0806 (SATT)PERMIT APPLICATION
City of La Quinta
Department of Building and Safety
•
,
CITY/COMMUNITY/STATE/ZIP-
La Quinta, C& 93253
s This permit becomes void it work not commenced within 180 days from date
of issuance. OR, iVwork has.been suspended or abandoned for a period of 180.days.
?',; • .
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed it
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 as to become.subject tofhe Workers'CompensationLaws of .,
and effect.
California. - ,
License Class Lic,. Number
_ Date . ' Applicant
Date • - - Contractor
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subjectlo the Workers'
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law fot.the
Compenprovisions 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
ed revoked.
be deemed
- �- � • .� �- -
• consiruct, alterrimprove, demolish, or repair any structure, prior to its issuance, also requires -the applicant for
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: - -
- such permit totileasigned statement that heislicensed pursuant tothe provisions ofthe Contractor's License L•aw
b1hereby certify that noexcavatiohfive (5)ormore feet indepthihtowhich aperson isrequired todescend. will be
(Chapter .9 (commencing with section 7000) of Division.3 of the Business and-Protessionsbode) orthat he is exempt
-made in connection with work authorized by this permit, and that no building structure, scaffolding, fafsework, or '
therefrom and the basis for the alleged exemption. Any violation of.Section 7031.5 by any applicant fora permit ,
demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap"12, Grp 2, Art•2. Sec341; Title8. . -
subjects the applicant to a civil penalty of not.more than five hundred dollars ($500.): n
CAC.)
❑ t. 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 permit from the Division of
structure is -not 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.
•r •
through his owe employees, provided that such improvements are not intended.or offered for sale, If, however, the.,;,O
Division IndustriaLSafety Permit No.
building or improverrint is sold within one year of completion. the ownerobuild.er will have the burden of proving that
DateApplicant.
he did not build or.improve for the purpose of sale.).
CONSTRUCTION LENDING AGENCY' I hereby affirm that there is a construction lending agency for the performance
❑ Las 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 Contractors License Law does not apply to an owner of property who
Leridei'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
❑ 1 am exempt under Sec: B. 8 P.C. (Attached Certificate).
I certify that -{have read this application and state that the above information is correct. l agree to comply with all .
.' r Owner' 1
:s city and county ordinances and state laws relating to building construction, and hereby authorize representatives .+.
.Date
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, 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 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
0. Certified co is filed wi'lK the Cit Building Inspection Department or Cit Department.
DY Y 9 P D Y
construction, and authorize a'representative of the City of La Ouinta Department.of Building and Safety to enter _
r n/
Date Applicant
updn the"property for which I have applied for tfiis permiUfor.the purpose off aking inspections.
(,
Signature of Applicant or Agerit` - Date
-
Print Applicant/Agent Name
APPLICANT �y�yNyAApM�ii'�• IL Ff oMI) per' -
iJ Z iJAi• WYD=, C0R • -
ADDRESS -'
P.o. Box meoo
CITY/COMMUNITY/STATE/ZIP-
La Quinta, C& 93253
JOB SITE ADDRESS/SPCE
7�-ltUy CaI'ie Norte.-
CITY/COMMUNITY/STATE/ZIP ..
La Quinta, CA 92253
8OK
PAG
PRC
C,
..
TWN
PING
SE ; ,
S
TRACT
18767
LOT
313:96
Construction Fee
MOD
SB
-
Unit `27
TRACT NAME.. ..,
]Duna La Quinta Phase II
OWNER NAME (L, F. MI)
LAL nevieboment Corp.•
CONTRACTOR -FIRM NAME - -
5ame .. .
ADDRESS
P.®. Box 1000
CITY/COMMUNITY/STATE/ZIP '
La'Quinta., Ca 92253
PHONE #345-2888 � \
11413636
Prop. Dev, Fee
ARC/ENG-FIRM NAME
ADDRESS ,.
CITY/COMMUNITY/STATE/ZIP - -
PHONE II
LICNC 0
-
USE OF PERMIT
CMM. Elect. Plumb. Build.
8L
ZONFSB
SSB ' ,
SSB
'RSB
OFC'
,
ZONE ORD M
`
LOT SZ
1, 398.55
- END •.
SIDE',, -
APPI/PRMT -
6—ALS-84
C0`B -
Permit,to builkd 2684
Sq. Ft, of
Condominium
Such Fee# ; •
37.000 --
Plan Check Fee'
313:96
Construction Fee
-483.00
Be. 'Bee• y ° •
40.73
SrII `FEE
8.73,
Plumb. Fee
65.50
Prop. Dev, Fee
450,00'
`
'y TOTAL '.
FEE
1, 398.55
BLDG.DEPT.
VAL,UAT1ON 119,414.40- t.,
Ah
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
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.
❑
NON
ADDITIONAL INFORMATION
✓ l (��
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath a
12 .Internal Lath
12A Drywall 02
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
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 PiI
26 Power Pole
27 Conduit
28 Service Entrance
.29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
August.27, 1986'
City of La Quinta
P.O. Box 1504
La Quinta, CA 92253
Attn: Building Inspector
This letter .authorizes you "to issue a building permit for the.
following addresses,in La Quintal
+; 78-109_Calle.Norte'
78-129 Calle'Norte ._
78-133 Calle Norte
78-147 Calle Norte
We are aware of the,eonstruction and structural changes taking
place.
Thank you for your help.
sincerely,
Marcia Carle
Customer Service/Relations
MC/lit
Customer Service
LANDMARK LAND COMPANY, INC., PO. Box 1000, La Quinta, California 92253 (619)564-3338 / 345-8284