0106-076 (BLCK)53365 Avenida Madero
0106-076
003086
LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 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 Exp. Date
Date Signature of Contractor
OWNER -BUILDER DECLARATION'
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
k) 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 t
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 . tjrat im_Signature of Owner —A
'--^•^•—'—VY"dR'KE-R'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
( ) 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
Section 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 or less).
1 certify that in the performance,of the work for which this permit is issued,
hal
I sl 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 forthwith comply with those provisions. t
bate: IL 11 t L ADDlicant yA
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety,"
for a permit subject ' to the conditions and restrictions set forth on his '
application.
1'. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work,is performed under or pursuant,to `
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold,harmless the City of La Quinta, its officers, agents and employees.; '
2. Any permit issued as a result of this application becomes null and void if ;
work is not commenced within 180 days from date of issuance of such'.
permit, or cessation of work for 180 days will subject permit to cancellation.)
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
Signature (Owner/Agent)/ 111
.Y 1. Ci Y7t fiDated+, t'E
-`.. ..
BUILDING PPIl l PERMIT#
Illl
DATE VALUATION LOT {1 b ' d TRACT
JOB SITE APN
ADDRESS
OWNER CONTRACTOR / DESIGNER / EN (NEER
LAQjANTA CA 92233.
USE OF PERMIT
49 Lip tti1 IN1000 VINVC-i
0 lire, FOOD PENCE - 40, DO V
't
EeSb'Z` +` t%IM11) C1019ST OF C .O.1 N °RU(MO 4164A)
Ji 'Y+W 4YMRJ4 JI FY OS.AVE M FLL 9
'.(1 t?i TCa2 i' ► liiS t3 J4) ail$
90.00
` Yi ,,`«, t: A13'r b % 1 ON A.3 s3 PLAX z811Ai c ' '1 $15.00
LESS PRE -PAID F1 $0, 00
AN 6 200110 :111RMT .ETs DIUR OW,
CITY OF ILA OUINTA
FINANCE DEPT
RECEIPT DAT/Ep BY DATE FINALED INSPECTOR
A.
4„
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
Steel
POOLS - SPAS
Set Backs
Electric Bond
Footings _
Bond Beam (/� S"
Main Drain
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final.
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
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
Gas Test
Appliances
Final
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)
COMMENTS:
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Irl • ; 16
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78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253- (760) 777-7000
FAX (760) 777-7101
TDD (760) 777-1227
NOTIC
E 0, F
PUBLIC;.
,NUISANCE.,
DECEMBER 12, 1997 CERTIFIED MAIL
MR. & MRS. RANGEL
53-365 AVENIDA MADERO -
LA QUINTA, CALIFORNIA 92253
REFERENCE: RETAINING WALL NORTH SIDE OF PROPERTY
OWNER: RANGEL FIDEL/JUDITH
PARCEL # 774 033 016 '
LOT 8 BLK 181 MB 019/031
SANTA CARMELITA VALE LA QUINTA UNIT 18
DEAR MR. & MS. RANGEL:
IT HAS BEEN BROUGHT TO OUR ATTENTION THAT THE RETAINING WALL ON THE NORTH SIDE
OF YOUR PROPERTY IS IN A DETERIORATED STATE. AN ON SIGHT EXAMINATION OF THE
AFOREMENTIONED RETAINING WALL ON THIS DATE, DECEMBER 12, 1997, SHOWS THE
RETAINING WALL TO BE IN MAJOR DISREPAIR. THE EXISTING RETAINING WALL CONSISTS OF
RAILROAD TIES LAID AT THE EDGE OF THE PROPERTY'S TWO FOOT DROP-OFF, HAVING NO
SUPPORT, THUS, FALLING INTO THE NEIGHBORS FENCE CAUSING DAMAGE TO THIS
STRUCTURE.
MAILING ADDRESS - P.O.' BOX 1504 - LA QUINTA, CALIFORNIA 92253`
THE CITY OF LA QUINTA ZONING CODE 9.60.030(E) 2., READS AS FOLLOWS:: '
2. MAZNTEN1eiNC�: ALL WALLS AND FENCES SHALL BE CONTINUOUSLY
MAINTAINED IN GOOD REPAIR. THE PROPERTY OWNER SHALL BE PROVIDED THIRTY
DAYS AFTER RECEIVING NOTICE FROM THE CITY TO REPAIR A WALL OR FENCE. THE
BUILDING OFFICIAL MAY GRANT AN EXTENSION NOT TO EXCEED SIXTY DAYS. `
AFTER THE TIME ALLOWED IN THE ZONING CODE HAS LAPSED, THE REPAIRS MUST BE
COMPLETE OR FORMAL ABATEMENT PROCEDURES WILL BE ENACTED.
A COPY OF THE "RETAINING WALL STANDARD" AND A• COPY OF THE "COMBINATION
RETAINING/GARDEN WALL" SPECIFICATIONS ARE ENCLOSED FOR YOUR CONVENIENCE.
YOUR EXPEDITED COOPERATION ON THIS MATTER WOULD BE GREATLY APPRECIATED. IF
YOU HAVE ANY QUESTIONS REGARDING THIS MATTER, PLEASE FEEL FREE TO CONTACT ME
AT (760) 777-7050.
RESPECTFULLY, -
CHARLENE CAMPBELL '
CODE COMPLIANCE OFFICER
ENCL. 2