0781 (SATT)PERMIT APPLICATION
pfi�"Ke City
of La Quinta
Department of Building and Safety y +
JOB SIT ADDRESS/SPACE '
78- 62 Calle Norte
CITY/COMMUNITY/STATE/ZIP -
La Quinta,. CA 92253.
t This permit becomes void if work not -commenced within 180 days from dateof issuance, OR, if work has been suspended or abandoned for a period of 180 days.
-
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if
LICENSED CONTRACTORS •DECLARATION: I hereby affirm that I am licensed 'under• 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 asto become subject to the Workers'CompensalionLaws of.
and effect.
California. _
License Class Lic. Number
Date ' Applicant "
- OateL. •- Contractor'
. NOTICE TO.APPLICANT: If, after making this Certificate of Exemption, you should become Subject to the Workers'
CCA
0WNER�BUILDEF b`RATION: I'hereby affirm'that I am exempt Irom the Contracior's License Law -for the
Compensation. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall `
following reason (Sec. 7031.5, Business and Professions Code: Any city or. county which requires a permit.to''
be deem ... voked. `
construct, alter, improve. demolishAr repair any structure, prior to its issuance, also requires the applicant.for
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:.
such permit to file asigned statement that he is licensed pursuant to the provisions of the Contractor's License Law.
...', Olherebycertilythat noexcavation five (5)ormore feet indepthinto wnichapersohisrequiredtodescend, Will be
' (Chapter ,(comme ,
with sectioned
3 of the Business and by ilithat he a
made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or
ex mpli6sion
basis any ap permit
therefrom,and the basis for the. alleged exemption. Any violation of Section -7031.5 byany applicant for a permit,
_z demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2: Art'2, Sec341, TitleB,
subjects the -applicant 10 a civil penally of not more than five hundred dollars ($500:);
u= . C.A:C:) ' " •'-"+
❑ Las owner of the property,.or my employees with wages as their sole compensation, will do the work, and.the
J ❑ As owner-b6ilder,. 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 , �,,
'Indusiriat 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 awn employees. provided that such improvements are not intended or offered for sale. It, however, the,
O Division of.Industrial SafetyPermit No. M
• building or improvemnt is sold within oneyear of completion, the owner-builderwill have the burden of proving that ..
Date" `° Applicant
he did not build or improve for the purpose of safe.). :,••c,
CONSTRUCTION LENDING AGENCY, I hereby affirm that there is a construction lending agency for the performance
• 0 h, as owner of the property, am exculsively contracting with licensed contractors to construct the project (Sec:.. -
of the work for which this permit Lis 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
• ❑ lam* exempt -under Sec : 8: 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
' � SIDE -
of this county to enter upon the above-mentioned property for inspection purposes.
WORKERS' COMPENSATION DECLARATION: I hereby affirm that'l have a certificate of consent to self -insure, ora
certificate of Workers' Compensation Insurance:, or 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 l have read this application and state that
.0 Certified copy is hereby furnished.„ , , , • • . ,
the information given is correct. I agree to comply.with all state laws and county ordinances relating to buidling �•.
❑ Certified copy is filed with the City Building'Inspection Department or City Department.
-
construction, and authorize a'representative"ot thi City of La Quinta Department of Building.and Safety to enter
upon -a a fifoperty for which 1 av for this Mor the o�making a
Date Applicant-
,app19 per purpose ns
`� � "•lig �IJY'"
•Signature
_
of Applicant or Agent Date
PPLICANT NAME (L. F. MI) ' • ,
Development Corp.
ADORES
P.O. Box 1000
CITY/COMMUNITY/STATE/ZIP ..
La Quinta, CA 92253
JOB SIT ADDRESS/SPACE '
78- 62 Calle Norte
CITY/COMMUNITY/STATE/ZIP -
La Quinta,. CA 92253.
BOK
'PAG
PRC
C
Plan Check Fee
TNM
FIND
SE
S
TRACT
18767
LOT
9,56
Plumb. Fee
MOD
SB
'
IIait 2
TRACT NAME - • i"
Duna La Quinta Phase 1I
OWNER NAME (L. F q .,. ... n �. .
LIQ Develpment Corp,
CONTRACTOR -FIRM NAME
Same
ADDRESS
P.O. Box 1000
CITY/COMMUNITY/STATE/ZIP
La Quinta, CA 92253
'PHONE.
345-2888
LICNC
413636
ARC/ENG FIRM NAME
ADDRESS .
.CITY/COMMUNITY/STATE/ZIP - -.
PHONE,
1. 61.7 _ 60;
LICNC .
USE OF PERMIT '
COBB.- Electrical,.Plumbim, Bldg,
BL
ZON
FSB
sse
SSB RSB
'OFC: .
' ZONE ORD I
- LOT SZ ,•,
ENO
' � SIDE -
Print Applicant/Agent Name
APPL/PRMT.•[�� ' DATE
6-25-84
COQ.
Permit to -,Build 3657 Sq. FT. of
Condominium
Mech, Fee $
.' 19.00
Plan Check Fee
341.58
Construction Fee
525.50
Elect,.) FW-, ' �`�=�
40.02
SNI Fee
9,56
Plumb. Fee
73.00
Prop. Development Fee
600,00
10
y: TOTAL
FEE ,
1. 61.7 _ 60;
VALUATION136,386.90
BLDG. DEPT. -
a
a
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
10A
fireplace T.O.
❑
NO. ADDITIONAL INFORMATION
/
�/� :?/S7
1
l�
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grades/
INSULATION Thick R"
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 1 Final
' PLUMBING APPROVALS
15 Ground Plumb -%iW,FV
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/I
STREET NAME
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding WireFeieP/L
29B Bonding
30 Fixtures
31 Service
32 Final
4 44j Q"
78-105 CALLE ESTADO LA QUINTA, CALIFORNIA '92253 - (619) 564-.2246
FAX (619) 564-5617
August 21, 1991
Barclays of North Carolina
P. 0. .Box 33243
Charlotte, NC 28233-3243
Attention: Rebecca Wright
RE: Loan #637043
Tanya Burak
Dear Ms. Wright:
The structure located at 78-163 Calle Norte is located in ars
"X" flood zone (areas determined to be outside 500 year
flood plain) per the revised F.I.R.M. (panel 060709 0005 B,
effective August 19, 1991) for La Quinta. The property was
previously designated as zone A3 (areas of 100`'year.1;f1ood,•
base flood elevations and flood hazard factors determined.)
If you have any questions, feel free to contact.me.
Sincerely,.
BUILD G AND AFETY
4- Hartung
Director of Building and Safety-.
TH/lc
cc: Tanya Burak
MAILING ADDRESS P.O. BOX 1504 LA QUINTA, CALIFORNIA 92253