RPL (001212)77253 Calle Mazatlan
001212
APPLICANT NAME (L, F, MI)
Hamilton's
am t `On,S `
ADDRESS '. P.O. BOR 1593
PERMIT APPLICATION
City of La Ouinta
( Department of Building and Safety1.
,
`
This'permit becomes void if work nol.commenced'within 180 days.from date of issuance, OR, if work has been suspended or abandoned for a period of.180 days. •: m; '
_S.,
CERTIFICATE -OF EXEMPTION FROM.WORKERS' COMPENSATION INSURANCE: This section need not be completed it
LICENSED CONTRACTORS\DECLARATION:.l.hereby affirm that Lam* licensed under provisions: of. Chapter: 9r.. , ,;
-' 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, l shaltnotemploy any person in any manner so as to become subject to the Workers'Compensation Laws of. ,,,
and effect
California.
License Class Lic/N mb ` +— • f r '• _ , .
Dale ..- - • .Applicant-
-of
• Date. • -- • - - • - ' - - Contractor
NOTICE TO APPLICANT: If, after making'ahis Certificate Exemption, you should become;subject to the Workers' •.
OWNER -BUILDER DECLARATION: I hereby affirm (batt am exempt from the Conlraitor's Licen"se law for the • '
Compensation provisions of the Labor Code; you must forthwith comply. with such provisions or this permit shall .
" f
following reason'(Sec. 7.031.5. Business and Professions Code: Any city or county'which requires a permit to
oe.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;heislice.nsed.pursuantto.theprovisionsoftheContractor'slicenseLaw
01 hereby certify that no excavation five (5) or more feet in deptfi into which a person is required to descend'will be
,'(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, falsework, or, '-
therefrom and the basis for the alleged exemption: Any violation of. Section 7031.5 by any applicant for a permit,
dernolition`ordismantling thereof, will be more than thirty-six (36) feet high. (Chap13.2' Grp 2, Art 2. Sec 341, Title 8, '.
„subjects the applicant to a civil penalty of not more than five hundred -dollars ($500.): c:
CAC ).
. 0 I. as owner o1 the property, or my employees with wages as their sole compensation,will do the work; and.the;r
O As owner -builder; I will not employ anyone to do. work which 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'has 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 Iridustiial Salety.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.). -
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance "
0 l; as owner of the property,. am exculsively contracting with licensed contractors.lo co - nstruct the project (Sec._.
of the work for which this permit. is issued(Sec..3097, Civ..C.)..
7044. Business and Professions Code: The Contractor's'License Law does notapply to an owner of property who
Lender's Name'
builds or improves thereon; and who contracts for such projects with a contractors) licensed pursuant to the ,.
,: LOT SZ ,
Contractor's License Law.).
Lender's Address +.
. 0 1 am, exempt under Sec. B..& 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 -
,c . 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 selt•insure, ora -
certificate of'Workers'.Compensation. Insurance , or a certified copy, thereof (Sec. 3800: Lab. C.):—
r;
' Signature of Applicant or`Agent :. Date
Policy, No. . M Company:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF,ENTRY: Icertify Ihave read this application and state that , w_
.0 Certified copy. is hereby'furnished.: ,
the information given is correct. I agree to comply with all state laws and county ordinances relating. to buidling ;
0 Certified copy is filed with 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
-the
•
Applicant
-upon° thgroperty'for which I.have applieflorathis permit for the purpose of making inspections.• -:, ... ,: r•
,Date
"
Signature of Applicant or Agent Date a
_
Print Applicant/Agent Name
,s
APPLICANT NAME (L, F, MI)
Hamilton's
am t `On,S `
ADDRESS '. P.O. BOR 1593
CITU/COMMUNITY/STATE/ZIP Palm Desert, C& 92260
JOB SITE ADDRESS/3t Cc a 5
CITY/COMMUNITY/STATE/ZIP La Quin•t'la 0 • CA 9225L3Jt: •
P%7G1.
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TWN -
RNG
SE
S
iR C`296-7
LO 9a
. MOD
SB
.
TRACT NAME Santa Rosh Cove
OWNER NAME L. F. MI)
CONTRACTOR -FIRM NAME Applicant-- •4.
ADDRESS' abe
iJ ov'
CITY/COMMUNITY/STATE/ZIP•
above'
•PHONE" 3.46-48041
1 '
}"445
- -
ARC/ENG' FIRM NAME -
ADDRESS .
CITY/COMMUNITY/STATE/ZIP..
PHONE ".
UCNC "
USE OF PERMIT Spa .. ,
BL'
ZON
FS8
SSB
• SSBI
RSB,'
_
-OFC'-'
t•
ZONE ORD".,: ;
,: LOT SZ ,
- END
-.;SIDE"
APPL/PRMT, 0 . 2 2-25585 Pool-
Permit to install, a 6' x 8' spa
'as per approved plans. <<'
Plan' Check Fee-'* 25:02
Const. Fee 38,50
Elect. Fee 5100
SMI Fee :50
17 'L _—s 31 i i..:' v.:r J1L•ii c. .. ... >2' .. a: t. ii '..:1 F,"+. .6:.ti.:. l' J•s -
.
4
TOTAL' :()9=..02 '
FEE e
VALUATION 24,91 0. . 0
. 'L.irL' 'TJi.'' •L!Y ': .n'L.'Si` .;.9:rTtLii _
r1
Am
NO.
OPERATION ,1TE
INSPECTOR
NO.
OPPATION 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.
❑
OP'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
p/L 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