13482 (RPL)4 4- -'QU M -M- -
P.O. BOX 1504 No.
Building 51-800 Ave. Ramirea 78-105 CALLE ESTADO
AHrJrP.,Q LA QUINTA, CALIFORNIA 92253
Owner Debbie Gardner
Mailing Same
Address
City Zip Tel.
La Quinta, CAI 12253 1
Contractor
McIntyre Pools a Spas
Addr:6.
V Box 1791
City Zip Tel. .
La Quinta, CAI 92253 342-3521
State Lic. City
& Classif. C53 614611 Lic. # 1945
Arch., Engr.,
Designer
Address Tel.
City Zip State
I I Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby �ffi�m that I am" licensed under,provisions of Chapter 9 (commencing with Section
,7,000,tof Division.,21 of the Business an`d.Professiod� Code, and my license is in full force and
.ff.c
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, 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 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).
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 through his own employees ,
provided that' such improvements are not intended or offered for sale. If, however, the building
o; improvement is sold within one year of completion, the owner -builder will have the burden
o 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.)
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 No Company
[;;d-opyis filed with the cit;. 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 thp 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 Wbrker�' 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. 309 7, Civil Code.)
Lender's Name
Lender's Addres
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
Mailing Addres
City, State, Zip
WING: TYPE CONST.— OCC. GRP.:
P. Number
Legal Description
Projec . t Description Pool and Spa
13482
Sq. Ft. No. No. Dw.
Size Stories Units
New El Add 0 Alter 0 Repair 0 Demolition El
Estimated Valuation $12,000.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
87.75
Const.
135.00
Mech.
24.00
Electrical
45.00
Plumbing
27.00
S.M.I.
Grading
Driveway Enc.
infrastructure
TOTAL
310.75
REMARKS
ZONE: —BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback froff�CeRter Line
Side Setback from P�O�erty
FINAL DATE —INSPSCTOR—
Issued by: Date –.'// 104an
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. @
REINF. STEEL
GAS (FINAL) TEMP. POLE
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. @
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRAINAGE PIPING
CARP. SO. FT. @
LUMBER GR.
FINALINSP-z—/-(/—ffj/'1
WALL SO. FT. 0
FINAL INSP.6_/,r/_g,/(jp
DRINKING FOUNTAIN.
",.,Iy
URINAL
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
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
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, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
FINAL INSPECTION/
SQ. FT. @ c
I WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
FENCE FINAL
SO.FT.GAR @ 3/4c
HOUSE SEWER
INSPECTOR'S SIGNATURESIINITIALS
I
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT.FEE
SMIFEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING �p UNDERGROUND
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 (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
—.u.yd.
$ _plus_x$
$
LUMBER GR.
FINALINSP-z—/-(/—ffj/'1
FRAMING
FINAL INSP.6_/,r/_g,/(jp
ROOFING
",.,Iy
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION/
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
I
GARDEN WALL FINAL