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14763 (RPL)r P.O. BOX 1504 No. 14763 Building78-495 CALLE TAMPICO Address 44-090 Cami..il0 Lavanda LA QUINTA, CALIFORNIA 92253 Owner Ketchersid t Mailing BUILDING: TYPE CONST. OCC. GRP. Address Saw A.P. Number CityZip' Tel. La Quinta, CA. 92253 Legal Description Contractor Project Description ool E16da on Pools Rancho Ocotillo .Address 8-805 A Perez Rd. R--$ City' Tel.' Cathedral City Zip CA 92234 324-1232 State Lic. City & Classif. A 574127 Lic. # 1044 Sq. Ft. No. No. Dw. Size Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED. CONTRACTOR'S DECLARATION k hereby affirm that I am licensed under provisions -of Chapter 9 (commencing with Section? [7000) of Division 3 of the Business an/d%Professions'Code, and my license is in full force and) ffect. ry} � 1�fi�� i'`a •Z SIGNATURE DATE PWNER•BUILDERDECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation $12e000.00 reason: (Sec. 7031.5,13ustness and Professions Code: Any city or County which requires a permit to construct, after, Improve, demolish, orrepairany structure, prior to its issuance also - requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT. AMOUNT , 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 Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal. ! 7 . ❑ I, as owner of the property, or my employees with wages as their sole compensation, will 5 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 35 • Q V Professions Code: The Contractor's License Law.does not apply to an owner of property who •+9 AA builds or improves thereon and who does such work himself or through his own employees, Mech. f. ..y v provided that such improvements are not intended.or offered for sale. ft, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden Electrical 45.00of proving that he did not build or improve for the purpose of sale.) - ❑ I, as* owner of the property, am exclusively contracting with licensed contractors to corn Plumbing 27.00 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. S.M.I. such projects with a contractor(s) Licensed pursuant to the Contractor's License Law.) Grading O 1 am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date owner Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Cgrmpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy -Company OrCopy Is filed with the city. - ❑ Certified copy is hereby furnished. TOTAL 318.75 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed If the permit is for one hundred dollars (E100) valuation or less.) I certify that in the performance of thg work for which this permit is issued; I shall not employ any pperson-in any manner so as to become subject to the Workers' Compensation - - Laws of Calmf0 nia. Date Owner NOTICE -TO APPLICANT: n, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear,Pro Line WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SldeStreetSetbackOm/Centefl_Ine 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,. Side Setback from,-P,r`operty Lfne � (� �. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND 1 11 1� ATTORNEY'S FEES. This is a building permit when properly.filled out, signed and validated, and is subject to FINAL DATE _ �fJSPECTOR� rl ' 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.ISSUed by: Date Permit, 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. Validated by: tt v Signature of applicant -Date- Mailing ate Mailing Address Validation: �. City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BO NG YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. ® rills GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. ® OTHER APPJEQUIP. DRINKING FOUNTAIN SQ. FT. ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. 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. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAR. FIREWALL SQ.FT.GAR ® 3/ac HOUSE SEWER LATHING GAS PIPING PERMIT FEE MESH 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 6 AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BO NG HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. rills GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) 4r TEMP. POLE GROUT ER WATER HE�TV SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-x$-=$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. 3 f ROOFING Q I REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL f T W 'door W :A 9M BOBCAT em 18 ACCESS THRU W/URON r t.door' ELECTRICAL BONDING BY: S.D.C. TILE AND COPING S.D.C. DECKING BYS.D.C. 615FT KOOL DECK CHOICE CONTRACTOR cannot assume responsibility for damage to curbs, sidewalks, driveways, cement slabs, sewers, lawns,trees, fences, retaining walls, sprinklers, telephone line;s or shrubs. When access is made through -a neigh,bor's.prop,jerty',it is understood that you, the owner, have that neighbor's permission and assume full responsibility. Name: Ketchersid/Century Address- 44090 Lavanda La Qumnta. Ca.. . ancho Ocofillo SHOW ROOM 68-805-A PEREZ RD. STE. E-9 CATHEDRAL CITY CA. 92234 PHONE (619) 324=1232 UC # A-574127 -- J"EFF= ...... P. LAO. GENERAL SPECIFICATIONS - - SIZE 14 X 28 AREA 315 DEPTH 3.5 TO 6 T03-3 SHAPE CUSTPERIMETER 75 TILE SIZE GROUP 3 TILE COLOR CHOICE RAISE BEAM X= COPING CANT. POOL CAPACITY 9450 GALS PUMP CAPACITY .76 GPM MOTOR HP MAXI 2,/ 1HP/ FILTER SYST. S, 300 SQ FT FILTER RATE 100 GPM TURNOVER 2-5 HRS` RETURN LINES. =0 MAIN DRAIN 1S' SKIMMER MODEL DUAL PORT CHECK VALVE XXX HEATER LAARS 'SIZE XXXX BTU. GASLINE BY X3� POOL LIGHT 400W I SPA LIGHT CLOCK 24 HR 220V ELECTRICAL BONDING BY: S.D.C. TILE AND COPING S.D.C. DECKING BYS.D.C. 615FT KOOL DECK CHOICE CONTRACTOR cannot assume responsibility for damage to curbs, sidewalks, driveways, cement slabs, sewers, lawns,trees, fences, retaining walls, sprinklers, telephone line;s or shrubs. When access is made through -a neigh,bor's.prop,jerty',it is understood that you, the owner, have that neighbor's permission and assume full responsibility. Name: Ketchersid/Century Address- 44090 Lavanda La Qumnta. Ca.. . ancho Ocofillo SHOW ROOM 68-805-A PEREZ RD. STE. E-9 CATHEDRAL CITY CA. 92234 PHONE (619) 324=1232 UC # A-574127 -- J"EFF=