15203 (RPL)Building
Arlriracc 44-390 Camino Lavanda
Owner Jerashen
Mailing
Address varve
CityZip Tel.
La Quinta, CA 92253
Contractor
Dodson Pools
68-005 A Perez Rd. E9
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
C&thedral Cit1 ,Ip CA 92234 Tela 374•-1232
State Lic. City
& Classif. 574127 Lic. # 1044
Arch., Engr., I
Designer
Address TTel.
CityI Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed un r provisions of Chapter 9 (commencing with Section
I000) of Divisionof r Business'a�/ professions Code, and my license is in full force and
effect. 0"•(� 5
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,13usiness 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 rive 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 apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) ficensed pursuant to the Contractor's License Law.)
i
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby Inn that I have a certificate of consent to self -insure, or a certificate of
Workers Co ensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No ,Company
Cpy is filed with the city. ❑ 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 thg work for which this permit is issued, I 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: It, atter making this Certificate of Exemption you should become
subjectto 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 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.. 15243
LDING: TYPE CONST. OCC. GRP..
P. Number
!gal Description
oject Description Pool
Sq. Ft.
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
IEstimated Valuation $12.000.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
24.00
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 Center Line
Rear Setback from Rear Pro. Line
Side Street Setbackof� Center Line
Side Setback from Pro, • erty !�ie
FINAL DA
Issued by:
Validated by:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM 4
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT, ®
POWER OUTLET
ROOF DRAINS
CAR P. I SQ. FT.
FOUND. REINF.
DRAINAGE PIPING
WALL SQ. FT.
HEATING (FINAL)
DRINKING FOUNTAIN
SO FT ®
GAS (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SERVICE
FLOOR DRAIN
MECHANICAL FEES
BOND BEAM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL ' HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROOFING
LAUNDRYTRAY
AIR HANDLING UNIT CFM
REMARKS:
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ®c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR p 3/.c
HOUSE SEWER
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
T NK
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
FINAL INSP.
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING
FI L IIS
ROOFING
/
/V
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL 7d
x
CITY OF LA OUINTA
k I
13UILDING & SAFETY DEPARTMENT
CONDITIONALLY
ACCEPTED FOR CONSTRUCTION
SUBJECT TO INSTALLATION AS PER ..
............ .......................... T,__
PyE ALL, . (3-;z
a%, �6 —
I t7l..� TE c U _—_. -t . -
BACKHOE
ACCESS
a/c
r0`- -
APPROXIMATE P.L.
a
door
V
a
OTE: REA R P.L.
IS 13' FARTHER
FROM HERE.
APPROXIMATE P.L.
SPA SPECS.
SIZE i' =0F a 4az6Qt
RAISED NOT 11
LITE 100 WATTS
TRI LEVEL SEATS yES
22" 24" 27"
DAMWALL WIDTH 6"
SPILLWAY SIZE 12'
OPEN XX CLOSED
JETS.#_4
0
GENERAL SPECIFICATIONS
SIZE 14' X 28' AREA 300
DEPTH -3' TO -5'
SHAPE MIR. PERIMETER 75
TILE SIZE
TILE COL_tjjj5Z
RAISE BEA AMARINE
COPING CANTILEVER
POOL CAPACITY 11000 -GALS
PUMP CAPACITY 90 GPM
MOTOR HP STA MAX 2 HP 1.5
FILTER SYSTEM -3 300 SQ FT
FILTER RATE 100 GPM_
TURNOVER 3 HRS
RETURN LINES. YES
MAIN DRAIN YES "
SKIMMER MODEL DUAL PORT
CHECK VALVE NONE
HEATER LAARS SIZE 250.000 BTU
GASLINE BY S.D.C. 46'
POOL LIGHT 40OW
SPA LIGHT 100W
CLOCK 24HR 220V
ELECTRIC BY S.D.C. 165'
ELECTRICAL BONDING BY: S.D.C.
TILE AND COPING S.D.C.
DECKING BY S.D.C. 650 SQFT
SALT FINISH/NATURALGRY
CONTRACTOR cannot assume
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
an sume full responsibility.
uame. J eras -hen �4,-4 s 3'01 c>
AddressLot #20 Cam. Lavanda
Cay�La Quinta, Ca.
............................6......
`. fi .:...... .
"Rancho Ocotillo"
�,MV—;Do FF,
u:
P60145
SHOW ROOM
68-805-A PEREZ RD. STE. E-9
CATHEDRAL CITY CA. 92234
PHONE (619) 324-1232
LIC # A-574127 jeff lamb