12447 (AR)4
P.O. BOX 1504 f No. 12447
Building 49-363 GuiJarro 78-105CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Ted CdS:'peL31@3.'
BUILDING: TYPE CONST. OCC: GRP.
Mailing
Address Same A.P. Number
City Zip Tel.
La Quintan CA 92253 Legal Description
ContractorROOST! addition and remodel
T.A. Kennedy Construction
Project Description
A7'`P*150 Arroha
La Crainta f, CA Zip92253 Tel.'
554 45$0
State Lie. City
& Classif. 442118 Lie. # 459 Sq. Ft.3 No. No. Dw.
Arch., Engr.,
Size 232 Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lie. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division3,•of the Business, and Professions Codelif anld my license is in full force and
t effect.
SIGNATURE —0' A ,Y DATE
OWNER -BUILDER DECLARATION Estimated Valuation1,2ti3�.f()
I hereby 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
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also AMOUNT
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT
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 Plan Chk. Dep. '
subjects the applicant to a civil penalty or not more than five hundred dollars (8500). •
O I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.
60
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 44 •00
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 through his own employees, Mech.
Z -L • UV
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 Electrical 12
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- Plumbing • -
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 S. M. 1. •
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
Grading
< ❑ I am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
Date Owner Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereb affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Wmpensationlinsurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy Company
opy is filed with the city. ❑ Certified copy is hereby furnished. '
TOTAL 10.02
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars (8100) valuation
or less.)
I certify that in the performance of thg 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. I (e
-III P
Date Owner v
NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become ZONE: BY: 11,1 A d
subject to the Workers' Compensation provisions of the Labor Code, you must forthwithMinimum Setback Distances: 1 I 1 IJZIJ Lit
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from R?43frop. Line
CONSTRUCTION LENDING AGENCY , Side Street Setback from-"CeTiter Line -
I hereby 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 Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECTOR
This is a building permit when properly filled out, signed and validated, and is subject 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. Issued by: Date Permit
1 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
bovementioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
4 4
P.O. BOX 1504
Building 7--3�y f`,Uy`t._iir 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Mailing
Address _ F,
City Zip
A.
44
Contractor
�re
City Zip Tel.
State Lic. City
& Classif. 14 y 21 .i i� Lic. # 4 q 9
Designer
Address Tel.
City J Zip I State I
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
Taaoj of Division 3 of the Business and Professions Code and my license Is in full force and
,��
SIGNIRE OATS
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Gantractor5 License Law for the following
reason; {Sec. 7031-5.Busloess and Professions Code: Any cffy or county which requires a
permR to construct, alter. Improve, demolish, or rapafr any .structure, prior to its issuance also
requires the applicant for such Pannit fa WE a signed statement that he is flcensed pursuant ry
the proyWons of the Contractors License Law, Chapter 9 [commencing with Section 7000) of
Aiviven 3 of the Business and Professions Code, or that he is exempt therefrom, And the basis
for the alleged exemption- Any vloiafioa of Section 7031.5 by any appL'cent for a permit
subjects the appricarrt to a civii p enatry of not more than flve hundred dollars ($ Soo)
-
L7 i, as owner of the property, or my employees with wages as their sole compensation, wJII
do the work, and the structure Is not In or offered for sale- 'Sec. 7044. Buisness and
Professions Code: 7m Qmlraclor'i LlcORSe Law deer riot apply to an owner of property who
builds or improves thamon and who does such work him. -Fall or through his own employees,
provided that such knprovemanls am not rntanded or offered for salo- If, howovar, the Building
of improvement fs sold within one year at completion, the owner-bumerf 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 Cade: 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 contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I heieb affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's pensatien Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy,Cpmpany
[� opy is filed with the city. ❑ Certified copy is hereby furnished.
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 thV work for which this permit is issued, I shall not
employ any ppgrson in any manner so as to become subject to the Workers' Compensation
Laws of Californ}a.
Date Owner
NOTICE TO APPLICANT: N, after making NNs Certificate of tkamptiea you should become
subject to the Workers' CompencaLran provistphs of the Labor Code. you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and Stale that the above information Is correct.
I agree to comply with all city and county ordinances and Slade laws relating to building
construction, and hereby authorize representatives of this city to enter the above -
mentioned property for in.spactlon purposes -
Signature of applicant- Date
Mailing Address
City, State, 2Ep
No. 12447
BUILDING: TYPE CONST. OCC. GRP.
P. Number
Legal Description
tA
Project Description
Sq. Ft. No. No. Dw,
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal,
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY: '
Minimum Setback Distances:
Front Setback from enter Line_
Rear Setback from Red�vrop. Li
Side Street Setback from Center
Side Setback from Property Line
FINAL DATE
Issued by:_
Validated by
Validation:
INSPECTOR
Perm
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL.
2ND FL.
POR,
GAR,
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. ®
SQ. FT.
SQ. FT. ®
SQ. FT. @
SO, FT. ®
SQ. FT. ®
SQ. FT. @
VALUATION
$
UNITS
'
YARD SPKLR SYSTEM
iMOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3Ac
HOUSE SEWER
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 I PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
L /M�
FORMS 'l
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. /
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL 4�'
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING j �a�q 46
FINAL INSP.
ROOFING 3 W
f m` I h 7�je�
REMARKS:
r Vecop
��
FIRE ZONE ROOFING
FIREPLACE
SWARRESTOR
GAR. FIREWALLI 7T�
LATHING
MESH
, Tl ,p.%
U TIONISOUND/
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SFGNA7URISfiNlTIAL.S
GARDEN WALL FINAL
r �I 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (760) 777-7000
FAX (760) 777-7101
TDD (760) 777-1227
December 24, 1997
Ted Carpenter
49-363 Guijarro
La Quinta, CA., 92253
RE: Building Permit #12447
Dear Mr. Carpenter
The purpose of this letter is to inform you that your Building Permit #12447 for the project at
49-363 Guijarro, has expired. In accordance with 1994 UBC section 106.4.4, no further 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 16 working days to resolve this issue, and
for any questions you may have.
Sincerely,
Mark Harold
Buildin & Safety !Manager
Daniel P. Crawford Jr.
Building Inspector I
cc: file
dpc
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
2' 9 4 L- I E El 1 2' .5 :2: 7D 'K. M E t i G p o I
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6, C4,
).6912 Gothard St, Unit 0 - Huntington P.- --h. CA 92647 • (714) 1843-69F FAX (714) 8.41-4820