14460 (CRES)t
�t
P.O. BOX 1504
Building 53--120 Ave. Ramirez 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
No. 14460
Owner
Victor Brod.
BUILDING: TYPE CONST.- 'OCC. GRP:
MailingSI'al3
Address
A.P. Number
Lg..
City . s;��inta r Zip .92253 Tel564-6'2"08 Legal Description
ContractorCarport enclosure
owner/BuilderProject Description
.Address .
City Zip Tel.:
State Lic. City
& Classif.. Lic. # Sq. Ft. No. No. Dw.
Size Stories Units
Arch., Engr.,
Designer New ❑ Add ❑ Alter ❑ .Repair ❑ Demolition ❑
Address Tel.
City Zip State "
Lic. #
LICENSED CONTRACTOWSMECLARATION T
I hereby affirm that I am licensed under Provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
- effect.
SIGNATURE DATE _
OWNEWBUILDER DECLARATION
Estimated Valuation'.
I hereby affirm that I am exempt from the Contractor's License Law for the following Fj 4
reason: .(Sec. 7031.5,Business and Professions .Code: Any city or county which requires a
permit to construct, atter, Improve, demolish, .or repair any structure,prior to Its issuance also
requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to PERMIT . AMOUNT
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 - -
tor the alleged exemption. Any violation of Section 7031.5 by -'any applicant for a permit Plan Chk. Dep.. -
subjects the applicant to a civil.penatty of not more than rive hundred dollars ($500). -
el, as owner of the property, or my employees with'wages as their sole compensation, will Plan Chk. Bal. 35. 10
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. rJ . )Q
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 Mech. .00
F0
or Improvement is sold within one year or completion, the owner -builder will have the burden Electrical 2.3. y y
of proving that he did not build or knprove for the purpose of sale.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con, Plumbing .00
struct the project: (Sec. 7044, Business and Professions Code: The Contractor's License Law ff
does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.1. . such projects with a contractors) licensed pursuant to the Contractor's License Law.) .
Grading
❑ 1 am exempt under Sec B. & P.C. for this reason
f r ,` Driveway Enc.
Date F4 flfrlf Owner ✓"; �"" � % Infrastructure
V
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.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL rn ..a
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed N the permit Is for one hundred dollars ($100) valuation
or less:)
I certiN; that in the performance of the work for which this permit is issued, I shall not
employ any pperson in any manner so�s'to beEome subject to the Workers' Compensation
Laws o1°Califom7
Date' �° Owner _ �'~�...-
,"A,.MOTICE TO`'I RANT., ff, after making this Certfflcate of Exemption you should become ZONE: BY:
X subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shah be deemed revoked. Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Setback from Center Line
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
"HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Side Setback from Property Line
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF.THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES. y
This We building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR
expiration if work thereunder is suspended for 180 days. a /��`
1 certify that I have read this application and state that the above information is correct. ISSUed by: Date P Fmk 1
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 theabove-.
mentioned property for inspection purposes. Validated by: /.
Signature of applicant Date
Mailing.AddressValidation:
City, State, Zip \ � � n�AW
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT. p
POR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SO. FT. ®
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
i.
YARD SPKLR SYSTEM "
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
COLL. AREA
FLOOR DRAIN
MECHANICAL FEES
ROUGH PLUMB.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FORMS
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROUGH WIRING
LAUNDRY TRAY
AIR HANDLING UNIT CFM
ROCKSTORAGE
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.
SO. FT. RESID ® 1+A c
SEWAGE DISPOSAL
SERVICE
SQ.FT.GAR ® 3/4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PPL.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
DUCT WORK
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 b�/J
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 9S
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL
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Date:
Job Address: 53 -12- C2
Contractor:
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Plan checked by:
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BY
DATE
411o�
78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 922E3 — (760) 777-7000
FAX (760) 777-7101
TDD (760) 777-1227
k
December 17, 1997
Victor Brodt
53-120 Avenida Ramirez
La Quinta, CA., 92253
RE: Carport enclosure Permit #14460
Dear Mr. Brodt
The purpose of this letter is to inform you that your Carport enclosure Permit'14460, # for the
project at 53-120 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 1, at (760) 777-7012 tc 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 t1ke 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,
P
Mark Harold
Buildi & Safety Manager
Daniel P Crawford r.
Building Inspector I
cc: file
dpc
E.
INTA'
MAILING ADDRESS P.O. BOX 15 4 04 LA QU .,CALIFORNIA 92253.
- - US Postal Service
O� _
Receipt for Ce ified Mail
No Insurance Coverage Provided.
Do not use for International Mail See reverse
Sent to
Victor Brodt
Street & Number
53-120 Ave. Ramire
Post Office, State, & ZIP Code
La uinta CA 92 53
Postage
Certified Fee 3
Special Delivery Fee
Restricted Delivery Fee
Retum Receipt Showing to / ./0
Whom & Date Delivered
Reh
c m Recept qV ng to WhM
Date, & Addressee's Address
Address
TOTAL Postage & Fees a 7 7
Postmark or Date
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LL
0-
rightFold at line over top of envelope to
the of - address
R
)X 1504 - LA QUINTA, CALIFORNIA 92253 P 277-543'771
t
IL
Victor Brodt
53-120 Avenida Ramirez -
La Quinta, CA., 92253