9588 (RPL)• t
p Q
T4`i�t 4
P.O. BOX 1504 No. 9588
Building MIKE � CHRIS MCMANIS78-105 CALLE ESADO
Address LA QUINTA, CALIFORNIA 92253
POOL AND
SPA
44-090 CALICO
Address SAME
City
Zip
Tel.
LA QUINTA,CA
92253
Contractor
DATE PAL14 ENT.
Address
28070 AVE. PRIMAVERA
City
Zip
Tel.:
CATHEDRAL CZTY
92234
325-2187
State Lic. -City
_
&Classif. 591925•
Lic.# 1888
Arch., Engr.,
Designer
Address
Tel.
City Zip State
I Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 14m licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions code, and my license is in fullrforce and
effect
i
�SIGNATUREN-1� �`�. _ k .i'�, �1 t..'�,.r"" a.: DATE
E ? OWNER -BUILDER 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 rile a signed statement that he is licensed pursuant to
i floe 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 appriicant to a civil penalty of not more than live hundred dollars ($500).
0, 1, 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 krtproves 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
orergrrovement 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) licensed pursuant to the Contractor's License Law.)
❑ 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
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
❑ Copy 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{`•, I i ( r
I certify that in the performance of the 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 Califomi
Date -' .. p Owner `AL1. �' A t
NOTICE TO APPLICANT: U, Iaher'making this'"Certilibate' of lExemption'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.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency.for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lenders Name
Lender's Address
• 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 sof this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date'
Mailing Address
City, State, Zip
BUILDING: TYPE CONST
Number
OCC: GRP.:
r
Description
t Description POOL AND SPA
Sq. Ft.
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
r
$12,900
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
$93,60
Const.
144.00
Mech.
24,00
Electrical ,,
4 5 . 0
Plumbing
210UU
S.M.I.
- 1.30
Grading
Driveway Enc.
Infrastructure
'. )•" h alt
' O MM.VA s'i gni �9, :2^yi d Qf'! 3
r ....
TOTAL
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 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
ROUGH PLUMB. BONDING
2ND FL SO. FT.
STORAGE TANK
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. ®
REINF. STEEL
DRAINAGE PIPING
WALL SO. FT.
DRINKING FOUNTAIN.
SO. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
FINAL INSP.? (( q (co
FINAL INSP. -2/a at
WATER PIPING
NOTE: Not to be used as property tax valuation
LUMBER GR.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIRE ZONE ROOFING
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIREPLACE
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 ® 1V4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING,Co UNDERGROUND �2 °lSz
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) C .2 a METER LOOP
J
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.? (( q (co
FINAL INSP. -2/a at
GRADING
cu. yd.
g plus x$
=$
LUMBER GR.
FRAMING
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION Il ,�j
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL