15104 (RPL)III
- tf
f.
Building
P.O. BOX 1504
78-495 CALLE TAMPICO
44-325 Camino LaVanda LA OUINTA, CALIFORNIA 92253
Owner. Andrew Morgen I
Address 44-325 Cantina La'Vanda
City Zip Tel.
La Quinta 92253
Contractorbodson Pools
68-805 Ave Perez ltd E3
ip Tel.:
dial CitiZ92234 324-1232
& Classif. ,5 74127 I Lic. # 3044
Arch., Engr.,
Designer '
Address Tel.
City( Zip ( State I
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 usiness and'Professions Code, and my license is in full force and
effect.. -kv 4-r `f 4:::* - er 145i 5
SIGNATURE K '" DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I amexempt from the Contractors 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 chill penally of not more than Ove 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 inproves 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
orimprovement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or knprove 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 property who builds or improves thereon, and who contracts for
I such projects with a contractors) jlcensed pursuant to the Contractor's License Law.)
0 Lam exempt under Sec. IB. & 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
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
O Copy Is filed with the city. ❑ Certified copy is hereby fumished.
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, 1 shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT. O, 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 shalt 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 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-.
Il mentioned property for inspection purposes.
Signature of applicant Date
No. 1.5204 ,.
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number
]al Description
Eject Description Pool & Spa
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from CenterkLine
Rear Setback from RQ� mop. ine
Side Street Setback4 Cente ine
Side Setback fro roperty�
/ �
FINAL DATE ,'� INSPECAOR
Issued by: DatedO4ierrp9l°it
\ !"
Validated by: �
Mailing Address Validation:
City, State, Zip
Sq. Ft.
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑• Repair ❑ Demolition ❑
Estimated Valuation$14
f
I
PERMIT
AMOUNT
Plan Chk. Dep..
Plan Chk. Bal.
Const.
�► �'� •
Mech.
•UU
Electrical '
5 •
Plumbing
WVZ77011
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
•
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from CenterkLine
Rear Setback from RQ� mop. ine
Side Street Setback4 Cente ine
Side Setback fro roperty�
/ �
FINAL DATE ,'� INSPECAOR
Issued by: DatedO4ierrp9l°it
\ !"
Validated by: �
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN
SO. 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
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/o c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE
MESH
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE --7[--MECH.FEE
IPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ' ELECTRICAL �b HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUM NG
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. `
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
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
i
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING i AJ
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESlINITIALS
GARDEN WALL FINAL
I
I'll 1:�`t'— 2-5+5 TL.IE. 8 t`_. DOD;aL�N PO � P 0 1
P.O. Box 1504 -' APPLICATION ONLY
Buildinrt Q 7&105 CA4LE ESTADO
Addregy _, .i (�M E L� ��il L UITAIN
CALIFC RNIA 92253 "
Owner c :�
-
_UILDING: TYP>w CONST.• ' OCC. GR?Ad--..._-��� wA.P. Number _ ...
City 7.1P Tel Y�
Contractor'--
.addrell s(f
LzI
Stale t, lc• l� I 4 oily ��
& CIaSSit, LiC. H
Arch., Engr, , _ -- _ —
Designer
Address Tel. —
CityZIQ..—_ State
Lic. d .— —
LICENSED CONTRACTOR'S DECLARATION
I herebyy affirm that I am lirensed under provisions of Chapter 9 (cofnntencing with $ar(Idn
7,y10) tof ruIV pith -j nt the 13u9ine9s and Professions Code. and eny license in In !ulrrc e
Oflc:
OWNEA•SUILDER DECLARATION
1 Hneoy afnrm that I an eyenldt from the Contractors LICense Law for the Ir,Ucwing
fe;tsdn: -ser 1031 5 9uslness and ProfeSsIons Code: 4:y cRy Or county whtch rMui,os a
pormit to
can strut altar, ertpr._ve, denaUsh Ot rapelr any 8lruoture. prior to 43 issuance also
ra()L,fas Me AP;,(+r,tnr for such permit to Me a 9JQr,ed sfar9men+ filer his Bene d pursuant (O
the010,51nIS at Me License Law, Charier 9 fdOmmOncina with $q;rr(ul 7000) or
bion 9 0: Ina But,^0558 antl Prarag,wrn9 COde, Or that. 1149 IS exempt Marefronl, enc+ the bests
V rhe e0eO94 e•ernr.l„�n any n0101pn Of Section 7097.5 by any eppacant for a oema
euCleeta (Ae )Pnlh:int 10 a CMJ 0enaey 01 not i0Ofe then We hundred dolt;, s fS500).
1-: 1, ee owner of Ins propomy, or my employee, with wages at their sole compensation, will
do the work, and the structure ,e not Intended or offered tot sate. (Sec. 7080, aurnass and
A•c•'ass,ons Code- The Cor.:mcto,'t L,calse, Law does not apply to an owner of prop0ny who
n.r•(ds or m;.reres Mcre.n antl woo does such work nrnsart W mro.,Oh " Own ++m0+oy00.4.
P^:v;ad Mar Svc. It mpr0�0,ants are not +mended W Offered for seta. N. Mwelyr, the Da!d/nq
of .npr0+emenr ,S SWd wahrn ons ye6f of comuletion the ow,,w,bwtder win have the Du,don
at anovq+p char he .',d .+r,t ,td Or aL7rove 10, (he :ul~ose of ;a10.1
I • 1, as owner of the DraCerty, an` exclusively Contracling w to licen,90 Contractors to ('on-
91rvf,1 the Pr?I?Ct ISee 7011, Bu5,na55 arta PrOfOSSlOn8 Cola- The COnlfacrol'S l!r0nr,6 Law
11.08 1101 Sooty 1C en owns, o1 P100eny w.h0 Du104 N ^010ves fnereon. Wd wa0 twtraUB for
such orc+eels • ,. cMr: ec rO,(SJ tifdnSe,r OWs,rgnf 70 the Contractor's License Law.)
1 am -empt under Ser., ._e• d PC, for tn1, reason ,-.._ ___
)a'r —Qw'�,r — --- — ----
WORKERS' COMPENSATION DECLARATION
I he,eby affirm trial 1 hd,e a Cendlcate Of consent to sIlf•In,Ore, or a certlficate of
Wur er's Con+J�e t n In tyros, or a certified c py thereat. (50CC9 ¢Q 1ANU r7dp J
POl,cy N0..la!; ,—& X ompany —. L -+--L•.
�1-0py is Fled with the City. I,, Certified cony Is heresy tuml,hed
\ CERTIFICATE OF EXEMPTION FROM
WORY,ERS' COMPENSATION INSURANCE
t Thy section neod not be compt0fo41 0 the pefrM ;* tat one hundred doears IS100) va/uaBon
or fess J
I celttfy that 111 the performance of In work tar wr-0h this Permit Is issued, I shall not
employ any D?'son In ant manner 80 as (d become suaject to the Walker,* Compensation
Laws $L." fqi ma
Date__ Owner •_
'
r+QTICE TO APPLICANT 1f, after .m*i1c,1O this Ce'tlkale of Examctron you should bocama
tuoreJl to the wo,ya/t' CompoArAlloo Provrvon: of the Labor Cade, you mu,t fodhwr(h
co, ply .1Ih SuCh 010v,$Ori Or In,$ pti^if shall Jr deom9d revdkea.
CONSYRUCTION LENDING AGENCY
I hereby affirm that mere to a cnnstru Cllon tending agency for the pertorma-)ce of the
work for which this permit is Issued. i5eo 9097, Civil Cade.)
Lende%s Nam.o.—
Lenoei s Adlifess-
This is a building pgratt When properly filled out, signed and validated, and is subiect to
esplrallon .t work therauncier is suspe.ndeo for 140 nays.
I Certify that I have read this appilcatioh and !tate that the above Information 18 correct.
I agree to Comply with all City and Ceunly 0(dinandas and state law, relating to building
construction, and hereby authorize fepletentatives of this rity to enter the above-
Ment,oned properly for inspection purposes.
Signature of applicant-• --• ------ Oale -�,.:
hailing AOdrasS .. �, ..•,.,,_,.._. ,_ �-...,-..
Cily, State.
fi=IntA hint
Legal Description
Project DescriptionQ�__.
Sq. Ft, � No. NO.
Size, � � Stories � - - •_units
Newx Add O Alter• [7 _— Repair -3 -Demolition
Estimated Valuation ,,L�./lf+/�
PERMIT
+
AMOUNT
Plan Chk. Dep`—
Plan Chk. Bal.
Mech.
Electrical
Piumoing
�---�-'-----•---
d0
or,
7 �"
--.... ----..
S.M I.
Grading
Driveway Err --......_.._
Infrastructure
TOTAL_
�!
REMARKS
ZONE: BY:
Minimum Setback Distances:
SetbaCk from Center Line _—
�_ Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property -
FINAL DATE,- _---INSPECTOR
Issued -by: Date
Validated by:_.— �— --_
Validation:
P.L.
1'Vl%, J\-XJLK W11Ll? Lll\L Alli
NOT INCLUDED.
gm 36'
em 38'
f
SPA SPECS. GENERAL SPECIFICATIONS
SIZE SIZE 14' X 28' AREA 300
P.L. RAISED NOT if I DEPTH -3' TO -5'
LRE 100 WATTS SHAPEVILLAPERI METER 76
TRI LEVEL SEATSyF TILE SIZE GROUP 3
22" 2411.2711 TILE COLOR CHOICE
DAMWALL WIDTH 6" RAISE BEAM NONE
SPILLWAY SIZE 12" X " COPING CANTILEVER
' POOL CAPACITY 10,300 GALS
OPEN CLOSED PUMP CAPACITY 80 GPM
JETS.#�L MOTOR HPSTA MAX 2 HP 1.5
6FTFILTER SYSTEM 3 300 SQ FT
remove SOsgft of \ �. FILTER RATE 100 GPM
TURNOVER 2 HRS
existing Patios %
RETURN LINES. YES "
MAIN DRAIN YES "
SKIMMER MODEL DUAL PORT
CHECK VALVENONE
HEATER LAARS - SIZE250 000 BTU
a Y GASLINE BY S.D.C. 45'
L� POOL LIGHT40OW
SPA LIGHT 10OW
` CLOCK 24 HR 220V
I
ELECTR C BY S.D.0.
�i ELECTRICAL BONDING BY: S.D.C.
TILE AND COPING S.D.C.
DECKING BY S.D.C. 700 SQFT
NAT/SALT DECK & PATIOS
CONTRACTOR cannot assume
responsibility for damage to
I ' 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.
:The Morgen Residence
Address- 44-325 Camino La Vanda
Wit: La Quinta, Ca.. "Rancho Ocotillo"
LOT #28
A SON.
POO/W
SHOW ROOM 1; "
68-805-A PEREZ RD. STE. E-9
CATHEDRAL CITY CA. 92234
PHONE (619) 324-1232
LIC # A-574127 Jeffrey