002629 (RPL)Building
80-447 Oak MineAddress
Owner
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of .
L31��L�Tft
Mailing-
"subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their -sole compensation, will
Address�
Const..
City
Mech. -
Zip
Tt rfrs5a �2i.>;�a
Dntractor
0MVM Pools
ddress
City lZip
Palm Desext 92260
State Lic.
& Classif. 31MS
Arch.,•Engr.,
Designer
Address
a
P.O. BOX 1504 No. 002629
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
346-6065
City
Lic. # 744
Tel.
BUILDING: TYPE CONST. OCC: GRP.-
A.P. Number. 76!�-31 ." 092
Legal Description
Project Description
Sq. Ft. No.
Size - - Stories
New (11; Add ❑ Alter ❑
City Zip State 71 _e:
Lic. # . .
LICENSED CONTRACTOR'S DECL'AR9,ZION
I hereby affirm that I am If under,provisions of Chapter 9 (commencing with Section
7000) of Division 3,6f the Business and Professions' Code, and my license is in full force and•
effect. .111 1fi)lll� ( >F A',t fin ,
SIGNATURE .N-/.�i../ - .. -� f' �•�i A - DATE --
.d OWNER BUILDER DEC.LQRATION
r+�- Q;W,,
✓ I- hereby affirm that I am exempt from the'Cont-ractor's License Law for the following
. reason: (Sec. 7031.5,Business and Professions, Code: Any .city or county which requires' a
"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
Estimated Valuation
-
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. De p' '
"subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their -sole compensation, will
Plan Chk.. Bal.
Const..
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. -
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 '
Electrical
or improvement is soldwithin 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
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
-struct the project. (Sec. 7.044, 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 contractor(s) licensed pursuant to the Contractor's License Law.) -
❑ I amexempt under Sec. - B. 8 P.C. for this reason
Grading
Driveway Enc.
Infrastructure
Date Owner
'
WORKERS' COMPENSATION DECLARATION
hereby affirm'that I have a certificate of consent to self -insure, or a certificate'of' '
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. -
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
Front Setback from Center.Line
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
Rear Setback -from -Rear Prop. Line
TOTAL
No. Dw.
Units
Repair ❑ Demolition ❑
AMOUNT
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE . f ..
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less:), -
1 -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: If, after making this Certificate of Exemption you. should become
ZONE: �
BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. -
-Minimum Setback Distances: - -
Front Setback from Center.Line
Rear Setback -from -Rear Prop. Line
CONSTRUCTION LENDING 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. 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 Ahat I have read this application and state that the above�information is correct.
Issued by:
Date I111 -7-A Permit
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. F' r * ;
Validated by:
Signature of applicant ' �'+' r+ fr✓� �' �.•-- Date
Mailing Address V' �` -•
Validation:
City, Stale, Zip f '- K
A 6 4 8 3
10 7 x..,346 Cf,
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT.
3ONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. FT. @
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APP.IEOUIP.
DRINKING FOUNTAIN
SO. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® 3/ac
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 PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
3ONDING
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.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
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