12382 (AR)(-
44
P.O. BOX 1504
Building49-485 Washington LA QUINOCALLE
TACAL CALIFORNIAFORN92253
DO
Address .
Owner r. & Krs. Ozwaid Stwhcck
y
Address Same
Citic Quinfa, CA Zip 92253
Tel. 564-4776
Contractor
T.A. Xetinedy Construction''
Adpee ss9' Arroba
Ci�ttya Quinta, CA ZIp92253 Tel '564-4660
State Lic. City
& Classif. B-1442118 Lic. # 469
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that.l am licensed under•,proeYikions of Chapter 9 (commencing with Section
7000) of Division•3 dff t¢he the and'Professions Code, and my licens K in full force and
effect f+ i1?" Y'�/_.o+'_..e+7is�A
SIGNATURE IT sga=DATE
-- ! r
OWNER -BUILDER DECLARATION,""•ji_
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 orcountywhich requiresa
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 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.)
O 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.)
❑ 1 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 Nor Company
O Copy is filed with the city. O 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 th? 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 sof this city to enter the above -.f
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address 7
City, State, Zip
BUILDING: TYPE CONST
No. 12382
OCC: GRP.
A.P. Number
Legal Description
Project Description 'Bedroom extension
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ -Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation S8 r 5580.00
BY:
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
70.20
Const.
108.00
Mech.
FINAL DATE
Electrical
18.85
Plumbing
mit
.S.M.I.
.6 3
Grading
Driveway Enc.
�. t U/ '
Infrastructure
TOTAL
197.69
REMARKS
i
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line -
Side StreetSefback from Center Line
±�
Side Setback from Property Line
FINAL DATE
INSPECTOR
—INSPECTOR---
Issued by:
Issued
Date
Jif
mit
Validated by:
�. t U/ '
Validation:
A.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEEE4
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
2ND FL. SQ. FT. p
FORMS
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SQ. FT.
OTHER APPJEQUIP.
DRAINAGE PIPING
WALL SQ. FT.
TEMP. POLE
DRINKING FOUNTAIN.
SQ. FT. ®
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
_$
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
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.
SO. FT. ® c
BATH TUB
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES=EE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
I
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
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 ►�
FINAL INSP.
ROOFING � Lp
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL I.—erc73911
LATHING W-08-13 �P
MESH
INSULATION/SOUND yl
FINISH GRADING
AL INSPECTION
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 12, 1997
Mr. & Mrs. Ozwald Schock
49-185 Washington
La Quinta, CA., 92253
RE: Bedroom Extension Permit #12382
Dear Mr. & Mrs. Schock
The purpose of this letter is to inform you that your Bedroom Extension Permit #12382, for
the project at 49-185 Washington Street, 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 regardinga 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 Jr:
Building Inspector I
cc: file .
dpc
MAILING ADDRESS - P.O. BOX 1504 LA OUINTA, CALIFORNIA 92253
0
THE VILLAS OF, LA QUINTA,
P.O. Boxi88 ,
La.Quinta, CA,-92253
October 12, 1993 �f #,
,Building & Permit Department
CITY 'OF LAaQUINTA
P.O. Box 1504 '
La Quinta, CA 92253
. RE: O.E. `Schock r - • ' � - �' ' R �.. '. - ,
49-185 Washington
Gentlemen: ;� l �,. - • _ r
The Architectural Committee of.Villas of La Quinta has reviewed the plans
submitted by Tom Kennedy for alterations.to residence referenced above.
These•plans meet•the-criteria:setforth in the Association CC&Rs, and the..
Committee, .therefore„has no objection to these changes..
Ifou have an uestions r3 • r
y y q , ,please contact' the.•office --.:-564-2177 - •and someone
on the Committee will get back to-you..” • • t
Sincerely,
THE ARCHITECTURAL Cd IIME
George Yorgan
President
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