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05835 (RC)P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 78-365 HIGR AY Ill LA QUINTA, CALIFORNIA 92253 Owner Address SAME City112253 LA d�UTMA ROS' A. MARTINEZ 01C. Address 30842 LA BRISE City Zip LAWNA HICCEL 92677 State Lic. :. —A Classif. B_1 347--756__.__.... y Arch., Engr., Designer Address City _ IZip r.. Tel. Tel.' r„ _�14-t�95w1697 City Lic. # Tel. State Lic. # __,....,._I.I�CENSED CONTRACTOR'S DECLARATI I hereb� affirm that I am libensed under provisiongofjChapter 9 000) of Division 3 of the Business and ProfessiOns,Code�:and m > OUfNER-BUILDE%i DECLARATION I hereby affirm that I am'exempt from the Contractors License Law for the following reason: (Sec:' 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, 'after, hnprove, demolish, or repair any structure, prior to its issuance also ,requires the applicant for such permit to We a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of ' Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the aPPfi=t to a civil penalty of not more than five h n&ed dollars ($500). 'a,. ❑ I, as owner of the property, or my employees with wages as their sole compensation, will ?4_do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and :Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work hnself or through his own employees, provided that such improvementsare not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of safe.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con• struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to.seif-insyre,; or a certificate of Workers Compensation Insurance, or a certified copythereof: (Sec!/ 3800, Labor Code.) Policy No Company ,"py is filed with the city. ❑ Certified copy is hereby fumished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATIONINSURANCE (This section need not be completed if the pemtit is for one hundred dollars (S 100) valuation 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 Date Owner NOTICE TO APPLICANT. d, after making this Certificate of Exemption you should bece subject to the Workers' Compensation provisions of the Labor Code, you must forthwitomh comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, C q Code.) • Lenders Name Lenders Address This is a building permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. "1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address ` City_ State, Zip No. 05.33=5 BUILDING: TYPECONST. OCC: GRP. A.P. Number 617-040-006 Legal Description Project Description 2F�Y�>�i�PT IM MS `I'ATL BOXES' Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 101000. PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 76.05 Const. 117 . GO Mech. 19.50 Electrical 33.40 Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 245.95 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date 5/31/81)—Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING Y ARD SPKLR SYSTEM 2ND FL. SQ. FT. @ FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. ® GROUT WATER HEATER WALL SO. FT. ® FINAL INSP. DRINKING FOUNTAIN SQ FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =S WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE,TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ®c BATH TUB LATHING SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE 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 DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. y plus xi =S LUMBER GR. FINAL INSP. FRAMING �� FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION 7 / CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL7d t AW -e-4 e At it (4za t va Tit� of 14a(Quinta 11111itbiu� anb Sdfjot�- 43ill i�silan This Certificate issued pursuant to the requirements of Section 306 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 78-365 Hwy 111 Use Classification office Bldg. Permit No. 5835 VN Group B2 Type Construction Fre Zone Use Zone CPS Owner of Building Downey Savings Address 78-365 Hwy 111 City La Quinta, CA 92253 BY; Danny Day f� Dote; July 14, 1989 Building Official POST IN A CONSPICUOUS PLACE C I TY OF LA QU I NTA Contractor rCARIBBE POO -L" -S7 OLS7 Address Owner Daniel Lund Job Address 78-365 HWY 111 #361 This form shall be posted'on the job with the Building Inspection Card at all times in a conspicuous place. It is the responsibility of the General Contractor or the Owner/Builder to monitor the sub -contractors that are on, this list are the same persons performing the work. Any changes of this list must be approved by the City of La Quinta Department of Building and Safety prior to work being performed by a changed sub -contractor. Failure to comply will result in a stoppage of work and/or the voidance of building permit. TRADE SUB -CONTRACTOR NAME CONTRACTOR'S LICENSE NO. WORKMAN COMP. NO. ON FILE CITY BUSINESS LICENSE NO. GRADE/ EXCAVATE ELKIN.S EXCAVATING 418938 9 9 1/94 183 PIPELINES CEMENT/ FOUNDATIONS CEMENT/WALKS & DRIVES GUNITE x9"RW P.S. GUNITE 247951 V-41 194 736 FRAMING STEEL/ STRUCTURAL. MASONRY PLUMBING LATHING DRYWALL PLASTERING HVAC ELECTRICAL ROOFING SHEET METAL FLOORS GLASS/ GLAZING INSULATION SEWAGE DISP PAINTING/ DECORATING TILE CABINETS/ INSTALLATION ORNAMENTAL METAL FENCES/ BLOCK WALLS LANDSCAPING OTHERS