Loading...
0276 (SFD)PERMIT APPLICATION City of La Ouinta Department of Building and Safety JO%�SITE0PDD;;ESS/SPACE Avenida Vista Bonita CITY/COMMUNI,TYISTATEIZIP La. QuInta# Ca 92253 This permit becomes void if work not commenced within 180 days from date of issuance, OR, if work has been suspended or abandoned f -r a period of 180 days.t ' t CERTIFICATE OF EXEMPTION FROM WORKERS'C6IMPENSATION INSURANCE: This section need not be completed if LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 the permit is for one hundred ($100) o, less. I certify ;hat in the performance of the work for which this permit is (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force issued, I shall not employ any person in anymannerse asto become subject tothe Workers' Compensation Laws of and effect. California. Licer7se.Class Lic. Number Date Applicant Date Contractor NOTICE TO APPLICANT: If, after making this Cerlifica4of Exemption, you should become subject to the Workers' OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the Compensation provisions of the Labor Code, you mu: t forthwith comply with such provisions or this permit shall following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to be deemed revoked. construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICf-TION: 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 01 hereby certify that no excavation five (5) or more I :et in depth into which a person is requ - ired to descend, will be - therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit made in connection with work authorized by this pernit, and that no building structure, scaffolding, falsework, o r demolition or dismantling thereof, will be more than III, irty-six (36) feet high. (Chap 3.2. Grp 2, Art 2. Sec 341, Title 8, - subjects the applicant to a civil penalty of not more than five hundred dollars (5500.): C.A.C.) 0 I. as owner of the property, or my employees with Wages as their sole compensation, will do the work, and the'• 0 As owner -builder, I will not employ anyone to d work which would Id require a permit from the Division of structure is not intended or offered for sale (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 does such work himself or Industrial Safety, as noted above, unless such persci has a permit to do such work from that division. through his own employees. provided that such improvements are not intended or offered for sale. If, however, the 0 Division of Industrial Safety Permit No. building or improverrint is sold within one year of completion, the owner -builder will have the burdenof piovingthat Date Applicant he did not build or improve for ' I ' he p ' urpose of sale.). CONSTRUCTION LENDING AGENCY: I hereby affirm [hit there is a construction lending agen-cy for the performance ':%' 0 1, as owner of the property, am exculsively contracting with licensed contractors to construct the project (Sec. of the work for which this permit is issued (Sec. 309, Civ. C.). 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Lender's Name builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Lender's Address 0 1 am exempt under Sec. B.'& P.C. (Attached Certificate). I certify that I have read this application and state that the above information is correct. I agree to comply with all Date Owner city and county ordinances and state laws relating to building construction, and hereby authorize representatives WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a c . ertificate of consent to self -insure, or a of.this county to enter upon the above-mentioned priperty for inspection purposes. certificate of Workers' Compensation Insurance , or a certified copy thereof (Sec. 3800. Lab. C.). Signature of Applicant or Agent Date e Policy No. Company CERTIFICATE OF COMPLIANCE AND AUTHORIZATION -IF ENTRY: I certify I have read this application and state that 0 Certified copy is hereby furnished. Q InspectionDepartment6?CityV0-1 O I e edSp red 171h Certified Inspectl Department. the information given is correct. I agree to comply vAh all state laws and county ordinances relating to buidling construction.,and authorize al of the City of La Quinta Department of Building and Safety to enter �Y_ y�B.ilding — -, - ' which W al'Ae.appfied.forthis I ermit for the purposeliff making roperly foi'Whic% upon the p, inspectio'n's,.J Date Applicant Signat3re of ApAplicant orAgent Date - Print Applicant/Agent Name Av > V APPLICANT NAME (L F MI) 'Wl, VulnUt -Joint .venture 'VDR S Box 7 80 CITY/COMM N TY/STATE/ZIP La�Qu Uinta, Ca.92253 JO%�SITE0PDD;;ESS/SPACE Avenida Vista Bonita CITY/COMMUNI,TYISTATEIZIP La. QuInta# Ca 92253 BOK PAGP PIC C, - TWN FING SE, S TRkCT4. #-A 4 9 �.J- O 1.4T 2 1477 7 43 '23:0© Plin Check Fee MO-D G 31 SEI 41-8,00 . TRACT 5antNAMEa Rosa Cove OWNER NAME (L. F._Ml) CONTRACTOR -FIRM NAME Anden Corporption ADDRESS Box .780 CITY/COMMU.ITY/S Li Q ATE/ZIP a uln a, Ca 92253 P619- 564-13 Property Dev. Fee LJ33762 ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE 0 F . It, .11. .1IL 1 •/I' USE OF PERMIT Single.Family Dwelling ,81. ZON..FSB SSB SSB RSB OFC ZONE ORD # LOT. SZ END, ,.SIDE Arrow Printing 250/1-83 APPUPRMTE N2 0276 1—AT2 6 83 Permit to construct Model dZ-3 7 4. Dvivelling 1r,893 'Sq.'Jte: Garage -433 Sqi 'Ft. Patio 'Cover -140. $q. Ft Mech.- F'6 e 43 '23:0© Plin Check Fee 271;7,0,'. -,- Construction .Fee,, 41-8,00 . Electrical Fee. 36;90' - SMI Fee 6.62 Pluirmbing Fee. -'69.00 Property Dev. Fee 1450. AbXb– - R E C E V F . It, .11. .1IL 1 •/I' _7 17 Will Ld.vulnta TOTAL'- • T1'275.2; FEE I - White: Finance Canary: Assessor Applicant Tag: Bldg. Dept. J$94-*;-61T;780� VALUATION NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & Ducts 2A Slab ,Grade 35 Furnace Compart. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5. Bond Beams 38 Compressor 6 Roof Deck / 39 Appl. Clearance 7 Framing , 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. ❑ 43 Final 10A fireplace T.O. ❑ NONDITIONAL INFORMATION (I —�' q �YC•J• SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal 20 Sewer a �� 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final Tank Pit L. Line ELECTRIC APPROVALS REAR OF PROPERTY LINE pI P/I STREET NAME 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final