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0826 (SATT)PERMIT APPLICATION City of La Og a 0 Department of Building and Safety �, This permit becomes void if work not commenced within 180 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 ' (commencing with Section 70)0) of Division 3 of the Business and Professions Code, and my license is in lull force and effect. License Class Lic. Number Date Contractor OWNER -BUILDER DECLARATION: 'I hereby affirm that I am exempt -from the Contractor's License Law for the following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to construct• alter• improve, demolish; or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License law (Chapter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code) o r that he is exempt therefrom and the basis for the alleged exemption: Any violation of Section 71031.5 by. any applicant-for.a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500.): O I, as owner of the property, or my employees with wages as theirrsole compensation, will do the work, and the . structure is not intended or offered for sale (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 does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improverrint is soldwithin one year of completion. the owner -builder will have the burden of proving that , he did not build or improve for the purpose of sale.). O I, as owner of the property, amzexculsively contracting with, licensed contractors to construct 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 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.). O 1 am exempt under Sec. B. &. P.C. (Attached Certificate). Date Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a certificate of.Workers' Compensation Insurance , ora certified copy thereof (Sec. 3800. Lab. C.). Policy No. Company O Certified copy is hereby furnished. O Certified copy is filed with the City Building Inspection Department or City Department. Date Applicant ALJIi.A NiJGvv;;C L"_J A.entnt O=p. ADDS 1.u. Box 1000 CITY/COMMUNITY/STATE/ZIP _ Ta ()aii ta. M 92253 JOB SITE ADORESS/SPACE 78-149 Calle Norte CITY/COMMUNITY/STATE/ZIP La Quinta, CA 92253 BOK PAG PRC • C 37.00 TWN 'RNG SE S TRACT 19767 LOT,. SMI Fee 8.37 MOD SB unit 47 TRA mLa Qu nt� Phaw II -►•t. OWNER NAME (L. F. MI) . TMT. m- C��C�TOR-FIRM NAME .. P.O. Box 1000 CITY. COMMUNITY,/STATE/ZIP c r,�r nr_a, � A 92253 °3145-2888 m636 ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE N TOTAL FEE LICNC . 1,398.55 USEOFPERMIT VyN. Elect.Plumb. Bdld. BL ZON FS8 SSB SSB RSB OFC ZONE ORD • LOT SZ END SIDE 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 issued, I shall notamploy any person i n any manner so a s to become subject to the Workers' Compensation Laws of California. Date Applicant 'NOTICE TO APPLICANT: If, after Igaking this.Certificate of Exemption, you should become subject to the Workers - Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit; and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2, Sec341. TilleB, C.A.C.) ."D J,- 0 As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from that division. O Division of Industrial Safety Permit No. Date - Applicant CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance 'of the work for which this permit is issued (Sec. 3097; Civ. C.). , t• Lender's Name Lender's Address .1 certify that I have read this application and state that the above information is correct. I agree to comply with all 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. Signature of Applicant or Agent Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that the information given is correct. I agree to comply withaathstate laws and county ordinances relating to buidling const Ution,tand authorize a'representative of the City of La Ouinta Department of Building and Safety to enter upon the property for which I have applilie`d'forgthis Fpermit fol t�hee/`purpose of making,inspections. -TT-signature of Applicant or Agent ~ Date Print Applicant/Agent Name APPVPRMT N76 DATE 625'84 COMB. Permit to build 2684 Sq. FT. of Condominium Mech. Fee 37.00 Pian Check Fee 313.95 Construction Fee 483.00 -Elect. Fee 40.73 SMI Fee 8.37 Plumb. Fee 65.50 Prop, Dev. Fee 450.00 TOTAL FEE 1,398.55 BLDG. DEPT. VALUATION 119,414.40 NO. 1 Set Bac 2 Ftgs & 2A Slab G —32 reel 4 Grout 5 Bond B 6 Roof D 7 Framin 8 Vents 9 Garage 10 Firepla OPERATION FATE ,,,, INSPECTOR Blocks N BUILDING APPROVALS k 33 Frms 34 rade 35 1 36 37 eams 38 eck /� — N 39 9 g 4 40 41 Fire Wall 42 ce P.L. ❑ 43 10A fireplace T.O. ED 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) Ohl 12C Ceiling (Blown) 14 Final PLUMBING APPR 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 bb 25 Final LS ELECTRIC APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 1 Final O. OP`WATION I DATE JINSPECTOR MECHANICAL APPROVALS Ventilation System Plenums & Ducts Furnace Compart. Inlets & Outlets Combustion Air Compressor Appl. Clearance Fire Damper Smoke Detection Device Commercial Hood Final NJ ADDITIONAL INFORMATION 31101 -r /4 SEWAGE SYSTEM SIZE & LOCATION Tank Pit L. Line STREET NAME REAR OF PROPERTY LINE P/L O. OP`WATION I DATE JINSPECTOR MECHANICAL APPROVALS Ventilation System Plenums & Ducts Furnace Compart. Inlets & Outlets Combustion Air Compressor Appl. Clearance Fire Damper Smoke Detection Device Commercial Hood Final NJ ADDITIONAL INFORMATION 31101 -r /4 SEWAGE SYSTEM SIZE & LOCATION Tank Pit L. Line STREET NAME REAR OF PROPERTY LINE P/L SEWAGE SYSTEM SIZE & LOCATION Tank Pit L. Line STREET NAME REAR OF PROPERTY LINE P/L