15511 (RPL)r=
{
P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address 44-•265 Camino LaVanda LA QUINTA, CALIFORNIA 92253
Owner '
mailing
Address same'as above
City Zip Tel.
La Quinti '92253
Contractor
Sunrise Pods
Address
City Zip Tel.:
Palm Desert :2255 340-5521
State Lic. City
&Classif..556236 Lic.#� '
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) t.of Division 3 of the Business and Professions Code, and my license is in full force and
effec
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Busuress 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 taw, Chapter 9 (commencing with Section 7000) of
. Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis .
or 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 rove 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.)
❑ 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 such projects with a ontractor(s) to an owner of 6censeedd pursuant to who or the Contractor's Licenes se Lawho
j o contracts for
❑ .I 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. 3800, Labor Code.)
Policy No. Company
I, t O 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 anyperson in any manner so as to become subject to the Workers' Compensation
Laws of California.
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 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
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. 15511
BUILDING: TYPE CONST.
A.P. Number
,Legal Description
Project Description Pool and
OCC: GRP.
Spa
Sq. Ft. No.
Size Stories
No. Dw.
Units
Newt❑ Add ❑ Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
t
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
81.90
Const.
126.00
Mech.
24.00
Electrical
45.00
Plumbing
27.00
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
• 90
303,90
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Re f Prop. Line'
Side Street SetbackfTom Center Line
Side Setback fr7o /, P"roperty LI L' N-1�j
FINAL DATE INSPECTOR,
Issued by:—
Validated by:
Date Permit-
C
�g<+
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SQ. FT. @ $
UNITS
SLAB GRADE
2ND FL. SO. FT.
BONDING 1 t
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. ; SQ. FT. ®
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN
SQ. FT. g
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.000L 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/<c
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 A HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING 1 t
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC A
ROUGH WIRIN
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
n
? ��
n
uN
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
P/L
P/L
BUILDING
ACCEPTED FOR
SUBJECT TO INST
rD ALL APPL
DATE q�
DEPARTMENT
%LLY
4STRUCTION
MON AS PER
E CODES
P/L
OAI SrECNCATIOM
POOL SIZE 16"36
POOL AREA 441 SO. FT.
POOL PERIMETER 101 LINEAR FT.,
DEPTH 3'6' TO 6'
COPING GANTILEVER
POOL CAPACITY APP. 15,000 GALS.
PUMP CAPACITY
qO
GPM
POOL PUMP
1.5 ULTRA PLO
HP
FILTER
QUANTUM 175
SOFT.
FILTER RATE
175
GPM
TURNOVER
APPROX.4
HRS.
VAC/SKIMMER
I I/2 / 2
N.
RETURN LNE
I
INN
MAIN DRAIN
ANTI VORTEX
SKIMMER MODEL
DUAL PORT
HEATER N/A BTU
GASLNE BY: N/A LENGTH FT.
LIGHTS -POOL 400 WT. SPA N/A
TIME CLOCK INTERMATIG 24 HR.
ELECTRIC BY: 5UNK15E BONDING 5UNKt,5
POOL CLEANER N/A
CHLORINATOR N/A
DIVING BOARD N/A
LADDER N/A
SLIDE N/A
ROPE RINGS N/A
ACCESS TRACTOR DODGAT
GRADING NONE STUB PLUMB NO
DECKING 5LJW5E SO, FT. 650
CONCRETE REMOVAL BY: NONE
RAISED BEAM -LENGTH N/A F-EIGI-IT
SCALE I'- $' DRAWING # q5-153
THE PHILFOT. FAMILY
44-265 GAMINO LAVANDA
LA OLJINTA, GA
(61q) 324-4007
(614) 340-5521
SUNRISE POOLS PALM DESERT, CA.
CALIFORNIA UCBIZ
APPROVED BY:
TM DRAWING RE MNNS THE PROPERTY OF SUNUSE POOLS,
REPRODUCTION OR UNAUTHORIZED USE WITHOUT WRITTEN
PERMISSION IS PROHIBITED.