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0793 (SATT)PERMIT APPLICATION • City of La Quinta Department of Building and Safety This permit becomes void if work not commenced within 180 days from date of issuance, OR, it work has been suspended or abandoned for a period of 180 days. ICENSEO CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter .9 commencing with Section 7000) of Division 3 of the Business and Professions Code• and my license is in full force nd effect. icense Class Lic. Number ate Contractor )AER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the ollowing reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to :onstruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for Iuch permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors License Law ;Chapter 9 (commencing with section 7000) of Division Dot the Business and Professions Code) or that he is exempt :herelrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500.): ' D I. as owner of the property. or my employees with wages as their sole compensation, willdo 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 wilding or improvemnt is sold within'one year of completion, the owner -builder will have the burden of proving that le did not build or improve for the purpose of sale!1:7 7 1, as owner.of the property am excufsively contracting. with licensed contractors to construct the project (Sec. rO44, Business and Professions Code: The Contractor's License Law does not apply to an owner of propertywho builps or improves thereon, and who contracts for such projects with a contractor(s)'licensed pursuant to the . Contractor's License Law.). 1 am exempt under Sec. B. 8 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, or a certified copy thereof (Sec. 3800. Lab. C.). x Policy,No. Company 7 Certified copy is hereby furnished. • _ 7 Certified copy is filed with the City Building Inspection Department or CityDepartment. Date Applicant APPLICANT NAME (L. F. MI) L14L DEVELOPIMENT CORP. ADDRESS P.O. BOX 1000 CITY/COMMUNITY/STATE/ZIP La Quinta, CA 92253 JOB SITE AOORESS/SPACE 78-118 Calle Norte CITY/COMMUNITY/STATE/ZIP - La Quinta, CA 92253 BOK PAG PRC C 19.00 TWN RNG SE S TRACT 18767 LOTMOD SMI Fee 7.39 Plumbin_ Fee SB Unit 14 TRACT NAME ' Duna La Ouinta Phase All . OWNER NAME (L. F. MI) LML Develapment Corp. CONTRACTOR -FIRM NAME •. Same ADDRESS P.O. B02 1000 CITY/COMMUNITY/STATE/ZIP ' La Ouinta. Ca 92253 PHONE • 345-28888 - LICNC • 413636 ARC/ENG FIRM NAME' ADDRESS CITY/COMMUNITY/STATE/ZIP .. PHONE • LICNC II ' USE //O�F//PERMIT ��Me��11 T pttT♦ T'� C 14R i.— FLEC . PLUM. .r77.Jdl.i••a BL ZON FSB SSB SSB RSB OFC ZONE ORO • 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 noVemploy any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Applicant NOTICE TO APPLICANT: If, after making 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: 0 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. Title 8. C.A.C.) 0 As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Satety, as noted above, unless such person has a permit to do such work from that division. r 0 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. Q. Lender's Name Lender's Address I 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 topmply with all state laws and county ordinances relating to buidling construction, and authorize a'representative of the City of La Ouinta Department of,Building and Safety to enter upon'the�propertyyl6'r which I hauQ�plied for this permit for the purpose of m king• inspecti6nn'S. f Signature of Applicant -of Agent Date Print Applicant/Agent Name APPL/PRMT DATE U7936-25-84 936-25-84 COMB Perwit to Build 2969 Sq. Ft of Condominium Mech. Fee 19.00 Pals Check Fee 291.20 Construction -Fee 448.00 Electrical Fee 40.71 SMI Fee 7.39 Plumbin_ Fee 63.00 Pron. Develonment Fes 45Q.,QQ U 0-11 TOTAL FEE • 1,319.30 BLDG. DEPT. VALUATION 105,044.70 NO. OPERATION DATE INSPECTOR NO. OPITATION 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 3 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. ❑ UPN NO. o ADDITIONAL INFORMATION , / ) SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath`i2"`"��- 12A Drywall Q 13 Finish Grade INSULATION Thick R••-77 Value 7A Walls (Batts) i 126 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 -72 25 Final Tank Pit L. Line ELECTRIC APPROVALS REAR OF PROPERTY LINE PSL P/L 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire tlFe4e g' 3 8 296 Bonding 30 Fixtures 31 Service 32 Final STREET NAME