15618 (RPL)P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address 53-340 %.,eni' da Ramirez LA QUINT#, CALIFORNIA 92253
iP„d and Mane Ratnirel
Mailing
I
Address same as above
City
Zip
Tel:
La Quinta
92253
564-3249
Contractor
Family Pools Construction
Address
53--300 Avenida Ramirez
City
Zip
Tel.:
La Quanta
92253
564--36.55
State Lic.
City
& Classif. 65$096
Lic. # 2893
Arch., Engr., _
Designer r
Address
Tel.
City
Zip
State
23-3-60
REMARKS
Lic. #
LICENSED CONTRACTOR'S DECLARATION yy
I hereby affirm tha licensed under provisions of Chapter 9 (commer%ngvJ�t ySgcflon
7000) of Divisio ffthelBu i s and Professions Code, and my licenseeis fi ful o ce and
effect. r f1r,'/,iI ➢ � �.
t, OWNER -BUILDER DECLARATION { I
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 rite 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).
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, Suisness and
Professions Code: The Contractor's License Law does not apply to an owner or 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 bulld or improve for the purpose of sale.)
O 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) [rcensed pursuant to the Contractor's License Law.)
O 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. 3900, Labor Code.)
Policy No. .Company
QW py is filed with the city, ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i1 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
aliforniaDateOwner
NOTICE TO APPLICANT: It, alter making this Certificate of Exemption you' should become
Subject to the Workers' Compensation provisions or the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL .PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
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 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
No. 15518
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description Pool and SDa
Sq. Ft. No. No. Dw.
Size Stories Units
New f Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $12o400.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
93.60
Const.
144.00
Mech.
4A0
Electrical
Ar
%
Plumbing
S.M.I.
—.27.00
Grading
Driveway Enc.
I of rastructure
TOTAL
23-3-60
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center. Line
Rear SetbackfrorTj�Rear Prop. Line
Side Street;Setback from -Center Line _
Side Setback froji PropeyL ne
FINAL DATE —IN
Issued by: Date
Validated by: \\�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUINBIW FEES
1ST FL. SQ. FT. ® $
2ND FL. SO. FT. p
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SO. FT. ®
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSP.
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 PLUM '3� q�
UNDERGROUND �S 4�i
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
�i`�(,Q/ 9 9
FINAL INSP.
GRADING
cu. yd.
$ plus x$
,
-$
LUMBER GR.
FRAMING
FINAL INSP.
ROOFING
D
7/�vati� 8� 9 S
-
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL.INSPECTION �j
CERT. OCC..
FENCE FINAL
INSPECTOR'S SIONATURESlINITIALS
GARDEN WALL FINAL