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296970 (SFD)FIELD OFFICE DEPARTMENT OF BUILDING & SAFETY BUILDING PERMIT J F M A M J J A 'S IOIN D PERMIT NO, 0 111w lk.VVIMI T Vr RI YCRJINC29697 77 COMMUNITY r =DST CONSTRUCTION ESTIMATE DST 1 J/177 NO. ELECTRICAL. FEES NO. PLUMBING FEES M H PERMIT FEE IST FL. SQ. FT. @ 40-0 $ 2ND FL. SQ. FT. @ POR. mirdfZi IQ. FT. @ o—r GAR. SQ. FT. @ CAR P. SQ. FT, @ WALL SQ. FT. @ SQ. FT. @---L— ,ESTIMATED CONSTRUCTION VALUATION $ - a O� g 0Z UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL. WATER PIPING. F.C. NOTE: Not to be used ds property tax valuation V PERMIT NO. SWIM POOL, PVT FLOOR DRAIN MICROFILM FEE COPIES MECHANICAL FEES SWIM POOL,.COMM WATER SOFTENER VENTL SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) MECHANICAL FEE DBL APPLIANCE ❑ DRYER USE RO. GARBAGE DISPOSAL ET ACK LOT SIZ GR FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED I S'4 LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. PLAN CHECK FEE$ TEMP USE PERM SVC WATER CLOSET BOND AMT. COMPRESSOR 0 HP FINAL DATE SPECTO,R POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER DBL $ BOILER B.T.U. NAME OF CONST. LENDER BRANCH SQ.FT. @ a BATH TUB ELECTRICAL FEE DBL $ SQ.FT. @ ¢ WATER HEATER STATE STRONG MOTION $ SQ.FT.RESID @ 11/aa SEWAGE DISPOSAL INSTRUMENTATION FEE SQ.FT.GAR @ 3/4 it HOUSE SEWER SPECIAL INSP $ Y GAS PIPING ADDRESS ADDRESS PERMIT FEE FEE PERMIT FEE PERMIT FEE /� OBL. I TOTAL FEES MOB.. HM. FEE MICRO FEE J MECH. FEEPL. CCK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE J F M A M J J A 'S IOIN D JOB ADDRESS SP NO & r 1 #91Jf/MV lI�le�f'� I OWNER 76 77 COMMUNITY r VALUATION $ 69TE -"' 7 7 7 DST 1 J/177 OFFICE 78 M H PERMIT FEE $ 4 USE OF RMIA7 A06 4) �� ' M F.C. SUPf. TO PERMIT PERMIT NO. MICROFILM FEE COPIES $ BOOK PAGE PARCEL LEGAL DESCRIPTION / L } f e J MECHANICAL FEE DBL $ USE RO. ZO E ET ACK LOT SIZ GR TYPE CK BY I S'4 S .R PLAN CHECK FEE$ BOND AMT. --z PLAN NO. PLAN CHECKER FINAL DATE SPECTO,R % (F r( ( 7 `,W. CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE IN: NO LENDER INV VED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENTS SIGNAtYRE CONTRACTOR INSTRUMENTATION FEE SPECIAL INSP $ Y ADDRESS ADDRESS DEMOLITION FEE /� REGISTRATION E! - PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ TEL. NO. AREA CODE TEL. NO. AREA CODE LICENSE 0 CASH❑CHECK .0.❑N.C.❑l , RECEIVED B TREES REQUIRED THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF vv RK FOR 120 DAYS SHALL ALSO CAUSE PERMIT.TO BECOME VOID. - I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE< SEWAGE SYSTEM T LL p WITH THE LAWS OF RIVERSIDE COUNTY AND. THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY i(IAADr KICATInli l— FORM 284.208 (REV. 6-76) /vTrLVTCCJ. I. MI-L1A1VLC YVlln Inc LAWz%.jr Inc J1A1C Vr CALIFORNIA COVERING CONTRACTORS. IS ALSO GUARANTEED. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION•5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. 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 0. K. to Wrap F.A.Ue Framing Compressor. ti Insulation Vents Fireplace P.L. Grills Fireplace T.O. Tans & Controls Party Wall Insulation Condensate Lines - { Party Wall Firewall a Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS' BLOCKWALL APPROVALS Steel Set Backs J.. Electric Bond Footings _ Bond Beam r� _8 t~ Main Drain " Approval to Cover-, Equipment Location + Underground Electric ;"- _ Final_ Underground Plbg, Test Gas Piping PLUMBIM APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans 77O.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) LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 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 5.33 i7i 0 of* 13 01 Signature of Contractor -�" " � iPfr 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 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.C. for this reason Date Signature of Owner 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 workefs';� compensation, as provided for by Section 3700 of the Labor Code, for tlie, 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. (XIL014 SAM WNC 322374-0 (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 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, I shall forthwith comply with those provisionsfi' —. Date: Applicant�-— �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 inisection 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 Cityof 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 the above-mentioned property for inspection Four oses. Signature (Owner/Agent);-•'°1sT, Dated � J BUILDING PERMIT PERMIT# DATE VALUATION LOT 0.05,W7 TRACT fit. ,XI JOB SITE APN ADDRESS 48- 701 'N'AN VW(MMMSTRUT OWNER CONTRACTOR/DESIGNER/ENGINEER C PIRI:1 ;• sow SUHP.Off6 CORPOl�'.# ON Imo.Q:VINTA, +"A 92253 P .LESPrIRT CA, 92260 (760) 1454186 (1173 111?? USE OFFS'l RMIT 1 ' J00V6? Ce'1fa+i,' H CgAfld,1*4 W'.ALIL �, C IT Y STANDP RD r-0 r :�3:3xb�A; T.i0 cobI ' W, C:O dN` �',i�i7MON yyy �g (^pry �gyyp�'u n *p� •d; .7�),IEi t.:lx T ,✓ R9 Lti�I 61tif�•hYR S, CO'NOTPIUMOx ITE 101-000-438-000 $54.00 ,1 �3s_Tt3°k C_C3Rd fi m ^f fM_ ON AM MAN MW:K L8,33 PRX-FAID FLM $54,00 $0100i M AY - 7 2001 T- I TA=r 111US DUE NOW S.94rOD CITY OF LA QUINTA FRANCE DEPT y r , RECEIPT DATE BW�' 7 DATE FINALED INSPECTOR Y � � i 1 ! I ; I I� 1_ ­ _1 __ : .- __ i ---. - — - ___ - ­_ i -, __ � - � � ____ - - � ------- __ - ___ - _____ - - _. 1 — - - _____L__. - —_ --I.,-- � ') I . , . . � I I I.: .1 � : ", , . . .. I I � --,--.-,�.---�---"---�---,-.�-,------�--�-�-, .",O--���,�1--�--,-�l------�,-----�--,--,--,- --..���.-,�,-.�-1-�,�ll"",-"-�.-�"-.---.-"""-----�,;��-�",�—"----,------,�-�-.�---�--,--,��'-�-�-,�--,..-.-,-.---,-'--�, I , � i I I � -+- I � 'Ir I I _," I , � I I , kj to I I I I I I � - -�,,_ c� `�, � N,e ,� G111-:1 I � ,_ � �, . 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