05620 (RPL)P.O. BOX 1504
Building
Address 54205 RAMM Z LA QUINTA CALIFORNIA 92253
Owner
Western Bullflelrs
Address
City IZ71P
Contractor
Sparkle Plenty, Pools
Address 69481 Bion
1C'thedrrsl City rp 92234
State Lic.
& C)assif. C-53 522876
Arch., Engr.,
Designer
Address
Tel. y
No. 05620
11L'DING TYPE CONST.- . OCC: GRP.
P. Number 774-211--032
!gal Description
oject Description P*el & Spa
6I�j328-;�
City
Lic. # 239
Tel.
City1.ZIP State
Lic. #
¢U CON R CTOR'S DECLARATION
1 affmn that Ilam Licensed uta provisions of Chap err 9 (commencing with Section
7MC) of Division 3goFMe Business and ProfessiC
ioons ode, and my license is in full force and
efted-.tel•;��
OWNER43UHMER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5.0ushess and Pretessierns Code: Any city or county which requires a
Per -37A to construct, after, 6rltlrove, dem lith, or repair any structure, prior to its issuance also
requires the applicant for such pemnif to -fele a. signed statement that he is ficerised pursuant to
Bre provisims of the Conhacort Lwe se Law. Chapter 9 (commencing with Section 7000) of
Dom' 3 of toe Business and pfotessions Code, or that. he. is exempt therefrom, and the basis
for the alleged exempffun- Any vioWan of Section 7031.5 by -any applicant for a permit
` sub ecs toe mrd to a dud penally of not more Man five hundred dollars (5500).
❑ k as owner of the property, or my employees with wages as their sole compensation, will
do the worlx, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Pmfessb s lode:' The ConLactur's License Law does not apply to an owner of property who
huftb or Brgnoves thereon and who does such work himself or through his own employees,
provkfed that such briprorarnards are not intended or offered for sale. If, however, the building
or briprove ant is sold within erre year of corWation, the owner -budder will have the burden
of provltgl that he cid not build or rrprove for the purpose of sale.)
13 1. as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project (Sec 7044, Busuress and Aotessions Code: The Contractor's License Law
does trot apply, to an owner of property who builds or rtnproves thereon, and who contracts for
such pru erg with a eorMactm(s) licensed puosrard to the Contractor's License Law:)
13 1 am exempt under Sec a, & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy therre6f. ($ec. 3800, Labor Code.)
Policy N0. _Company - e
® Copy is filed with the city- ❑ Certified copy is'6reby4umished.
CE7trIFICATEOFEXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
secCvn need not be completed feted it the permit is for one hundred dollars ($100) valuation
or 116m)
1 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
La sof California
Date ,Owner
NOTICE TO APPILWANT- V. after making this Certificate of Exemption you should become
so0yect to the 110116rkers' Carpe tion pvovsrorts of the Labor Code, you must forthwith
comply w 2h such provisions or this pemil Strad be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 herebIr a � that there is a construction lending agency for the performance of the
work for which permit is issued: (Sec. 3097, Civil Code.)
Lenders Nance _
Leaders Address
This is abuilding permit when property 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
corstrctioti and hereby au"wrizerepresentatives -of this city to enter the above-.
rtierttiooed property for irspecbon purposes
Signature of applirarit Date
ldailing Address
City. State. zip
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
X4/10/89
Issued by: Date Permit
Validated by:
Validation:
Sq. Ft.
-Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation.
$111000.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
i•
Const.
U
Mech.
Electrical
45.
Plumbing
S.M.I.
•
Grading
Driveway Enc.
Infrastructure
c y.
TOTAL
REMARKS
<<:;r -•,r nates
:.c r; ,t �•i�. _ .,t3.iM : '��.r,;;:. � _ s!;
111..1'V l 41 ..' 17 .xt. -f
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
X4/10/89
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SO. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SD. FT. ®
DUCT WORK
ROCK STORAGE
FOUND. REINF.
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT. ®
WALL SQ. FT.
WATER HEATER
DRINKING FOUNTAIN.
FINAL INSP.
URINAL
SQ FT ®
WATER SYSTEM
ESTIMATED CONSTRUCTION VALUATION $
GRADING
cu. yd.
$ plus x$
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ec
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 PLUMBING
UNDERGROUND
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 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
00
/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL