13704 (RPL)P.O. BOX 1504 ,
No. 13704
Building 54.-575 Ave. Vallejo 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
-.1- Hanson
Mailing Sate
Address
City Zip T
La Quinta, Chi .9.2253
%etrac,torp00
76 Springfield Lane
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number
564-3374 Legal Description
Project Description Pool
C��tlm Desert, t
A 92211
Tela 360-7926
BY:
Minimum Setback Distances: t
State Lic. C53 4'21014
& Classif.
City
Lic. #
Sq. Ft.
Size
No. No. Dw.
Stories Units
- Arch., Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
FINAL DATE
/r`INSPEQTOR:: = ,
Issued by:
D te)) '-JPerm!i n 1
City
Zip
State. -'
Lic. #
n I h
• LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7900) of Divisiori.3 of the Business and Professions Code, and my license is in full force and'
tett.
1l 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 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 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 isnot 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 com.
strucl 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
Estimated Valuation
$12,000.00
�• PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
A •�
p • i
COConst.l35
�!
• W
135.00
Mech.
I • [4 L�
4 V V
Electrical
45 8Q
Plumbing
27.00
S. M. 1.
- -
Grading
_
"
Driveway Enc.
Date Owner
Infrastructure
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.)
Poli No,-' .Company
EP opy 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 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.
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 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 of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
TOTAL
REMARKS
ZONE:
BY:
Minimum Setback Distances: t
Front Setback from Center Line
Rear Setback' feom Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
/r`INSPEQTOR:: = ,
Issued by:
D te)) '-JPerm!i n 1
Validated by:
II W
Validation:
n I h
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING F S
�1.
1ST FL. SO. FT. p $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. p
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
FOR. SQ. FT. ®
GAS (ROUGH)
METER,LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SO. FT. ®
FINAL INSP.
WALL SO. FT.
WATER SYSTEM
DRINKING FOUNTAIN.
GRADING
cu. yd.
$ plus x$
=$
URINAL
SQ. FT. ®
FRAMING
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
7
/
-u -01
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
LAUNDRY TRAY
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.
SQ. FT. ® c
BATH TUB
INSULATIONISOUND
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE EPL.CK.FEEET7
ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING h�sfl�
UNDERGROUND'S ZZ.1�1/
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
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
FINAL INSP.
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING
FINAL INSP.
ROOFING
7
/
-u -01
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
414 QU&M-
78-495
CALLE TAMPICO — LA OUINTA, CALIFORNIA 92253 - (760) 777-7000
FAX (760) 777-7101
TDD '(760) 777-1227
December 18,1997 ,
Hanson
54-575 Avenida Vallejo
La Quinta, CA., 92253
RE: Pool Permit #13704
Dear Mr. Hanson
The purpose of this letter is to inform you that your Pool Permit #13704, for the project at .
54-575 Avenida Vallejo, has expired. In accordance with 1994 UBC section 106.4.4, no further
work may be performed untila new permit has been issued. .
Please contact Daniel P. Crawford Jr:, Building Inspector I, 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 with Contractor 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..
Sincerely,
Mark Harold
Building & Safety Manager .
�aaniel P. Crawford Jr.
Building Inspector I
cc: file
dpc
MAILING ADDRESS - P.O. BOX 1504 7 LA QUINTA, CALIFORNIA 92253 �J (t
P 277 543 '780
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Us Postal service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International Mail (See reverse
Sent to
Hanson
Strep & Number
54-575 Ave. Vallejo.
Post office, State, & ZIP code CA 9 2 2 5 3
La uinta,
2
EPOStEkEore 5
Special Delivery Fee
Restricted Delivery F -
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0) Retum Receipt Showing to.
Whom & Date Delivered
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Retum Receipt Showing to Wham,
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mTOTAL Postage & Fees
$ o
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Fold at line over top of envelope to
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UINTA, CALIFORNIA 92253 P 277 543 780
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Aen1da Vallejo
C -A., 92253
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.
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C -A., 92253
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