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04057 (SFD)ro 0 4 01. S' 7 P.O. BOX 1504 Building .55-870 Pebble Beach 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Joe and Joyce Kirkwood Mailing .Address ­ - . 82-459 Priscilla Ct. City Zip Tel. Ifidio 92201 347 - Contractor Zip Add(_ess Ze j�o Cityp" Zips" l Tel. State Lic. & Classif!k J LICENSED CONTRACTOR'S DECLARATION City Lic. #/0 Arch., Engr., Designer Address SIGNATURE DATE Tel. 67 y 7d_1 -BUILDING: TYPE CONST: OCC. GRP. A.P. Number, , 769-360-018- )22 Legal Description Project Description Sincrle Family Dwellinq /I - 5?5 y V �t) Sq. Ft. Size New 0 392No. ,4 Stories Add 0 Alter 0 Poll, not: included ,No. Dw. ,t -Units. Repair 0 Demolition 0 City Zip State 451 of 61 block wall Lic. # LICENSED CONTRACTOR'S DECLARATION 70 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section eff 5 qf,DIvlsion 3 of the Business and Professions Code, and my Ii5ense,is in full force and SIGNATURE DATE OWNER -BUILDER DECLARATION I hireby 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 Estimated Valuation SM,,698 PERMIT NT AMOUNT permit to construct, alter, 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 30 1 the Business and Professions Code,' or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more then five hundred dollars ($500). 0 1, as owner of the property, or my employees with wages as I their sole compensation, will Plan Chk. Dep' $250000 y Plan Chk. Bal. 477. 15- Const. 885 .50 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 Mech. 70 .00 builds or improvesthereon 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 . Electrical .152 .10 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 of sale.) Plumbing 154.00 0 1, 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 of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) 0 1 am exempt under Sec. B. & P.C.for this reason S.M.I. 19 .64-- Grading .20.OQ• -Driveway Eric. DateOwnerInfrastructure 6,000.00 WORKERS' COMPENSATION DECLARATION Ihereby affirm 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 L. .0 Copy is filed with the city. 0 Certified copy is hereby furnished. TOTAL $8,048.39,1 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit Is for one hundred dollars ($100) valuation REMARKS W P 0A. A.6-123 PP — o- orles.) s I certify that In the performance of thp work for which this permit is issued, I shill 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. ZONE: BY: Minimum Setback Distances: Front Setback from Cent6r Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Ihereb affirm that there Is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Side Street Setback,froin Center Line.' ___• Side Setback from Property. One, — Lender's Name Lender's Address FINAL DATE __INSPECTOR""`��L .6 115 8 8 This is a building permit when properly filled out, signed and validated, afid is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information Is correct. 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 Issued by: Date : Validated by: MailingAddress Validation. City,` State, zip 'WHITE FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD '- ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATL NO. ELECTRICAL FEES NO. PLUMBLN F ES r. IST Fl SO Fl y S UNITS A.C. UNIT COLL. AREA SLAB GRADE/// 4 YARD SPKLR SYSTEM 2ND FL SO FT. a BONDING HEATING (ROUGH) STORAGE TANK MOBILEHOME SVC. BAR SINK POR SO FT. at ROUGH WIRING DUCT WORK POWER OUTLET ROOF DRAINS GARSO. FT. fp GAS (ROUGH) METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. SO FT. 6 GAS (FINAL) WALL SO FT. 0 TEMP. POLE DRINKING FOUNTAIN GROUT URINAL SO. FT. 0 SERVICE ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE! Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTONDISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED c LAUNDRYTRAY AIR HANDLING UNIT CFM 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 SPARK ARRESTOR SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID 1 V. c SEWAGE DISPOSAL • SO.FT.GAR rg 14c HOUSE SEWER MESH 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 ,ROUND PLUMBING -1 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE/// 4 ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. /� ® l GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING \=kpvREMARKS: c /21q( '01, �/ #1VWl"-'�I ,,s,,- certL-,D Fv a' 0'15A d ? D I Gw VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL _ LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS , GARDEN WALL FINAL Auwc z i . P.O. CA of 504 APPLICATION ONLY �e ��— -Pe 6 Address 9,70 LA OUINTA, CALIFORNIA 92253 Owner '� 4O ' It. --►o'Wood BUILDING: TYPE CONST. OCC. CgRP. - AddreMailinss g - PH r �� Ct . A.P. Number �6- 9 — .3Cv 0 O/ 8 I City / Zip Tel. . i LO7— 24 r1-2Zc� �(� - 2-A--rAld O 9a�p Legal Description , �,5/•r_ Contractor Project Description Address City Zip Tel. State Lic. City 8 Classif. ; Lic. q Sq. Ft. G1 , NO. No. Dw. / Size, , G%;,F° Stories Units Arch., Engr., Newt, , Add ❑ Alter ❑ Repair ❑ ~Demolition ❑ Designer�U N r Address Tel. 90 rA0 rllt2M CityZip State , S �' %� 62 Lic. a LIC NSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) or Division 3 or the Business and Professions Code, and my license Is In full force and .,fact. ' . .,SIGNATURE DATE OWNER-BUILDER DECLARATION -• I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation reason: (Sec. 7031.5,Buskiess and Professions Code: Any city or county which requires a permit to construct, elfer, Irprove, demolish, or repair any structure, prior to its Issuance also _. requires the applicant for such permit to No a ed statement that he is licensed pursuant to - Me provisions of the Contractor's License Lew, Chapter 9 (commencing with Section 7000) of PERMIT -- "- AMOUNT Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis Aor the alleged exemption. Any violation of Section 7031.5 by 'any WpNcant for a permit Plan Chk. Dep. Z .. . sots the applicant to a cM penalty of not more than live hundred dollars ($500). . Plan Chk. Bal. as owner o1 the property, or my employees with wages as their sole compensation, will the work, and the structure is not Intended or offered ,or sale. (Sec. 7044, Bulsness and Const. Code: The Contractor's License Lew does not appy to an owner of property who _ builds or Improves thereon and who does such work himself or through his own erniobs, - McCh. provided that such Improvements are not Intended or offered lot sale. If, however, the building Electrical or Improvement Is sold wkhn one year of completion, the owner-builder will have the burden of p ving that he did not build or Improve for the purpose of sale.) Plumbing I, as owner of the property, am exclusively contracting with licensed contractors to con- Eruct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Lew S.M.I. - does not appy 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.) Grading O 1 em exempt under Sec. B. 6 P.C. for thlreason Driveway Enc. Date lig owner �— Infrastructure - WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate o, consent to'eeir-Insure, or a certificate of Workel•s Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No company . ❑ Copy is riled with the city.. O Certified copy Is hereby furnished. TOTAL _ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS (This section need not be conpieted N the penMl la for one hundred dollars ($100) valuation Of less.)- - I certify that In the performance of the work for which this permit Is Issued, I shall not 0 CASH i TOTAI- i 250.00 employ anyperson in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: N,_ after making this Certificate of Exemption you should become ZONE: BY: subject to the Nbrkers' Compensation provisions of the Labor Code, you must forthwith _ comply with such provisions or this permit shall be de&r ed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop.-Line ------CONSTRUCTION LEN DINO AGENCY Side Street Setback from Center Line I hereby affirm that there Is a construction lending agency for the performance of the - work for which this permit Is Issued. (Sec. 3087, Ch* Code.) , _- Side Setback from Property Line -Lender's :Name ' FINAL DATE INSPECTOR Lenders Address . - -This lea building permit when properly filled out, signed grid validated, and Is subject to expiration It work thereunder Is suspended for 180 days. ---i•certify that I have read this application and state'that the above information Is correct. --- ---•-- Issued by: 'Date • Permit I agree to comply with all city and county ordinances and atpte laws relating to building -construction, and hereby authorize representatives wi-thlatcity to enter the above mentioned property for Inspection purpose.. i Validated by: Signatureof applicant Date --------------- - _. _ _.. . -Mailing Address _....-- -. ..... . ......... ..- _. _._ ..- .. ..__. .-Validation: - City, State, Zip BUILDING DIVISION October 24, 1988 City of La Quinta Building Department 78105 Calle Estado La Qunita, Ca. 92253 Re: Kirkwood Residence, La Quinta - PGA West To Whom It May Concern: Please.be advised that as of October 1, 1988, we --have ceased work, at. 55870 Pebble Beach, La Quinta, Ca. We, wish to inform your city, not only to protect our Company but also the City. of La Qunita, of potential problems that could arise from Unlicensed and or Unqualified Builders and Sub -Contractors. Our license, bond and liability is signed on the permits. I feel it would be in your own best interests for the City of .La Quinta, to at some time.look into this problem of unlicensed builders at this residence. Sincerely, Tom Powers Brad Thomas TP/BT/jmmf