Loading...
9709-071 (SFD)_ LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions' of Chapter 9,(commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my"License is in full force and effect. License # Lic. Class Exp.'Date Date Signature of Contractor OWNER -BUILDER DEQ LARATION I hereby affirm under penalty of perjury that l am exempt from the Contractor's License Law for the following reason: 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; Business & Professionals Code).- ( ,:) I, as owner of the property, am exclusively contracting with licensed ' F -contractors - to -construct the -project (Sec. ,7044, Business & - Professionals Code). _. ' . () I am exempt under Section B&P.C�for this reason Date Signature of Owner WORKER'S COMPENSATION. DECLARATION I hereby, affirm under `penalty of perjury one of* the following declarations: ( ) I have and will maintain a certificate of consent to'self-insure for workers' . compensation, as provided for by Section 3700 of the Labor Code,'for the .performance of the work for which this permit is issued. (x) I have and will maintain workers', compensation insurance, as required by Section 3700 of the Labor. Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are:. ; Cartiery ,! y �y14 �14 Pnlicv Nn 'k=s (This section need not be completed if the permit valuation is for $100.00 or less). e( ) 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 'j workers' compensation laws of California, apy� d agr a that ' I should become subject to the workers' compensation prov� Seco f F700 of he Labor /Code, I /s� Il. fo I, comply with tho e r9� I Date: �u 7Applicant v �� Warning: Failure to secure Worker Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $1001000; in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. . IMPORTANT, Application is hereby made to the Director of. Building and Safety for a permit subject -to the: conditions and restrictions' set forth on his application. 1. Each person upon whose behalf this application is made& each person at & whose request and for whose benefit work is performed under or pursuarit.to V,' any permit issued as a result of this applicaton agrees to, & shall, indemnify.t` & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced -:within ,180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with' all City, and State laws relating to the building, construction, and hereby Authorize �mese tativ�of�this City^to-enter upon t e above-mentioned property fofr;4 pe t% 'poses. , Signature (Owner/A ent)r-/ • ' � • Date 9 ]EM ...BUILDING PERMIT PERMIT# °°NTR°`#. 9709-071� `32 DATE ) j,y VALUATION,(DiYI./� LOT `.�f TRACT HU0 JOB SITE • 47-6215VIA cO . APN (143-1l �ii,Q930 ADDRESS .L�I�lNTI , OWNER CONTRACTOR / DESIGNER / ENGINEER a�?d�:Y JfS1 i3Ri ')KitQLa.G%rinf Di8V8.PVJ�, tti,,X?8 MOD StA.:LOW'URIVE, S a.il.t; Ly9Z SANv'[AANA. { .!\ 9,2--w SAN'i.A :ARA CA R.75 (714) St -91.51 ryf45 USE OF PERMIT SIT) - PRRMi r : orfs: i est ll-t,i t t f a3� hail tE� a N ist a 'ei;%Xlt L �v' l2; ' ftwcx wia7iLg 3fi':f' XO!., If-,AW;!{I,�.Ri `Yl3tt €4t ?i� �5! f'O S. t} t�llC.S.C3 7tir�� ,i'C�l2,�flvif't't�!'1' :f�sStIraNs;'.�?„�ir^. Sr•1.N1I_',iaf.:�l3J`t'�'��1�. - 3214.49 �A:ta �r�:I+.FI'�f��::k'C'J:r�.'F` G3i4.�i► .' "'t"Alt+•r¢�i< Yi.4J�•ur- A� �gp 4" Y'A's*n'r4`R'�'ra'RT. ' .Vp.�,�$ '►•. 'W V 6r �+.l.1. oYLA�a)49:, 1\ -.0061 Xq.l'. !•"vlf �p '�`qg �jg .�9,IRFYIR 4 �� E4; ti'R)iVilO'l.1.��1Y 1 E�1 f4�YJS�ff�9iti.f,#la 101-000-418-09e '9.5fi fyt. i r i txcF« 101-000-439-318s fi ,a f:1:f's 4�Li�;�S.l`f' - � :$W;�tl:ft'. •' ftfarr��l�n01\%#' f(i! tit3tcs:f.-GtOtr.9it:5i► , t�.;p'C'f'�3.t< elf. $�•3 3tii `JJ�-�#.''+.i3'T?4�i;1. ;SiFr4 74 i,tvQW3f-W' . raf• t�iy)J rt��t►tn1-�f.f� fm?t►' 3lhN.ag 1111 ,J.. -I'l Ei i 1, 'b bs� t4 1�,. .�<taiir,� f V f,-i}�)ii� a-tifi OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck ol Exhaust Fans O.K. to Wrap F.A.U. Framing / Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final final BLOCKWALL �APS POOLS - SPAS Steel, Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPRO ALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping t-1111LI /71 Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: Bu BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Owner / �si ►� C. d. �. •It �� �•1� 4 k Mailing Address /1* 70 1yr0/� 0O1 06V V70. .l �✓ (' a9 City Zip Tel. b,cje d Address -Ly _10 1607-7/ 96,36 State Lic.City & Classif. <-Iq! Lic. ff V Arch., Engr., /I v Designer •K r 10010 pa4 AddressTel. 0., & X Fir 7.60 32 9 076 � City,) ,S, JiFq��� State . Lic. a.? 9 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 71X10) 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, after. 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 thealleged 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). l! 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 LicenseLawdoes 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 forthe purpose of sale.) IA 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 doesnot 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.) 7 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I herebyaffirm 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 f7 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 ofthe 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. 1 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 aQplicanl Date Mailing Address City, State, Zip r`f �0 APPLICATION ONLY ' .DING: TYPE'CONST. OCC. GRP. Number QQ / I Description o c)5 8 L dt lit 4 04,;-4e, mt Description -!5cE d1PI-F'2 ZONE: BY: Minimum Setback Distances: /Il/, / Sq. Ft. o. Size Stories No. DIN. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Side Street Setback from Center Line Side Setback f-om Property Line ? FINAL DATE A INSPECTOR Issued by: �,1 Vicel r , AD / St✓G 0- E: Estimated Valuation Validation: PERMIT AMOUNT Plan Chk. Dep. ^] •� Plan Chk. Bal. Const. ' Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback tom Rear Prop. Line Side Street Setback from Center Line Side Setback f-om Property Line ? FINAL DATE A INSPECTOR Issued by: 1• !DatE P�' - 1-11 LOP Validated by: Validation: ' CITY ©F LA QUINT&1 WHITE = FINANCE YELLOW = APPLICANT PINK= BUILDING DIVISION t R _ o ' LoT 257 M B 221 077 Te 2(o�SZ L oT 2S5 M6. 2 2-7/o-7.7 IT— X43-izo-o3o i { Desert Sands Unified School District , Notice: 82-879 Highway 111 " Indio; CA 92201. Document Cannot Be.Duplicated 619-775-3500 CERTIFICATE OF COMPLIANCE Date.10/21%97 APN# 643-120-030 No. 16189 • Jurisdiction La Quinta Owner NameCanaday•& Company "Permit-# . No. 74-625. Street Via Montigo . Log # { •city La Quinta' zip. 92253 ,Study Area Tract # Lot # . Square Footage -262'8 Type of Development Single Family'Residence No. of Units 1 - At the` present time, the DesertSands Unified School District does not collect fees on garages/carports, covered' patios/walkways; residential additions under 500 square feet, detached accessory structures or-eplacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: �. EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.84 ' X .2,628 or $ 4,835.52 the property listed above and :hat building permits and/or Certificates of Occupancy for this square footage in this proposed project ma_- now be'issued' Fees.Paid By Cashier's Check/Pacific-National Bank Teiephone�'��l�l 751 9151 Name on the check ' mSv.. r ` . 4 By.. -Dr. Doris Wilson Superintendent Fee collected /exempted by Ellen Patino Payment Received $q;83.5` 2 Check No. 73098=' Signature NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(9 or to another public entity authorized to collect them on the Districl('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers: Embossed Original -,Building Dept./Applicant . Copy -. Applicant/keceipt Copy - Accouniin l �� l��uiirirnh/fln A;r Fire Sorinkivs HEATING AND AIR CONDITIONING. DIVISION May 19, 1997 Canada, 1570 Brookhollow Drive Suite 208 Santa Ana, CA Attn: City of La Quinta - Building & SafetyDepartment C R.C.R. Plumbing. -Inc. - HVA.0 Division, certifies that the heating and 3ir conditioning equipment. separating furnace * and coil, can be inserted and/or removed through an attic access opening with the dimensions of'22" by 30". If you have any questions, or need additional clarification, please give me a call. Brad Tunby Sales Engineer R.C.R. Plumbing HVAC Division BT/bw cc: files RIVERS:DF. OFECE 1'- '6'f;" Jr::.. P-�,- n;e-. C. 92.503 A D —ELA.-NTO 0' FNCE Ti 7.31.) Musiirul- Avz:.. Cj� �23Q 1 (619) 247 3410 1 '2t; i C' A S 0 IF F, I C r-. 30 u 1, t 4 t t .. L, i! Vzq a s, N V A 9 118._'6. to �70' Madlin ' s enterprises V V ..' .. ComWting v Calculations v ?hsWW v 760.322.30041323-3644 (fax) March 18, 1998 Mr. Mark Harold City of La Qyinta Department of Building & Safety 78495 Calle Tampico La Quinta, CA 92253 Reference: Canaday Project at Lake La Quinta Dear Mark, This letter is to confirm our telephone conversation of late yesterday regarding the alternative wall insulation application used on several homes at Canaday's Lake La Quinta project. The insulating contractor, Western Insulation, installed one R13 batt plus one RI l batt in a 2x6 wall to achieve an R19 equivalent wall. To support their alternate application they forwarded to me, and I have attached for you, a method from Manville Insulation for adjusting the R - value of compressed mineral fiber insulation. I'have used this method to adjust the installed R24 insulation, which is compressed to 78.57% of its original size, and find it to be equal or better than one R19 installed batt. As the Title 24 compliance consultant for this project, I am willing to accept this alternative wall insulation application as equal or better. Please call me if you have any questions. Sincerely, Cathy Madlin • P.O. Box 1443 • Palm SptLv, Ca 92263-1443 • E-mail: Cmndlin@aol.com • Certificate of Occupancy City of La Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: Use Classification: SINGLE FAMILY DWELLING 47-625 VIA MONTIGO Bldg. Permit No.: 9709-071 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: CANADAY AND COMPANY Building Official Address: 17480 EAST 17T" ST. #106 City: TUSTIN CA 92780 By: STEVE TRAXEL Date: 10-01-1998