13692 (RPL)QQ Q
I P.O. BOX 1504 _ N o . 13692
Buildin5-�' 54-175 Ave. Velasco 78-105 CALLE ESTADO
Address—LA.QUINTA, CALIFORNIA 92253.. .
Owner Danny Cribbins
BUILDING: TYPE CONST. OCC: GRP. -
Mailing Same A.
Address
Cl�ya Quinta.. CA
CQJ8FK1.P /ftf 1"r
Address
City
State Lic.
& Classif.
Arch., Engr.,
..Designer
Address
A.P. Number
Zip 92253 Tel- 564-4851
Zip
Sublist, Attached
Lic. #
Tel.
City (Zip (State
Lic. #
LICENSED CONTRACTOR'S 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 and
effect.
SIGNATURE DATE
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 of the Contiactor'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 exerription. 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).
❑ 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.)
I as owner of the property, am exclusively contracting with licensed contractors to con-
. str `ct 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
ate i +'t! ./f✓ Owners
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
O 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, 1 shall not
employ any person in any manner so as`to become subiect;to the Workers' Compensation
Laws of California. ✓' ,•✓
Nate 11: k-v�Owner
OTICE TO APPLICANT: d, 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 permfrshall be deemed revoked. '
CONSTRUCTION LENDING AGENCY
Ihereby 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 if 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 sof this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date -
Mailing Address
City, State, Zip
Legal Description
Project Description P0161
Sq. Ft. No. No. Dw.
Size Stories- Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuations
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
64.35
Const.
99.00
Mech.
_
24.00
Electrical
45.00
Plumbing
27.00
.S.M.I.
Grading
_
Driveway Enc.
Infrastructure
\ -
TOTAL
259.35
REMARKS
I n i
(Int u R i
11LJ1 II ill
llf-- JUN 2 9 lggd 11 111
?ZONE: BY: I U M
Minimum Setback Distances:
Front Setback from CI gtter-LirrP # '
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 FEES
NO. PLUMBING FEES *,
IST FL. SO. FT. ® $
UNITS
E
!
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
Y
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. ®
GAS (FINAL)
TEMP. POLE
WALL SO. FT.
DRINKING FOUNTAIN.
SO. FT. ®
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
r
GRADING
cu. yd.
$ —plus—x$—=$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
+FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
i� `� C ��
��°Jr/� c %/ ✓
r 4-0
(�� 2
`
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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
SPARK ARRESTOR
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LATHING
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
p UNDERGROUND 2-11
.—l7 6
A.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
r
GRADING
cu. yd.
$ —plus—x$—=$
LUMBER GR.
FINAL INSP.
FRAMING
+FINAL INSP.
ROOFING—
i� `� C ��
��°Jr/� c %/ ✓
r 4-0
(�� 2
`
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
' C I TY OF LA QXJ 11 NTA
Contractor Address --U-/79 Vs�
Owner Job Address
This form shall be posted on the job with the Building Inspection. Card at all .times in a
conspicuous place. It is the responsibility of the General Contractor or the Owner/Builder
to monitor' the sub -contractors that are on this list are the same persons performing the
work. Any changes.of this list must be approved by the City of 'La Quinta Department of
Building and'Safety prior to work being performed by a changed sub -contractor. Failure to
comply will result in a stoppage of work and/or the voidance of building permit.
TRADE
SUB -CONTRACTOR NAME
CONTRACTOR'S
LICENSE NO.
WORKMAN COMP.
NO.
NO. ON FILE
CITY BUSINESS
LICENSE NO.
GRADE/
EXCAVATE
//
9L(l3
v L/
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& /
PIPELINES
CEMENT/
FOUNDATIONS
CEMENT/WALKS
& DRIVES
ASPHALT
FRAMING
STEEL/
STRUCTURAL
n
uuuvvv///lll
�'T
MASONRY
PLUMBING
LATHING
DRYWALL
PLASTERING ^
/"/+7
m
S
ELECTRICAL
ROOFING
SHEET METAL
FLOORS
GLASS/
GLAZING
INSULATION -
SEWAGE DISP
PAINTING/
DECORATING
TILE
CABINETS/
INSTALLATION
ORNAMENTAL
METAL
FENCES/
BLOCK WALLS
LANDSCAPING
OTHERS
"POOL i REA T BEWN
S Y
flIIINIM M 5 . HI
LL G SELF -GLOBIN
:.ANDSfTCESTOB
F-LAHIN .
TY PF LA QUINT
JG &JISAFETY DEPARTMENT
ONDITIONALLY
,EPTE D FOR CONSTRUCTION
3JECT rO.INSTALLATION AS PER
D A L APPLfC64BLE
LDATE
0
t
78-495 CALLE TAMPICO — LA OUINTA, . CALIFORNIA 92253 - (760) 777-7000
FAX (760) 777-7101
TDD (760) 777-1227
December 18, 1997
Danny Cribbins .
54-175 Avenida Velasco
La Quinta, CA., 92253
RE: Pool Permit #13692
Dear Mr. Cribbins `
The purpose of this letter is to inform you that your Pool Permit #13692, for the project at
54-175 Avenida Velasco, has expired. In accordance with 1994 UBC section 106.4.4, no further
work may be performed until a new permit has been issued.
Please contact Daniel P. Crawford Jr., Building Inspector 1, at (.760) 777-7012 to obtain any
information you need regarding a new permit and/or any required inspections. Should you
choose not to complete the project, we would then have to pursue any or all of the following
actions:
1) Abatement of the project through the City Attorney's Office and Code Compliance Division.
2) Notice of non -conforming structure placed upon property profile.
3) Action filed withContractor State License Board. Optional,if Owner/Builder.
Please contact us at your earliest convenience prior to 10 working days to resolve this issue, and
for any questions you may have.
A^.
Sincerely,
-
P.ia
Mark Harold
Build• & Safety Manag
Daniel P. Crawford Jr.
Building Inspector I
cc: file
dpc
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, 'CALIFORNIA 92253