10817 (RPL)P.O. BOX 1504 No. 10817.
Building80~'035 ' Y � 7&105 CALLE ESTADO .
p Address • - -LA QUINTA; CALIFORNIA 92253 '
Owner �..
Peter Leggel:t
BUILDING: TYPE CONST. OCC: GRP.
Mailing -
, . .
Address 5a
A.P. Number
CityLa i u 12 92253 T?el4%738-6666 Legal Description
Contra ~ • a Pools Project Description
POOL AND SPA
Address .
41911 Boardwalk
City • " Zip, Tel.:
P.D. 92260 340-9000
State Lic. City ••
&Classic C53 1$'5102 Lic.# 355
-Arch. ; Engr., .
Designer
`Address Tel.
Sq. Ft. No.
Size - Stories -
• New ❑ Add ❑
Alter ❑
No. Dw.
Units
Repair ❑ --Demolition ❑� -
City
State
_
]Zip
Lic. # '
• LICENSED CONTRACTOR'S DECLARATION
'
t
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section i
7000) `3
l ,
of Divisionof the Business and`Professions Code, and my license is in full force and
• effect. . If . ,yd'. . .. . .
d'
SIGNATURE ,t-�re.�- - DATE
' ' a OWN DECLARATION ' f
I hereby •affirm that I am exempt from the Contractors License Law for the following
n
Estimated Valuation.
1311' 000
., 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 ficensed pursuant to
PERMIT,
•- .. AMOUNT t `
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,
. Plan' Chk. .Dep.
- - -
-
• subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). ' s
Plan Chk. Bal. •
., '
9' .60
p. I, as owner of the property, or my employees with wages as their sole compensation, will
• work, -7044,
,do the and the structure Is not.intended or offered for sale: (Sec. Buisness and�.
Const. -
n
144 '
Professions.Code:.The Contractor's "License Law does not apply to an owner of property who
.00
builds or rrnproves thereon and who does- such, work himself or through his own employees,
Mech. " '
24.00 ,
• provided than such improvements are not intended or offered for sale. fl, however, .the building. g,•
or Improvement. is sold within one year of completion, the owner -budder will have the burden 4,Electrical
• • •
-- 5., (y I� `
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.'
Plumbing -••
% . f}Q -
struct. the project. (Sec. 7044, Business and Professions Code: The Contractors License Law- .
does to -who builds improves thereon, for
1
- not apply an owner of property or and who contracts
^•'such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
S.M.I.
- .30
Grading
= O I am exempt -under Sec. B. 8 P.C..for this reason
... .
'
Driveway Enc.
Date Owner -
Infrastructure
7
WORKERS' COMPENSATION DECLARATION'
' I hereby affirm that I' have a 'certificate of consent to' self -insure, or a certificate of
Y
Workers Compensation Insurance, or a.certified copy thereof. (Sec: 3800,. Labor Code.)., .
Policy No... Company•
C?Copy is filed with the city... O Certified copy is hereby furnished.
TOTAL
' CERTIFICATE OF EXEMPTION FROM _
REMARKS
?ti4l' 41it4RflCAf=� X S''Ci�ii�l.s
WORKERS' COMPENSATION INSURANCE " '.`
?�`
, _
• (This section need not be completed rf.the permit is'for one hundred doaws, (5100).valuetion
• 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: n, alter making this :Certificate of Exemption you should become'ZONE:
'to
BY:
subject the Workers" Compensadon provisions of the Labor Code, you must forthwith
comply with such provisions or this permit small be deemed rewked.: •,
- - - -
Minimum Setback Distances: .. - - ... . •.
_
Front Setback from Center Line
Rear Setback from Rear Prop. Line '
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
1 hereby affirm that there is a construction lending agency forth; perfomtance of the
work for which this permit is issued. (Sec. 3097, Civil Code.) ., • _
--
Side Setback from Property Line
Lenders Name
,Lenders Address'
'
FINAL DATE'
INSPECTOR' '
•. This is abuilding 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:
Dat@ Permit -
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
Mailing Address
Validation:
City, State, Zip
_
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO, FT. ®
CAR P. I SO. FT.
WALL SO. FT. ®
SO. 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
LAUNDRYTRAY
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.
SO. FT. ®c
BATH TUB
VENTILATION
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® Vhc
HOUSE SEWER
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
t
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE ofigOUGH
PLUM _ IVAl 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
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
T =$
LUMBER GR.FINAL
INSP
FRAMING
FINAL INSP.
ROOFING
q►
�� - ' V $ ,/`�� ��
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL