11036 (RPL)_ ' 4
tl�Glt�Gv
5i-105
Building x2*xt:k.%, Ave Ramirez
Address
Owner -
David Miller
Mailing
Address P. 0o .Box 722
P.O. BOX 1504
78-,105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
City
Zip
Tel.
La Quinta
92253."
56 -5823
Contractor
Pacific Trades.-
rades'Address
Address
same `
City
Zip
Tel.:
State Lic.
City
& Classif. _ B 425381
Lic. # 1955
Arch., Engr.,
Designer
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with S
7000),of Division 3,911 the Business and Professions Code,. and my license is in full fon
"OWNER -BUILDER DECLARATION'
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions. Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a- signed statement that he is licensed' pursuant, to
the provisions of the Contractor's. License Law, Chapter 9 (commencing with Section 7000) of -
aWsion 3 of the Business and Profess6hs 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). -
❑ I, 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 knproves 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
of rout th t he did of bm ld o e f lh a of I
No. 11036
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description
Pooi.and Spa
Sq:, Ft.
Size •
New ❑
No. No. Dw.
Stories Units
Add ❑ Alter ❑ Repair ❑ 'Demolition ❑
Aimated Valuation
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
p ng a n r mrprov or a purpos sa e.)..
❑ 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 ownerofproperty 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. B. 8 P.C. for this reason
Plumbing
S.M.1. .
Grading
Driveway Enc.
Date Owner
Infrastructure
Rear Setback from Rear Prop. Line
1
WORKERS' COMPENSATION DECLARATION
' I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, ora certified -copy, thereof. (Sec. 3800, Labor Code.)
Po cyNo. �( mpany
�4gCopy is filed with the city.,❑ Certified copy is hereby furnished.
Side Street Setback from Center Line
i
Side Setback from Property Line
TOTAL.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(l his section need not be completes if the permit is for one hundred dollars ($100) valuation
or less.) I ..
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: lf, after making this Certificate of Exemption you should become
'subject to the Workers' Compensation provisions of the, Labor Code,. you must forthwith
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, 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 of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
REMARKS
8,800
AMOUNT
64.35
��
. 99.0.V
4.00
45.00
27.00
.�5
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 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
COLL. AREA
2ND FL. SQ. FT.
ROUGH PLUMB.
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
ROCK STORAGE
DRAINAGE PIPING
WALL SQ. FT.
DRINKING FOUNTAIN.
SQ FT ®
OTHER APP./EQUIP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
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
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
GAR. FIREWALL
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
11, UNDERGROUND6�Q�
llll
r-11SLAB
A.C. UNIT
COLL. AREA
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 APP./EQUIP.
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.
ROOFING1
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION-
CERT. OCC. / s
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
May 26, 1993
Pacific Trades
P.O. Box. 11.2, .'
La Quints; CA 92253
Dear Mr. Miller:
It has come to. the attention of. the City of :La. �Quinta Department of
Building,snd Safety that your building.permit number 10716 at 54-
605 Obregon has expired.
According to the Uniform Building Code,, Seco-on 303(d), no further
work shall 'be :performed on =the above permitted fob'-job, until a new
permit ha-s been issued : or ;an extension :granted An 'extension .of
this .permit can be requested .in;writ ngwithin 14 'days .of' the-date
of this letter.
If a final inspection has not been requested due to .an `oversight by
either yourself'or-your- contractor, please';schedule.that final
.inspection within '14 days to' resolve this matter Failure., to, do .so
will esu lt in further action by the City.
. 'r, . - ,,:;
Please contact 'me as your earliest convenience We" appreciate your.
immediate{ attention to thi's matter _'
Sincerely,
D 0 TY DEPARTMENT
BYT r%YUEk AN
L60 S
Lonnie Day
Building Inspec or
kt
Attachment