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12149 (RPL)Building Address 54-370 Riviera Owner Casey Mailing Address Sane City Zip Tel La Quints, CA 92253 Contractor California Pools & Spas Address 41--910 Boardwalk Suite A2 - P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Palm Desert, C11. '92260 342.-9000 State Lic. City & Classif. c53 183102 Lic. # 355 Arch., Engr., Designer 47 Address I Tel. City Zip t • IState Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am Iiee sed 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 g�fect.r� SIGNATURE 7 f DATE i> f OWNER -BUILDER DECLARATION 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, alter, 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 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 subjects the applicant to a civil penalty or not more than five hundred dollars ($500). ❑ 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 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. If, 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.) ❑ 1, 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 apply to an owner or 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 Compen � tio_. n Ins_yrance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. '10111�• `t' Company 9.0bpy isrfiled with the city. 0 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: It, after making 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 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 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. 1,2.49 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description Pool and Spa Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Estimated Valuation $12,,500.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 07.75 Const. 131.00 Mech. 24.00 Electrical 45.00 Plumbing 27.00 S.M.I. 1.20 Grading Driveway Enc. Infrastructure TOTAL 319.95 REMARKS _C44:71 i- rt) I44L X' J1 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES; 1ST FL. SO. FT. ® $ UNITS r 2ND FL. SO. FT. YARD SPKLR SYSTEM 1 POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO, FT. ® POWER OUTLET ROOF DRAINS CAR P. I SO. FT. DUCT WORK DRAINAGE PIPING WALL SD. FT. DRINKING FOUNTAIN. SO. FT. ® HEATING (FINAL) URINAL 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 GRADING cu. yd. $ plus x$ LAUNDRYTRAY AIR HANDLING UNIT CFM AL INSP. -a/ KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB FIRE ZONE ROOFING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TO -AL FEES -17MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GR UND PLUMBING 6 DER ROUND 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 APPJEOUIP. REINF. STEEL AS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. AL INSP. -a/ FRAMING INAL INSP. --2/_ ^ � v ' SROOFING GU �� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING AL INSPECTION _/- III��JJJ CERT. CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL 7d ARC_HITECTURiL /LAND SCAPE VARIANCE APFLICATION FGA WEST RvgTnEN^TAT, �iSSOCIATION, INC. t. eats _ proposec. home improvement pi `nc to; =GA WEST RES==ENTT_AL ASC:rT_-TT,:N, TNC. C. Box 1060 La xuinta, Ci 92253 e, 55-941" PGA—Boulevard ntt::: Property Manage_ L41lblg3 PHONE:UNIT: A F-PROX11MATE COM LETIC,N BATF'' iIrC J ? following appropriate infor-oration Should accompany your COT:Meted a:pl .cation _. _lir W -__S of complete plans to include. a. ITiprovements and/demolitions b. Plot plan C. All dimensions proposed d. Relationship to neighboring units .e. Material and color scheme f. Planned modifications of all external systems (land- scape, sprinklers, gas lines; electrical, etc.) 2. -.-.Ag.reement a=+cl Covemant Running ,with the Land completed and rotor_zed. Two (2) original. 3. Conditions,of Approval and Disclaimer form (signed) 4. Facing.and Ad acent Neighbor form (if applicable) 5. Construction Regulations form (signed) ELECTR=CAL [ ] Approved [ ] Disapproved Signature Da =e _ANTSCn� K-A-pp-L-oved 1 Disapproved L gnat' e Date . �.•_ T .TTl7 _ J�r�T'mrwFE ��] Ap: r V?�i D.sapArOVed S T