11643 (AR)� f •
r�
4
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 4qW-974 R1 Ci-?"'f:ulo LA QUINTA, CALIFORNIA 92253
Vern & Elaine Claris
Mailing
Address Same
City
Zip
Tel.
La Quinta., CA
92253
Side Street Setback from Center Line
Contractor
Kleine BiUlding Company
1 . Address
gra Fonda
i78-'714
I City
Zip
Tel.:
La Quinta, CA
92253
5
State Lic.
Tcuict�
& Classif.390365 II
#
Arch., Engr.,
Designer Same
Address
Tel.
City Zip State
Lic. #
,,Ll[bEN jfD•CONTRACTOR'S DECLARATION
I hereby affi mr am lice sed unde p visions of Chapter 9 (commencing with Section
7000) of
I I ' I 3 of the% siness and Profession - ode,.and•my license is in full force and
effecte, /l1 `�., �s 4) -
—„.,;,,,_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).
0 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
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
orimprovement 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.)
0 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.) - -
0. 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
'Thereby 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
0 Copy is filed with the city. 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
s'
(This section need not be completed it the ,permd is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thiwork 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 Cali orni6.1
Date%Y% !Owner
NOTICE TO APPLICANT: If, aRer�maktng 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,th;6 permit shall be deemed revoked. '
CONSTRUCTION LENDING AGENCY -
I hereby affirm that there is a construction lending agency for the performance of the whic
work for h 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.
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
No. 11643
BUILDING: TYPE CONST. - OCC: GRP.
A.P. Number
,Legal Description
Project Description llfl sq. ft. additier,'--
REMARKS
ZONE:
BY:
Minimum Setback Distances:
Sq. Ft. i
Size
No. No. Dw.
Stories Units
New ❑ Add 0
Alter ❑ Repair ❑ -Demolition ❑
Side Street Setback from Center Line
Side Setback from Property Line -
ineFINAL'DATE
FINAL DATE
_ INS
TOnEP
I
Issued by:
Estimated Valuation
$8,228.00
PERMIT
AMOUNT
Plan Chk. Dep.
Validated by:
Plan Chk. Bal.
70.20
Const. ”
108.00
Mech.
21.00
Electrical
18.85
Plumbing
S.M.I.
.63
Grading
Driveway Enc.
Infrastructure
TOTAL
21$.68
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 -
ineFINAL'DATE
FINAL DATE
_ INS
TOnEP
I
Issued by:
Date
Validated by:
M
Validation:
t
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS IY
SEWER OR SEPTIC TANK
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEQUIP.
DRAINAGE PIPING
CAR P. SQ. FT. ®
TEMP. POLE
WALL SQ. FT.
GROUT
DRINKING FOUNTAIN.
SQ FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
_$
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRYTRAY
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/<c
HOUSE SEWER
INSULATION/SOUND
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
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS IY
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
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING /0�2�
FINAL INSP.
ROOFING loi /^f
- Y�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL/rj /q—l3 W
LATHING Q—zp3 L 4f
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (760) 777-7000
FAX (760) 777-7101
TDD (760) 777-1227
December 24, 1997
Vern & Elaine Clark
49-974 El Circulo
La Quinta, CA., 92253
RE: Building Permit #11643
Dear Mr. & Mrs. Clark
The purpose of this letter is to inform you that your Building Permit 411643 for the.pi;oject at
49-974 El Circulo, 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
B & Safety Manager
l
Daniel P. Crawford Jr.
Building Inspector I
cc: file
dpc
#7
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253,