15142 (DSF)f � .
P.O. BOX 1504 No. 15 142 -
Building' 78-495 CALLE TAMPICO
Address 53-�35 Avenida Bermudas LA OUINTA, CALIFORNIA 92253
Owner Robert Martins
Address 53335 Avenida Bermudas
City Zip Tel.
La Quinta 92253
Contractor
Daniel's Disad,ter Restoration
Address
928 Vella Rd .:.
City Zip f Tel.:
Pal Springs 92264 324-212.8
State Lic. , Pict!
& Classif..;g 581149_4__
466
Arch:, Engr:, .
Designer
Address Tel.
City Zip State
f j Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under p ovisions qf� hapter 9 (commencing with Section
7000) of Divis���' ��3+; �1� the� Bu/sinesssi"�rrW` 9rdfye�ssionsyCo�de, and my license is in full force and
effect.' AIIiLt.t�G✓ !"., `,L. 4Vt: .i�'�-.. 1 . � ){
OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the following
reason:.(Sec. 7031.5,eusiness 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 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
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).
❑ 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 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, 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 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 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
❑ 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 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.
• - r
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
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,
DAMAGES AS PROVIDED FOR IN SECTION'3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
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
BUILDING: TYPE CONST. OCC. GRP
A.P. Number .
Legal Description '
Project Description Fire DAmale Rebuild
ZONE:
BY:
Minimum Setback
Distances:
Sq. Ft. No.
Size Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑
Repair ❑ Demolition ❑
Side Street Setback from Ce ter Line
Side Setback from Pro I Lin
FINAL DATE
IN TOR
Issued by:
Date /� * Permit
Estimated Valuation1
040.00
i
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
vF . 4 4
Plumbing
*22. T
S.M.I.
* • 41U
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 Ce ter Line
Side Setback from Pro I Lin
FINAL DATE
IN TOR
Issued by:
Date /� * Permit
0
Validated by:
7^ /� 1
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. S0. FT.
ROUGH, PLUMB.
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. FT. ®
DUCT WORK
DRAINAGE PIPING
WALL SO. FT. ®
GAS (ROUGH(
DRINKING FOUNTAIN
SO. FT. ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GAS (FINAL)
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER HEATER
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
$ plus x$
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
SPARK ARRESTOR
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 GOND. 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
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH(
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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 o
J / 05
` �7
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
Q
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIQNATURESIINITIALS
GARDEN WALL FINAL
v
2
CV
4 4a
78-495 CALLE TAMPICO — LA OUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
South Coast Air Quality Management District
21865 E Copley Dr
Diamond Bar, Ca 91765-4182
To Whom It May Concern,
This letter is sent requesting SCAQMD to waive the fourteen day waiting period for demolition at
the address below:
Robert Martins
53335 Avenida Bermudas
La Quinta, CA., 92253
A field inspection has revealed the garage is unsafe and may fall in on its self. The fire has burned
the trusses, and poses a life safety threat with the added weight of clay roof tile supported by the
fire damaged structure. Immediate demolition is required.
Sincerely,
Depart ent of Build' g &Safety
6aniel P. Cr or Jr.
Building Inspector I
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 lid
.11
0510 �'19'a5 12:25 6193209972 DAHIELS RESTORATION PAGE 02 71
a
A DIVISION Of OANROYCORP
May 2, 1995
Daniel Crawford
City of La Quinta
Building & Safety Dept.
Post Office Box 1504
La Quintal Ca 92253
Dear Daniel:
Carppi 8 Upholstery Cleaning
24 -Hour Emergency Services
Fire & ovate; Damage Restoratlon
Floot Coverings & Installation
As per our phone conversation this morning, I am requesting
the city of La Quinta to write a letter to the SCAQMD.
The purpose of the letter is to request the SCAQMD to waive
the .fourteen day waiting period so that we may begin
dertiolltLon and repairs immediately at the address below:
Robert Martins
53335 Avenida Bermudas
La Quinta, CA 92253
The letter is to be addressed to:
South Coast Air Quality Management District
21865 E Copley Dr
Diamond Bar, CA 91765-4182
The SCAQMD is requesting the following:
1. The letter must be on city letterhead from the
Department of Building '& Safety.
2. You must state the reasons for waiving, the waiting
period.
3. Daniel's will need the letter to attach to our
request when sent to the SCAQMD.
I appreciate your help in this matter. We will pick up the
letter as soon as you can have it available to us. Please
call me if you have any questions at 629 324-2128.
Sincerely,
mela Price
1.Manager
4s
40
928Vel)a_-
Roa Pal;m_�prfngs, CA. 9,2264,.(619.}.320_-2128 ar 346-4160 fax 320
s 'f- H. ENSE..#581140.
05 02'x`1995 12:25 6193209972 DANIELS RESTORATION PAGE 01
DANIEL'S CLEANING & DISASTER RESTORATION
3�lQ�Cmlrrt���Qr lC C�atlaliC��.�l KC�L'mlft RC�f91atllsC CC�sI!!Q
928 VELLA ROAD
PHONE
(619)
320--2128
PALM SPRINGS, CA 92264
FAX
( 619 )
320-9972
F A X I R A N ,r, M I
T T A IL
S H
E E T
DATE : 05/02/95
TO : City of .LaQuinta
.FTTN : Daniel Crawford
FROM Pam Price
2 PAGES (INCLUDING THIS COVER SHEET)
RE Request for letter to SCAQMD
COMMENT
-7-7,7
FAX # : 619 54M--7011
PHONE : 619 777-7012
i �• 1S• 1 0 J�! 91 .thll. ��.'
Building
Address '}
r
•4 4 "
P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO
n t , r 1 /, _'LA QUINTA, CALIFORNIA 92253
rx YV\ t h n � 1 '
mailing
Address
�
Address �i � L(
City Zip�
Tel.
�►�� Sir 11i �
Contractor v
Address
ty IZip
State Lic. I City
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
City IZip I State
Lic. #
LICENSED. CONTRACTOR'S DECLARATION
1 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
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Buskmess and Protessions Code: Any city or county which requires a
permit to construct, alter, brprove, demolish, or repair any structure, prior to its issuance also
Ne provisionires the s of tor such Contracroce license Law, rmit to ft a Chaptered th9 (commencing witlicensed
h Section pursuant7000) of
0lvisfon 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 civ8 penally of not more than five hundred dollars.($500).
❑ 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 irprove for the purpose of sale.)
❑ 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 am exempt under Sec B. & P.C. for this reason
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 '
❑ 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 makkmg this Certficate of Exemption you should become
subject to the Workers' Conpensation provisions of 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, CM Code.)
Lender's 'Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 100 days.
I certify that 1 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 authorae representatives -of this city to enter the above,
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING DIVISION
BUILDING: TYPE CONST. V AJ OCC. GRP. R�-73
A.P. Number
Legal Description
Project Description
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:
A 4 0 2 3 1 28' 250.00 CK
o
Sq. Ft. 141.31 V. No.
SizeStories t
NoDw.
Units
New U�_ Add ❑ Alter ❑
Repair ❑ -Demolition ❑
/ti /t/�'
ti -of sGs Oe yr-!, CA
Estimated Valuation
PERMIT
^ AMOUNT
Plan Chk. Dep. t D v -
Plan Chk. Bal.
4-2..26
Const.
6, 00
Mech.
3% , S'o
Electrical
74 , 73
Plumbing
93. 4P 0
S.M.I.
S. 6 el
Grading?,
p0
Driveway Enc.
20 , Pip
Infrastructure
AA /,I/, 3
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: Date Permit
Validated by:
Validation:
A 4 0 2 3 1 28' 250.00 CK
"z'vro,• 7
STRUCTURE PLUMBING ELECTRICAL S (, S (o HEATING & AIR COND. SOLAR
SETBACK
CONSTRUCTION ESTIMATE
UNDERGROUND
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
SQ. FT. ® $
7,0 C? 70
UNITS
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
2ND FL.
SQ. FT. ®
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
YARD SPKLR SYSTEM
HEATING (FINAL)
®
O 91
MOBILEHOME SVC.
TEMP. POLE
BAR SINK
POR.
SQ. FT. ® ('
-3
FINAL INSP.
BOND BEAM
WATER SYSTEM
GAR. b
SQ. FT. ® 70
3�oG
POWER OUTLET
ROOF DRAINS
FRAMING
CARP.
SQ. FT. ®
ROOFING
DRAINAGE PIPING
REMARKS:
WALL
SQ. FT.
DRINKING FOUNTAIN
FIRE ZONE ROOFING
{%
SQ FT ®
/SDO
URINAL
ESTIMATED CONSTRUCTION VALUATION $ a'D
WATER PIPING
NOTE: Not to be used as property tax valuation
LATHING
FLOOR DRAIN
MESH
MECHANICAL FEES
INSULATIONISOUND
WATER SOFTENER
FINISH GRADING
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE
DRYER
Lf
FENCE FINAL
GARBAGE DISPOSAL
FURNACE UNIT
WALL FLOOR SUSPENDED
�O
GARDEN WALL FINAL
LAUNDRY TRAY
AIR HANDLING UNIT
CFM
KITCHEN SINK
ABSORPTION SYSTEM.
B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR
HP
POLE,TEMIPERM
LAVATORY
O
HEATING SYSTEM
FORCED GRAVITY
AMPERES SERV ENT
SHOWER
y
BOILER
B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
5—
MAX. HEATER OUTPUT, B.T.U.
MAX.
%y SQ. FT. RESID ® 11A c
'J
SEWAGE DISPOSAL
3 Q �'
SQ.FT.GAR ® Y c
HOUSE SEWER
GAS PIPING
PERMIT FEE
AD
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE
PL.CK.FEE
CONST. FEE
ELECT. FEE
SMI FEE
PLUMB. FEE
/Y ,a 6
3 7d •00
76.73
.f- E�;t�
p3.O o
"z'vro,• 7
STRUCTURE PLUMBING ELECTRICAL S (, S (o 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
ROCK STORAGE
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL