11874 (RC)P.O. BOX 1504
No. 1,1874
Building 78-105 CALLE ESTADO
Address 78 -►664 HWY III LA QUINTA, CALIFORNIA 92253
°i¢er
aehiagt-on/Adamt Partnerahi;li .
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address
A.P. Number
City Zip. Tel.
Legal Description
Contractor Project Description ' TenLla. Improvement
' UNN Greg Hendd
Address Desert --Tang
'z
81-943 Ind .o .blvd.
City Zip Tela
Indio, CA 3�2�I 342-3165
State Lic.City ���
& Classif.' _ Lic. #
Arch'; Engr.; -
Designer
Address Tel.
City ` Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I
hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) Of.Divislon 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
r. 1'
OWNER -BUILDER DECLARATION I
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 l county which requires a
permit to construct, alter, improve, demolish, or repair any, structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the provisions or the Contractor's License Law, Chapter 9 "(commencing with Section 7000) or
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 applicant to a civil penalty of not more than five hundred dollars ($500).
.as owner of the property, or my employees with wages as their sole compensation, will
°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 himself or through his own employees„
provided that' such improvements are 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
ofproving that he did not build or improve for the purpose of sale.)
61gas owner of the property, am exclusively contracting with licensed contractors to con-
ruct 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 contractors) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec. S, B. & P.C: foe this reason 1
t
Date'~ Owner
{ WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($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: If, after making this Certificate or Exemption you should become
subject to the Workers' Compensation provisions or the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly 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.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives sof this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address'
City, State, Zip
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter 0 Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I. f
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
Fees pad on Permit #11408. Chanae in
Contractor information, and address
correction.
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 Permi
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
spa.
2ND FL. r, SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
OTHER APPJEQUIP.
DRINKING FOUNTAIN
SO. FT. @
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
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
DUCTWORK
ROCKSTORAGE
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.
$ -plus-x$_=$
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
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL 71
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TRANSMISSION REPORT
THIS DOCUMENT (REDUCED SAMPLE ABOVE)
WAS SENT
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START TIME
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#PAGES
COMMENT
1.
6195648487
3-19-93 11:41AM
0'58"
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XEROX TELECOPIER 7020
`- dlI Lx.
2;; X093
BUILDING & SAFETY DEPT,
T.vf 4
uiw
P.O. BOX 1501
76105 CALLE ESTADO
LA OUINTA. CALIFORNIA 9225
Contractor ��.v ,�Owner ,r2
Address q0 el d iy �1�� Job Address -L49.
La Quinta City License No.: Expires: Bldg. Permit No.:
This form shall be posted on the job with the Building Inspection Card and it
shall be the duty of the General Contractor or if Owner -Builder Permit, the owner
to see that all sub -contractors sign this card, giving his City of La Quinta
Business License Number, Contractors License Number and a current certificate
of workman's Compensation Insurance Certificate when he starts the job.' Failure
to comply may cause Building Inspectors to stop work, or complaints to be filed
against such contractors or owners.
CITY CONT.
SUB -CONTRACTORS NAME LIC. NO. EXPIRES LIC. NO. EXPIRES
1. Grade i Excavate
2. Pipelines
. Cement -Foundations
4. Cement Walks'j Drives
5. 'Asphalt Paving
6. Framing
7. Steel Structural
8. Masonry
9• Plumbing
Lathing
L1. Drywall
12. Plastering
r
13. HVAC
14. Electrical
L5. Roofing
L6. Sheet Metal
17. Floors -All Types
18. Glass - Glazing
19. Insulation/Weatherstrip
20. Sewage Disposal
21. Painting/Decorating
22. Tile
23• Cabinets -Installations
24. Ornamental Metal
25. Fences/Blockwalls
26. Landscaping T-
27. Others
28.
DO NOT REMOVE THIS CARD
Before Final. Building Inspection Will Be Made
'T`h; c Cr.r... M�ot O.o r`nT....Jlo*r�ri anri c: l ori• wj t� Tido 'f. rel _ d n1
of
C r of
uiltn �tnS'P tttun
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 78-660 Hwy 111
Use Classification __ Tannin salon `
4 Bldg. Permit No. 11874
Group R2 Type Construction jZN Fis Zone Use Zone rps
Owner of Building Greg Hendel- Address 81-909 T„die Hlvd.
City Indio, CA
By; Richard Kirkland
/ Dote: _-March 19, 1993
Building Official
POST IN A OONe*ICUOUS PLACE