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15321 (RPL)Building Address 51-^'800 Mont_-Ztma3 Owner Dodoo Construction T4'ht 4 4 Qu . & P.O. BOX 1504 78-495 CALLE TAMPICO LA OUINTA, CALIFORNIA 92253 Mailing ' - Address.39-505 Berkey Br #115 City Zip Tel. Bermuda Dunes 360-7792 Contractor Theriead Construction: Address- - 4741 C i.`Pa1m Canyon D.P #116 City Zip Tel.: Palm Springs 92264 728-3939 State Lic. City & Classif.. A 359105 Lic. # 250 Arch., Engr:, ' Designer Address Tel. City(Zip I State Lic. # 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 Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8usiness and Professions Code: Any city or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to fife 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 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 than rive hundred dollars (8500). O 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 Code: The Contractor's. License Law does not apply to an owner or 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. 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 of sale.). ❑ 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 of property who builds or improves thereon, and who contracts for such projects with a contractors) (rcensed pursuant to the Contractor's License Law.) - ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby 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 O Copy is filed with the city, ❑ Certified copy is hereby furnished. ( t 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 the 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 NOTICE TO APPLICANT: It, 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 ($100,000), 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,subjecl 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 No. 15321 BUILDING: TYPECONST. - OCC: GRP.• A.P. Number Legal Description Project Description Pooh. Only Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add.b Alter ❑ Repair ❑ -Demolition ❑ :stimated Valuation. PERMIT. Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL` REMARKS $70090.00 AMOUNT ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear R op. Line Side Street Setback frd- a Line Side Setback from Prop¢ y Lin v FINAL DATE, IN C OOR Issued by: Date y 7199 Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES COLL. AREA SLAB GRADE r. 1ST FL. SO. FT. '@ $ UNITS ; 2ND FL. SQ. FT. DUCT WORK YARD SPKLR SYSTEM POR. SQ. FT. ® MOB]LEHOME SVC. BAR SINK ' GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. DRAINAGE PIPING WALL S0. FT. FINAL INSP. DRINKING FOUNTAIN. SO FT ® WATER SYSTEM FINAL INSP. FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ LUMBER GR. WATER PIPING NOTE: Not to be used as property tax valuation A"alllc- e �� �n / FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE LAUNDRY TRAY AIR HANDLING UNIT CFM SPARK ARRESTOR 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER FINAL INSPECTION 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 PLUMBIL� 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. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. GRADING cu. yd. $ plus x$ =$ LUMBER GR. FRAMING ROOFING A"alllc- e �� �n / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL �1�m.O pL(pa�jvt���l� 1 � �.7Ge.- gam., ..y.a�•_I -� 1 i / .,�G$ .' •CITY OF . LA QU I NTA tractr/�cJ�ic'�tJ (���r� Address y ij,¢ •ti ��� ^� �1 owner l ' Job Address - �!/%•.� ilk/7l✓.�.��.-��Y%�.rG,�_ This form shall be posted on the job with.the Building -Inspection Card at all times conspicuous place. It is the in a responsibility of the General Contractor or the Owner/Builder to monitor the sub -contractors that are on this list are the same persons performing the work. Any changes of this list must be approved by the Cit Building (' of La and Safetyrior to work beingy Quinta Department of performed comply will I resultina stoppage of work and/or PPa9 oidanceeofsbuilding perm Failure to g permit. i TRADE SUB -CONTRACTOR NAME CONTRACTOR'S WORKMAN COMP. CITY BUSINESS � LICENSE NO. NO. ON FIL LICENSE NO. GRADE/ ve -1 EXCAVATE J p OIF PIPELINES •, CEMENT/ FOUNDATIONS y%1 ��7 9 Irk CEMENT/WALKS & DRIVES— � ASPHALT FRAMING STEEL/ { STRUCTURAL i MASONRY PLUMBING /dam LATHING DRYWALL PLASTERING HVAC ELECTRICAL r-OJp Ae ,"Ill. chi ROOFING SHEET METAL FLOORS -GLASS/ GLAZING INSULATION SEWAGE DISP ING/ TING r 4 TS/ LATION NTAL JOTHERS / WALLS APING 78-495 CALLE TAMPICO LA OUINTA, CALIFORNIA 92253 — (760) 777-7000 OF T1a FAX (760) 777-7101 December 19, 1997 TDD (760) 777-1227 DoDco Construction '51-800 Avenida Montezuma La Quinta, CA., 92253 RE: Pool Permit #15321 Dear :DoDco 'Construction The purpose of this letter is -to inform you that your Pool Permit #15321, for the project at 51-800 Avenida Montezuma, has expired. In accordance with 1994 UBC section 106.4.4, no fiirther work may be performed until a new permit has been issued. Please contact Daniel P. Crawford Jr., Building Inspector I, at (760) 777-7012 to obtain any ` information you need regarding a new permit and/or any required inspections. Should you choose not to complete the project, we would then have to pursue any or all of the following actions: 1) Abatement of the project through the City Attorney's Office and Code Compliance Division. 2) Notice of non -conforming structure placed upon property profile. 3) Action.filed with 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' -have. Sincerely, Mar'k Harold 'Buildin & Safety Manager Daniel -P. Crawford Jr. Building, Inspector I cc:. file....& dpc is MAILING ADDRESS — P.O. BOX 1504 -,LA QUINTA,. CALIFORNIA 9225.3 ;