DEMO (10682)1
....
Building
Address 519033 MENDOZA.
Owner
PETER & PEGGY OTIS
Mailing
Add ress p 0 BOX: 8097
City ANAHEIM. CA,Zip
~A-~8¼NiA 92803
Contractor
~of40.t¥t
P.O. BOX 1504 l (#-I
78-105 CALLE EST ADO "2 -7 ·,
LA QUINTA, CALIFORNIA 92253 ) /1
~
BUILDING: TYPE CONST.
A.P. Number
Tel.
714-899-0553 Legal Description
RESIDENT
BONDED RIGGING & HEAVY TRANSP0R:r Project Description
Address
p 0 BOX 1774
City JZip Tel.
RANCHO JUR A ~E 92270 325-5523
State Lie. City
& Classif. A, c-21, fiAZ,ASB Lie.# Sq.Ft. No.
Size Stories
No. 10682
acc. GRP.
OEHOLI'fIO:M
No.Dw.
Units Arch., Engr .•
Designer New D Add D Alter o Repair D Demolition D
Address Tel.
City IZip State
Lie.#
llCENSED CONTRACTOR'S DECLARATION
I herebb affirm that I e.m licensed under provisions of Chapter 9 (commencing with Section
7000) 01 ivision 3 of the Business anti Professions Code, and my license is in lull force and
effect. · ·. ; ,
SIGNATIJRE DATE
OWNER-BUILDER DECLARATION Estimated Valuation I hereby .affir.m that I am exempt f rom the Contractor's License Law for the rollowing $10.000 reason: (Sec. 7031.5,Bus/ness and Pro fessions Code: Any city or ex>1.111ty whi<;h requires e
permit to const,uct, alter. Improve, demo/fsh, or repo.Jr ai,y structure, prior to Its ;ssuance also
PERMIT roqulro,; the applicant /or such permit to Ille B signed statement thaI ho is ticonsed pursuant 10 AMOUNT Iha provisions of tho Contractor's License Law, Chapter 9 (commencing with Section 7000/ of
()/vision 3 of tho Buslno.ss and Professions Code, or that . he Is e•empt therelrom, and th_e basis Plan Chk. Dep. for iho a1Ieged exemption. Any violation of Seclion 7031.S oy ·any applicant for a perm/I
su/JJects the applicant to a civil pem;ny of not mo/'8 /flan five 11Iindred dollars ($500). Plan Chk. Bal. o I as owner of lhe property, or mv. employees with wages 8.$ their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 704 4, &!l:;ness ~nd Const. ~.a.wQ PiofesskJns Code: The Contractor's Ucense Law does n<>I IIPl)ly to an owner of property who
lluilds or improves thereon end who does such work hlmse/1 ·or through his own employees, Mech. Provided I/lat such inlprovemen1s ere not inlon<J6d or offered for sal&. If, however, thi, buildlng
or improvement Is sold w,1hifl one year of c ompletion, the owner-builcter will have the bvraen Electrical of pro,tng 1hat "" did not buHd or improve for the purpose·of sale./ .
o I as owner of the property, am exclusively contracting with licensed contractors 10 con-Plumbing
stru'ct the project. (Sec. 7044, Business 8tld Professions Code: The Contractor's UooflSe Law
S.M.I. does not apply to an owMr of properly who bu/Ids or Improves th&reon, sn<J who contracts for
such projects w11h a contrsctor(s} tlcense<J pu,suB11t to lh• Contractor's License Law.)
Grading O I am exempt under Sec. "· & P.C. for this reason
Driveway Enc.
Date Owner Infrastructure
Demol.it:ion $30.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate -of consent t o sel f-insure, or a certificate of
Wor!1er's Compensation Insurance, or a certified copy thereof. (~c. 3800, Labor Cede.)
'Polley ,No ,Company
,~Copy is filed with the city. D Certified copy Is hereby furnished.
TOTAL $30.00
CERTIFICATE OF EXEMPTION FROM REMARKS -WORKERS' COMPENSATION INSURANCE ., ;
(Thi$ section need not be completed if /he peimit is for one hundred doHsr.s ($100} V1Jlualfon ,1
or l~ss .J
I certify that In the performance of thti work for which this permil is issued, I shall not
employ arw .r,ers_on in any manner so as to become subject to the Worker!I' Compensation
r,.aws ol <,ah orma.
Date Owner
NOTICE TO APPLICANT: If.' at.ler making this Certl/lcate of Ex11mp1Jor, you shOuld become ZONE: BY: sul)Ject 10 tho Workers' Comp1msal/on provision$ ol the Labor Cod<io, yoo must forlhw,lh Minimum Setback Distances: comply wf/11 such provisions 01 this permit ·sha/.I be deemod revokocJ.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 1 hereby affirm that there is a construction lending agency for the performance of the
Side Setback from Property Line worll for which this permit Is Issued. (S&c, 309 7, Civll Code.)
Lender'$ Name
Lender'$ Addres• FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and vatidaled. and is subject to
e,plratlon if work thereunder is suspended for 180 days.
nate Permit I certify ttial I have read this application and state that the above· information is correct. Issued by: I agree to comply with all city and county ordinances and state laws relating to-bulldln_g
construction, and hereby authorize representatives ,ol this city to enter the above-
mentioned properly for Inspection purposes. Validated by:
Signature of applican• Date
Mailirg Adores • Validation:
City, State, Zip
CONSTRUCTION ESllMAlE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL. SO. FT.@ $ UNITS
2ND FL. SQ. FT.@ YARD SPKLR SYSTEM
POR. SO. FT.@ MOBILEHOME SVC. BAR SINK
GAR. SQ. FT.@ POWER OUTLET ROOF DRAINS
CARP. SO. FT.@
DRAINAGE PIPING
WALL SQ. FT.@ DRINKING FOUNTAIN
SO.FT.@ URINAL
ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING
NOTE: Not to be used as property tax valuatlor, FLOOR DRAIN
MECHANICAL FEES WATER SOFTENER
VENT SYSTEM FAN EV AP.COOL HOOD SIGN WASHER(AUTO){DISHJ
APPLIANCE DRYER GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY
' AIR HANDLING UNIT CFM KITCHEN SINK
ABSORPTION SYSTEM 8.T.U. TEMP USE PERMIT SVC WATER CLOSET'
COMPRESSOR HP POLE, TEMIPERM LAVATORY
HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER
BOILER B.T.U. SO.FT.@ c BATH TUB
SO.FT.@ c WATER HEATER
MAX. HEATER OUTPUT. B.T.U. SQ. FT. AESID@ 1¼ c SEWAGE DISPOSAL
SQ.FT.GAR@ ¾c HOUSE SEWER
GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FEE
DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE I CONST. FEE ELECT.FEE SMI FEE PLUMB.FEE
STRUCTURE PLUMBING ELECTRICAL HEATING &. AIR COND. SOLAR
SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA
SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK
FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCTWORK ROCK STORAGE
FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EOUIP. -r
REINF. STEEL GAS (FINAL) TEMP. POLE ------GROUT WATER HEATER SERVICE _.,/"' ~NALINSP.
BONO BEAM WATER SYSTEM ~ GRADING
LUMBER GR. FIN A~ cu. yd.
FRAMING FINAL INSP. / $ plus x$ -$ ___
ROOFING REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL /
LATHING /
MESH (
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION?~ /ry_ L L{)
CERT. OCC.
v · .
FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS
GARD.EN WALL FINAL
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� r
C and H LRBORRTOR'Y
TEL No.714=991-1742
„ T & 6 ENTZRPRI1F$F,S
P.O. BOX 8097
ANAH=W. C►;.LB'pRNIA 9$903
714 999.0543
FAX COVER SHEET
TO
FROM
NUMBER OF PAGES (including this one):
COMMENTS:
Feb 20,92 12:43 No.005 P.01
If yott do not'receive'all Pages, or you have any questions, please feel free
to call (714) 999-0553.
THANK YOU.
C and H LABORATORY TEL No.714-991-1742 Feb 20,92 12:41 No.005 P.01
TO
FROM
T & s ENTERPRISES
P.O. BOX 8087
ANAR=m, QAZAVORNiA 98808
714 OOMS68
FAX COVER SHEET
2-1,y
NUMBER OF PAGES (including this one):
COMMENTS
if you do not receive all pages, or you have any questions, Please feel freo
to call (714) 999-0553.
THANK YOU.
I
T,&f 4 CU "
78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - 1619) 564-2246
FAX (619) 564-5617
March 18, 1993
Mr. & Mrs. Peggy Otis
P.O. Box 8097
Anaheim, CA 92803
Dear Mr. & Mrs. Otis:
The wall at 51-035 Mendoza has been removed the satisfaction of
this Department.
Thank you for your cooperation on this matter.
Sincerely,
BUILDING AND SAFETY DEPARTMENT
Tom Hartung
Director of Building and Safety
kt
cc: Bonded Rigging
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
, - .. -i .. i -,, _ .L 3 1 1 "_ I G 1.1 Z_ V v Z_IL4L
1 • .17 1'4U .'VVJ r . V
BONDED RIGGING & HEAVY TEL:1-61`y 9-325--5523 Feh 17,92 5:12 No.001 P.02
South Coast
Air
gemeent District ASBE 5TOS DbUOLITION/RNNOVATION I11OTWICATION
PROJECT JOB #: - [ I Cancellation [ ] Revisfou '(Froicct bate) [ ] Revision (Other)
Far CMOs on or Rv*lou, till out seetlant 1403Cd M(A)(i), (11), 00 and others that apply.
completed BX: _.� Date:��
Company t Telephone: _
MAIL TO:
South Coast Air Quality Manetgemtht Diotriot
Hazardous Materials 8ectionanforoamont
4150 Flair Drive
I;l XOnta r CA 91731
Motif 0:
Date Root
pCSTtdARx
status codes
Quarter:
Fnte r ed' By :
00AQMD—N8E-0NLY-
1403(d)(1)(A) *'MLNVRI'I'J'RN ONLY* Incomplete Nodtleation will result in >Eororcement Action,
1403(d)(1)(A)(1) Operator/Contractor.
Name:
Address.-
City,
ddress:City, State L4 -code:
Site Supervisin Person:
Telephone:
1403(d)(1)(A)(1) ftoperty Owner(s).
(For • Demolition iob, pk"e lib, Demolition is Renmtlbh 0mumlon)
Name: P* ---6r T, Offs w _Pey�y Utrs
Address: 4 3o l A r rry c Li h�J C-Dr.
-V City, State Zip -code: � a�.w►t ck . Ar► a , .. Ca_,
Contact Person: �� y 0 + r s
Telephone: 4,1c4 Cud 71,'- 9 o5 -s3 (to)
1�03(d)(1)(A)CII) p'acllity L�oeatlon. (>�lew urs D069 wh4ft indiated)
x Site Name:
X Street Address: 51-o35 Co-Ife Nerg., Cz4'
19 City, UAW Zie: �-& Q-iMe-, Com. 6a2 -s3
L1Dty: '�iver sid <-_� -
Demoiition/Renowation: �cmatleian �emw.! -Ordered I)emalition Emc'trwy tteaoft1 o
1403(4)(1)(4)(110 Facility Description. Rum use sada where MAW)
Size (Sq. Pt
Age ears):
Number o floors:
Snuditlg T4 : xenrrr+ei.t z0ow jndu wal Dfruat pAtk owwltit detjoe ,' rt:«a
Prior we : • i #pital Jnductllai JQmce AOC,nt
Number of V*eli.ing Units. (For tee woft only)
Work Location Pesaibc):
Projwt suss.
Start Date:
Completion Date:
SCAQMD Rule 1403 Notal'icadnn Form (1403AVM) Pas 1 or:
AT YOUR SERVICE
CLIENT:
njed
PROJECT:
DATE:
wo