RPL (11296)77305 Loma Vista
11296
;.i ,• s;
Building -7.7305 LO -KA VISTA
A.•1.1.......
ner
CHEROKEE
Mailing
Address
City Zip
Contractor .
P b1 F POOLS
Address
50975 INDIO
City Zip
INDIO,,CA. 92201
P.O. BOX 1504 N o . 1.1 6. _
7&105 CALLE ESTADO :
LA QUINTA, CALIFORNIA 92253
BUILDING: TYPE CONST. OCC: GRP. .
A.P. Number
Tel. +
Legal Description
Project Description POOL AND SPA
.345-5070
State Lic.
City
Minimum Setback
Distances:
&Classif. C53_476807
Lic.#
Sq. Ft. No.
No. Dw.'
Side Street Setback from Center Line
Size Stories —
Units -
Arch.; Engr.,-
NeW.❑ Add ❑-. Alter ❑
Repair -0 -Demolition ❑
Designer
` 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 Divisiohl3ebt4he.Business and.Professions Code,/and my license is in full force a d
effect. • " ; """ R
,SIGNATURE IrUATE
OWNER -BUILDER DECLARATION
I hereby affirm that l am exempt from the Contractors License Law for the following
`.reason: (Sec. 7031.5,Susfness and Professions'. Code: Any. city or county which requires a'
permit to construct, alter, improve, demolish,•oi-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.provfsfons o/ the Contractor's License Law, Chapter 9 (commencing with Section 7000) of .
)Division 3 0l the Business and Professions Code, or that. he is exempt therefrom, and the basis
;;tor. the alleged .exemption. Any vfolation.of .Section .7031.5 'by 'any applicant'lor a. permit
- `-X subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
❑ I, as owner of the property, or mg 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 o/ property who.
builds or imp.rovas 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 -budder will have the burden
• , of proving that he did not build or bnprove for the, purpose o/ sale.) -
Estimated Valuation
$ 1416000
-
..PERMIT • '
-
AMOUNT - -
-
Plan Chk: Dep. • `' .•.
_ Plan Chk. Bal.
99.'45.
COr1St.
' -15 E'i O
-Mech. -
I .+ '
24 i'00
Electrical__ • . •'
45 a0 ._ '
a
Plumbing
27.00.
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
'•• slruct 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.I.-
• such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
-• ❑ lam exempt under Sec.. B. & P.C. for this reason
••
1 (}Q -
Grading
_ .-
Driveway Enc.
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 G
S 'j 7 e
01copy 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: ff, after making'•this Certificate o/ 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
i• 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.44
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
Infrastructure
TOTAL $349.85
REMARKS.
, -i , \ ,'\ - '\ h. C lt 4t •T P" .ice a
ZONE:
BY:
Minimum Setback
Distances:
Front Setback from. Center Line y
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
IST FL. SO. FT. @ $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CARP. SO. FT.
WALL SO. FT.
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
t'
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
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATMO (FINAL)
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
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® V4c
HOUSE SEWER
FINAL INSP.
ROOFING
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 -J& 0 UNDERGROUND a
G
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TA/NK ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) /A G METER LOOP
c [[[ LsC
HEATMO (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
FINAL INSP.
ROOFING
/ /CJ
�re9 I
Vt
•—�
REMARKS:
VENTILATION
.
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION Zqg
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESJINITIALS
GARDEN WALL FINAL