15519 (RPL)• P.O. BOX 1504
No. x.5519
Building78-495 CALLE TAMPICO
Addi,ess . 54i590 Ave • . Ramirez LA OUINTA, CALIFORNIA 92253
Owner Sterling Homes
BUILDING: TYPE CONST. OCC: GRP.
Mailing
Address PjO. Box 45€3 A.P. Number
CityZip Tel.
La Oninta, CA 92253 S64-1866 Legal Description
ContractorPool and "Spa
LG�11del Ventures,
Inc.Proj `ct Description
Address 3 r®ai �agd staack reduction
Sagan
Tel.:
State Lic. City
& Classif.. 181 638535 Lic. # 859
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION,
I hereby affirm that I,ale
m lice" under provisions of Chapter 9 (commencing with Section
7100) of D vision 3 ofrthe Busw�".r
�inp8,ss and Professions Code, and my license is in full force and ...
effect.�c:li;7r.>
SIGNATURE I''y' 4:i5a ,n DATE
a OWNER -BUILDER DECLARA-TION "w'" •
I hereby aft Dn that I am exempt from the C906actors License Law for the following
reason: (Sec. (7031.5,Business and Protessionsordode: Any city or county which requires a
permit to construct, alter, brpmve, dem ,,,dr repair any structure, prior to its issuance also
requires the applicant for such permit toa signed statement that he is licensed pursuant to
the provisions of the Contractor's UcensLaw, Chapter 9 (commencing. with Section 7000) of
Division 3fo1 Na Business and Prolesskrns Code, or that. he Is exempt therefrom, and the basis
for the alleged exemption. Any Akfallon of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civilpenally of not more than rive hundred dollars (8500).
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, Buisness 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 build 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 propertywhobuilds or improves thereon, and who contracts for
such projects with contractor(s)lrcensedpursuant 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 1 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
&;dopy is filed with the city. ❑ Certified copy is hereby furnished. -
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ff the permit Is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any ppeerson in any manner so as to become subject to the Workers' Compensation
Laws of _all
fomia
Date Owner
NOTICE TO APPLICANT: d, 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 Provsfons 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.
1 certify. that 1 have read this applicationand 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, Slate, Zip
approved per
SSA 95-335
Sq. Ft-
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
r
Estimated Valuation
$12,000.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal-
e;;'•�5
Const.
135.04•
Mech.
.2.4. 0d -
Electrical
45.00
Plumbing
27.00
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
318.75
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from 11/� Atr Prer �Line
—Rear Setback fromrR opsLine
�/
Side Street Setback rom�Cente Lin`
Side Setback,—from Property. L
FINAL DATE INSPECTOR - v
Issued by: Date Per mft
Validated by:�J /�� /
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING: FFf•S
1ST FL. SQ. FT. ® $
UNITS
i
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
Q
TEMP. POLE
DRAINAGE PIPING
CAR P. SQ. FT. ®
GROUT
WATER HEATER
WALL SD. FT.
FINAL INSP.
DRINKING FOUNTAIN.
SQ. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
VENTILATION
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, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/e c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINISH GRADING
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)
Q
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-x$-=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP. 10/ 1
A1
v
ROOFING
/nn//'//
REMARKS:
VENTILATION
FIRE 20NE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL
S-3 POOL SECTION
54590 AVENDIPA RAMIREZ.
LA QUI NTA, CA.
DECD� MINIMUM RADIUS 1'-0,411 .
WATER SURFACE
O
- .: , I. , - ;... .: -, -- :,,
CONCRETE CAP
DAM V 112go
-DECK
V,
fig_ N as
8se 1641
U.)ih
LONGITUDINAL SECTION ON
NO SCALE