Loading...
0012-116 (SFD)LICENSED CONTRACTOR DECLARATION I•jhereby,affirm under penalty of perjury that I am licensed under provisions:of CAapter 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 Ezp. Date Date r f`' ,Signature of.Contractor r OWNER -BUILDER DECLARATION I hereby,:affirm under penalty.of'perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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, Business & Professionals Code). ( ) I, : as owner of the property, -am exclusively contracting with licensed 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: ( ) a 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. .,I •,have and will maintain workers' compensation • insurance, as required by Se'' tion 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: Carrier Policy No. (This section need not be completed if the permit valuation is for $100.00.6r less). ( ',l certify that in'the performance of the work for which this permit is issued, f shall not employ any person -in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the' Labor Code, I shall forth lith comply with thosei;provlslons:�.� Date: Applicant 'k Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100 000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees; IMPORTANT Application is hereby made to the Director,of Building 'and Safety ful a pu mdl subject to the condltiona' and rootriotione ect forth nn his application: 1. Each person upon whose behalf -this application is made &.each person at whose request and for whose benefit work is performed under or pursuant.to.• 1. any permit issued asa result of this applicator agrees to, &•shall, indemnlfyk & hold harmless the City of La Quinta, its officers, agents and employees 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days .from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation, I certify that I have read this -application and state that the above information is correct. I agree to comply with all City, and State laws relating,to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property,foririspection purposes. U3 Signature (Owner/Agent) Date'" BUILDING PERMIT PERMIT#9 ?F 9 DATE t % 1 VALUATION LOT 2411*9 TRACT "•; ! JOB SITE t APN • ADDRESS 47-810 VIA p»���'�asi,. / VO r /9 O >�.'�.�i��••�3.� OWNER CONTRACTOR/DESIGNER/ENGINEER [� �g � /'� p gyp• .Q� �•q`[ ,� y 9,.�y� �- . •, .... C.v"11Wi'M.%!'k.3 & �Ci�:7dlrh.C"d?1"U [ .- ,* ,� 3�yi •�y /•�7� ��. C".!�CYRA�M A l�V'•4'U'RP.Qn" . 17480E. 17Mfir: A-106 1.748(. X 17TR Erl'. 0106 •rWUN, CA k 92780 T1.191W (34' 927N ` (71.4), 50* 4440 if 11A 4485 . USE OF PERMIT .i.l:7T Y.3, PLAN SPTJ • P ' 4IT 1XD1,!M 140'r RICLvin gwcr, WALIZ o FOOLI, 041':?IUV AY A;1'1?RO!#'C"H. PLAN l°f'WX PER REDUCED aa$% FOk MI n 111LE INSUAWCEL OF � AIE PLAN i ' ln;� TRACT CONSTRUCTIOIN 211195/00 Sty PORC'1rIPATIO- t.1ARAt1MARPO.I ' (E11 %349,40 EMi4IAM CO•,Ff OF CONr§UMMUM 164,471.70 PER. r rFEE SUMMARV CONSiTttlC'YIO),11 PVF 101.OD0 419 000 - MUD - PLA14 G,FT,tE-,C X PEZ 5 FLZmposIT 8 4250.0111) Pat 1iA1tiLGA.f.`tffGl _ }1�]rt)' C3- ?1-000 QfO�.Ctt? iti.Le�C"1'Difi.C'PeIA1E��, : . 1F,1]'��3�t) 'S2l�At10;0 $t�17.'$� • PLUMBING FKE 101-000.419-!-000 $fdlb>�9 31`RONO MOTION FEE - P.P e10 10110W -24a NO0Q. "OPLADR40t PEE 101 -000-423 $10, fig ' DEVELOPER IMPACTFEE Oi�•.f�-1"O'1'.,AT, C'C1AND XM CM°�o',:. $3,128.09, .g�q��•6 rpt/�� Ap }� �'�,�xg� �••r�� q� �q� li.h7A.t�C,t,Y'�uR— :0.C:d, E S/o:/U �o�p��.l•6Aa'F73+ .Y�.1:e�eA7�Jaak;� - -. .. RECEIPT DATE g BY DATE FINALED INSPECTOR UL i INSPECTION RECORD `OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade —Z p Return Air Steel Roof Deck/ O.K to Wrap Framing l _7�fi/ _6 �j Combustion Air Exhaust Fans F.A.U. Compressor Insulation �j vents Fireplace P.L. _/ Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath C¢ Final Final POOLS - SPAS BLOCKWALL APPROVALS . Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines — / o / .� . 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 i Gas Test Appliances Final COMMENTS: 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) D a Certificate of Occupancy City of La -Quinta Building and Safety Department V 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: 47-810 VIA LIVORNO Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0106-122 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL' Owner of, Building: CANADAY,AND COMPANY Address: 17480 EAST 17TH ST. #106 City: TUSTIN, CA 92780 By: STEVE TRAXEL Date: 12-19-01 Building Official POST IN A CONSPICUOUS PLACE a il/ F- P. O. Box 1504 78-495 CALLE TAMPICO .(760) 777-7000 SwiringBrighter Than Ever, LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 March 26, 2002 Postmaster LA QUINTA POST OFFICE 51-321 Avenida Bermudas La Quinta, CA 92253-9998 Dear Postmaster: Please be advised of a new street name for the following structures. The structures formerly addressed on 47-780, 47-805;-47=8=1'0; 47-835, 47-840, 47-8E5, 47-870, 47-895, 47-900, 47-925, 47-930 and 47-960 Via Trieste will now be addressed at the same street number onNia'Livorno': Please note this change and contact me directly at (760) 777-7012 if I may be of further. assistance.' Thank you. Sincerely, Diane Aaker Building &. Safety Department v + SCALE IN 1/10 OF AN INCH I. 1-800-345-7334 2 s a ss r/RS YAP /S FOR 2 T.R. A 0 - 0 '. 0224 643- ' • ASSEssmENrH/RPoSES ONLY: POR SEI/4-SEC 3O, r. 5S., R..7'E.� 11y li,G t 'I2 i_ IAl a �� �STR�EE�T/�1 f ,5f �'. + p• r4 S I 7/7if 7 LOT p T -L , 4f6� //2 3 G; /05 a i .),y IN l� c9 is c9px a+.�r 9B.it ,J w- � 49is �7• � - /Bp I I i a /07 /Oe ` w Ld 73 M I / i /OO•. I�� 9f 7i 7BJ1 N98 731/ '77 57\ N - w - BI.7/ VI 0'1' e9. �u /I!!! � � /11 N r, NwM1 y©9L`°N ®XI 'l 0IS�0w + —56- V649— 84 iB4 ` I \SI as ® i 3 2 ® ©0 oo/ II*5N i6 0as .r ' M. C 95 u 9/ o B6 ° B2 b 1 I ® QW O� x'• © ® k �W` O� 1%/of. 98 �� /-lC- 3 ���O� 0 I - �`.� vQr no - '� /1 ufsf - a� `�p.P /09.9f- 10S.SB 4WQ. 4 �i��JJ�•0,:,.p J — — — s h N B/ 7B 96 90 ° 70 - p 0 - D 97 �-tlijCk12s.50^ -A°t a50. /]x so � ./2178 0 ' 1850 2 Z 69 o I 97 •e21 Q 8x7 B9 0 BB M ti BO 7.9 91.05 7 o v5i 68 m +sem c `+ /PRIVATE- �I ' 77.0 .. .. 77.0 97.51 .1.97 A I „ ` I 57 SB59 ,•e 60 6/ 62 6 64 65 '+ S' 67 V 66 S • — 1 — — sso720 77.97 /75A3 4A94 I , . I•!e/7! L071 BB • '� 1900. 5B 9 1081 - -:e r.v!!o _48 - r AVENUE - - 3/ 32 . 04rA, w. i. n�ies.Ba 07 No M. B. 227/77-78 Tract No.26/52 QSSESSOR•S MAR BK 643 PG /4 - RIVERSIDE COUNrr, CALIF SEP. 92 RGQtr