13234 (RPL)Building
T a
I 4hf 4 �Quu�rw
54-565 Rubio
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
N o . 13234
Owner
Patrice Dentremont
BUILDING: TYPE CONST.
A.P. Number
Legal Description
Project Description
OCC. GRP.
Pool and S a p
Mailing
Address Same
Cityloa Quintan #iP
92253
IT
Cont o
�5�act3i2r Pools
Address
77--370 Springfield Lane
City
Zip
Tel.'
Palm Desert,
CA 92260
360-7926
State Lic.
& Classif. C-53 42.1014
City
Lic. # 249
Sq. Ft.
No. No. Dw.
Size
Stories Units
Arch., Engr.,
Designer
New ❑ ;z-, Add 0' Alter ❑ Repair ❑ 1 Demolition ❑
Address
Tel.
' "`
1-187
City
Zip
State
Lic. #
AUG
i
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that lam 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. e %
-- i
By
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, atter, 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 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.)
Estimated Valuation
t
I • ljo
PERMIT
�t. AMOUNT
Plan Chk. Dep.
Plan Chk. BBI.
[� �9 t
g 3 . 6
Const.
n
���. 0t3
Mech.
- 'M,i'� 11
V
Electrical
45.00
Plumbing
24.00
O 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) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
.S.M.I.
Grading
Driveway Enc.
Date owner
Infrastructure
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
®opy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
3
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(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 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.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
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
FINAL DATE
Issued by:
Validated by:
Side Street Setback from Center Line
Side Setback from Property Line
INSPECTOR
r ,�
Date Permit
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
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES `
IST FL.' SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
2ND FL. SQ. FT.
FORMS
YARD SPKLR SYSTEM'
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT.
OTHER APPJEQUIP.
DRAINAGE PIPING
WALL SQ. FT. ®
t
DRINKING FOUNTAIN
SQ. FT. ®
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
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
LAUNDRYTRAY
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
GAR. FIREWALL
SQ. 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 PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBINGg1-5::.1,3
UNDERGROUND _15--13
P4- 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
FINAL INSP.
GRADING "
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING
FINAL INSP.
ROOFING
�,-
REMARKS:
VENTILATION
FIRE ZONE ROOFINGv1;�
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
4
78-495 CALLE'TAIVIPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7000
FAX (760) 777-7101
TDD (760) 77.7-1227
December 17, 1997
Patrice Dentremon't
54-665 Avenida Rubio
La Quinta, C.A., 92253
RE: Pool & Spa Permit #13234
Dear Mrs. Dentremont
The purpose of this letter is to inform you that your Pool & Spa Permit #13234, for the project
at 54-565 Avenida Rubio, has expired. In accordance with 1994 UBC section 106.4.4, no
further work may be performed until a new peirmit has been issued.
Please'contact Daniel P. Crawford.Jr.,.Buildmig Inspector 1, at (760) 777-7012 to obtain any
information you need regarding a new permit and/or any required inspections. Should you
choose ndt.to complete the project, we would then have to.pursue any or all -of tine following
actions:
'I Abatement of the.project through the City Attorney's Office and Code Compliance Division.
2) Notice of non -conforming -structure placed upon property profile.
3) Action filed. with Contractor State License Board.Optional if Owner/Buile.er.
Please contact us at your earliest convenience prior to 10 working days to resolve=tlhis4ssue, and
for any questions you may have.
Sincerely,
Mark Harold
Build'l-rw & Safety Manager
Daniel P.Crawford Jr.
-Building Inspector I
cc: file
dpc
MAILING ADDRESS P.O. BOX 1504 LA QUINTA, CALIFORNIA 92253
a