Loading...
9911-151 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of %Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date / -425381 . . Td Date Signature of Contractor b , OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec: 7044, Business & Professionals Code). ( ) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). () I am exempt under Section B&P.C. for this reason ' Date Signature of Owner ,f? WORKER'S COMPENSATION DECLARATION . I hereby affirm under penalty of perjury -one of .the following declarations: (.) I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ( �) I have and will maintain Workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'' compensation insurance carrier & policy no. are: Cartier Policy No. (This section need not be completed if,the permit valuation is -for $100.00 or less). ( ) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subI t"to the workers' compensation provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions., i 1te: / • a., •sl'i't Applicant r �i It w f. r Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer -to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made.to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued,as a result of this application becomes null•and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for i80 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. kagree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the Bove -mentioned property for inspection purposes. VSignature (Owner/Agent) ` ? e� cam, -r ✓- - Date `t . BUILDING PERMIT PERMIT 9911u15R VALUATION $93.211-V LOT 13 TRACT two, U-2 DATEjj bi 4 kL/ JOB SITE .1� 0 :,VE+t�i IDA CORT Z APN 77j451-012 ADDRESS OWNER b CONTRACTOR) DESIGNER / ENGINEER P.1 tiny � .S 11oft",vR.ti" 112 i�tlrls;+iy.�.°.F�,T:,�C �%ia%�iii_�iL ►.Fi�.�i 43CkA'N11114DEs CA, 92.04 �iC�f�ct7-(yi3tiST t�'Y33..� !r)53" USE OF PERMIT .; 1Cy i srt 4v7l .9' 13 11fi�,,f lVc Ski) - t°F.SaMI.1 DIORS Ne.,+'1 '..N0LuDL,Uf.0CK WALLS 0R,PCYJL PnIZi'3•I.PAZO 154,00 SF EMIM A,. .R ('05T- OWE " ; 1' Ly. °r1.10 .3ON'SMUCTION VEM, AQ14X)G418-(XX) 3612.SQ T44,, §N- N 0-TFA,X FItq_. 11115 .0-) {xd}ii 1 T le,&J: E }:! G 1 J i-�IGt3--32• P -ti� d 35150 r;.,t..CT*1U.cAL arm' .: 101-000-•42(•.(k?f� 3r61,r.14? Pf'a�'11r16fi'rr�:t�F�: 3(1t•-£.tiH)-�SISt-iY1)(D S.t,?.7: b'1`8Lowe, 4 Mi(�vf it.�h; i,6 . }t(;171y) 1()i-d,t'1(`-?41-0, 9n 101-t7!*4233-000 $r'U.0+f► - , 1K',,VE1,0P..TR NPACIA" FLS{.'. PRECISE NLMN' 10.1-t.1f, D-441 -:W $ l c►O.tif9; FIVE 1119P081'1' 100 0110-4,314-318 . f t).(lt) : 6 w-.. .'a S.lIR=RWAL CON*671 ?'ft,IX-11 14 AND PLAN :HEC 'A°1raA`:+i'AX, VC!,kl\.if.rf .6+.€Li.S DUE, NOW RECEIPT DATE BY ' r DATE FINALED INSPECTOR L�] INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & Footings _ _ /�i�( C� Underground Ducts Ducts Slab Grade l Return Air Steel Combustion Air Roof Deck _ — 07(os 7j Exhaust Fans (_ O.K. to Wrap —00 6 F.A.U. Framing — (o_ • S Compressor Insulation /! �Z i p4' S % Vents Fireplace P.L. /( Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath S Drywall - Int. Lath Final Final _ POOLS - SPAS BLOC KWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines / C_ �Q 7 , ' Heater Final Water Pipingl�/ Plumbing Final Plumbing Top Out ( Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final T -- Utility Utility Notice (Perm) .� �`i��'IY"-�" W'M[Ir�"x�rp'�4i"� ,+��°�11 - - - yf '.E !•,i�i:�Mesn�•��+"„T^iP".syi-����`rY.y'� . l�T � T-ihf �q�o , P.O. BOX 1504 AP TION ON L I a Building / f //„ 76-495 CALLE TAMPICO ` Address !� U� Civ�� �- LA QUINTA, CALIFORNIA 92253 Owner Mailing Address t C� S `♦; Qp� �4.s �r City Zip Tel. C;C*LV, SIT\ -I Com. Gt2.t3Ci Address City lZip Tel. State Lic. City & Classif. t I Arch., Engr., Designer Address Tel. City Zip State PERMIT Lic. # t\ AICENSED CONTRACTOR'S DECLARATION I herebyy affirm that I a licensed under provisions of Chapter 9 ( oc rgpencing with Section 7000) of DI isia 3 of th Business and Professions Code, and my license is In full force and effect. VC, GNATUR DATE OWNER -BUILDER DECLARATION I hereby affirm that I aT exempt from the Contractor's License Law for the following reason: (Sec. 7031.5.Busindss 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. or that. he is exempt therefrom, and the basis for thealleged 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 ($500). l: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness 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 improvement is sold within 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.) 1*1 I, as owner of the property, am exclusively contracting with licensed contractors to con- struct 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.) 17 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company n Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work. for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner 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. 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, Civil Code.) Lender's Name Lender's Address This is a building permit when properly,filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and slate 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 city to enter the above- mentioned property for inspection purposes. Signature of a0plicant Date Mailing Address City, State, Zip .5/700 - - .DING: TYPE'CONSST. t OCC. GRP. Number AZ Q ` I I' 3” 0 (i --'- Description �T IZ, 1 It! Z c It Description Sq. Ft. No. Size Stories No. Dw. New ❑ Add ❑ Alter O Repair d Demolition ❑ Cp,r�tf=-r : DAPI D 962 - 022' /� c elk g /ill s71 1 <If Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Ca i?r Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure J, f TOTAL ��cT riJ REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION f ; R Notice: Document Cannot Be Duplicated Date 12/2/99 No. 19687 Owner NameDavid Ross Miller No. 51-980 City La Quinta Tract # B30,U2 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE Street Avenida Cortez APN # 773-153-012 Jurisdiction La Ouinta zip 92253 Permit # 9911-151 Log # Study Area Lot # 13 Square Footage 1393 Type of Development Single Family Residence Comments No. of Units 1 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.93 X 1,393 or $ 2,688.49 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By cc/Capital/David Miller Telephone Name on the check By Dr. Doris Wilson - Superintendent Fee collected /exempted by Lucy Renteria Pay rnent Received $2,689.49 Check No. 073463 Signa , re . I A -PIA' L, NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued of on which they are paid to the District(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to dis#jpt copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receiptp'y - Accounting I b RC District - Planning Review Form This form is to be used by CDD staff for review of single family dwellings in the RC (Cove Residential) District, in order to determine the applicability of compatibility issues or need to require the filing of Master Design Guidelines by the applicant. It shall be transmitted to Building & Safety as your correction list. 'Please attach additional explanations as necessary. APPLICANT: CORONEL CONSTRUCTION GJ PROJECT ADDRESS: 51-980 Avenida Cortez APN: 773-153-012.. LEGAL: LOT 13 , BLOCK 30 . , UNIT 2 , S.C. @ V.L.Q. CVD BY: Greg Trousdell BIN NO:. CASE NO. 99-117 CHECK -DATE: L-9 Inform the assigned -Building -plan checker upon your _assignment to this case.' The CDD Executive Secretary maintains a log book to track applications and assign case numbers. -REQUIRED ITEM Y N COMMENT/CORRECTION :{: y�}•n,�:{?�\:?. y?%•\C4�i\�M`\� 4i• \\'� •k �t`''C a: i v. i,�.. ^�` {. .{;.,\y.\„\•�\\ {\,0,�, '•C,: \,'}`:?}inti•}�{;�12•\y �{• S {+\+;?{. i\:1. •?,. } \+,�i, �. 1;4 \�\ k•• {R •• i:S::' \` �'1 iY}`v$S\`4 Z' • %i5...{.{n �' y{��;•• i \'y� , HiQ \�:,>.�,,•�(,> ���+p;."{'{:\ \ U} ,{ 4�>• \p �\, V,S^� \•'`\\ titi\•,•}\,\i}`{`.,�,{:�..,�.y.L.` �h' {`,�,'��\ ti��.i�{!f���F•��\7i, �•••µn,•.�•n•...:h'M}: A}:L•..��v}:,'>C.Si\\.��d.•`,{v�,..�, ..n .:••:?.,,`�,�.jC•yn•\.{C\,�'.•:'J.•}:.xi•.��.,•.�i','�y�v}\��YS?� Case logged and number assigned Verify legal and APN information Consistent with MDG on file (as applicable) MDG filing required (5+ filings since 9/3/98) �('�� 2Sb g vol Cbhi istency -with-street/surrounding area:. 6 Colors Materials � Architecture 1 ``"► \ OV �pSE `�a gV • EXH� OTHER REQUIREMENTS: The zoning code, architectural and landscaping manuals, and/or assigned inspector should be consulted where uncertainties arise. The completed checklist shall be maintained in the Building .& Safety address file. Certificate'of Occupancy City. of La Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: 51-980 AVENIDA CORTEZ Use Classification: SFD Bldg. 'Permit No.: 9911-151 Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RC Owner of Building: DAVID ROSS MILLER Building Official Address: By: STEVE TRAXEL Date: 05-19-00 POST IN A CONSPICUOUS PLACE