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001376 (RPL)PERMIT APPLICATION City of La Ouinta Department of Building and Safety This permit becomes void if work not commenced within 180 days from date of issuance, OR, if work has been suspended or abandoned for a period of 180 -days. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions,of Chapter 9 (commencing with Section 7000) of Division Sof the Business and Professions Code, and my license is in,full force, and effect. ./ 1 /1 License Class - Lit. Number OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law fo/e following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a pepit 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) 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 of not more than five hundred dollars ($500.): 0 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, Business 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 thrdugh,his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvemnt 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.). 0 1, as owner of the property, am exculsively contracting with licensed contractors to construct 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 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.). 0 1 am exempt under Sec. B. 8 P.C. (Attached Certificate). Date Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, ova certificate of Workers' Compensation Insurance , or a certified copy thereof (Sec. 3800. Lab. C.). Policy No. Company . O Certified copy is hereby furnished. o Certified copy is filed with the City Building Inspection Department or City Department. Date Applicant APPLICANT NAME (L. F. MI) *Cptt m Pools ADDRESS CITY/COMMUNITY/STATE/ZIPJ� IF JOB SITE ADDRESS/SPACE 51-525 Ve. Mendoza fn�'C/�9�2T2253 CITY/COMMUNIT//STATE21PT ^ Quint 1.Gi �/'1 , BOK PAG •PRC C 17.50 TWN PING SE S TRACT LOT SMI Fee .74 MOD SB TRACT NAME OWNER NAME (L. F. MI) Jin Sparks CONTRACTOR -FIRM NAMEt• ADDRESS bow CITY/COMMUNITY/STATE/ZIP aW Vc PHONE* LICNC ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE • LICNC • - USE OF PERMIT Rol BL I I ZON FSB SSB SSB RSB OFC ZONE ORD • LOT SZ END SIDE CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if the permit is for one hundred ($100) o, less. I certify that in the performance of the 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 Applicant 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. DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: 0 I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building'structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2, Sec341, Title B, C.A.C.) 0 As owner -builder, f;will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from that division. .0 Division of Industrial Safety Permit No. Date 'Applicant 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, Civ. C.). ^ Lender's Name Lender's Address 1 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 county to enter upon the above-mentioned property for inspection purposes. J Signature o1 Applicant m Agent !/ Date r CERTIFICATE OF COMPLIANCE AND AUTH6RIZATION OF ENTRY: I certify I have read this application and state that the information given is correct. I agree to comply;with.all state laws and county ordinances relating to buidling construction, and authorize a' representative ot,the City of La Duinta Department of Building and Safety to enter upon the � r, ch I jv�a�lie�d f, t `permit I r the purpose of making inspections. r Signature of Applicant or Agent V W j Date Print Applicant/Agent Name / f APPWRMT"M1.76 M 1. 7 6 9OAT _14-8S POOL Pesmit to const one 14 x 28 pool with 65 round spa as per approved plans. Meeh. Fee 17.50 Plan {heck Fee 56.22 Const. Fee 86.50 Elect. Fee 18.00 SMI Fee .74 Pluming Fee 18.00 TOTAL 196.96 A 1 0 2 5 5 14 1 BLDG. DEPT. VALUATION 1 10,7(5.01 NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTdR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & Ducts 2A Slab Grade 35 Furnace Compart. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood. 10 Fireplace P. L. ❑ 43 Final 10A Fireplace T.O. ❑ NPON ADDITIONAL INF RMATION SEWAGE SYSTEM SIZE &LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal •20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final � Tank Pit L. Line ELECTRIC APPROVALS REAR OF PROPERTY LINE PSL PiI STREET NAME 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final i'w.S - ' • ._ " - i" +' fie,''' P ; _ ' .• r - - a �„ .a� -, ♦ i t ,,.� :_y * .. , i ��,. ...g - .. .�} ` r• �. +. .. ..- a .. - _ � "X • . Com/�lMeg•.--Dept. 4 CONDITIONALLY ICC )NAM A7 ALL APPL'eCABL DES' - . y _ •• = t / y;s - } • A. � ZZ . AREA MAP \� kEY MAP NO "d/s�, ExlsJYA�- fio ,►�` ��.►.. BISHOP GRAPHICS/ACCUPRESS REORDER NO. A27590 CSCE-_ NAME JIMFl i4r*WE ADDR Sl SLS /� ✓e /�%Nlb z aulndle LOT ' z- BLACK //3 SECS SUBDiV. R TELE. ,W TELE SALESMAN :26 !N, UlAd el Neptu _ • ' SdAL.E : I. _06 - - PROPERTY LINEUO UTILITY POLEJD .ACTION BOX ® HOSE BIBSKIMMER ' DECK•O•DRAIN -- •-- -= UTILITY EASEMENT QE ELEC PANEL QB BL OWER = --- FCL LINE -4 LKHT, AREA DRAIN -�-� FENCE (HEIGHT, TYPE) ©GAS METER 0 WATER, LEVELER OF FILTER DR RETURN -_= PVC DRAIN _ -E-E- UNDERGROUND ELEC. 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