0809 (SATT)'A, ll AN7__M
NAME (l, F. ,rt I) phimt Corp
ADDRESS-
P.O. Eox 1000,
1• PERMIT APPLICATION 1 '
City of La Dg a - c
Department of Building and Safety •
CITY/COMMUNITY/STATE/ZIP
La Ouinta. CA 92253
BOK t.'PAG
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.
C
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 permil.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, ad -my license is in full force,
.' issued, l 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
Dale Contractor -
NOTICE TO APPLICANT: -If; after:making this Certificateof Exemption, you should become,subject to the Workers' ,
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the " .
Compensation provisions of the LaborCode, you must forthwith comply with such provisions or this permit shall
following reason (Sea 7031.5. Business and Professions Code: Any city or county which requires a permit to'�'
be deemed revoked... "•
. - • - '1
construct, alter,' improve, demolish, or 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
01 herebycertifythatnoexcavationfive(5)brmorefeetindepthintowhichapersonisrequiredtodescend,willbe'
(Chapter 9(commencing with section 7000) of Division 3 of the Business and'Professions Code)or that 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, Sec 341, Title 8." . -
subjects the applicant to a civil penalty of not more thamfive hundred dollars ($500.):
C.A.C.),
0 I. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the. •
❑ As owner -builder, I will not employ anyone to do work which would require a permitfrom the Division of
structure isnot intended or offered for sale,(Sec: 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
+.
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., u
- building or imprQ,4emnt is sold within one year of completitin.,the owner-.builder.will have the burden of proving that
'•Date" Applicant
he did not build:or. improve for the purpose of sale.). ,±
CONSTRUCTION LENDING AGENCY: 1 hereby affirm that there is a construction lending agencyfor the performance
❑ I, as owner of the property, am exculsively contracting with licensed contractors to construct the project (Sec.:,
of the work for which this permit is -issued (Sec. 3097, Civ. C.). '
7044, Business and Professions.Code: The Contractor's License Law does not apply to an owner of property who
Leoder's Name
builds or improves thereon, and -who contracts for such projects with a•contraclor(s) licensed pursuant to the
END
Contractor's License Law.).
Lender's Address
❑ 1 a exempt under Sec. B'...B.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. r
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 , or a certified copy thereof (Sec. 3800.,Cab:'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
• O 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."'
- an tr ction, and authorize a representative oflhe City of La Ouinta Department of Building and Safety to enter
upon the properly for which I haria/pplied to • this permit for the purpose of making inspections.
Date Applicant
/
Itt '
nC1�-+�,
/ J Signature of Applicant or Agent Date `
_ o
'
r
Print Applicant/Agent Name
'A, ll AN7__M
NAME (l, F. ,rt I) phimt Corp
ADDRESS-
P.O. Eox 1000,
CITY/COMMUNITY/STATE/ZIP .. ..
Ira Quinta,, CA 92253
JOB SITE ADDRESS/SPACE
78-115 Calle Norte
CITY/COMMUNITY/STATE/ZIP
La Ouinta. CA 92253
BOK t.'PAG
PRC ,
C
TWN -
- RING,
SE'.'
S
TRACT -
18167
+LOT
Construction.Fee
I
MOD.'.
•SB
Unit 30
TRACT NAME
'Duna La Ouinta Phase'II
-OWNER NAME (L. F. MI)
LM Develomentt Coro.
CONTRACTOR -FIRM NAME .. ,..
Saute
ADDRESS
P.O. Box 1000
'CITY/COMMUNITY/STATE/ZIP •-• -
La Quinta, CA 92253
PHONE a •'
345-2888
65.50
LICNC A
413636
ARC/ENG FIRM NAME
ADDRESS -
CITY/COMMUNITY/STATE/ZIP - •- - - ..
PHONE . y. . •
LICNC N
USE OF PERMIT r ,
COMB, Elect. -Plumb. Build.
BL
ZON;
FSB SSB '
SSB*
RSB
116—.041
OFC
ZONE ORD'0
LOT SZI�
END
SIDE
APPL/PRMT n
6-25484
CM ,
Permit to build -2684 Sq. Ft. •' of •
Condominium
I ech..Fee � ` °: , _
37.00
Pian Check Fee
313.95'
Construction.Fee
483.00
Elect, Fee
40.73
S14I FEE
8.73 .
Plumb. Fee
-
65.50
Prop. Dev. Fee
450.00'
116—.041
-
r'
TOTAL ..
" . FEE . • T1.398
'
35-
• VALUATION '119,414.49`
BLDG. DEPT..
NO.
OPERATION ATE
INSPECTOR
NO.
OP ATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
`0
35
Furnace Compart.
3
Steel
9 S
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
�S
39
Appl. Clearance
7
Framing
S
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.
❑
OP'NO.
ADDITIONAL INFORMATION
'
aLl1 8-5
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick 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 &T TRI
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25 Final
Tank Pit
L. Line
ELECTRIC APPROVALS
REAR OF PROPERTY
p/L
STREET NAME
LINE
PiI
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final