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05561 (RPL)Building Address I c&ty/ 4 4 Q" 54-361 OAK HILL --1 dr/Mrs. Ralph Stone P.O. BOX 1504 7&105 CALLE ESTADO''' LA QUINTA, CALIFORNIA 92253 Mailing Address game City Zip Tel. .La Quinta 92253 619/771-1330 Hackett Pools ress 924 Vella Rd. State Lic. I City & Classif. 403317. 0-53 Lic. # Arch., Engr., Designer B.C. 'AdaMS , Address Tel. CityZip 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 amexempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Businass and Professions Code: Any city or county which requires a permit to construct, after,mrprove, demolish, or repair any structure, prior to its issuance also requires the appfx ant for such permit to lrle a signed statement that he is licensed pursuant to the provisions of the Contractors 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 five hundred dollars ($500). O 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 sate. (Sec. 7044, Buisness 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 through his own employees, provided that such improvements are not intended or offered for sale. it, 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 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.) ❑ 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. 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 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 Date - - owner NOTICE TO APPLICANT: h, after makurg 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. CONSTRUCTION LENDING AGENCY . 1 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 certity that 1 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. 05561. BUILDING: TYPE CONST. A.P. Number PGA WRIST Legal Description Project Description PWL SPA OCC: GRP. Sq. Ft. Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 144-00 Mech. 24.00 Electrical 30.00 Plumbing 27.00 S.M.I. .91 Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Seytbacck from Rear-Pcop.,Lir1e..� Side Street Setback from�Cen e Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date 3/28/39 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SO. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. Fr. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SO. Fr. ® FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL SO. FT. =$ LUMBER GR. FINAL INSP. URINAL SO FT ® ROOFING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. Fr. RESID ® 11/4 c SEWAGE DISPOSAL NAL INSPECTIO SO.FT.GAR ® 3/ac HOUSE SEWER CERT. OCC. 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 PLUMBING 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 (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 �'��^� � �"L— 1-4 Ca REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND ING NAL INSPECTIO CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL r 3 PGA WEST RESIDENTIAL ASSOCIATION, INC. w i . March .9, 1989 Mr..& Mrs. Ralph Stone: 54-261 Oak Hill La Quinta, CA 92253 RE:. PGA Wes't'Residefitial Association Architectural Variance,Request/Pool ` t;. Dear Mr. & Mrs. Stone; , Your request'to install pool.per;submi:tted plans has been approved by the Architectural,.Committee,`7;subject to the following conditions: - No str.e.ss is to be .placed ori e-xisting'wall between courtyards - Area is 'to�be kept free' and '"clear .of debris, 'particularly on weekends No grout or cement residue_i,s to be disposed of in gutters, drains, planter beds,,etc. You may contact me at 341-0393`if you have., -any questions. Sincerely, ichele `Fi one r^ Property ager-' • v cc: Bonnie'Hanse.n i Hackett Pools & Spas 924 Vella Road Palm Springs," CA 92264 t P.O. Box 1008, Rancho Mirage. California 92270. Telephone (619) 341-0393 FAX (619) 346-5632