000914 (CONR)PERMIT APPLICATION
City of La Ouinta
Department of Building and Safety
APPLICANT NAME (L. F, MI)
Kretz Construct -ion
e
This permit becomes void.if work not commenced within .180 days from date of issuance..ORJI work has.been suspended or abandoned for a period of 180 days.
.JOB SITE ADDRESS/SPACE
Plaza Ta Ouinta
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9
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 _ 1 �x 144
Date Applicant
�
Date `, �' '71 - -S — F ` 1 — Contractor s' :c '.'_ C/ L` .r�.t ^; 1 i:�a t CLi""1 C_ t�. 1
NOTICE TO APPLICANT: If, after making.this Certificate of Exemption, you should become subject to the Workers'
r
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for then a,�'
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 statementlhat he is licensed pursuant to the provisions ofthe Contractor's License Law
01 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be
(Chaptec9 (commencing with section 7000) of Division 3.of the Business and Professions Code) or that he is exempt
made in connection with work authorized by ihis permit, and that no building structure, scaffolding, fatsework, or
therefrom and the basis, for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
demolition or dismantling thereof, will be'more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2; Sec341, Title 8,
subjects the applicant to a civil penalty of not more. than five hundred dollars ($500.):
C.A.C.) s,'u' ,= '
O Las owner of the property, or my employees with wages.as their sole compensation, will do the work, and the
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
1. v -
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 orimprovemniissold wiIMPone 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
O 1, as owner of the property. am exculsively contracting with licensed contractors to construct 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 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 .
OFC
Contractor's License Law.)..
Lender's Address
' O 1 am exempt. under Sec. B. 8 P.C. (Attached Certificate).
I certify that 1 have read this application and state that the above information is correct. I agree to comply with all
" Date Owner
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
END
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.'tab. C.).:.
Signature of Applicant or Agent Date
Policy No. Company
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: ,'certify t 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
• • ,
Date Applicant I
upon the property for which l have applied for - this permit for the purpose of making inspections.
_
APPLICANT NAME (L. F, MI)
Kretz Construct -ion
ADDRESS 40-950 Starlight Lane
CITY/COMMUNITY/STATE/ZIP
Be=m& Dunes, CA 92201
.JOB SITE ADDRESS/SPACE
Plaza Ta Ouinta
CITY/COMMUNITY/STATE/ZIP
La Chinta. CA 92253
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TRACT NAME ..
OWNER NAME (L, F. MI)
CONTRACTOR -FIRM NAME ,
. Kx�tz 'tn
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE •
345-4604
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LICNC �
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ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATFJZIP
PHONE N
LICNC o
USE OF PERMIT
BL
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SSB,
SSB
RSB
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ZONE ORD . • -
LOT SZ
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END
SIDE ,
Signature of Applicant or Agent
Print Applicant/Agent Name
Date
APPLIPRMTn P111gl /� 9-A�-84 C ll'JL7.
Permit to do '1 -Bar Ceiling, Mots
and Interior HUMM Partition
Walls as per approved Plan.
Plan Ck, Fee 40.62
Electricial Fee 20.50
SMI Fee .50
Pamit Fe& 62.50
w
dory ®f
3
- ! TOTAL
124.113
BLDG.DEPT.
VALUATION 6,700.00
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.
❑
NON ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 .Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
128 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
\y i%t/ \•`T\t\ ` y: f.gJ j )! _ � �1•
C4 of 'IlaI�uinta
%Ilitbing rznd $afet�
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 78-401 A Hwy 111
Use Classification office Bldg. Permit No. 914
Group B2 Type Construction `7N Fire Zone Use Zone CPS
Owner of Building Plaza La Quinta Address
City La Quinta, CA 92253 Tom Hartung
4
-�`� September 21, 19.84
I Dote:
r
Building Official
POST IN A CONS?ICUOUS PLACE