10881 (BLCK)/ P.O. BOX 1504 No. 10881
Building53-563 Navarro LA QUINTA8-105 CCALIFORNIA 92253 t (r 7
Address
Owner 111 t
�tW]`C & 53 SbGi7u7Ltp BUILDING: TYPE CONST. { OCC: GRP.
Mailing
Address P. 0. Boy., 4063 A.P. Number
City Zip Tel.
.P.D.. 92261 564-5135 Legal Description
Contractor Project Description
Address i13 of 6'. E�►C30G�f?iI fence
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 CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) t. of Division 3 of the Business and Professions Code, and my license is in full force and
effec. .
SIGNATURE DATE
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractors License Law for the following 961.00reason: (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 rile a signed* statement that he is licensed pursuant to
PERMIT
AMOUNT
- the provisions or the Contractor's License Law, Chapter -9 (commencing with Section 7000) or
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the Any Section 7031.5 by 'any for
- -
Plan Chk. Dep.
-
- `•
alleged exemption. violation of applicant a permit
subjects the applicant to a civil penalty or not more than rive hundred dollars.($500).
Plan Chk. Bal.
-
CI, as owner of.the property, or my employees with wages as their sole compensation, will
the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
COf1St.
{j {�
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, -
Mech.
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
Electrical -
-
or proving that he did not build or Improve for the purpose or sale.) -
O I, as owner of the property, am exclusively contracting with licensed contractors to con.
Plumbing
J
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
S•M•I;.
1�
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) -
Grading
❑ I am exempt under Sec. B. 8 P.C::for this reason
Driveway Enc.
Date Owne :�-1.-�'�"�^�
Infrastructure
k v. _ I
.
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
0 Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
25-.10
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed -if the permit is for one hundred dollars $100) valuation
(
-
_
3 V "`I; d t
.� r� gg ��1 r i ry r 1 r4.
X 1 - xavanfr ?1^ry f'Y'ia;' E cC �,t.
or less.)
I certify that in the performance•of-thg 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 tidfyyCali fdmia.
Date ;'l..i'�i {YOwne-
NOTICE TO` APPLICANT: NQ after 'making this Certificate oft Exemption you should become
"subject
ZONE:-
BY:
to the "Workers' Compensation' provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
-Minimurn Setback Distances: '
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Cede.)
Side Setback from Property Line
Lenders Name
Lender's Address
FINAL DATE
INSPECTOR
This is a building permit when properly.filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
'
Issued by:
Date Permit'
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives sof this city to enter the above-.
mentioned property for inspection purposes.
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEEd '
1ST FL. SO. FT. ® $
2ND FL SO. FT. ®
POR. SO. FT. ®
GAR. SO, FT. ®
CAR P. SO. FT. ®
WALL SO. FT. ®
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FOR
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE,TEMIPERM
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 ® 1Vi c
SEWAGE DISPOSAL
SO.FT.GAR a 3/ic
HOUSE SEWER
REMARKS:
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
ROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRA
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FOR
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
F ND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
EINF. 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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIJNMALS
GARDEN WALL FINAL
v
+�azlGlt iit LR ti r ��''I'�Ir�
ce/
.�. •� ..
78-105 CALLE ESTADO LA QUINTA; CALIFORNIA 92253 - (619) 564-2246
FAX (619) 564-5617
May 26,...:1993
Edward Quigley
P.O. Box 4063
Palm Desert, CA 92260.
Dear Mr. Quigley:
It has come to the attention of the City of La Quinta.Department of
Building and Safety that your building permit.number 1088.1 at 53-1
563 Navarro has expired.
According to the Uniform Building Code, 'Section 303(d.), no further
work shall be performed on .the above permitted job -site until a new
permit has been issued or an extension granted._ An extension of
this permit can be requested in writing within 14 days -of the•date
of this letter.
If a final inspection has not been requested due to art oversight by.
either yourself or, your contractor, please schedule .that final
inspection within 14 days to resolve this matter. Fa=lure to do so
wi-11. r.esult.. in further action by the City..
Please contact me at your earliest convenience. We appreciate your -
immediate attention to this matter.
Sincerely,
BUILDING AND SAFETY DEPARTMENT
Lonnie Day
Building,Inspector
kt
Attachment -
MAILING ADDRESS P.O. BOX 1504 - LA QUINTA, CALIFORNIA.92253