9703-024 (PLBG)LICENSED CONTRACTOR DECLARATION
' 1 h �&y,affirm under'penalty rr enalty of perjury that I alicensed under provisions of
C , Ater 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:
IXI, 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,; Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
!() I am exempt under Section B&P.0/for this reason
t ..
Date ± Signature of Owner- i t S .S '•� tr. i� 'f ' ' �
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
() I have and will 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.
( his 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,
I4 hall not employ any person in any manner so as to become subject to the
workers' compensation laws of California, and agree that if I should become
subject to the workers' compensation provisions.of Section 3700 of the Labor
Code,.1 shall forthwith comply with those provisions.
Date: 2"�'• t' "� Applicant _ a' 1 t , % ti ! / _ .� r! i. f J
Warning: Failure to secure Workers' Compensation coverage islunlawful 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 & eaoh-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 I 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
construction, and hereby authorize representatives of this City to enter upon
jKe above-mentioned property for inspection purposes. /
Signature (Owner/Agent) L i ' � ' �' "-' ' �'� L'r Date L�
1. 1
s
BUILDINGPERMIT PERMIT# CONTROLS/j#
5
9703-0249703-024DATE
3/610- VALUATION LOT TRACTJOB
SITE
ADDRESS . 551-735.AVENIDA R8A.14flIKE2:
APN 1
OWNER
CONTRACTOR/DESIGNER/ENGINEER
51 ; AV61NID�A RAIV11 i.lt
LA (; MN —A t.,'A 02953
C B1,#
USE OF PERMIT
E'I,lJ�tti
SlvEa"I`it'. C'(.iNNEC."1, TO $171WVR
VAIAWrION 500.00 LS
ff OF
E1811NIAT ED COS -XIN'STRUMON'
t"f:..UNI131140 FER SEWER.' 101-000-4I9-000 SY).i 0
M JR -TOT Ali CONSTRUCTION AI�TD PLAN C' H-VCK.
$10,00
LESS PRE -PAID FES
TOTAL PERMIT 1+ ECE-V DIM, NOW
(I
RECEIPT
DAT,E)
BY
DATEFINALED
INSPECTOR
114
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
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
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
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)
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL
Received Fr �GlT f i cc ,4' e r ��F CGI 5C� - / 55,3
Address:1/EYlfL;C - CC
Y
6204 v
3- 5 c17
Date
Account No. I. G' '
` Lots) I Tracf,i'Ve
/
Service Address l?�
G.A. Code
❑ Meter(s)
$
❑ Service(s)
❑ Backflow(s)
'❑ House Lateral (s).
❑ DetectorCheck(s)
❑ Meter Surcharge
:. Y Sanitation Capacity Charge'
❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Turn on Charge
• ❑ Uncollected Account - Name
. ❑ Inspection Fee : Tract -
Fee -
]1
i
' p Plan Check Fees Water I Sewer -
d!
.
'
Tract -
❑ Bond Payment - A.D. - Bond
I.
Assmt.
❑ Customer Deposit
❑ Other
Ci
v.� TOTAL
0 h I E C� v C
a
Remarks:
''//Cop to:
m
Cash '1 Q
Check
Money `
Order
Water Service
Cashier
CVWD-438 (t t tae)
T41Y 4 4 QaM4
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 – (760) 777-7000
FAX (760) 777-7101
TDD (760) 777-1227
December 17, 1997
Sudhaker P. Reddy
51-735 Avenida Ramirez
La Quinta, CA., 92253
RE: Sewer Permit #9704-125
Dear Mr. Reddy
The purpose of this letter is to inform you that your Sewer Permit #9703-024, for the project at
51-735 Avenida Ramirez, has expired. In accordance with 1994 UBC section 106.4.4, no
further work may be performed until a new permit has been issued.
Please contact Daniel P. Crawford Jr., Building Inspector I, at (760) 777-7012 to obtain any
information you need regarding a new permit and/or any required inspections. Should you
choose not to complete the project, we would then have to pursue any or all of the following
actions:
1) Abatement of the project through the City Attorney's Office and Code Compliance Division.
2) Notice of non -conforming structure placed upon property profile.
3) Action filed with Contractor State License Board. Optional if Owner/Builder.
Please contact us at your earliest convenience prior to 10 working days to resolve this issue, and
for any questions you may have.
Sincerely,
Mark Harold
Build' g & Safety Manager
Daniel P. Crawfor Jr.
Building Inspector I
cc: file
dpc
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
TO
DANIEL P_ CRAWFORD JR
BUILDING INSPECTOR I
LR QUIMTA, CA, 92253
DEAR DANIEL
I HAVE WENT OVER YOUR LETTER REGARDING THE SEWER PERMIT19703-024. AFTER
TALKING TO YOU OVER THE PHONE ON 1-6-98, I AM WRITING THIS LETTER TO YOU
TO INDICATE THAT THE PROJECT WAS INSPECTED BY BRUCE AT VARIOUS STAGES OF THE
PROJECT_ THE PROJECT TOOK LESS THAN R WEEK. AFTER THE FINAL INSPECTION
I HAVE SUBMITTED THE COPY TO HE REAL ESTATE AGENT MARSH, 20TH CENTURY, IN
INDIO, BEFORE SELLING MY HOUSE IN MARCH OF 1997.
I AM SORRY FOR ALL THE CONFUSION. PLEASE LET ME KNOW IF I CAM BE OF ANY
HELP. THANKING YOU VERY MUCH
YOURS TRU
r
DHAKAR REDOY
7249 ERICA CT
RVERSIDE, CA 92506 c