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11625 (PAT)4 P.O. BOX 1504 N o . 11625 Building 78-105 CALLE ESTADO Address 5unli (, rptntl 'bra rP_ LA QUINTA, CALIFORNIA 92253 Owner William E. Elliott BUILDING: TYPE CONST. - OCC. GRP. - Address 50205 Grand Traverse City Zip Tel. La Quinta, CA 92253 Contractor Owner/Builder Address Tela State Lic.I City & Classif. Lic. # Arcn., tngr., Designer Address Tel. CityI Zip I 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. SIGNATURE 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 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 t Date/,r/ 4/74Owner ;✓/ WORKERS' COMPENSATION DECLARATION Ihereby 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. 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 the 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 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. 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 P. Number Description Project Description Outdoor oatio cover 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: Validati Sq. Ft. Size 3.44 No. Stories Z No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $1,915.20 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. • d� Const. 45.00 Mech. Electrical Plumbing S.M.I. • 14 Grading Driveway Enc. Infrastructure 74.39 TOTAL REMARKS �t•,.t ., 11� i" ttr�,,, 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: Validati CONSTRUCTION ESTIMATE ' NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN. SQ FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT - CFM FIRE ZONE ROOFING 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 LATHING SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U: SQ. FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR ® 3/4C HOUSE SEWER 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 SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. 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. RAMING — 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 SIGNATURES/INITIALS. GARDEN WALL FINAL oar _ �- _-w -7 -tz-7 �S 7-5 --7 r2rt� X FRAME IN .5 . =D -7.y g4le. )IS 6 0/- 04 == xlz or �A�Lliz --TQ --- 5 -TT _FX_r:5-rrNj- qx12 ADrOVC -y— LLX 17. T4 -51T ON Yv.pw 4x IN WAIL I�z . ....... .. .... -EXT�i AVL_ TTLE-EWF XTSiIN G ►i X 12 �ILT._uP �?ooFr�r� 2- 3z -R' 6 LDbF w gxtz I Li E-rtsrEz-P�5 S/S.��x_RooF sN�r�n�� . Z x Gl_�D FST Ott Er-,VURFAcEs 14 ,gE SfUC4-ra_1s4A7:- I iZ _557 _c.N . EX_r5 rIN 1, yxr2 4►30✓E _wlNDow I Zx`3 U,mV5 I&"&(- _ 1Tµ R rP ST.Rzt"s. CITY OF LA QUINTA Eff J)°.Nu & SAFETY DEPARTMENT CONDITIONALLY AC EP T FEU FFR G0 a; �RUCT10N TO INS T ALLATiON AS HER AN6ECAPPLIdABLE CODES DATE 1113 --- BY d(m"� L 1:1 E C— 2 1 9= 1 r•1 A F- u I S r•1 1;4 t -a 1;4 G. E r•1 E h4 T R- 0 2 '� . - • A.�CHz'�C�OeZAI, AP9ROVe�t, APPLICATION .S'S DA&E:.��.Z'y PH0-4 • Q �► �-r!& MQDZs IGriTI4;1 R:QU a iGO: C1rq Sen --4.1 N L2 &e &j C2 Arch_; tectu,al Cor:-►ittee: You a=e hereby advised that the following work is proposed and acproval is re- q•:ested.Attached are dravi.ngs- of the work to be done and types of ma=e.ials to be used a,e indicated on the dra —nqs. We understand that buildi-S pe =ics fvr hcr..e i^_ rove -e .ts are reyui,ed by the city of is Quinta and that the cCst of. the pe; -its and the re.sro,sibility of abcaining permits and subsequent i..^.specti,on will be borne by tate apolicznt. We acknowledge that all approved changes in the original design will be at our expense; that any damage to or relocation of existing sprinxler systems, Under- g_ou-d utilities, building structure and exterior landscaoing or other damage resulting from the construction of these permitted i�zmpcoven, ents shall be at our expense; and that the maintenance of the permitted i.m?rove len6ts Shall be at our expense. We also ack::owled a that construction of the requested and approved modifica- tions must begin within thirty (30) days of our receipt of written approval, and that said approved modification must be completed within sixty (60) days of receipt of writtea approval. Failure to comply with these or any of the - above specifications Will result in the nullification of this document and subsecuen- approval thereof. 0WN. ZR:��/, �.�,.� r..� e. S,_,_s ot-r SIGNATURE:�11L." in M"► . ,� please print •*::wt:*.�:•:*ft#:ss.rt�r**►re*+ri:r**tirsti•rr*rpt,►rsr•,►�*rr�♦rr:trr,e,►riss�* The above reC4ested has been reviewed by the Architectural Coxndttee and has beer: ApPQOV=D REJECTED BE:D $SuoING INVa,5TIGATION Ca LIAXNTS : bate reviewed: SEIM TO: MARQOIS HANAGF-MM.NT GROUP, 35-975 DATE PA -1i DR_ # 200 CAT=- RAL CITY, CA 92234 (Board Member) -- y 4 � 3E. r•1AF'QU I S r•1 A N A G E r1 E f4 T- P_ 0 1 AP.CH-117CTpRAj, APPR.OVAZ, APPLICATION [T` T1oSS :�'�d S=11�-�✓tom ,S t`DATE -- �{ — Y'iAILTUG �ADpfLSS : Fr30Nc: 1 4 mob TFICATION \R=QiIr-STED ArCh:itectural C=m.tttee; Your are hereby advised that the following work is proposed and approval is re- que.sted.Actached are drawings of the work to be done and types of materials to be,l'used are indicated on the drawings. We understand that building permits fo.:. home improver e::tsare required by the City oL La Quinta and that thecost of the pe,�i is an the respo �sz.bility of vbtaininq per -nits and subsequent inspe;t_on will be borne by the applicant. i We `3C'.{'t0'.+led'ge that all a;-ozoved c1hanges in the original design will be at our exp nse; th4?t any dem2ge to or relocation of existing sprinkler systems, under- ground utilities, building structure and exterior landscaping ot- other damaga resUlting f rom the construction OF these per,-,iitted inorovements shall be et Our eX?e.jse; and that the maintenance of the pe,-,-, tied jrIP- Cots shall be a - ov_ne t our expense- We xpense_ We also acXnowledge that construction of the requested and approved modifica- tions must begin within thirty (30) days of our receipt of written approval, and that said aporoved modification must be completedwithin sixty (60) days of'receipt of Writtea approval. Failure to comply with these or any of the abo"e specifications will result in the nullification of this document and subsequent approval thereof. 0WNER:+./`/1�_�tA►�,�� �. F-7��tcar`7 SIG�ir�.TUR£:1� �r �Cl_1�1f�Yll (please print) *'+*tilr�tfifi*tf!**!#*f*ftt!llftffi#11:t;►ltff*fitfitlR#iiiftf#!*!R#tfift***AR1hAt►R The above requested has been reviewed by the Architectural Committee and has bee.i: APPROVED REJECTED 8'.rD PENDING INVESTIGATION' o C0Y-1tc.SITS : Date reviewed :�f 4� f LXRQOr:�' Mf1NAGIE!.`O~NT GROUP, ," 35--975 DATE FAL.,*[ DR. # 200 ► CA'I'fDRAL CXTY, CA 92234 J APPROVE a_d Mem (Po.ard Member) E4 —DTM,!_�I& -rTLEKb- P -^ Lb 17. To -5-TT ON AlEtv 4x IN OLL ]EXISVIN& qxl? AuroVc, CITY OF LA 0L)INTA & SAFETY DEPARTMENT C 0 H D IT 7 - EU FO -F! C01*��%;o �,RtUYCTZIONI "TTO li "ST -A" li-ATiON N� Kri ve AND ALL APPUUEiZ---__. DATE i itBY FRAME JA &UILLAP RtZ.Fr&k :5J4E4TRXlq4 g1j, il", 04 Ivrp/ qy 12'. ALL -r-414 SURFA44-5 Lb 17. To -5-TT ON AlEtv 4x IN OLL ]EXISVIN& qxl? AuroVc, CITY OF LA 0L)INTA & SAFETY DEPARTMENT C 0 H D IT 7 - EU FO -F! C01*��%;o �,RtUYCTZIONI "TTO li "ST -A" li-ATiON N� Kri ve AND ALL APPUUEiZ---__. DATE i itBY L-J CITY OF LA QUINTA &SAFETY DEPARTMENT Im'! TO INS AND ALL APPUGAGLE'Cli'� ,DES DATE BY