '
4-3-85 BLDG.'
Permit to cimstxuct a patio oover and
add addtl contract as per approved
plans.
Plan Check 16.25
Bldg. Fee 25.00
gni Fee -.50
TOTAL s'
FEE •
4.1.75
A 0 5 8 9 4 4
BLDG. DEPT. VALUATION 1,680100
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Compart.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
❑
43
Final
10A
fireplace T.O.
❑
NO
,
ADDITIONAL INFORMATION
`
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
.21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25 Final
Tank Pit L. Line
ELECTRIC APPROVALS
REAR OF PROPERTY LINE
PSL P/I
STREET NAME
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 'Final '
. s
u
Mr. Tom Graham
City of La Quinta
P.O. Box 1504
La Quinta, CA 92253
Dear Mr. Graham:
October 30, 1985
Re: Permit No. 1314
I hereby request an extension of Building
Permit No. 1314, job address: 52-968 Avenida
Martinez. This.extension is necessary due
to a five-month vacation this past summer.
Thank you,
>azzz,t 8
Paul E. Stone
564-2644
RECEIVE®
NOV 11985
CITY OF LA, UINTA
COMMUNITY DEVELOPMENT DEPT
3
SPACES " r
i
P S
1 — TEE STROP S I{}' — 2=r1►l G 4 _ n
WITH 3 S
i B 7%-T– ExISTI" T 4•• THICK
1 V
yZ'gNCNOR BOLTqVD:f
I ANCIaoF sri<gr' :/
i WITH 2-";,eoLTs
ba ae l
V
i I GXISTrnIG +k d 1
x I I f ,`+ ♦
SLAB DETA►L A /
I2 x /2'SA W C uT /'•
I 8x12 SAW CUTy /
FOR POST FOOTING -FOOTING FOR POST FOOT/NG 'DETAILTO BE POURED -IT! r ADDcf7/2' DEEP
i - - - - - - I r - - - - '- -- - — I / ►
WITH 2." DeA•'A NC.HOR'BOLi--
I
PAUL t T1 _ ..G — A
- ►
`aGC; NI
Xis. N .Gb.NGRE TE C4„ !1 i.-,IkTINEr
`CCN.':RETC' 4 TNK. _ o -D arER LA QVINTA, CA.
TYi Fi!- An :•c-L .. ' COST_ 5&4 ?-G
—FA/ST/AA
7' 3
c Qov - R e 7,0
PAUL E, STONE
62-'9(.0 AVC -NIDA M.QR7-)t4E56
LA Q U I AJ TA I C 04
.5-0-4- 244-4
LOT 141 15 13LOCk— 1+6