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14349 (RPL)P.O. BOX 1504 Buildress Add54'045' Carranza LA QUINTA, CALIFORNIA 92253 Owner Jeff Crandell Mailing Address Same City Zip Tel. ."a Quinta, CA 922.53. J Contractor Dodson Pools Add esg _ by s 5 A. PekeZ Rd. E--9 City Zip Tel.: Cathedral Cit , CA 92234 324-1232 State Lic. City & Classif.. 574127 Lic. # 1044 Arch:, Engr., Designer Address Tel. City Zip State Lic. # LICENSEWCONTRACTOR'S DECLARATION I hereb affirgm h t ham licensed under provisions of Chapter 9 (commencing with Section /701x)) of ivislon 3 o the Business an4 Professions Code, and my license is in full force and 7C,effect. 1 GNAT I e' DATE s 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, after. Improve,. demolish, or repair any structure, prior. to its issuance also requires the applicant for such permit to ft 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 tAe applicant to a civil penalty of not more than live 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 bulid or knprove for the purpose of sale.) ' ❑ 1, 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) tfcensed pursuant to the Contractor's License Law.) 0 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 N-0 01 Company opy Is filed with the city, . ❑ Certified copy is hereby furnished. \ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION 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: ff, 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO -ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 160 days. I certify that I have read this -application and state that the above information is correct. 1 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. 14343 BUILDING: TYPE CONST. A.P. Number Legal Description Project Descriptionr'' OCC: GRP.- Plan Chk- Dep. Plan Chk. Bal. 93.60 Sq. Ft. Size No., No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Electrical 45.00. Plumbing 27 , 00 S.M.I. Grading Driveway Enc. Estimated Valuation)"3 600.00 PERMIT AMOUNT Plan Chk- Dep. Plan Chk. Bal. 93.60 Const. 144.00 Mech. 24.00 Electrical 45.00. Plumbing 27 , 00 S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS' ZONE:' BY: Minimum Setback Distances:. . Front Setback from Center e Rear Setback from Rear P e Side Street Setback fro ter L. e Side Setback from Pr, y Li FINAL DATE 14SPEC' Issued by: •DateIN ,;vt Validated by: —tJ s In3 -- L CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. RLUMBINU FEES IST FL. SO. FT. ® $ UNITS A.C. UNIT COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL. SO. FT. @ BONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. SO. FT. ® SEWER OR SEPTIC TANK ROUGH WIRING GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (ROUGH) DRAINAGE PIPING CAR P. SQ. FT. ® HEATING (FINAL) I WALL SO. FT. ® DRINKING FOUNTAIN SO. FT. ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GRADING cu. yd. $ plus x$ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11A c SEWAGE DISPOSAL SPARK ARRESTOR SO.FT.GAR ® 3/ac HOUSE SEWER GAR. FIREWALL 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 ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EOUIP. 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 E��i(% /cn / / 41< J/Vq REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE2/!�/� SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL �� S INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL P.L. (chain link) existing redwood retaining wall I \ 18" MIN. WID' DEC] two ,� fountain sprays 0 (o 16' /P,L,(wood fence) excavator: remove loose rock in access area. 6'R 13' toe light switch J -box O 8 hb W W tem imeclock & 4 recepticles bench w/ 2 jets -deck drains 44' (TAN COLOR) id a/c location slope i BOBCAT ACCESS THRU NEIGHBORS YARD REMOVE AND REPLACE 2 WOOD FENCE FOR BOBCAT + ADD 2 WOOD GATES TO NEIGHBORS FENCE RAINBOW 300 CHLORINATOR KREEPY KRAULY P.L. ELECTRICIAN: (wood fence) RELOCATE A/C CONNECTIONS existing Y concrete �� ! i patio door W S U CITYO LiAu INiAl l BUILDING & S FETY DEPARTMENT CO. DITIONALLY ACCEPTED OR CONSTRUCTION SUBJECT TO INSTALLATION AS PER AND ALL APPLICABLE70 'ES i DATA ` c ay GENERAL SPECIFICATIONS SIZE 14 X 28 AREA 314 DEPTH -3.5' to -6' SHAPE CUSTPERIMETER 72' TILE SIZE GROUP 2 TILE COLOR SMF 36 (3X3) RAISE BEAM NONE COPING CANT. POOL CAPACITY 10,600 GALS PUMP CAPACITY 50GPM MOTOR HP STARITE HP 3/4 FILTER STARITE 300SQ FT FILTER RATE 100GPM TURNOVER 4 HRS RETURN LINES. AND 2 SPA JETS MAIN DRAIN YES SKIMMER MODELDUAL PORT CHECK VALVENONE HEATER LAARS SIZE NONE BTU GASLINE BY NONE POOL LIGH100 W W/COLORPAK CLOCK 220V ELECTRIC BY S.D.C. ELECTRICAL BONDING BY: TILE AND COPING DECKING BY S.D.G300SQFT KOOL DECK-KC117 CONTRACTOR cannot assume responsibility for damage to curbs, sidewalks, driveways, cement slabs, sewers, lawns,trees, fences, retaining walls, sprinklers, telephone lines or shrubs. When access is made through a neighbor's property it is understood that you, the owner, have that neighbor's permission. and assume full responsibility. Uam-e:Jeff Crandell Address: 54045 Carranza City: La Quinta, Ca. Yd A00 503 Peak SHOW ROOM 68-805-A PEREZ RD. STE. E-9 CATHEDRAL CITY CA. 92234 PHONE (619) 324-1232 LIC # A-574127 Jeffrey