The URL can be used to link to this page

0396 (SATT)PERMIT APPLICATION 3.27 -1—. City of La Quinta Department of Building and Safety ,, -• This permit becomes void if work not commenced within 100 days from date of issuance. OR, if work has been suspended or abandoned for a period of 180 days. LICENSED CONTRACTORS. DECLARATION: I hereby affirm that I am licensed under provisions of.Chapter 9 CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE. This section need not be completed If the permit is.for one hundred ($100) o, less. I certify that in the performance of the work for which this permit is (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force issued, I shall not employ any -person in any manner so asto become subject to the Workers' Compensation Laws of and elfect. California. License Class Lic. Number Date Applicant Date Contractor NOTICE,TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' OWNER -BUILDER DECLARATION: 'I.hereby affirm that I am exempt from the Contractor's License Law for the Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to S construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: such permit to file a signed statement that he is licensed pursuanttothe provisions ofthe Contra ctor'sLicense,Law- - - ❑thereby certify thatno excavation five (5) or more feet in depth into which a person is required to descend, will be (Chapter 9(commencing with section 7000) of Division 3 ol.the Business and ProfessionsCode)or that he is exempt made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit, demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp.2,-Art 2, Sec 341, Title 8, subjects the applicant to a civil penalty of not more than five hundred dollars (5500:): 4C.A.C.) " ❑ I, as owner of the property, or, my employees with wages as their sole compensation, will do the work, and the,- r ❑ As owner -builder, I'will not employ -anyone to do work which would require a permit from the Division of structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License.. Industrial Safety, as noted above, unless such person has a permit to do such work from that division. . 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. It, however, the O Division of Industrial Safety Permit No. building orimprovemntissoldmithinoneyearof.completion.theowner-builder.willhavetheburdenofprovingthat - .. Date Applicant he did. not build or improve for the purpose of sale.). CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance ❑ 1, as owner of the property, am exculsively contracting with licensed contractors to construct the.project (Sec. of the work for which this permit is issued (Sec. 3097, -,Civ. C.). 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Lender's Name ' builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the - - Contractor's License Law.). _ Lender's Address ❑ 1 am exempt under Sec. B. 8 P.C. (Attached Certificate). I certify that I have read this application and state that the above information is correct. I agree to comply with all ' Date Owner city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this' county to enter upon the above-mentioned property for inspection purposes. WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, ora ^ LOT SZ certificate of Workers' Compensation Insurance , ora certified copy thereof (Sec. 3800. Lab. C.). "`'Signature of Applicant or Agent Date Policy No. Company hat"❑ CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify l have read this application and state that- 0Certified copy is hereby furnished. _ - the information given is correct. I agree to comply with all state laws and county ordinances relating to buidling c O Certifi/ea copy s filed ith�the City Building Inspection De)part ene�or/Eity Department: construction, and authorize a'representative of the City of La Quinta Department of Building and Safety to enter . ��1 T ge,=- upon the property for which I have applied for this permit for the purpose.of making inspections. Date / spy Ifcant LT.-� ADP �ro ✓ _ APPPLIICpAANT NAME (L, MI) ,,,y.,' JLL•JLI [n t rGil.iOYl of Cali1.0mia ADDRESS P. O, Batt 1000 CITY/COMMUNITY/STATE/ZIP La Quinta, CA 92253 JOB SITE ADDRESWSPACE ' 77-327 Avenida Fero CITY/COMMUNITY/STATE/ZIP - La Quinta, CA 92253 BOK PAG PRC C $ 26, 00 ' TNM FIND SE S TRACT 18765 LOT 1 SMI Fee 6.76 MOD BR SB Unit. 23 TRICT NAME erms tub VillasOWER�M 1LMLbCnmtC=poratJim of California CO R -FIRM NAME, ADDRESS Box 1000 CITY4•/COMMU_._ NITY/StTA'T,ZI^T 92253 PH345-2888 ,,� •413636 • u ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP , PHONE 0 8/�..,� �A]% yy.�,,�'�LII,C.,NCC USE_ jp��ER:1T G� ••/ Ai.1.Qiil RilA 17G1<LaC;e BL ZON FSB SSB SSB .RSB OFC . ZONE ORD • '- LOT SZ 'END SIDE Signature of Applicant or Agent Date Print Applicant/Agent Name APPUPRMT q G - ^ RAL ?-83Comb Peanit to bAU1 d 2,078 Sq. Ft. of Oondarotnitm and Garage Mechanical Fee $ 26, 00 ' Plan Check Fee 275,60 Constxmictillon Fee 424.00 Electrical. Fee 33,71 SMI Fee 6.76 Plurrbing Fee 68,50 Property DeveloWmt Fee 450,00 j ® 2 41980 6ty ey to • u TOTAL $18284.57 BLDG. DEPT. -4 VALUATION $96,512.80 NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & f rms 34 Plenums & Ducts 2A Slab Grade 35- Furnace Compart. 3 Steel 36 Inlets'& Outlets 4 Grout Blocks 37 Combustion Air 5 Bond°Beams 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. ❑ 43 Final 10A fireplace T.O. ❑ NPON ADDITIONAL INFORMATION t fjeo, gi..q I b V SEWAGE SYSTEM SIZE&'LOCATION 11 Exterior Lath O 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough -Plumb 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test / 25 Final Tank Pit L. Line ELECTRIC APPROVALS REAR OF PROPERTY LINE P/L P/I STREET NAME 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final