06926 (SFD),__
Building
e rlrlrncc 78-540 Via Fleltdta
T
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P.O. BOX 1504 N o .
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Owner
GARCON DEVELOPKINIT
Mailin
Address 68-713 Perez Road. f1
City Cathedral Ci ttzip 92234 IT(
Contractor
city Izip
State Lic. 33777 I City T 2
& Classif- Lic. #
Arch., Engr-,
Designer
Address Tel.
Cityff Zip State
e Lic. #
'! LICENSED CONTRACTOR'S DECLARATION
I hereby.affirm that I am licensed under provisions of Chapter9{co
700Q)Af`Division:3 the Busines,and.Professions Code, and my lic
�
OWNER -BUILDER DECLARATION ' t .
I hereby affirm that 1 am exempt from the Contractor's License Law for the following
reasofr. (Sec. 7031.5,8usness and Professions Code: Any city or county which requires a
permit to construct, alter, irprove, demolish, or repair any structure, prior to its issuance also
requires the applicant for such pemd to Me 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 &rsiress and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption_ Any vnfabon of Section 7031.5 by •any applicant for a permit
subjects the applicant to a civil penalty ofnot more than five hundred dollars (8500).
❑ 1, 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 Cade: The Contractor's License Law does not apply to an owner of property who
bunds or reproves thereon and who does such - work hinself or through his own employees,
Provided that such improvements are not untended 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 or sale.) -
❑ I, as owner of the properly, am exclusively contracting with licensed contractors to con-
struct the project (Sec_ 7044, Horsiness and Professions Code: The -Contractor's License Law
does not apply to an owner of property who, builds or reproves thereon, and who contracts for
such projects with a contractor(s) icernsed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
WORKERS COMPENSATION DECLARATION
wortlinn that I have a certificate of consent to self -insure, or a certificate of
pen
sation 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 subject to the Workers' Compensation
Laws
of California.
Date ' Owner
N077CE TO APPLICANT: s after making this Certificate of Exemption you should become
subiect to the Mbrkers' Compensation provtsions of the Labor Code,, you must forthwith
conhPlY 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
Lenders, Address
This is abuilding permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 1110 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, Tip
0692
BUILDING: TYPE CONST. OCC: GRP. -
Tract #21565-4, Phase IV
A.P. Number
Legal Description
PANIC 1A QUINTO
Project Description
.. Plan 2004 (C)t Lot #26
REMARKS n., _,x �..Eti tsa_•af arh s:
}
aji9P
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:
. I Validation:
Sq. Ft. 2,004
Size
No.
Stories
No. Dw.
Units
New a Add ❑
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
$102,026
PERMIT
AMOUNT
Plan Chk. Dep.
,
Plan Chk. Bal.
�• ,`r
Const.
•J^
Mech.
Electrical
Plumbing
f+ tf
..
S.M.I.
•+
Grading
Driveway Enc.
Infrastructure
•C •P
TOTAL
} • ��
,
REMARKS n., _,x �..Eti tsa_•af arh s:
}
aji9P
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:
. I Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES.
1ST FL. SQ. FT. ® $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL SQ. FT. @
DUCT WORK
ROCK STORAGE
FOUND. REINF
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
OTHER APPJEQUIP.
REINF. STEEL
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GROUT
WATER HEATER SERVICE
DRAINAGE PIPING
CAR P. SQ. FT. ®
BOND BEAM
WATER SYSTEM
FINAL INSP.Z
FINAL INSP.
WALL SQ. FT.
=$
DRINKING FOUNTAIN.
FRAMING3/2 7 -Ad In
ROOFING y2ch" c—
URINAL
SQ FT ®
REMARKS:
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
SPARK ARRESTOR
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAR. FIREWALL
LAUNDRY TRAY
AIR HANDLING UNIT CFM
THING Z
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
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 RN kWDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK OUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF
METER LOOP
GAS (ROUGH) 41111?c,
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.Z
FINAL INSP.
GRADING
boo cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING3/2 7 -Ad In
ROOFING y2ch" c—
2 L
/ J Jl1v1ce0 le w�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING Z
MESH
1
INSULATIONISOUND1/z3qo x -
`C
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL
vwj
x 01'44
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q.
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 — (760) 777-7000
of �� FAX .(760) 777-7101
TDD (760) 777-1.227
December 24, 1997
Barcon Dev.
68-713 Perez Ad. 41
Cathedral, CA., 92234
RE: Single Family Dwelling Permit #06926
Dear.Barcon Dev.
The purpose of this letter is to inform you that your Single. Family Dwelling Permit #06926, for
the project at 78-540 Via Melodia, has expired. In accordance with 1994 UBC section 106.4.4,
no further work may be performed until anew permit has been issued.
Please contact Daniel P. Crawford Jr., Building Inspector 1, at (760) 777-7012 to obtain any
information you need regarding a new permit and/or any:required inspections. Should you '
• 6
choose not to. complete the project, we would then have to pursue any or all of the following
actions:
1) Abatement ol'theproject through the City Attorney's Office and Code Compliance Division..
2) Notice of non -conforming structure placed upon property profile..
3) Action filed Nvith 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 leave.
Sincerely,
Mark Harold
Building & Safety Maiia�_er.
an el P. Crawford
Building Inspector I
cc: file
dpc
MAILING ADDRESS P.O. BOX 1504 —'LA OUINTA, CALIFORNIA 92253 t