9801-154 (SFD),y LICENSED CONTRACTOR DECLARATION
uj" 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
C1jj Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
r—(3LO
oZO VDate Signature of Contractor��
U OWNER -BUILDER DECLARATION
W W I hereby affirm under penalty of perjury that I am exempt from the Contractor's
~ a License Law for the following reason:
Z ( ) 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).
<") O I am exempt,under Section , B&P.C. for this reason
L
N Date Signature of Owner
OCD
d Q WORKER'S COMPENSATION DECLARATION
o Z I hereby affirm under penalty of perjury one of. the following declarations:
r FQ- O O 1 have and will maintain a certificate of consent to self -insure for workers'
X LU LL compensation, as provided for by Section 3700 of the Labor Code, for the
O J Q performance of the work for which this permit is issued.
CO Q U (s\) 1 have and will maintain workers' compensation insurance, as required by
p u Q Section 3700 of the Labor Code, for the performance of the work for which this
d H permit is issued. My workers' compensation insurance. carrier & policy no. are:
? Z Carrier Policy No.
Cb 5
Ci STAT: FUND
g (This section need not be completed if the permit valuation is for $100.00 or less).
O I certify that;in the performance of the work forwhich 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 (.should become
subject to the workers' compensation provisions/£f`Section 3700 of the Labor
Code, I 9hall•forthwith comply with thos�e•provisiohs.
)/bate: -L3 Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawfulIawful 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 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 purposes.
(Signature (Owner/Agent) I Date
BUILDINGPERMIT PERMIT# CONTROL#
DATE
/ VALUATION LOT ��c�i�_)l�i< TRACT Q % 9
,J cN 1 9/
8352.073.30 87 ?6470-1
JOBISITE
APN
ADDRESS7M-11D-01-7
S2 384I DEL G�►TO DRIVE'
OWNER
CONTRACTOR/DESIGNER/ENGINEER
BUDDY SKLAR
PAR DI VL'•LOwwr
PM AI DESERT CA 92255
(760)340-6169 CBL#
USE OF PERMIT
SFD - PERM T DOES NOT INCLUDE i3L02 WALL OR POOL
CUSTOM CONS'IRUC'PION 4.091,(0) SF
PORCIVPATIO 752.00 SF
0ARACIOCARPow.r 1,143.00 SF'
ESTIMATIED COST OF COlNSTR1.iCt' ON
352,(9^ s, st1
PERMIT F EE S[1MMARY
CONSTRUCTION FEE, 101-000-41 8-000 � 1.525.tui
PLAN CHECK FEE 101-00()439-318 31,259.89
FM DEPOSIT 101 -OW -439-318 41.,()00.00
NECHANICAI. FEE 101-000-4'21-000 SW'l-s i
EI.EC'r121CAL fair[; 101-000-420.000 S258.5.5
PLUMBING FEE !01-.000.419-0013 5257.00
SWONG LIC)TION FEE - R,F.SID 101-000-2-11-000 $35.'71
ORADINO FEE 101-000-4,2334 000 1210.06
INI'RASTRUC7 TUNE FET 2'2.8-000-44.13.342 S6,0000)
ART1114 PUBLIC KA(A;S - RETIC 701-000-255-000 $6:30,18
a 1•
® CAL CONSTRUCTION -,LAID PLAN CHECK
510,1=18.33
1—>_;LSS k�1:1� PAt1�1Ii;S+1•f)tl(i.t}i►
AIL)
APR 2 1998 TOTAL PERMIT FEES DUE NOW
$9,> 4uj
Y r x_
Ty OF
RECEIPT DATE
BY
DATE FINALED
INSPECTOR
USPIECTM RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS '
Set Backs
Underground Ducts
_
Forms & Footings
Ducts
Slab Grade U
Return Air
Steel
Combustion Air
Roof Deck 6
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing je—� LL
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
SL®CKWALL APPROVALS
POOLS a SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Bea
Approval to Cover
Equipment Location
Underground. Electric
Underground Plbg. Test
Final
Gas Piping
PLfl.D4iliBWG 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
Final
Utility Notice (Gas)
ELLECTRCA GAPPROVAL
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Frdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smake Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
Desert Sands Unified School District
Notice: 82-87.9 Highway 111
Document Cannot Be Duplicated Indio, CA 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
Date 4/17/98
No. 16928 Jurisdiction
Owner'NameBuddy Sklar
No. 52-380 street Del Gato Drive
City La Quinta Zip 92253
APN # 769-910-0.17
La Quinta
Permit #
Log #
Study Area
Tract# Lot # Square Footage 4,091
Type of Development Single. Family Residence No. of Units 1
Comments
At the present .time, the Desert Sands Unified School District does -not collect fees on garages/carports, covered
patios/walkways, residential,additions under 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 4,091. or ,$ 7,895.63 the property listed.,above and that building
permits;.and/or'Certificates of Occupancy forthis square footage in this proposed project may now. beissued
Fees.Paid By Cashier Check/Par Development Tele '.
Name on the check r
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Juanita Green Payment Received "97;89:63 , t
Check No. 110687517
Signature (LLu�� i��il�r��
E: Pursuant at Assemoy Bili:3081 (CHAP 549, STATS. 1996) this will serve to'notify you that the 80 -day approval period in which you may protest tha.fees or other payment identified I
will begin to nm from the date on which the building or installation permit for this,pro)eot ie sseued or on which they are paid to the District(s) or tmenother public entity;authoraed to
them on the Districtfs)(s') behalf, whichever is earlier.
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
Certificate of Occupancy
City of La Quints
Building and Safety Department
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. For the following:
BUILDING ADDRESS -
52 -380 DEL GATO DRIVE
Use Classification: SFD Bldg. Permit No.:
Occupancy Group- R 3 Type of Construction: VN Land Use Zone:
Owner of Building.: BUDDY SKLAR
T�
Building Official
Address:
By: STEVE TRAXEL
Date: '2-19-99
POST IN A CONSPICUOUS PLACE
P,
MAY -21-98 THU 17:01
CAL WEST E.NGIIVEER.rING
32-812 Amore Nina, Cadiedral City, CM 92234 (760)•328=8130 (714)248=5139
March 26, 1998
Tom Hartung
Building, Official
City of La Quints
Re. Lot 87, SKLARRESIVENCEAT THE TRAM TI IDN
Dear Tom,
We have reviewed the foundation for. the above ref remod project: and fund it to be in general conformance
with the approved foundatioan,plans. The foundation for the masonry fireplace will be poured at a latter
date and will be tied in with the surrounding slab and footings with epoxied #3 bars. In the sunken living
room at shear panel No. 32 the wall will sit above ft depressed slab as pa detail 11/S2.2.
1f you have any questions please call.
Jeffrey
P.02
LA r)r iwTA
RECD
ILDING
REGISTERED INSPECTOR'S WEEKLY REPORT
JON TA►NDY
,.'3580 Condalia Ave.
Yucca Valley, CA 92284
(760) 365-5045
TYPE OF
INSPECTION
PERFORMED
O REINFORCED CONCRETE O STRUCT. STEEL -ASSEMBLY ❑.
❑ POST TENSIONED CONCRETE O ASPHALT ❑ OTHER
❑ REINFORCED MASONRY ❑ FIRE PROOFING
JOB LOCATION V Pi CIO
REPORT SEQUENCE NO.-
TVP pF STR TORE, `E'1 ^ _
ZMATERIAL
PERMIT NO.
DATE-
DAY OF WEEK
DESCRIPTION�'J �OWY9�l� 0
ARCHITECT
INSPECTOR
-j TA N
HRS. CHARGED:
l l
ENGINEER.
ASSISTANTS
'HRS: CHARGED
INSPECTION GENERAL00,4 ,� Q U C. SUB
DATEI
_ CONTRACTOR '7 �J'�'" CONTRACTOR
LURA 0
K f S. R c.c,tZ.so e
vj a;N C.*-
l0 -$S
1 .� �-L✓s ILto A N � +,Y-
vtc''� 4 -
yk C�
Cg
QA -6Q' = ON T-' IC.
COPY SENT TO CLIEN
CONTINUED•ON NEXT PAGE'O
PAGE OF
CERTIFICATION OF COMPLIANCE
'HEREBY CERTIFY THAT I HAVE; INSPECTED TO THE' BEST OF MY
KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE'APPROVED
PLANS. SPECIFICATIONS.. AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS.
` 5`NATURE 0?
EKED INSPECTOR�
DATE OFREPORT REGISTER NUMBER