Loading...
9911-119 (SFD)LICENSED CONTRACTOR DECLARATION I herpoyi affirm under penalty of perjury that I am licensed under provisions of �'Chapfer 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date Date Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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-offereVor sale (Sec. 7044, Business& Professionals Code). ( y) I, as owne/-& the property, am exclusively contracting with licensed contractors to eonstruct-the project (Sec. 7044, Business. & Professionals Code) ( t'e mpYu der Section B&P.C. fo'r this reason' %Date (1, i r Signature of .Owner :f��.�%i _ WORKER'S COMPENSATION DECLARATION I hereby affirim,under penalty of perjury I hav%nd'wijl one.of the' following declarations: O maintain a certificate of consent to self -insure for workers' compensation; as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ( ) I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My. workers' compensation insurance carrier & policy no. are: Carrier Policy No. (This section need not be completed if the permit valuation is for $100.00 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 worker compensation laws of California, and, agree that if I should become subjeet to the workers' compensation provisions of Section 3700 of the Labor Co e, I shall forthwith comply with those' provisions. Date: f / r; !�'� Applicant— Warning: pplicant Warning: Failure to secure Workers' Compensation coverage.is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest.and attorney's fees. .IMPORTANT Application is hereby made to the Director of Building and Safety .';for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon.whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnity & hold harmless the City of La Quinta,.its officers, agents and employees. 2. Any.permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that.l have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building constlruction, and hereby authorize representatives of this City to enter upon ab the ove-mentioned property for inspection purposes. Zignature (Owner/Agent) . ` Date BUILDING PERMIT PERMIT# DATE 111-54 VALUATION .S1,98,101,20 LOT 5 TRACT JOB SITE -. 2-59:'9 F`�V rKN�,�.A.��9. �i�tW1R1"A APN 713-1,d�r5-•017 ADDRESS , I OWNER CONTRACTOR / DESIGNER / ENGINEER ii.faANIM" & SHARON BILLS (rl;11111FRVLtYI. Lli'MR 335't I�S,ttP�tCafdle� S"£ :�' Ji F316. PALM DESERJ CA W:21 I PALM �q Q3:L# USE OF PERMIT$ SsNGLE FAMILY .DW;EL.L.DiG fi WD- Pia�R.il T DaES NOT ANUUM KOCF. WALLS OR PCDOL: 4 S j 40,00 SF 5 t~1'. WOOD I<EN(,..E -.00,00 AF ,�.,6 . f t pp s+ t71 p ,p p� y`+�pp. {�. or. gy��YC•�-,p� 'y� R t ,{�TION. bn�i�lt':�t�iMJ `4a8CJ'L: �. ;.. �-' tS ¢� y 61t R B.�Chcd�/'J.dr� �',t �t_syyyy',,g Say)4igs.i.•atlb.Ya4..Atd'4�s[�B'gd'$.�.'�..O 4p a1i9J i@'.tI'F1lt' l II . . �'C�►a'S E 17C"T C)RS i F V)4 0, ,PT PF 1,46AL" F � 4t6.100 PLZ.)F'r�t3lgdO rEE 10 _01�.194-0.0 S' I ti9nTION f, E, REED 101-�i(Pi�.$+�?� (AADs' X; �( FEE -'00134.13-000 DEMz3f� i t ttaWACT i �d,9i2'1.Oi) V_ ..1;3EPLAN 101,-000441-345. BkQU.Ot1 ' ART IN PUBLIC F'LAVES - USf_C 70,11-@tllflfl 2255-t�}?10 !.$q�t?:� AL CONI L,ttYI'it IP,P ANT) PLAN CHECK LESS PPX-PAID-IES -$750.00 . Ta I'M Ab0R4YJ I G'. FEV PM DdJC Iw9a.0 W .9 • i.{. RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade _ / Y Return Air Steel Combustion Air Roof Deck O.K. to Wrap / / /� ( Exhaust Fans F.A.U. Framing 7 Compressor Insulation/per S7 Vents Fireplace P.L. [[ c Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall -Int. Lath �( Final Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Cl Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test BO Appliances Final COMMENTS: Final _ Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) Z �� . � �c,a5� 5eE $vl�pltJG Tee,- :571AFF fa9- 'FL coo 5 T4. fGGft�Gt/ P.O. BOX 1504 APPLICATION ONLY Building 778-495 CALLE TAMPICO Address Jul - 'S$ S t2rlmt !�► QUINTA, CALIFORNIA 92253 Owner BUILDING: TYPE'CONST. OCC. GRP. Mailing Address T �' A.P. Number 7-73 12.5- n i pCity Zip Tel. ?,km I- 22.1 I -)(W)3&0 y ..) Legal Description Lal 6, aL-K. 55 over 15 - Contractor /'I/. Contractor/'I/,„ -A I n Project Description i Address State Lic.I City & Classif. Lic. # Arch., Engr., Designer Address Tel CityI Zip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencingwith Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE .DATE 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, 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 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 thealleged 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). 1: 1, 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 of proving that he did not build or improve for the purpose of sale.) I 1 1, 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 -1 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION Ihereby 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 F.1 Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WO R KERS' 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 thg 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: It, 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. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city 10 enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip Sq. Ft.No. No. Dw. Size 176( Stories Units Nem Add ❑ _ Alter ❑ Repair ❑ _--pp►eKion ❑ Estimated Valuation PERMIT R AMOUNT Plan Chk. -Dep. 250 Plan Chk. Bal. 1 Const. Mech. Electrical Plumbing S.M.h. Grading Driveway Enc. Infrastructure TOTAL 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: 4 *2' f Q, fY ''` `} Datei Permit Validated by: Validation: )`W' , WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION y Desert Sands;Unified School District 47-950�Dune Palms R®ad Notice: La, Qoihta, CA, 92253 Document Cannot Be. Duplicated 760=7714515 CERTIFICATE= OF' COMPLIANCE Date 11/19/99 APN # 773-125-017 No. 19633 Jurisdiction La Quinta Owner Nam, eRandy & Sharon Bills Permit #9911-119 No. 51-585 Street Avenida Ramirez.. Log # City L'a� Quinta `zip 92253 study Area Tract # B55, U5 Lot # 5 Square Footage .1788 Type of Development Single Family.Residerice No. of Units 1 Comments At the present time, the Desert". Sands:, Upified:'S6hool District does not collect fees -on garages/carports, covered patios/walkways, residential, additions urider 500 square.;feet;`detached,.accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed, pursuant to Government Code'53080 in the amount of 1.93 X 1,788 or $ 3,450.84 the property. listedabove and that building permits and/or Certificates of Occupancy for this square footage in this, proposed project may,.•now be issued Fees Paid By cc/Prime Bank/Escrow-Funding -: Sharon Bills Tephone.' 833,2577 Name.on the check By . Dr. Doris. Wilson.. Superintendent Fee collected /exempted by .. Juanita,Green Payment -Received $3,450.84 A,1 Check No: 2020 Signature ,r [=N-,ncE'.illP�-uatntrolt As mbty Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90<lay approval period in which you may protest the fees or other payment identified wgihounfrom the date on,which the'building orinstallation permit for thisproject Is'sssuedor on which they arepaidtothe Distdct(s)orto another public entity authorized to ollct them on the District('s)(s') behalf, whichever. is earlier. t. .Collector: Attach a copy of county or:city plan check application form to district.copy for all waivers. Embossed Original- Building Dept./Applicant Copy.-. Applicant/Receipt Copy - Accounting i71, � .9 ?i s $ e�}`,:�i , . <i ;�5�� 37FFt•,,q.:y;,.,'r"�'F:srriic'41�7^�+1D+nwrw•�.N.ww4F .. '4 o COACHELLA VALLEY WATER DISTRICT. .S [r CASH RECEIPT DETAIL n V O �s /� RecelvedFrom: O FL1I)c/l/.1q r(//(' k, r3 Address: G V (yQ P . SQ I Date:" / 9.9 7 Account No UGC / �1$�. U• U Lot(s) ev_IceAddresTract 11 elSC/Z 7 0 G.A. Code y-y f Meter(s) 7� Service(s) /�� $ ��iJU • D U ❑ Backfloiv(s)--------------- ❑House Laterals) [ ❑ DetectorCheck(s) [ z r 0 Meter.Surchaege �1 SanitatlonCapecltyCharge t // ❑ WS.B.FC —4 ��J L•�U b'TempOrary Constructlon Meter ❑' Turn on Charge ❑ UncollectedAccount -Name r ' ❑ nspe�lon Fee - Tract - r 'F -Feer ❑ Plan Chpck Fees!Water l Sewer -. ...tract o .; ❑ Bond Payment - A.D. - Bond Assmt: 0. Customer Deposit 0 other j 'Remarks.'.I , LTOTAL w$TM.�. / Copy to: Cash 7 Check' Water Service J Money s. Order 4 d ",�/ Cashier I i CVW.6-43811 I 189) I • CITY OF. LA QUINTA SUB -CONTRACTOR LIST , JOB ADDRESS__— -- PERMIT NUMBER _ OWNER-- — --__. BUILDER—_ Thi§-.Is�►t1__*h Lb@__ ngA.QD1b&14bwith lbft.Buildin9 Inspecti icuou5 Alar . Only persons appearing on this list or their employees are authorized to work on tllis job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of huildinu nermit Fnr aarh annlir-ahle trarlp all inlnrmatinn rannaatart haln— Moet ha h., - nli—t -n., Gaa^ i� .,.,t - .,t.hla . Trade I Classilicetion Condector $tote Contrector'a License Workeni Com ensation Insurance City Buslnesa License Company Name Classification le -g: A. 8, C-81 License Number Ixxxxxxl Exp. Date Ix•/xx/xxl Carrier Name Policy Number (e.g. Stb.; Fund, CalCompl A Format Varlesl Exp. Date License Number Ixxlxxlxxl (xxxxl P.Date xx/zxlxxl EARTHWORK IC -121 MCCrdX) A 30i o -- ort C Z- cd 1994 �l/i9/oo CONCRETE IC -81 FRAMING`(C•51 ' .. F�,QIt��% l C i%�t/ S7 1 -3i -oo 0 0/ r0 - 1 � 5$2 3 2 00 STRUCT.`STEEL (C-51).:'' MASONRY IC -29- C 2►Jl - 49/ r3 2'Z.' :(.. uOrJ� r i 0-7 ril/--e6do 30 :PLUMBING IC 361.,_ -0 f -e-SME& Fc1R/t� Z Zcicr=G 4,4/ IATN, PLASTER (C•361 :, orlvwaLL Ic iii " o f: �Zj G/s G 7js S r _ : ti . >7C 3 z �f)l/i7'E� Al/5_ 2 . s y , -t73 v SrrO ' - i o`0 HVAC IC -201 _ - • -ZIJ'. - ...... .. _ _ _°p'. 2 7 - �.._, - III` 00' - ELECTRICALIC 1O1 ---- -- -_y0 :-- ROOFING(C3;iq %1' Ik (92r02etl � C`3�1 C�%7. 7 '�� jG /0ri1'/' rJW1 G 1'OUG S/D/-d0',+32 _10IIFI00 HEET-IVIETAL ICA31. '.;: c_ .. 0 W 0 L(z .. --- (C 161, [FLOORING I . E AGEDISP IC 421 / oware- TING:IC•33t ;-- - - -- - -- --- - - CEIXJi it CABINETS.IC.BI -- - . ✓d -- -' FENCING (C 131.• :'' - - ---_- t ----- _ g�_ lb. -Fu/•=X70 - OS 7. % �� �� 8 0� 11001; IC: 631- _ _.. ----- --- -- -- -- — - - ---- - L1 FROM RC BILLS FAX NO.- 760"-360-892,4 Jan. 28-2000 06:01PM P1 Malibu maneueme # 78-55 Saguaro RQ"ad La'..Q:uinta 'CA 153 Ph. 760564 7.820' ph. Fan 76.0-564-8601 " r TO: .' City of La Quint a ; -pater i -29-2000 F1TTN: Jesse FAH: 760-777-7011 FROM: Sharon-4.8ills:.; Re: In,sul'ation No. of. Pages:'' i " Comments: Please ,mak a the follow[n substi tutiQn for the - 9 st n -file: Subcontractpr 4 PerA ,.ii # :9911°�1 �0 51 S85 ven�da Ra [re Prmit o' on Iac s Insasletion_ S° "Su In 'Fire 83740",C Crus ue In`d[o -CR: X201.. C'e L-iC. 221517.2 0fit Cr 034 7777 . �C_ R Di ri Pl nn . ' ` __ F This. form is to. be used -by CDD staff,:_f6r review of single family dwellings in the RC (Cove Residential) District, in order to determine Residential) applicabihty.of compatibility issues or need to require the filing of.Master Design Guidelines by+;,the,applicant:`4t shall. be transmitted to , '. 1. Building'& Safety as your correction list. Please attach additional ecplanations as necessary. APPLICANT: RANDY '& S.HARON=:B.ILL PROJECT ADDRESS: 51-5;8-5.Avenida Ramirez a APN: 773='125-017 r LEGAL: LOT. 5 �, BLOCK ',55 UNIT 5 S.C. @ V.L.Q. r . CK'D BY: Fred Baker , BIN NO: a CASE NO 4 99 150 CHECK DATE: Inform the assigned Building. plan checker ;upon your assignment to this. case. The CDD Executive Secretary maintains a`log bogk to track applications and assign case numbers. The 'zoning code, architectural and andscapmgtrnanuaIs, a' -d/or assigned:;inspector should be consulted where "uncertainties arise:' The completed .checklist shalLbe maintained in the Building &Safety 'address file: 21236 -SQ FT / 300 = 7:45 SQ FT REQUIRED 9VENTS / 14" X 18" VENTS (1. 17 FT X 1:5 SQ FT) t f S��'. � 'fix . ti. rR�'•'� : Veil •�}43 t � rf � �i YR <� YN °MALIBU h F . �►�} b MENTILATION'. ; ATTIC AREA: 1;788;SQ FT SQ'FT, f TOTAL' 2236.•;SQ:FT 21236 -SQ FT / 300 = 7:45 SQ FT REQUIRED 9VENTS / 14" X 18" VENTS (1. 17 FT X 1:5 SQ FT) RIPTt'ON . C" VOLTS 11,111 PSS_ ®ESC; �N� R Nl • 1�0 Y. 1.20 .V. 'MULT:OUTLET:CKTS ' '� Y• GEN LTG @ 3 W ESF 1.20 ;'15 1788 3 -5,364- SM APPLIANCE CKTS 1:20: 20; 2 1.,50.0 • ,.1. ft _ ; �ccx'kii'l. . SUBTOTAL ',J+.TT..ar(r�}h PLANRMALIBU 120'V --SGL -OUTLET CK. TS DISPOSAL. 120 °20 1 '. ' 2;400 ', DISHWASHER 1,20 ` '20 1 .ELECTRI.CAL LOAD tCALCS ; 120 .20 1 21400' .2;400' 4k;': r �� w✓e xiL�,.,.-...;;:•W,,��„Q•§.`,v,''>`4""f.�y''4Y:h°+.tSv:,iy�`✓`.?:✓nt."�i��','ti�f,°�.'..'ctaa-:+PJ�.'rfwirN SUBTOTAL 1T7�.5`.,. ' RIPTt'ON . C" VOLTS 11,111 PSS_ ®ESC; �N� R Nl • 1�0 1.20 .V. 'MULT:OUTLET:CKTS ' GEN LTG @ 3 W ESF 1.20 ;'15 1788 3 -5,364- SM APPLIANCE CKTS 1:20: 20; 2 1.,50.0 39:000 GRI CKTS.. '120 20 • 1 1;500 1,500 SUBTOTAL .9j864 120'V --SGL -OUTLET CK. TS DISPOSAL. 120 °20 1 '. ' 2;400 :1,400 DISHWASHER 1,20 ` '20 1 2,400 1-4.00' LAUNDRY 120 .20 1 21400' .2;400' HOOD 1:20 3 1 360 :360 SUBTOTAL 7;560*', FIRST 10,000 Wk@ 1:00%0 1'0;000 BAL V-A @,40% :-2'-,,970 SUBTOTAL 12,970 RANGE. 230 40 1 9,200 9;200 A/C. (LARGEST'FAU OR A/C): 230 '30J.' `' 1 6,900 69Q0 TOTAL V-A° " 29;070 ISELECT�SERUICE-�S1ZE� � T®TAL �l�A ;, .29�07g±0 ;'. �'1�26`4V A�MPSj• Certificate of Occupancy City Of La Quinta B, u�ldin and Safet. De^ :artment�ti° z Thi -Certificate issued, pursuant toV.,the :requirements_ of Section. 10:9; of. the. Uniform ,Bui/ding Code, certifying `#hatt,` at the time of � ssuance ;� this, structure was in corny/lance with the various iordinances of: the City °regu/acing Oilding ,constructioi or use. For: the fo%%.wing: 7. BUILDING AD;Mt8,8'. 51=585 AVENIDA RAMERIZ t ' Use Classification: SFD .. s Bldg Fermin No..: 9911-119 Occu anc.� Group: R.-3 T' P Y p ° .,ype�of Construction: VN Land Use Zone:-:= RC O.Wner of Building: RANDY &"SHARQN BILLS Address: 42-335 WAS ST. SUITE #037$ :City: PALM 'DESERT,,. CA:.. 92211.: By: STEVE tRAXEL' Date: .06-01-00 Building Official POST IN A CONSPICUOUS PLACE .105/09/00 TUE 17:10 FAX 619 231 6995 GAFCON SAN DIEGO Legacy Domes Lie -778280 Memorandum Date : May 9, 2000 To : Jesse City of LaQuinta From: Randy C. Bills Legacy Homes RE: AUTHORIZEDGENT Via Fax: (760) 777-7011 Pages :1 Please consider this your written authorization to allow Sharon S. Bills to sign on my bebalf, in my absence, any documents required by the City concerning the construction of the homes built by Legacy Homes. This includes but is not limited to Permits, etc. Should you have any questions please do not hesitate to call my cell (619) 954-4035. Thank You. 78-555 Saguaro Rd, LaQuinta CA 92253 Ph. (760) 564-7820 Fax (760) 564-8601 Z001