RPL (11595)44610 Marguerite Ct
11595
1 .
f Gl lG Gt/ .
P.O. BOX 1504 N o . 11595
Building 78-105 CALLE ESTADO
Address 44--610 Marauterita LA QUINTA, CALIFORNIA 92253
Owner
Mice & Allison iIters
Mailing I
Address 44-610 Maxczucaritc Ct.
City Zip Tel.
Contractor
Swan Pools
Address
77570 Springfield Lane
City lZip Tel.:
State Lic. City
& Classif. 421014 C-53 Lic. # 249
Arch., Engr.,
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 Division 3 of the Business and. Professions Code, and my license is in full force and
effect. ,
DATE
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 file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
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).
❑ 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.) ,
❑ 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 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 Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. / Company
op is iy s filed with the city. . O 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 L ' Owner
BUILDING- TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description Pnol- Ann qn?
NOTICE TO APPLICANT., If, after making this Certificate or Exemption you should become
ZONE:
- BY:
suect to the Workers' n provisions of the
comply with such provisions ort this permit shall be deemed revokedabor Code, you must forthwith
Sq. Ft.
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ -Demolition ❑
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.)
Estimated Valuation)
Side Setback from Property Line
PERMIT
AMOUNT
Plan Chk. Dep.
Lender's Address
Plan Chk. Bal.
81.90
Const.
126.00
Mech.
24.00
Electrical
45.00
Plumbing
27.00
S.M.I.
1..10
Grading
Driveway Enc.
Infrastructure
mentioned property for inspection purposes.
Validated by:
Signature of applicant -Date-
ateMailing
MailingAddress
Validation:
TOTAL • •
305. Uta
REMARKS
NOTICE TO APPLICANT., If, after making this Certificate or Exemption you should become
ZONE:
- BY:
suect to the Workers' n provisions of the
comply with such provisions ort this permit shall be deemed revokedabor Code, you must forthwith
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
1
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 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 applicant -Date-
ateMailing
MailingAddress
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SQ. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
OTHER APP./EQUIP.
DRINKING FOUNTAIN.
SQ 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.000L HOOD
SIGN
WASHER(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.
SQ. FT. ®c
BATH TUB
SPARK ARRESTOR
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3Vic
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.
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
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
c$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
Q
A-11 > /
`z/(/L 7 _// 3
i
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
Building
Address
Owner
Mailing'
Address
City
Contractor
! Aftta
la
Zip
422i
City IZip
State Lic.
& Classif. 493919 ,
Arch., Engr.;
' Designer
'Address
P.O.4'14
BOX 1504 'No. 0.8 36 '
78-105 CALLE ESTADO -
LA QUINTA, CALIFORNIA 92253` r • ;
cc BUILDING: TYPE CONST:= OCC:.GRP. ,..,
A.P. Number Tract 24288 — Phase I
Tel.
Legal Description Cactus FIIrsmT
Project Description hlim SM -• Lot 53
_xErw,
,7
Tel. y
,t r
City
Lic. # 123.1 Sq. Ft. 2134 No., No. Dw.
Size Stories Units
Tel.
New ❑
Add ❑•:. Alter ❑
' -City
Zip
State
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
.r•
'
Lic. #
TOTAL
LICENSED CONTRACTOR'S_ DECLARATION
CERTIFICATE OF EXEMPTION FROM
' 1 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 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
(This, section need not be completed if the permit is for one hundred dollars ($100) valuation
Estimated ValUatlon
'
'
PERMIT
„ 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
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000). o/ -
', vDivision '3 o/ the Buslness and Professions Code, or that. he is exempt therefrom, and the basis
' '.for::fhe alleged exemption. Any violation of Section -7031.5 by 'any applicant for a permit
'subjects theapplicant 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
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 J
• 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.'
' o/ proving that he did not build'or improve for the purpose o/ sale.) "
Plan Chk.'Dep. '
Plan Chk. Bal.
Const.:_,
Mech. - - -
.:Electrical
Plumbing
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
` struet the project. -(Sec. 7044, Business'and Professions '. Code: -The Contractor's License Law
• does not apply to an owner o/ property who builds or improves thereon, and who contracts for ,
such pro/acts with a contractor(s) licensed pursuant to the Contractor's License Law.)
'
0 1 am exempt under Sec. B. & P.C. for this reason
S:M.I:
Grading'
Driveway Enc.
-
Date owner" \ -» s^
r
Infrastructure
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.
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Front Setback from Center Line '
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Repair. ❑ 'Demolition'❑
113,413.€0
AMOUNT
11' Cn
• 'r sn
Q
• e
Policy No. Company
-1"
I I, 1 t ' '
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
—
'
TOTAL
R *. /
0184 .30
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE ' •-
'
(This, section need not be completed if the permit is for one hundred dollars ($100) valuation
_
` „.•- ... , .. „ ;
or Jess
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. •
'
NOTICE TO APPLICANT.r It, 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 AddressFINAL
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
t
construction, and hereby authorize representatives .of this city to • enter the above-.
mentioned property for inspection purposes.
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
,.';_tf'L f'^• 1 it..i..
•aX`¢ {.l`- .Y xf..'F x"1 `5 {
tr _: ,, ..✓ i , .'w '
Z .2r '
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ 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
STORAGE TANK
FLOOR DRAIN
MECHANICAL FEES
DUCT WORK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REINF. STEEL
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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.
SQ. FT. ®c
BATH TUB
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
71
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACKGROUND
PLUMBING -q, (%UNDERGROUND
A.C. UNIT
COLL, AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
�g
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)5-X-0 t , l METER LOOP
66
HEATING (FINAL)
OTHER APPJEQUIP.
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, GG Ot
FRAMING q t? 0 Gp
FINAL INSP.
ROOFING qz4h. r
VENTILATION
p
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LAIJ
LJkTHING
MESH
INSULATIONISOUND �(G
FINISH GRADING
FINAL INSPECTION 3 6
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES11NITIALS
GARDEN WALL FINAL