9656 (RPL)Building
Address 49-010 BALADA
JESSE MCKEEVER
Mailing
Address SAME
City LA- -0UINTA,CA1Zip92253
Address
6 ' 8
—300 RAMON RD.
TA*tyl Quht rav
P.O. BOX 1504 No.
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
7771ILDING: TY'PECONST. POOL &6ORASRP.
Fel.
564-2762
State Lic. City
&CIassif. C53-4210,141 Lic. # 249
Arch., Engr.,
Designer YARREL T, MILES
Address 1� Tel.
7136 RASKELL AVE 994-6278
City Zip State
VAN VUYS 1 91406 Lic.# 9398
LICENSED CONTRACTOR'S DEC�ARATTION
I hereby affirm -that I am licensed underpl&isions of,Chaptir 9 (commencing with Section
7M,tof Division 3fiof the Business and Professions,Code, and my license is in.full force and
e J -e7,
I hereby affirm that I am exempt frofn the Contractor- I La I
'r License. w or the following
reason: (Sec. 7031.5,Bdsiness and Professions Code:'An city , ."I, which requires a
permit to construct, after,' improve, demolish, or repair anyNstructure, prfor to its issuance also
requires the applicant for such permit to file a signed statement that he is.11censed 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 hundreddollars ($500). , '
0 1, 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 througlr hie'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.)
0 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.) I
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
WorkerWeapnluo& bs3rance, or a0tr
yof.,
M800. Labor Code.)
Policy No. ompany
CRopy is filed with the city. 0 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 thq work for which this permit is issued, I shall not
employ any Ferrson in any manner so as to become subject to the Workers' Compensation
Laws of Cali 0 a. ,
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.
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 Nam
Lender's 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. '
I cer tify 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.
Maili ' ng Address
City, State, Zip
9656
A.P. Number
Legal Description
Project D . e . scription
POOL XRWV AND SPA
Sq. Ft.
Size
No. No. Dw.
Stories Units
New 0 Add 0
Alter 0 Repair 0
-Demolition 0
Estimated Valuation
$14 9'900
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk, Bal.
F05 * 30
Const.
162.00
Mech.
24.0*0
Electrical
45.00
Plumbing
27.00
S.M.I:
1.50
Grading
Driveway Enc.
Infrastructure
TOTAL
4364.80
REMARKS
'S64.80
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Lin
—Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
—Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by: —Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
UNITS
ROUGH PLUMB. BONDING
2ND FL. SO. FT. @
STORAGE TANK
YARD SPKLR SYSTEM
POR. SO. FT. 0
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. @
REINF. STEEL
DRAINAGE PIPING
WALL SO. FT. @
DRINKING FOUNTAIN.
SO. FT. @
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
LUMBER GR.
FLOOR DRAIN
MECHANICAL FEES
FINAL . INS Pb,,42-4 IR u,
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET�
COMPRESSOR HP
POLE, TEMPERM
LAVATORY
HEATING SYST�M- FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. Fr. @ c
BATH TUB
SO. Fr. @ c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 1% C
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/4c
HOUSE SEWER
FINISH GRADING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
OONST. FEE ELECT.FEE
SMIFEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR C6ND. SOLAR
SETBACK
GROUND PLUMBIN UNDERGROUN-Al
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 (ROUGH6 16A METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BONDBEAM
WATER SYSTEM
GRADING
cu. yd.
$ _plus -x$
$
LUMBER GR.
FINAL INSP/&1/24(j0(( CO
FRAMING
FINAL . INS Pb,,42-4 IR u,
ROOFING
P14-5 dliv
Vol
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION10
Lj
.CERT. OCC.
FENCE FINAL
INSPECTOWS SIGNATURES11NITIALS
GARDEN WALL FINAL