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13631 (RPL)4 QUMIra P.O. BOX 1504 Building 54.-145 Apes Rubio 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Karl Brinkmann Mailing Address Same CityZip Tel. iia Quintal:, CAJ12253 1 Contractor American Pool Construction AQ11!.4350 Magnesia Falls 31 Desert, rA ktClassif: C-53 518742 Arch., Engr., Designer Address City " 92260 340-5676 City 1104 Lic. # i I � Tel. / State J [ Lic. # I hereby affirm that I am licence 6d under provisions of Cfia.te�y9 (commepcing with Section 7000) of Dlvision 3 0}f 4he Business and pprofessio'�s Code/5nd my Iicense'is in full fort effect ,w/� % ) f `y 1%.�t.Ji/ / \ l ., "7 OWNER -BUILDER DEVLARATION j I hereby,afflun that I am exempt from the Captractor's Licende Law for the following reason: (Sec. 7031.5,Business and Professions Coll , Any cify,,or county which requires a permit to construct, alter, Improve, demolish, or repair a rVcture, 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 thathe 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 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 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 ofyconsent t s If-insur ora certificate of Worker's Compensation Insurance, or a certifracopy .thereo . e 38 q;�Labor Code.) Policy No. Company W i4 fi L Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE QF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE t% (This section need - not -'be -completed if the permit is for oneihundred dollars ($100) valuation or less.) C 1 _ . I' t I certify that In'th performance' of !ht, work r which this permtt'is issued, I s of employ any erson iri' any manner so'ai o bet a subject t" the Workerg�Co pe tion Laws of Cral rn � Date (� ;,04)ner NOTICE TO APPLICANT; If, affe�aking this Certificate of Exemption you should/�become subject to the Workers' `CiSmpensafion provisions o/ the:, Labor Code, y mustfforthwith comply with such provisions or this permit shall be deemed revoked. C 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 stale 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 BUILDING: TYPE CONST P. Number Legal Descripti Description No. 13631 OCC. GRP. Pool I-- no heater ZONE: BY: Minimum Setback Distances: Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Side St eget S.9 back from Center Line Side Setback from Property Linel DATE JUINI4LCT%4 FINAL 6 Issued by: �J bate e i Estimated Valuation $8 t 200 . X30 PERMIT AMOUNT Plan Chk. Dep. Validation: Plan Chk. Bal. 70.20 Const. 108.00 Mech. 24.00 Electrical 45.00 Plumbing 27.00 S.M.I. Grading Driveway Enc. Infrastructure TOTAL 2 . 2 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback'frorr RearProp. Line " Side St eget S.9 back from Center Line Side Setback from Property Linel DATE JUINI4LCT%4 FINAL 6 Issued by: �J bate e i Validated by:��=�'"�' `- Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS A.C. UNIT F� 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. DRAINAGE PIPING WALL SO. FT. DUCT WORK DRINKING FOUNTAIN. SO FT ® u URINAL ESTIMATED CONSTRUCTION VALUATION $ METER LOOP WATER PIPING NOTE: Not to be used as property tax valuation OTHER APPJEOUIP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER HEATER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM BOND BEAM 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 Q / _ iJ�r —c' (✓ SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ec 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 -W-1 NDERGR NI�Y LP 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. u 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 Q / _ iJ�r —c' (✓ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION -) o� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL CITY Orr LA u Fr_:r,,,T UILiJI►�C &.SAFETY D�P,�I� CONDITIONALLY ACCEPTED FOP, CONST € IJCTI IPJ SUS.ICCT TO iNSTALLA T ION.AS PE.. AND ALL APPL11CAS E CEDES �D, DAT SY g a �i , AREA MAP KEY MAP NO. 5 I 11 _D �1vEU L1 -b �Y►AU EXI51'i�►6 V� CAFE MADviD Loi- 1. I n ec)�I v . LIC I # 518742 aFFICE �� R T NAME v ).J x(_ c 114 V_M X AJ n1 ADORE �.L4 6m,,419 -S SCALE : Imo_- 1',-0' LOT BLOCK SEG -..-:- _PROPERTY LINE t�U UTILITY. POLE JCS ,utvcTgN BOX ®HOSE BIB SKMMER DE{;K�DRAIN 3, o H. TELE.51-L/-IL3t/ w TEL,E.P4-3zoo UTILITY EASEMENT' V ELEC. PANEL QB BLDWER - FILL LINE -1 LIGHT @ AREA. DRAIN 5 �'- FENCE (HEIGHT,TYPE) O GAS METER Q WATER LEVELERFO FILTER -/-+� DR RETURN PVC DRAIN _ A AAMCAN -E-E- UNDERGROUND ELEC. - +' BENCH MARK' R� REMOTE IA4LVE HO HEATER � ---! THERAPY � GRAB RAILS p —G—G— UNDERGROUND Gas — ► C CONSTRUCTU N WATER DEPTH GATE VALVE D MAIN DRAIN --4,'AERATOR LADDER ..w 74 - 350 Magnesia Falls A�1 OVERHEAD ELEC. ® ® O OVERHEAD TELE. RAt f ; SWITCH © P TRAP o PUMP ® GAS GRILL Palm Desert, ® ELEC. PEDESTAL ACCESS C:>0 RECEPTACLE STUB t� CUP ANCHOR Q SEE NOTES (619) 340 C� 5876 815HOp OPAPHICS/ACCUPRESS REORDER NO. A77NO