14779 (AR)• 1-
Building
Address
52-655 Ave, Herrera
i s
Owner
Chauncey Dixon
a
Mailing :;are
Address
City lZip
La Quinta, CA
Contractor
Outlier/Builder
Address
j State Lic.
& Classif.
Arch., Engr.,
Designer
Address
P.O. BOX 1504
78-495 CALLE TAMPICO
LA OUINTA, CALIFORNIA 92253
No. 14779
BUILDING: TYPE CONST. - OCC. GRP..
P. Number
92253
Tel.
564--2902
Legal Description
Project Description 420 3.f. addition
444 S. r, garage addition
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
. requires the applicant for such permit to We 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
Tel.:'
ubJ'ects the applicant to a civil penalty of not more than five hundred dollars ($500). -
. fid, as owner of the property, or my employees with wages as their sole compensation, will
Plan Chk. Bal.
City
Lic. #
Sq. Ft. No. No. Dw.
Size ;Stories Units
Mech.,
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Electrical
Tel.
Plumbing '
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.
SIGNATURE DATE '
OWNER•BUILDERDECLARATION Estimated Valuation$310500.00
I hereby affirm that I am exempt from the Contractor's License Law for the following
,reason: (Sec. 7031.5,Busi7ess and Professions. Code: Any city or county which requires a
-
- PERMIT
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
. requires the applicant for such permit to We 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
Plan Chk. Dep. -
ubJ'ects the applicant to a civil penalty of not more than five hundred dollars ($500). -
. fid, as owner of the property, or my employees with wages as their sole compensation, will
Plan Chk. Bal.
Const.
do he work, and the structure is not intended or offered for sale.,(Sec. 7044, Buisness and
Code: The Contractor's License Law does not apply to an owner of property who
Mech.,
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
Electrical
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.)
Plumbing '
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
S.M.I. -
such projects with a contractors) #censed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec. B. & P.C. for this reason '
Grading
Driveway Enc.
Datey7 ovine- .Ct.G.C�
--�
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, ora certified copy thereof. (Sec. 31100, Labor Code.)
Policy No. Company
❑ Copy is filed with the city, 0 Certified copy is hereby furnished. ;
TOTAL'
• i
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 pperson in any manner so as to become subject to the Workers' Compensation .
Laws of California.
Date Owner
NOTICE TO APPLICANT: ft, 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.
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 37(16 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES. d
This is a building permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I cartity 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
ateMailing Address
City, State, Zip
REMARKS
Lr
AMOUNT
2440/.99
27/.50
32.50
47.58
33.00
3.15
20.00
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
p
Issued by:
Date Permit
Validated by:
Validatior
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SO. FT. ® $
UNITS
T
COLL. AREA
SLAB GRADE �/
YARD SPKLR SYSTEM
2ND F.L. SO. FT.
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
ROUGH WIRING
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
/
FOUND. REINF. //,r
/�'
GAS (ROUGH)
DRAINAGE PIPING
CAR P. SO. FT. ®
HEATING (FINAL)
WALL SO. FT. ®
REINF. STEEL
DRINKING FOUNTAIN
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SERVICE
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GRADING
cu. yd.
$ plus x$ =$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 % c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/.c
HOUSE SEWER
Dom✓ 1i07GUVl7 BYT
LATHING
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 GOND. SOLAR
SETBACK
GROUND PLUMBIN ��
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. //,r
/�'
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 �9 �/
r
j
l 1
// 1
Ill
REMARKS:
/�
i6
VENTILATION
�-5 dw/1U 6,V
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
C
Dom✓ 1i07GUVl7 BYT
LATHING
A91aVW�%A—a4ln4-
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
T4ht 4 s4a Q"
78-495 CALLE TAMPICO -- LA QUINTA, CALIFORNIA 92253FAX (760) 777-7000
TDD. (760) 777-1227
January 30, 1998
Chauncey Dixon
52-655 Avenida Herrera
La Quinta, CA., 92253
RE: Building Permits #14779, #12357 & #10592
Dear Mr. Dixon
The purpose of this letter is to inform you that your Addition Permit #14779, Electrical Permit
#12357 and Remodel Permit #10592, for the project at 52-655 Avenida Herrera, 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
Z
Daniel P. Crawfo d Jr.
Building Inspector I
cc: file
dpc
®
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 �J