13239 (RPL)Building
' u
P.O. BOX 1504
78 105 CALLS ESTADO
77-205 Calle Durango LA OUINTA, CALIFORNIA 92253
T)Avid Ro-S,s Miller
Mailing
Address P.O. Bor. .722
T& Quinta, CA12253 Te342-'$863
nttoy
acra is wades
Address
State Lic.
& Classif. 13 425351
Arch., Engr.,
Designer
Address
No. 13239
LDING: TYPE CONST. . OCC. GRP..
Number
Legal Description
Project Description POC
City
Lic. # 1955 [Sq. Ft.e
Tel.
City Zip r_ State
Lic: #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirrtithat I am llcensed undercbrovislons of Chapter 9 (commencing with Section
7WO)-gj.Division.3'otlpe.Business ano,professions Code, and my license Is In full force and
OWNER+BUILDER DECLARATION
I hereby affirm that I am exemptfrom 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, after; 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 or,the Business andProfessions 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).
O 1, 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
bufkfs 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.)
L]1, 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.)
❑ I am exempt under Sec. B. & P.C. for this reason
-'Date Owner
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.)
Poll Company
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 f$100) valuation
or less.)
I certify that In the performance of thg work for which this permit is Issued, I shall not
employ any parson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date -Owner
NOTICE TO APPLICANT: t, 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
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.
1 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
New ❑
Add ❑
\ No. Dw.
ries Units
Alter ❑ Repair ❑ Demolition ❑
3' sethack in rear a
- setback
adjustment 93-297.
itAUG 9 5 lqql
ll:fr��
\ No. Dw.
ries Units
Alter ❑ Repair ❑ Demolition ❑
3' sethack in rear a
- setback
adjustment 93-297.
Estimated Valuation 0 a QQtw.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
s
Mech.
24.00
Electrical
1=35. 0 0
Plumbing
27.00
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ac is Trades is genetral contractor or,
above dwelling.
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:
'i
Validation:
CONSTRUCTION ESTIMATE
NQ. ELECTRICAL FEES
NO. PLUMBING.FEE{
1ST FL. SQ. FT. ® E
UNITS
COLL. AREA
'
ROUGH PLUMB..
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT. ®
GAS (FINAL)
WALL SQ. FT. ®
DRINKING FOUNTAIN
GROUT
WATER HEATER
URINAL
SQ FT ®
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
GRADING
cu. yd.
E plus xS
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTOXDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ..FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ic
HOUSE SEWER
INSULATIONISOUND
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
NDERGROUN
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 APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
GRADING
cu. yd.
E plus xS
=S
LUMBER GR.
FRAMING
FINAL INSP.
ROOFING
�p
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
AL INSPECTION
ERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
78-495 CALLE TAMPICO - LA QU.INTA, CALIFORNIA 92253 - (760) 777-7000
FAX (760) 777-7101
TDD (760)' 77761227
December 19, 1997
David Ross Miller
77-205 Calle Durango
La Quinta, CA., 92253
RE: Pool Permit #13239
Dear Mr. Miller
The purpose of this letter is to inform you that your Pool Permit #13239, for the project at
77-205 Calle Durango, 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 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
Build' g & Safeft, Manager
Daniel P. Crawford Jr.
Building Inspector I
cc: file
dpc
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253