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15256 (AR)L r' Building Address 49-974 El Circulo Owner ` Mailing Address same as above City Zip La Quinti 92293 Contractor The Xleine Company Address P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 No. 15256 BUILDING: TYPE CONST. OCC. GRP. A.P. Number rel. 776-4940 Legal Description - Project Description Add"toilet and shower to gara+ge, relocate -lay ndry tub. iv 35t73T[1Wa$3;1� i l e ii '1[) Zip Tel.: Desert 92.2'! 1 776--4840 & Classif. 390365 I Lic. # Arch., Engr., Designer Address 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. - 31GNATURE 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 peimtt to construct, atter, 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 thebasis 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 rove hundred dollars ($500). 0 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- 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 contractors) 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.) Policy No. 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 ($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: It, 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. 7 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Tlils 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 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear SetbackArom�Rear Prop. Line ----Side Street Setback from Center Line I /,^Side Setback fr �m PW roperty. Line �I FINAL DATi_E_ I Issued by: �UL - Validated by, - r} Validation: it Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ _ Alter O Repair ❑ Demolition ❑ Estimated Valuation 4,000.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk,• Bal.; 40.95 Const. = 63.00 Mech. Electrical Plumbing 40.50 S.M.I. 40 Grading Driveway Enc. Infrastructure TOTAL, 144.85 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear SetbackArom�Rear Prop. Line ----Side Street Setback from Center Line I /,^Side Setback fr �m PW roperty. Line �I FINAL DATi_E_ I Issued by: �UL - Validated by, - r} Validation: it CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINV FE 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. .? BONDING YARD SPKLR SYSTEM 2ND FL. S0. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) .Q �C� / J METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. ® TEMP. POLE DRAINAGE PIPING \ WALL SQ. FT. GROUT DRINKING FOUNTAIN SO. FT. ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation _ $ FLOOR DRAIN MECHANICAL FEES �! FRAMING X" / 9� (((/// WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER REMARKS: GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM I IKITCHEN 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL MESH SO.FT.GAR ® 3/ac 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 711,141,111UNDERGROUND 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) .Q �C� / J 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 X" / 9� (((/// FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESIINITIALS GARDEN WALL FINAL T`( � DEp F LA Q TMENT C' A TME �LDING 8, SAFETY CODITIONALI-Y D FOR CONSTRUCTI Ac,( EE S11�CT TO INSTALLATION AS P D ALL APPLICABLE CODES AN �l / BY �xis-fti's G a�.����U�i�l-1 �.A!-� NI��T �.1�•G. DID �I'�� �JI�`l�s ��S• �UM AP?PI-Tjo� 'ice o i 2 iv -N�1 L� Nay fi� r 4 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000 FAX (619) 777-7101 December 22, 1997 Vern & Elaine Clark 49-974 El Circulo La Quinta, CA., 92253 RE: Remodel Permit #15256 Dear Mr. & Mrs. Clark The purpose of this letter is to'inform you that your Remodel Permit #15256, for the project 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 Building & Safety Manager Daniel P. Crawford J . Building Inspector I cc: file dpc i, • MAILING ADDRESS — P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 a.