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14297 (SFD)Building Address Owner • ' yo9 33� �99.� Q P.O. BOX 1504 No. 14,207 47-•205 Via LorcaI0-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Land -rex California, Inc. Mailing Address 78--710 Via Avasnte La Quinta , CA zIp 92253 TC619) 564-5458 Contractor 9aberts Construction Company- Address c' mpany- Address Base 1504 ci .im D sect, Zip 92261 T€%19) 346--4289 State Lic. City & Classif. B 246208 Lic. # 3:377 Arch., Engr., Designer Robert Ritchey Ad,6�qesB40 'Vim Sevilla T11619) 360-0966 c' ya Quinta, CAI Zip 92256 Istate Lict �! 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 Profess ons Code, and my license is in ful).force and N effect. i� ' 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 rile 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). D 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. I/, however, the building orimprovement 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.) D 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 or property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) D I am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that Ihave 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 D Copy is filed with the city. D Certified copy is hereby furnished. / CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed N the permiti for one hundred dollars (5100) valuation or less.) I certify that in the performance of the work for which this permitt,;is„issued, I shall not employ any person in any manner so as to become subject to the Workers” Compensation Laws of California. ate t `�,t • ':/ Owner 43 OTICE TO APPLICANT. N, 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,DD0), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEY'S FEES. 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 BUILDING: TYPE CONST. Vn OCC. GRP. AL3 617.840.039 A.P. Number Lot 165 Tract 26152 Legal Description SOF0 Plan C Project Description Lake La. Quinta Sq. Ft. 2500 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation Z , d ti j . U PERMIT AMOUNT Plan Chk. Dep. . UU Plan Chk. Bal. 687.42 Const. 807.30 Mech. 1:02.5 Electrical 10J. % U Plumbing 17 4• UU S.M.I. le. U Grading ZU. UV Driveway Enc. . UU Infrastructure 3,207.62 •8.2A Au1.kt! Am Publtu Ptackazo t TOTAL 5, • REMARKS ' ZONE: BY: Minimum Setback Distances: Front Setback from Cente e Rear Setback from Reap. Li Side Street Setback- m C nt�eer i Side Setback frofT,�ropert T f n FINAL DATE IN - CTO R' Or]r Issued by: Date Perat--°''� Validated by: Validation: { CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 V. c SEWAGE DISPOSAL SO.FT.GAR ® V.c HOUSE SEWER REMARKS: 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. G GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) �,�� TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM 14 GRADING cu. yd. $ plus x$ c$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL *Of CITY OF LA OUINTA DEPARTMENT OF PLANNING & DEVELOPMENT LA UUIN'fA BUILDING DIVISION 24-HOUR NOTICE FOR INSPECTIONS �ir;�lyu4 777-7153 Ownw Landrex Contractor Roberts Construction Co. Pwmit Number 14297 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOBADDRESS 47-205 Via Lorca SFD Lot 165 TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK FOOTING STEEL MAIN GROUND SYSTEM GROUND PLUMBING ° 72, :/ CONCRETE SLAB JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST HEATING & VENT -A/C FIREPLACE ROOF - L BOND BEAM O.K. TO WRAP GROUT ❑ 4' ❑ 8' FRAMING G INSULATION COVER NO WORK UNTIL ABOVE HAS BEEN SIGN D DRYWALL INTERIOR - - EXTERIOR LATH POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK ELECTRICAL PLUMBING rlMAL l7AJ 1 CJ 1 HEATING - A/C FINALS JOB COMPLETED TEMP POWER �- ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4!88 W1 ;'7 -- . _ -.. _... _.:•-� <.. .:.!reel: - — - - -Mj=-- . l� ! O ,aZI OF TtiE� y . �i - - - � tt.��l�iltl �ilt� �S:ci��� �.tltt.�ttilt _ • This Certificate issued, pursuant to the requirements' of Section 306 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 47--205 Via Lorca' ! Use Classification Single .Family Dwelling Bldg. Permit No. 14297 ^ �! Group R3 Type Construction VN Fire Zone Use Zone SR .. A,! Landrex California 78-•710 Via Avante Owner of Building Address i__ I, ! '! La.Qui.nta..`CA. 9225 - _ r- - --- - City _ - - - - - - ' ---- - � -.,. =�-� Daniel-.�P. _Crawfor _.ter.--- BY: ' � Date;. March 22,-1995 til�lirr% Building Official POST IN A CONSPICUOUS PLACE . _ -.. _... _.:•-� <.. .:.!reel: - — - - -Mj=-- . l� !