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13475 (RPL)
P.O. BOX 1504 Building��® Ave.����� 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner iitiche3le Tcrtorel Mailing Address Same City Zip Tel. La Quinta, CA 92253 Contractor " Qwner/Suiilder Address State Lic.I City & Classif. Lic. # Arch., Engr., I Designer Address Tel. CityI Zip I State I 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 Contractors 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.) I as owner of the property, am exclusively contracting with licensed contractors to con- str r1ct 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 Y 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 subjecF-,tb the Workers' Compensation Laws of California. Date Owner' ✓t" ��'� NOTICE TO APPLICANT: If, aRe!,t,meking this Certilicahe of Exemption you should become subject to the Workers' Compensation provisions of the LabO Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. f 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- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 13475 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Pool Project Description Sq. Ft. No. No. Dw. Size Stories Units New O Add O Alter O Repair ❑ Demolition 0 Estimated Valuation $111 ©n QO PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Y • 90 ^ Const. Y2 " 0 Mech. 91* • UW Electrical 45.00 Plumbing 41 . VU .S.M.I. Grading Driveway Enc. Infrastructure TOTAL 30^' � REMARKS 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/Liqe Q FINAL DATE Issued by:_ Validated by: Validation: t CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. a $ UNITS ' SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SO. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. a ROCK STORAGE FOUND. REINF. GAS (ROUGH) POWER OUTLET 'ROOF DRAINS GAR. SO. FT. a OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SO. FT. a GROUT WALL SO. FT. DRINKING FOUNTAIN FINAL INSP. URINAL SO. FT. a 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 WASH ER(AUTO)(DISH)' APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION 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. SO. FT. a c BATH TUB LATHING SO. FT. a c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID a 1 Va c SEWAGE DISPOSAL SO.FT.GAR a 3/ac HOUSE SEWER FINISH GRADING 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 NDERGROUND '�i/2G� 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 APPJEOUIP. 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����!� 4 �v LCo '-n' 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 •• • C = TY OF LA QU =NTA Contractor Address OwnerJob Address This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. It is the responsibility of the General Contractor or the Owner/Builder to monitor the sub -contractors that are on this list are the same persons performing the work. Any changes of this list must be approved by the City of La Quinta Department of Building and Safety prior to work being performed by a changed sub -contractor. Failure to comply will result in a stoppage of work and/or the voidance of building permit. TRADE SUB -CONTRACTOR NAME CONTRACTOR'S LICENSE NO. WORKMAN COMP. NO. ON FILE CITY BUSINESS LICENSE NO. GRADE/ EXCAVATE PIPELINES CEMENT/ FOUNDATIONS CEMENT/WALKS & DRIVES ASPHALT FRAMING STEEL/ STRUCTURAL xj MASONRY PLUMBING LATHING DRYWALL PLASTERING �n / �%Q? /--raw HVAC ELECTRICAL ROOFING SHEET METAL FLOORS GLASS/ GLAZING INSULATION SEWAGE DISP PAINTING/ DECORATING TILE CABINETS/ INSTALLATION ORNAMENTAL METAL FENCES/ BLOCK WALLS LANDSCAPING OTHERS Pool Sift: /41' ; 30 , Plans a Permits ytrS Love Seats 6' R ALoi PLUM@ING Fence Remove Lr S Swim Out Na 1. aPei: '3 ' x 5, 3 Fence Replace j -S Coping 1 2. Equip. Run Total 1,2,, Mastic j'`"•R=W= HE Sq. f ggo Por rf(o �,�• ,f� Return Lines W e rh4N Cantilever (o t. Rc A-' v Gas Lines ND t. I 2. ' DEtk-o- Excavation Note: C Remove (2)Med.Trees j /Z, OC 6 'High Fence _ i bl, CovEas0 ,D�ck•o-�RAiN �] PATI.a I POOL ARE15-F7. E ENCLOSED BY I .MINIMUMHIGH FENCE. ALL GATESELF-CLOSING EQUIPMENT & ACCESSORIES Other Filter/q5 ,�7-,,, S Maint. Kit ygs t.&# Pump L.Sti Pool Cleaner 2.35' A Li ht ' yio wA Pool Cover 3. �,' Time Clock (s) i3 RopeAnchors AV 4. 4 Heater: Aft) Tile GRP. S' o v- Ili S. -- Access w v Thru Vacant lot v w Pool Equipment 5 - �i CITY F LA QU IATA B LDIN Q: ETY DEPARTMENT C INNTIONA LY n v w FC,R COiv a i� UC -110 N c, r, ii ANQ A APPLICABLE Co -DATE Spa Run Total t t. 2. FIBERGLAS PRODUCTS WMER OU I bER PLUS POOLS 45-480 Commerce, Suite N9, • Indio, CA 92201 (619) 345-1959 • FAX (619) 342-7887 OWNER Michelle Tortorell ,jos - cmrauin a, a i i ornia. MAILING ADONtES� Same RE& PHONE BUS. PHONE LEGAL DESCRIPTION .._. LOT BLOCK TRACT MAP BOOK PARCEL NO. THOMAS MAP NO. Decking shown Is for `- illustration ONLY. s C t nd land the ua omer u srs s y are to receive 4tq. ft. of decking as per contract. X OAS I CERTSY I NAvE PIECEIVID A COPY OF TNIS PLAN ANO LOCATION Of 1WP%IEpT. OWNER OWNER CONSULTANT City of La Quinta Building Permit Dept. La Quinta, CA 92264 Gentlemen: Please accept this letter as my authorization to have Gene Ahlgren.act as my agent to acquire the necessary building permit for a slump stone fence. Thank you. Sincerely, Michelle Tortorelli 54-140 Avenida Herrera La Quinta,'CA 92253 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 – (760) 777-7000 FAX (760) 777-7101 TDD (760) 777-1227 December 16,1997 Michelle Tortorell 54-140 Avenida Herrera La Quinta, CA., 92253 RE: Pool Permit #13475 Dear Mrs. Tortorell The purpose of this letter is to inform you that your Pool Permit #13475; for the project at 54-140 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 Build' & Safety Manager Daniel P. Crawford Jr. Building Inspector I cc: file MAILING ADDRESS — P.O. BOX 1504 — LA QUINTA, CALIFORNIA 92253 " J s a