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13962 (RPL)44 T ,i P.O. BOX 1504 No. Building 46-800 Highland Palms 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner David & Dena Rosper mailing Sam Address City Zip Tel. La QUinta, CA 92253 1 Contractor American Pool. Construction AI:PTI!,50 magnesia Falls n ciPalm Desert, AP 92260 Tl340-5876 State Lic. City r & Classjf. £53 518742 Lic. # 1104 -Arch., Engr:, - - Designer Address --- J ; Tel. f r City Zip i f State Lic. # 1* LICENSED CONTRAC{OR'StDECLARATION I hereby affirm that I am licensed'under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C .de,.and-my=license is in full force and ' effect. ,N,V;', SIGNATURE ---.-•+' 6` i DATE OWN ER•BUILDE'R,OECLARATION 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 ro 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 rhe 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). O 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' COMPENSAIION'DECLARATION, /117 1 hereby affirm that I have a certificate of consent to selhinsure, or)a certificate of Worker's Cpensation Insurance, or a certified copy there f. (Sec. 38„00;,_Obor Code.) Policy No. Company y is filed with the city. ❑ Certff'red opy is hereby furnished. 01901 f /? 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? I IF' I certify that.in the performanca-, I the work for whi&h this permit rLL is'sued, I shall not employ any oerson in any manner so as to becornessublect10 the, Wotkers' Compensation Laws of California.` Date Owner NOTICE TO APPLICANT..If, after making this Certificate of Exemptio`rj°you should become subject to the Workers' Compensation provisions of the Labor Code, youYmust 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 19992 BUILDING: TYPE CONST. OCC: GRP.- A.P. Number Legal Description Project Description Pool and Spa Electrical servicemust be relocated underground prior to pool finali.. Front Setback'fr'om Center Line Sq. Ft. Size NO.; Stories No. Dw. Units New ❑ Add ❑, Alter ❑ Repair ❑ Demolition ❑ Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPEJCOR ,' �r/•`� "/I� �_~ Issued by: Estimated Valuation $15t000.00 Validated by: PERMIT AMOUNT Plan Chk. Dep. 4 �� Validation:... Plan Chk. Bal. 105.30 Const. 162.00 Mech. 24.00 Electrical 45.00 Plumbing 27.00- S.M.I. Grading Driveway Enc. „ Infrastructure TOTAL 3€3..30 ' REMARKS ZONE: BY: Minimum Setback Distances: Front Setback'fr'om Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPEJCOR ,' �r/•`� "/I� �_~ Issued by: Date iT Permt� 1(I ry f!, r /F) 11 Validated by: rg 4 �� Validation:... CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. P'_UMBING FEES 1ST FL. SQ. FT. p $ UNITS SLAB GRADE t eV ti YARD SPKLR SYSTEM 2ND FL. SQ. FT. p FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. p GAS (ROUGH),?- 2/ ! /—p METER LOOP C! / GAR. SQ. FT. p POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CARP. SQ. FT. p GROUT WATER HEATER SERVICE WALL SQ. FT. p FINAL INSP. DRINKING FOUNTAIN. BOND BEAM WATER SYSTEM URINAL SQ FTp =$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FRAMING WATER PIPING NOTE: Not to be used as property tax valuation 5 9 �✓ C Cpl� — 69 (lam FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE LAUNDRYTRAY AIR HANDLING UNIT CFM 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. SQ. FT. p c BATH TUB SQ. FT. p c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID p 11/4 c SEWAGE DISPOSAL SQ.FT.GAR p 3/4c HOUSE SEWER NALINSPECTION 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 PLUMBINUNDERGROUND 3( J� CVA.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),?- 2/ ! /—p METER LOOP C! / HEATING (FINAL) OTHER APP.IEQUIP. 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 5 9 �✓ C Cpl� — 69 (lam REMARKS: 7Ci 57i - VENTILATION VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND NALINSPECTION CERT. OC . FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL