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002392 (RPL)
P.O. BOX 1504 No. 002392 Building 78-105 52-600 Avem C� LA QUINTAC Address CALIFORNIA 92253 Owner MOMS BUILDING: TYPE CONST. OCC. GRP. Mailing j� Address A.P. Number City Zip Tel. L Quint 9225 Legal Description Contractor Project Description F 1P TIMIS Address. 53-045 AM10a Deus City IP,ZTelf✓� / Ta f menta 9M 3 State Lic. ' City & Classif. _4- Lic. # Sq. Ft. No. No. Dw. Size • - Stories Units Arch:, Erigr., Designer New OC Add ❑ Alter ❑ Repair ❑ Demolition ❑ .. Address Tel. City Zip State Lic. # _. -X 30 PM1 LICENSED CONTRACTOR'S DECLARATION. 13 I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section r 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. aj SIGNATURE e'v DATE OWNER -BUILDER DECLARATION Estimated Valuation 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 tl permit to construct, alter, improve; demolish, or repair any structure, prior to its issuance also i requires the•applicant for such permit to file a signed statement that he.is licensed pursuant to PERMIT - • AMOUNT the provisions of the Contractor's License Law, Chapter9 (commencing with Section 7000) of ' Division 3 of the Business and Professions Code, or. that. he is exempt therefrom, and "the basis' - - i 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 five hundred dollars ($500). - • ❑ I, as owner of the property, or my employees with wages as their sole compensation, will , Plan Chk. Bal. do the work, and the structure is not intended or offered for sale. (Sec: 7044, Buisness and Const. 62.50Professions Code: The Contractor's License Law does not apply, to an owner of property who w builds or improves thereon and who does such work himself or through his own employees, Mech. ' 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 Electrical 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 ' Tnt) struct 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• - e� such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - Grading O 1 am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date owner Infrastructure 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 ❑ Copy is filed with the city. . ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COM PENSATIO N 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 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 Address -signed FINAL DATE INSPECTOR This is a'building permit when properly filled out, and validated, and is subject to expiration if work thereunder is suspended for 180 days. I have ^8 3 6 Permit certify that I read this application and state that the above information is correct. Issued by: Date 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 forinspectionpurposes. Validated by: Signature of applicant + Dale _ Mailing Address l Validation: City, State, Zip A 5 7 1 1 6 3 14362 CR HARD COPY Y CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEE§ IST FL. SQ. FT. ® $ UNITS SLAB GRADE JVROUGH I Y ROUGH PLUMB. /Q BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. ® FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WATER HEATER WALL SQ. FT. ® FINAL INSP. DRINKING FOUNTAIN SQ. FT. ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation &INAL INSP. 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 LAUNDRYTRAY AIR HANDLING UNIT CFM 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 SO.FT.GAR ® 3/ac 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 UNDERGROUND6 a A.C. UNIT COLL. AREA SLAB GRADE JVROUGH I Y ROUGH PLUMB. /Q 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$ =$ LUMBER GR. &INAL INSP. FRAMING g&eFINAL INSP. ROOFING (� A ly /' J � � I` l:� L/ �'i% y�J `�/ � �J YL ('' v J Q �J (l•/ G� ( , REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL— INSPECTOR'S SIGNATURES/INITIALS, GARDEN WALL FINAL SIZEo' V 1Y ' DEPTH = SKIMMER LINE z WE RETUM LIPS COD PAIN LINE TILE CUR SKIMER P I2" COPING HEATER POLE CAPACITY (GALS) GAS LIFE BY: RPP CAPA M(G.P.M.) ELECTRIC BYFILTER (SO.FT.) PUP u Ftb L1GHf SD D Ld TIME a= N.P. To FILTER RALE (G.P.M.) AMI SIPHON VALE ' RIRWO (G.P.M.) DECKING BDARD I SLIDE CITY OF LA CommunityQUINTA Development/Bldg. Dept. CONDITIONALLY ACC -D F0jRj COPiSTRUCT1011 G iT TQ INSTAL .,�. LAr1ON ac nGo Wir- Ar AMR. DEEP Cmr S °I0 swear S EWM PHX SC&E: / ' = IV DATE Cts 020 0 CTT �o 4�0 js,000,or-) Val, 3�,8� tea-, C1� So 50 ConS�° 5c) _ 5Y*V) 6nPiih MR -52 GOO - "i -We. -C A R Ft AN Z -A "-- - --:-:LA. Q U) N TA i L ROUNDED GROUT CAP #4 REIBAR 1 N TOP COVR5E BOND BE^m 04 G 32"O C. CR) GX8 X 16 5LOCK n V 1� -71 * R EBAR CON TI N UO US NOTE. SOLID GROUT REINFORCED CELLS � GARDEN WALL .3/4=u 1-0 52 -GOO AVE r-ARRANZA LA OUINT,A. CA_ -ARTEMIO FLORE5 1 T1/1S QpO,� p ESIG/t/ Is /A/ neAld En) ,FOR c='0A4Rq eA 7 L Y L EVE ZL S't TEu' W1 TfH 19 2" - 6 " it/1RXIMUM X-IL4 . y- ^ �'},Ew1GN Lno -Sq A14 r gPPC Y r/1/NE�eE E"XPA/11S'/1/E- �40/G G'c7/vp/r/oAls TfaE, 'E 'HAG L 8E NO G,eo&A16 W,9 TE.e A r POoL sl rE. 4. POOL 6it1r4LLS SHALL BE Ala 040S'EW THAAl S' U" TD BUILD/NGS', W,9zLS FOOTNUGS', O/e O rHE",e s rRUO rOeES Wl-l/C'H MA Y IMPOSE A O,(/ 7-HE POOL, W. 9L L . �j. G'UiVITE - NIA4:2H/R1E 444rED PA16UMI.9T/cAL4.y PL.RC"!S'0, 6 SACK MIX, e000 P 6, /. 1,u 28 p,4 Ys, W.9 rER eU2 ,23 r1m ,-s UAIL Y, FO E' ¢ 4 q s',f 6 )eE11uAc STEEL - DEFOkA44--10 BR,QS IlVrERMEn GL? 4U' Q1f? soolo ,er ory 1srEEL. srA1,ex ok L'EMErlr 8L4AII-c '. 7,' CONSTeUC7- POOL c-LwR g wg6zs, door--j, AGAI1vx7' 1V,4 r0,eAL 0N5 l S TU1'BEO 9014. PL olw4glAla g EL.Ec re/C 9L 11VSTi9GL.9r10A1S 7-0 C0A1FOlC TO LOCAL C0,6ES ro f,�EATE.(2 .C,C D6t�ME7"E"�2 C'NG Ole MIA role_ EFFL U EN T" G'AuG',G - ,gJAI7,P /,V FL U,EN r G'H UG.E S/GHr G'GA,.S'S 12Ee� A/�Ee O,e ©,e ywE.LL. �. E. " cw rEe /-Ou.e w-9 Y V44 vE H o L- S re�J1.vE� EQU/P. - FB �/,9T0//I �/� TFE4O rVr^r TU E2/9L BO1VD BEAM �0D V T/iVlJOUS') r q v l2"O.C.. f�LL 6 I rVHEeE wRr6-.e DE,�TH EXG'E'EpS' `� FLOOR S ram. 3/8" 614A @ /0"o. c. • BOrH ©12EC7'/OAIS' 30 i-- -- -- AL L POR 120ry r,4L • �.. ,_ /2 "Q C7 is 0,44� C04-A7" 10A1,S 68s' /61I P004. -OR E7�9,e rh' P,e6-(P V0 QE EMP r y AJO 6.e00A16 WATE.�2, PE�c'ME9.8GE SQ1G. �e = 2000 PS. / Ar r /-500 PAS' /. n = /S W = 30 1& E©. F-L. )oeESS fM = WH3 ,y - 417 M n/ 6 "! q y so. lA 3 /('oo S00 //00 2 .04 4 &800 /200 2 coo 3 06' ti 7S00 2eoo 4&)00 4 0� c /�, 000 61200 C800 4 /2 7 20 S00 /3 OQ 0 7500 4 /3 -7 2 00 / 0J / 00 6'200 3 /4 CHEL �cc 0 = 2 S Pr 22 0�6'/ np = o� K= .344 `j, •&� 2-x 62 00 .344 X.88 jr fe X32 .380 PS/. < SOD ALL014/ G'NE C K 2.5 �),eP rN , Poo/ FULL Ut/S'UPPO� TE L� M - 5'f f-7 x 2-`7 3 x 12 6 .30 = 2'5 (60 4' 6X -88X 2 i ADD #3 .e' •— — ®+ --'f BErVT g,9,E'S' Ca l e_ G' r10A1 - O. a1 < . // FU,e,V CITY OF LA QUINT COMMUMN �p- �r,--rflldg• Dept. DATE 6 AND ALU A BY 5�oJ �. ow yrcr- 0pNS TR UC 7-10 AJ —i _ � f E it1G TH l W16 T h' 3 �S'URFA, C'E A E'F4 - - ---- MIA1. 6 EP T1l -- _ -- S<OPE OF BOTTOM L- UNCJE,e 4 //2 ae �' _-_--4 //2' OR 5'7-0 MAX. 6EP7-,q S P004- F/L L SPOUT- -- AIP 67AP S'EPAA2,9 7-10AI_ 9R64kE,es SK/NIM1A/6 WE/e - N5? --.. ----------�!A rE W,9�kS -- --- -- - -- --- ---- pEPrll M 42kERs' ---- — _ -- — POOL CO /LP77 G'LJN/ TE -_ _----- -__. _--_- C'O,eA /E eS C'O VE © ---- - - --- - -- F/�l//SH -- ---------- C,4P19C / TY ,61.9 TOM FiG rEA-- /A16 SUPF.9CE ,9,eE19 ,eE"CI,eCULAT10A/ 6,9 rA MO/>EL PUMP C'APf3e/ T Y --__ _.- __-- -- .. _ __ __ G• PM - PUMP MOD-`L rOeAIOVE,e /,V B NOU,taS __ ____ _.._-_ ---- ___._.___._ (s'f16. MAX. -40w P�E'ESSU.eE GAUGES /NFCUEN7- 'EA r,!F OF FLOW HA/2 b L/.VT C,9TC'NE.F ____ _._ CHLO.efitlATOR _- COfI GULA�t✓ r FEE�E.E' P,�'E" C'OAT pO r _ F/L rE",e 1e00 M �1- O L' L1/1I. 1014 r�l- . S'K/MM/A/G WE/2 L VAC'vUM _ __. - Z�/A. M1qT4- P004. ,ee!�-TU-e v -- 01A. MArL._ M/SCc -Z-Z..4NEO-00J E001/7 MoQEL NO. 1it1L_ ETS' n l v/,(1 (3 BOy e - - - - - - - - - . _ _ -- lsoz) Y 140 0 k — -- -- QPE. ol BUo s119 --- -- ------ - - - --- rEsr K/ T _------- ------- N�9�t/d iE'EC'ESS'En S'TEPS-- TlON A 7,6 EEf ErVQ T Y,01 C' AL P E-(2. ,--sLs NO . SC94.E