13393 (RPL)T4'ht 4 4 Qum&
Building
Address 52-780 Ave. Carranza
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
vvv„c, Wessman Development I
Mailing Same
Address
City Zip Tel.
Liz fuintst, CA 92253
G� War-t2fn Pools
05 A Perez Road
9&thedral Cit; ;Ip CA 92234 TeS24-'-1232
State Lic. City 1044& Classif. A 574123 Lic. #
Arch., Engr.,
Designer
Address Tel.
CityI Zip I 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
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
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit (o file a signed statement (hat 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).
❑ 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 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.)
❑ 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
Ci.Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need net be completed if the permit is for one hundred dollars ($100) valuation
or 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 owner
NOTICE TO APPLICANT., If, 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.
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, 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.
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
No. 13393
ILDING: TYPE CONST. OCC. GRP.:
P. Number
al Description
PiJOl
Project. Description
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $7,000.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
55.50
Const.
90.00
Mech.
24.00
Electrical
45.00
Plumbing
23.00
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
241.50
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE I
Issued by: Date
Validated by:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. p $
UNITS
ROUGH PLUMB. BONDING
2ND FL. SO. FT.
STORAGE TANK
YARD SPKLR SYSTEM
SEWER OR SEPTIC TANK ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH) METER LOOP
HEATING (FINAL)
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT.
DRAINAGE PIPING
WALL S0. FT.
FINAL INSP.
DRINKING FOUNTAIN.
SQ. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
LUMBER GR.
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP. �1_2
11
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
LAUNDRY TRAY
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
SO. 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
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE I PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING t/ j UNDERGROUND �t/7S �7
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 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. l8 ��� y
FRAMING
FINAL INSP. �1_2
11
ROOFING
--p 'y-
Ft' y vlofp
REMARKS:
VENTILATION
FIREZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESflNITIALS
GARDEN WALL FINAL
ACCESS
BACKHOE 5'
20'-0"
DECKING BY OTHERS
10 1
0' -0"
AIR
1.*— 9'-�" —•� r
S
PATIO AIR TO BE MOVED
BY OTHERS
SPA SPECS.
GENERAL SPECIFICATIONS
SIZE
RAISED "
LITE WATTS
TRI LEVEL SEATS
22" 24" 27"
DAMWALL WIDTH
SPILLWAY SIZE X "
SPILLWAY
OPEN CLOSED
SIZE 10 X 20 AREA
DEPTH 3'-5'
SHAPE PERIMETER
TILE SIZE
TILE COLOR
COPING BY OTHERS
COPING COLOR
POOL CAPACITY
GALS
PUMP CAPACITY 60
GPM
MOTOR HP STA -RITE 1
HP
FILTER STA -RITE
SQ FT
j
i
FILTER RATE 60
GPM
TURNOVER
HRS
VACUUM LINE & 1.5
"
SKIMMSER 1.5"
MAIN DRAIN 1.5
"
SKIMMER MODEL AMpgIrAN
CHECK VALVE ----
HEATER LAARS SIZE ----
BTU
GASLINE BY -------
POOL LIGHT 400 WATT
SPA LIGHT -------
CLOCK 220V.
ELECTRIC BY S.D.C.
ELECTRICAL BONDING BY:S.D.C.
TILE AND COPING
POOL AREA TO BE ENCLOSED BY DECKING BY OTHERS
MINIMUM 5 FT. NIGH FENCE.
CONTRACTOR cannot assume
ALL GATES TO HE SELF-CLOSING responsibility for damage to
AND SELF -LATCHING. curbs, sidewalks, driveways,
cement slabs, sewers,
lawns,trees, fences, retaining
elct, walls, sprinklers, telephone lines
or shrubs. When access is made
through a neighbor's property it is
ADWSUDENCE � understood that you, the owner,
have that neighbor's permission
and assume full responsibility.
-�2rsa 9I
�° "� ::. Name: WESSMAN DEV.
. r ate`;\@
Address: 52780 AVD. CARRANZA
LA QUNTIA
_ �
Dodson
?� n
D ALL fie=; LICABLE C i LS
ATrcE Pools
,- � 8Y '
SHOW ROOM
68-805-A PERZ RD. STE. E-9
CATHEDRAL CITY CA. 92234
PHONE (619) 324-1232
LIC # A-574127