05827 (RPL)Y
Building
Address 52-880 M. CARRAWA
Owner
c&hjl 4 4 Q"
Mailing
Address SAXIE
City Zip Tel.
LA QUIMA 92253
Contractor
SWAN POOLS, 15C.
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
68-300 801011 ROAD #6
Zip Tel.
C.C. 1 92234 1 324-4460
State Lic.I City
& Classif. „r., twt %i , 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
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License law for the following
reason: (Sec. 7031.5,Susinass 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) 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 penally of not more than five hundred dollars (5500).
❑ 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 no apply to an owner of property who
builds or improves thereon and who does such work hinse/f 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 sate.)
O 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 contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. R. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certifycopy thereof: (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed B 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 Call omnia.
Date Owner
NOTICE TO APPLICANT: If, alter 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
1 hereby affirm that there is a construction lending agency for the performance of the
work lot which this permit is issued. (Sec. 3097, Civic Code.)
Lenders Name
Lenders Address
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.
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
ateMailing Address
City, State, Zip
ILDING: TYPE CONST
Number 773-322-007
egal Description TM 20
roject DescriptionPQT AND SPA
No.
OCC: GRP. -
05827
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation 10,000.
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
•��
Const.
70.03
Mech.
24.00
Electrical
• 10
Plumbing
27.vu
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
f) l i t+� I
I.re1 r# 11.11
f t:,"tr.
AA!
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 INSPECTOR
Issued by: Date 5/30/89 Permit
Validated by:
Validati
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
A.C. UNIT
2ND FL. SO. FT.
SLAB GRADE
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. ®
ROUGH WIRING
DRAINAGE PIPING
WALL SQ. FT.
DUCT WORK
DRINKING FOUNTAIN.
SQ FT ®
GAS (ROUGH)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to 4e used as property tax valuation
REINF. STEEL
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
SERVICE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
WATER SYSTEM
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FIRE ZONE ROOFING
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
ROCKSTORAGE
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$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
�/
/ �j y� /17
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
je::-�OA17—
2% DRAINAGE TO STREET
UNLESS OTHERWISE DESIGNATED.
POOL AREA SCALE 1/8" - 1"
PLOT PLAN - NO SCALE Job#.
POOL SIZE /o _'x ' DEPTH'_t�to_
R.B.B._-&_-OF OF OF
SHAPE Vyl-- BENCH
ACCESS ' SPA ' DIA.
MAKE -MODEL FILTER /�"� GPM
MAKE -MODEL PUMP H.P.
ELECTRICA ' GAS '
DECKING '
1"I
-f-9
r=i/,r
OWNER APPROVAL:
DATE
FOR OFFICE USE ONLY
AREA POOL SO. FT. PERI ETER 00
GALS. 9 C CHANGE HRS.
MAIN DRAIN t�6, - POOLSWEEP RUN
FILL LINE -/,PC. AUTO -FILL - --
POOLSWEEP
SKIM -VACUUM -' " ' # RETURN LINES Z -
TILE_ COPING ALE TRIM'
r
DRAFTSMAN
KI INCLUDED
BOARD TIME MASTER -.2r
SLIDE 3'� MAINT. KIT
HEATER '" FOOTINGS_''
BLOWER' ,STEPS ,,e
SPA JETS �� DEEP END DIG.''
SPA LIGHT SHALLOW END_.8r"
POOL LIGHT_ MASTIC .c
ENTIRE POOL RECIRCULAT-
LOT
SWAN POOLS
OWNER
ING SYSTEM TO BE OF
"
JOB ADDRESS/�8 D...��
P.V.C.
TRACT
68-300 RAMON ROAD, STE. 6
CATHEDRAL CITY, CA 92234
W
Telephone: (619) 324-4460
CITY//(..!/LJ�4— MAP #
1
CODE #
SALESMAN PLAN#
Lic. #421014-053
JOB PHONE BUS. PHONE