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14666 (RPL)Tit Building / I Address 44-240 Camino Lava,nda Owner Cosgrove Mailing Same Address City Zip Tel. La-ChAnta;, CA 1..92253 Contractor Steve Dddson. Construction, Inc. 9191455 A Perez Rd.", Ste.' a-9 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 C ythedra3 City Zip 92234 T324--1232 State Lic. City & Classif. A 574127 Lic. # 1044 ' Arch., Engr.,' Designer Address Tel. City I Zip (State Lic. # LICENSED CONTRACTOR'S. DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. - - SIGNATURE DATE OWNEWBUILDER 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, after, 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). ❑ 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 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 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.) - - ❑ 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) [tensed 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 certifiedcopy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city, . O 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 the 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 . iLaws of Cal.f0 nia. Date Owner NOTICE TO APPLICANT: ft, 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 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 thereunderis suspended for 180 days. I certify that 1 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 I Mailing Address City, State, Zip BUILDING: TYPE CONST Number No. 14666 OCC. GRP.: Legal Description Project Description Pool acrid Spa Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair❑ Demolition ❑ Estimated d Val ation ae u $14,340,00 i PERMIT AMOUNT Plan Chk. Dep. - Plan Chk.•Bal. 99.45 Const. 153.00 Mech. 24.00 Electrical 45.00 Plumbing 27.00 S.M.I. Grading Driveway Enc. Infrastructure TOTAL 34i. 4 5 REMARKS 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 Issued by: Date r--Permit- 1 ` Validated by: (! I 1 `r " LJ Validation: I CED f) 0 lonr r. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS SETBACK GROUND PLUMBING UNDERGROUND YARD SPKLR SYSTEM 2ND FL. SQ. FT. SLAB GRADE ROUGH PLUMB. BONDING MOBILEHOME SVC. BAR SINK 6 POR. SO. FT. ® SEWER OR SEPTIC UP ROUGH WIRING GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CARP. SQ. FT. METER LOOP DRAINAGE PIPING WALL SQ. Fr. REINF. STEEL DRINKING FOUNTAIN SO. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER HEATER WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED n /% /1 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. SO. FT. ®c BATH TUB SPARK ARRESTOR SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/.c HOUSE SEWER MESH 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 N HEATING & AIR COND. SOLAR n SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC UP 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 gp �vJ n /% /1 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL POOL AREA TO BE EW {MINIMUM 5 FT.' IFENCE' S�L�a�L®�' ALL. GX TO . � ANL Si=L-i_A; G�tNG SIDEYARD TO DRIVEWAY gm em a/c garage driveway S C:] 30' P.L. AREA 250 F 16' of 5' tall wrought iron fence w/gate p/a WALK TO Fa�/c GARAGE DOOR & DRIVEWAY a/c P ,01 ' BUILDING �> � Yy�. �� j 9 l{ 'thy �.i� ��:� � �N T tia0Trf?)d TO 11li1`^"ri..� TE D ALL A PUCA13LE C0 yW. - BY _. 2 sprayhea fountains cs z_ I L. ) i, S . . I pool & spa light switches em 50' gm 44' Z9 14' IF p/a W SPA SPECS. SIZE s9 t RAISED +12" " LITE 100 WATTS TRI LEVEL SEATS YES 22" 24" 27" DAMWALL WIDTH6" X 4' SPILLWAY SIZE 12" X n -• OPEN XX CLOSED JETS.#_ 4 — _ .SPA RAISED +18" GENERAL SPECIFICATIONS SIZE 14' X 28' AREA 332SQF' DEPTH 3.5' TO 5' SHAPE CUST PERIMETER 75' TILE SIZE GROUP 3 TILE COLOR CHOICE RAISE BEAM 6' OF +18" CCSPA COPING CANTILEVER POOL CAPACITY 11280 GALS PUMP CAPACITY 90 GPM MOTOR HP sta max 2 HP 1.5 FILTER system 3 300 SQ FT FILTER RATE 100 GPM TURNOVER 2.5 HRS RETURN LINES. 2" n MAIN DRAIN 2" " SKIMMER MODEL dual port -5' p/a .1111, 1111 W W L_N� J N Iq C TmOHDD JTU4 i N S CHECK VALVEfor spa HEATER LAARS SIZE 250,000 BTU GASLINE BY S.D.C. 87' POOL LIGHT 400WATT SPA LIGHT 100WATT CLOCK24HR 220V ELECTRIC BY S.D.C. 206' ELECTRICAL BONDING BY: S.D.C. TILE AND COPING S.D.0 DECKING BY S.D.C. 1050SQFT kool deck -choice color CONTRACTOR cannot assume A_-P•L• responsibility for damage to curbs, sidewalks, driveways, cement slabs, sewers, lawns,trees, fences, retaining walls, sprinklers, telephone lines or shrubs. When access is made through a neighbor's property it is understood that.you, the owner, have that neighbor's permission and assume -full responsibility. :Y W Century/Caruthers Addms,44240 Camino LaVanda ::I.,a..Qunta, Ca. ..............:..... ...: "Rancho Ocotillo" POO/as SHOW ROOM bobcat 68-805-A PEREZ RD. STE. E-9 access CATHEDRAL CITY CA. 92234 R &R PHONE (619) 324-1232 fence LIC # A-574127 jeffrey