12660 (PLBG)P.O. BOX 1504 No. 12660 �Y
Building 78-105 CALLE ESTADO
Address 52-095 Villa LA QUINTA, CALIFORNIA 92253 v
Owner
Norman Gblardi
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address Sade
A.P. Number
City Zip Tel
La Q"nta, Cha 92253 399-5105 Legal Description
ContractorSewer Connect
Project Description
R.V.S. Placing/R. V, Stevenson
AMU Vel.ardo
City sys• •, Zip Tela
Palm Apse` , 4A 92260 341-9224
State Lic.��� C�.36 City �$
& Classif. Lic. # Sq. Ft. No. No. Dw.
Arch., Engr.,-
Size Stories Units
- •-
Designer New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑
Address Tel.
City JZip / State
Lic. #
f
Ll NS kCONT C OR'S DECLARATION
I heIft
re yb it f abl a i ens d u dei o cions of C pter (cb�m encing with Section
7000)rof Dari on 8 o h rosin' ss nrfPro o s od e se is in full force and
effect. �
�..* 1
S GNATUR ;VDATE
fowkk"UILDER DECLARATION Estimated Valuation$1,006.00
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 AMOUNT
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 or 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 Plan Chk. Dep. -
subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal.
❑ 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 Const.
Code: The Contractor's License Law does not apply to an owner or property who
builds or improves thereon and who does such work himself or through his own employees, Mech.
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 Electrical
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- Plumbing 30.00
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 .S.M.I.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
❑ I am exempt under Sec. B. 8 P.C. for this reason
Driveway Eno.
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.)
Policy No. Company
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL 30.00
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSUrCE
(This section need not be completed iVfhe pe it is' r one Nuidr.ed ollars ($100jesu
'ation
or less.)1 certify that in the perform nc�eo+o 1 g fo which tpumit is issued, Iall not
any person in gny man er see 9"t • o su je t , `tN efs' ConCafifDrnZIA E s�/ .iii
subject to the Workers' Comp�e- nsatic �rr� cf1theliLa r tgde, 'you WEst rorthwith'
comply with such provisions or thi ( I be deemed revoke
dr
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
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 j
2'
FINAL DATE INSPO
Issued by: Date (+
Validated by: I
JAN I
Validation: N u ' 1994
CONSTRUCTION ESTIMATE
Y
GROUND PLUMBING
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
SLAB GRADE
UNITS
BONDING
' r r
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
2ND FL. SQ. FT. ®
'
ROCKSTORAGE
YARD SPKLR SYSTEM
POR. SQ. FT. ®
METER LOOP
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
GAS (FINAL) I
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
GROUT
WATER HEATER !
DRAINAGE PIPING
WALL SQ. FT. ®
BOND BEAM
DRINKING FOUNTAIN.
SQ. FT.
GRADING
cu. yd.
$ plus x$
=$
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
FRAMING
WATER PIPING
NOTE: Not to be used as property tax valuation
I
'
i
I�
i
FLOOR DRAIN
MECHANICAL FEES
j
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
k
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
E
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
7
KITCHEN SINK -
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
E
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
FINISH GRADING
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
CERT. OCC.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
FENCE FINAL
i
SQ.FT.GAR ® 3/ac
HOUSE SEWER
j
GAS PIPING
PERMIT FEE
t
PERMIT FEE
PERMIT FEE '
DBL
TOTAL FEES
MICRO FEE
MECH.FEE
PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE `, `_' PLUMB. FEE
.I: (n
STRUCTURE PLUMBING i ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK I
Y
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. I
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH) I
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) I
TEMP. POLE
GROUT
WATER HEATER !
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
{�
FINAL INSP. 1
ROOFING
'
i
I�
i
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
7
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
COACHELLA VALLEY WATER DISTRICT
C t1
4 u 3
CASH RECEIPT DETAIL
Received From ' tJ
,:.t� -.-�L
- ij ..
Date:
Address:
Account No.
Lots)
Tr�c
' Service Address
G.A. Code
❑ Meter(s) 1
$
❑ Service(s)
❑ Backflow(s)
❑ .House Lateral (s)
❑ DetectorCheck(s),
_
f
❑ Meter Surcharge
_
-9 Sanitation Capacity Charge.
r ❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Turn on Charge
. ❑ Uncollected Account - Name
❑ Inspection Fee - Tract -
Fee.
O Plan Check Fees Water I Sewer -
1
Tract -
❑ Bond Payment - A.D.'- Bond
Assmt.
❑ Customer Deposit
$ ( J
TOTAL -22
Remarks:
❑Copy to:
'
Cash
Water Service
Check
Money
i
Cashier
�CVwq-438(11189):
.
M
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•
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78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 (760) 777-7000
of ��� FAX (760) 777-7101
TDD (760) 777-1227
December 18, 1997
Norman Ghiardi
52-095 Avenida Villa
La Quinta, CA., 92253
RE: Sewer Permit #12660
Dear Mr. Ghiardi
The purpose of this letter is to inform you that your Sewer Permit #12660, for the project at
52-095 Avenida Villa, has expired. In accordance with 1994 UBC section 10EA.A, no further
work may be performed until a new permit has been issued.
Please contact Daniel P. Crawford Jr., Building Inspector I, at (760) 777-701210 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 he 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/Buil3er.
Please contact us at your earliest convenience prior to 10 working days to resolve this issue, and
for any questions you may have.
Sincerely, t
Mark Harold
Buildin & Safety Manager
Daniel P. Crawford Jr.
Building Inspector I
cc: file
dpc
aA
MAILING ADDRESS' P.O. BOX 1504- LA'QUINTA, CALIFORNIA. 92253 '