001007 (RER). • '
APPLICANT NAME (L, F. ML - __ Lark - Land Co.'
�
ADDRESS' '
P.O. B= 1000
PERMIT APPLICATION
1t City of La Ouinta n
'' Department of Building and Safety
o '- ••- ..
JOB SITE ADDRESS/SPACE187 Cal. a Norte
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l
This permit -becomes void if work not commenced within 180 days from date
of issuance. OR, if'work has beew suspended or. abandoned fora period of 180 days:.`-
e.,
CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE: This section need not bewmpletedit
LICENSED CONTRACTORS DECLARATION: 1- hereby affirm. that I am licensed undei provisions of. Chapter 9 ; •
. •••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 as to become subject to the Workers' Compensation Laws of
and effect.
• ' California.
License Class Lic. Number
Date Applicant
K n 4`
Date- - -• Contractdr< ",i -c •� / •+' % - '-' • •..
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' . • .
'
OWNER -BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors License'Law for.the
Compensation provisions of the Labor Code, you must forthwith complyswith such provisions.or this permit shall
"
following reason (Sec. 7031.5, Business and Professions Code: Any city or countywhich requires a permit to
be deemed revoked.
construct, alter, improve, demolish, or repairany 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 pursuant to the provisions of the Contractor's License Law ,
01 hereby certify that noexcavationfive (5)ormore feet indepth into which aperson isrequired todescend, will be
(Chapter 9lcommencing with section 7000) 01 Division.3 of the Business and Professions Code) orthat 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, Sec341'Title8.
subjects the applicant to a civil penalty of'not more than five hundred dollars ($500.): -
•�' CAC )' - .. _il - .
- o I..as owner of the properly; or my employees with wages as their sole compensation, will do the work, and the , .
P ,; . ' ❑ As owner -builder, I will noi-employ anyone to do work which•would require`a permit from the Division of '
structure is not intended or offered for sale (See. 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
BL
through his own employees, provided that such improvements are not intended or offered for sale. If,,however„the' `'
O Division of Industrial Safety.Permit No. 7,
building or. improverrint is sold within one year of completion. the owner-buildeLwill have the burden of proving that .
- Date - • "Applicant -
he did not build or improve for the purpose of sale.):
<CONSTRUCTION LENDING AGENCY -'l hereby affirm that there is a construction lending agency for the performance
' O'l, as owner of the property, am exculsively contracting with licensed contractorsto construct the project (Sec.
of -the work' forwhich'this permit.isissued' (Sec” 3097; Civ: C.).
7044. Business and Professions Code:•The Contractor's License Law does not apply to an owner of property who
-a
.. Lender's Name.
• builds or improves thereon, and who contracts for such projects with contractor(s) licensed pursuant to the:
�'
Contractor's License.Law.).'
Lender's Address
' 0 1 am exempt under Sec. -' B. & P.C. (Attached Certificate).
,' I certify that I have read this application and state that the above informationJs torrect. l 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, or a
certificate of Workers' Compensation Insurance ror a certified copy'thereof (Sec. 3800. Lab. C.). "
Signature of Applicant or Agent Date
Policy No. Company
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that
❑ Certified copy is hereby furnished
' the information. given is correct. I agree to comply with all state laws and county ordinances relating to buidding
o Certified copy is filed with the'City Building Inspection Department or City Department.
construction, and authorize a representative of the City of La Ouinta Department of Building and Safety to enter
upon the property for which I have applied for this permit for the purpose of making inspections.
Date Applicant.
Signature of Applicant or Agent Date
r Print Applicant/Agent Name '
. • '
APPLICANT NAME (L, F. ML - __ Lark - Land Co.'
�
ADDRESS' '
P.O. B= 1000
CITY/COMMUNITY/STATE/ZIP -
IJa Quinta, GA 92253
o '- ••- ..
JOB SITE ADDRESS/SPACE187 Cal. a Norte
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CITY/COMMUNITY/STATE/ZIP '
Ia Quinta, CA 92253
BOK
PAG
PRC
C
TWN
RNG
SE -:
•S"
TRACT-
18767
LOT
Mech.
7.00
MOD
SB
TRACT NAME
OWNER NAME (L. F. MI)
L milma k
CONTRACTOR -FIRM NAMEy 11'
JJC:{i Lr�YIIa,rk
ADDRESS -
above
CITY/COMMUNITY/STATE/ZIP M -
abow
'PHONE a ' `
' LICNC
ARC/ENG FIRM NAME
ADDRESS -
CITY/COMMUNITY/STATE/ZIP
PHONE •
90.82 '
LICNC II
USE OF PERMIT
Estend trellis/window/A.C.unit
BL
ZON
FSB SSB ' -SSB--
RSB
OFC
• ZONE ORD S-
LOT SZ •'�-.
�'
END
SIDE. '.2, -
APPL/PRMTDATE i R ! n 7
Permit to extend trellis, relocate
A.C. unit and install window as
per approved plan.
Pian deck
32.82
Peznit
50.50
SMI Fee
.50
Mech.
7.00
TFEE
90.82 '
BLDG. DEPT.
VALUATION 4,-50MIn
NO.
OPERATION DATE
INSPECTOR
NO. OPERATION DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33 Ventilation System
2
Ftgs & Frms
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
tOA
Fireplace T.O.
❑
NON ADDITIONAL INFORMATION
2 /
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
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
PSL PyI
STREET NAME
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
October 17, 1984
Landmark Land Company of California
P.O. Box 1000
La Quinta CA 92253
We, the Architectural Review -Committee of Duna La Quinta,.
have found the proposed alterations, dated October 10, 1984,
to 187 Calle Norte to be in keeping with the established
rchitectural Aesthetics of Duna La-Quinta and therefore
approve the above proposed alterations with the following
conditions.
1. Exterior color of additional trellis shall match.
the existing trim color and texture.
2. New exterior plaster shall match the existing in
texture and color.
3. Effected landscape areas shall be returned to their
condition' at time of proposed construction start.
Sincerely,
rk T Ambers
a Quinta Architectural Review
Committee Member-
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