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13089 (RPL)1 c�3 •..t"- f � P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 51-865 Cortez LA QUINTA, CALIFORNIA 92253 Jay Goodman Mailing Address Same City Zip Tel. La Qainta, CA 92253 Contractor Steve Hodson Construction, Inc. Address 68-805 A Peru Road, E-9 City Zip Tela Cati'lc dzal C�tI t CA 92234 324�1232- State Lic. City_ & Classif. A 574127 Lic. # 1044 Arch., Engr., Designer Address Tel. City( Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION -,Pk I hereby affirm,that tam licensed under provisions of Chapter 9 (commencing with Section 7000) of -vis o 333 (the Business and Professions Code, and my license is in fu I force and effect. jf� F '3'N £ ' � /�3�^ r SIGNATURES DATE C ! 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 or 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 the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty or not more than five hundred dollars ($500). ❑ 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 ownerbuilder will have the burden or proving that he did not build or improve for the purpose of sale.) , ❑ 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.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner � I WORKERS' COMPENSATION DECLARATION I 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 A0 Copy is filed with the city. O 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 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 city to enter the above- mentioned property for inspection purposes. Signature of applicant -Date- Mailing ateMailing Address City, State, Zip No. 13089 LDING: TYPE CONST. OCC: GRP... A.P. Number Legal Description_ Project Description_ Pool •- no heater 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: Sq. Ft. Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $12,000.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 87.75 Const. 135.00 Mech. —0— Electrical • UU Plumbing % 1 • U S.M.I. 1 Grading Driveway Enc. Infrastructure I ' + 1 TOTAL x 7 J REMARKS a Sy _: _ yytiaYi S f 4 Y t HL .L _ i".3 . f j 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: CONSTRUCTION ESTIMATE NO. ELECTRICAL F=ES NO. PLUMBING FEE'S' 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ` YARD SPKLR SYSTEM 2ND FL. SO. FT. ® FORMS I MOBILEHOME SVC. BAR SINK POR. SO. FT. p GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® GROUT DRAINAGE PIPING CAR P. I SO. FT. ® FINAL INSP. WALL SO. FT. WATER SYSTEM DRINKING FOUNTAIN GRADING cu. yd. $ plus x$ =$ URINAL SO. FT. ® FRAMING FINAL INSP.6,; , J-64 L ESTIMATED CONSTRUCTION VALUATION $ \ A J 1 +, 7 , �^ ( �cJ WATER PIPING NOTE: Not to be used as property tax valuation REMARKS: FLOOR DRAIN MECHANICAL FEES - WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM SPARK ARRESTOR KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ®c BATH TUB INSULATION/SOUND SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING NDERGROUND ?—,?—C1'32,0A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP FRAMING FINAL INSP.6,; , J-64 L ROOFING \ A J 1 +, 7 , �^ ( �cJ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTIO CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL February 23, 1994 City of La Quinta Post Office Box 1504 La Quinta, California 92253 Dear Mr. Hartung: Pursuant to our conversation on the week of February 1, 1994, you indicated that I could leave standing the eave and the 4X4 pole where the electricity for the pool is hooked up to the patio. Further you indicated that all criminal charges against me would be dropped if I brought my patio up to code. Please be advised that I will bring my patio up to code by March 16, 1994. If you have any questions regarding this matter, please do not hesitate to contact me. Sincerely, G 00dm r JAY GOOD cc: Attorney Jonathan Landau CITY OF LA OUINTA 'FEB 2 5 1994 BUILDING AND SAFETY PROPOSAL FROM Re - Roof Specialist Palin Ties�rt R001FIN V CA #477507 Contractor 340-3113 Bx 2795 P.D. 92261 PROPOSAL SUBMITTED TO: 0 o vv� PHONE We hereby submit specifications and estimates for: ol PAGE NO. OF PAGES DATE 3 -i6 -C JOB NAME ADDRESS s7 CITY/STATE/ZIP %eT-0— Tea r- m -NQ lft-� e X��- k ks r%-+- r~e ro .d?- I -4�► l). i t .�e.d•u� p�""�-�'-'.� n.e•�� "'Yd`7C • L�:GR_ .�.aa7l vv.:�� v v . l.. - 'e herebypropose to furnish labor and materials - domplete in accordance with the above specifications, for the sum of -dollars ($Z 8'O0 — with payment to be made as follows. of .A'r L-1 1 All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard ractices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, or delays beyond our control. This proposal subject to acceptance within days and is void thereafter at the option of the undersigned. Authorized Signature t, �_�•iy a � r��► ry�� a �:{•�1•��_� •tea j The above prices, specifications and conditions. are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. ACCEPTED: ' Signature I