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10102 (RPL)Jit �C?C P.O. BOX 1504 NO. 10102 Building54-130 RxV RiA 78-105 CALLE ESTADO z ,f Address LA QUINTA, CALIFORNIA 92253 _ Owner DR. FRED GRAFT Mailing BUILDING: TYPE CONST. POOL A&&. -R"P� Address SAME A.P. Number City Zip Tel. LA QU NTA _ 92253.. Legal Description Contractor Project Description' POOL AND SPA ' HAMR POOL$ AND SPAS ;. Address 73-547 3WY iii City .. Zip Tel.: PALM DESERT 92260 .346-6113. State Lic.` City & Classif. G53-73894,7; Lic. # A/ Sq. Ft. No. - . No. Dw. Size Stories • Units - Arch., Engr., ' i- Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑. Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section . 7000) of yrsion 3 of the Business and Professions Code, and my license is In full force and . - - eff ��•tr�'i�ar �.•'>�,✓.�-J'a... ` ',I�: �. i'�_� stn:? � �7`� 'SIGNATURE + - DATE - OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation e $'i Q j003- reason: (Sec. 7031.5,Buslness and Professions Code: Any city or county which requires a - permit to construct, atter, Improve, demolish, or repair any structure, prior to its issuance also ., • requires the applicant for such permit to rile a signed statement that he is licensed pursuant to PERMIT AMOUNT' -- 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 -' Plan Chk.�Dep. the alleged exemption. Any violation o/`Section 7031.5 by any applicant for a permit. subjects the applicant to a civil penalty of not more than five hundred dollars.($500). - - • ' Plan Chk. Bal. `^ 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 sale. (Sec. 7044, Buisness and Cionst. �� % (7�', Professions Code: The Contractor's License Law does not apply to an owner of. property who . builds or Improves thereonand'who does such work himself or through his own employees, that such .Improvements are not intended or offered for sale. If, however, the building Mech. 24.00provided or improvement is sold within one year of completion, the owner -builder will have the burden -_ EI@CtrICBF . ©4 of proving that he did not build or improve for the purpose of sale.). i». - ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 27 .00 • structthe 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.I. 2 .00 ' such projects with a contractor(s) licensed pursuant to the Contractor's. License Law.) , Grading -' O I am exempt under Sec. B. 8 P.C. for this reason . . Driveway Enc. Date owner Infrastructure - - • WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self-irisure, or a certificate of Worker's Compensation Insurance, or a certi(;e�iAp�y ereif S c4D3800, Labor Code.) Policy No. Company •# 'O<Copy Is filed with the city. ❑ Certified copy is hereby furnished.. ..- '`` TOTAL 439.55 CERTIFICATE OF EXEMPTION FROM - _ tREMARKS WORKERS' COM PENSATIO N INSURANCE -• (This section need not be completed !1 the permit Is for one .hundred dollars • (S 100) valuation or less.) I certify that in the performance of thg work for which. this permit is issued, I shall not x r}ClJ.1 Cif pt t'ta'� i1ty �')��jr3. employ any person In any manner so as- to become subject to the Workers' Compensation' California. _ .� - •- • -. Date - Date -+ Owner C _ `w�:v rs�i+�+�s5: _ NOTICE TO APPLICANT: If; after -"making this -Certificate of Exemption you should become :'ZONE:BY: .t.r•,• 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 thereis 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 It 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 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. Validated by: Signature of appllcant Date Mailing Address Validation: City, State, Zip _ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL SQ. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. I SQ. FT. WALL SQ. FT. ® $p FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES STORAGE TANK WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROCK STORAGE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED METER LOOP LAUNDRYTRAY AIR HANDLING UNIT CFM OTHER APPJEOUIP. 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 WATER SYSTEM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER AL INSP:. Q (C GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBINGDERGROUN� 1671 / UN A.C. UNIT COLL, AREA SLAB GRADE AIOUGH PLUMB. /\_ BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. AS (ROUGH) ,e�-7 METER LOOP HEATING (FINAL) OTHER APPJEOUIP. 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 AL INSP:. Q (C ROOFING /� PAS `' vw l/- VAF l US/'� l !(// REMARKS: VENTILATION FIRE ZONE ROOFINGIrl FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL