05609 (RPL)Building
Address 44-155 CAL= DR.
Owner
Cactus Mower
Mailing
Address
City lZip
c&t!t 4 4
"
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Contractor C ifornU F=ls & Spas
Address. -
67-712 kmin Rd.
No. 05609
BUILDING: TYPE CONST. OCC: GRP.-
A.P. Number Cactus P3.omr
Legal Description
Project Description Spa
�&thedral City Zip92234 Tegi9/31'3-7,,3.
State Lic. City
& Classif. 185102 C-53 Lic. # , r . Sq. Ft:. , No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add, ❑ Alter ❑ Repair ❑ 'Demolition ❑
Address . Tel.
City e Zip State
Lic. #
{ LICENSED CONTRACTOWS'DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Divisiont3 of th "BGsiness and Professions )code, and my license is in full force and
effect.
SIGNATUgE - - DATI
OWNER -BUILDER DECLARATION
I hereby affirin that 1 am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,13us ness 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 No a signed statement that he is licensed pursuant to
the provisions of the Conbactor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 or 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 appficant to a civilpenally 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, Bussness 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) icensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. a_ & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, ora certified. copy thereof_ (Oc. 3800, Labor Code.)
Policy No. Company~.
❑ Copy is filed with the city.❑ Certified�co
py is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ff 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
alifornia.DateOwner
NOTICE TO APPLICANT: N, after mating 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 Penni shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
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 certity 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 Dale
Mailing Address
City, State, Zip
stimated Valuation Sb,GWAG
BY:
PERMIT
AMOUNT
Plan Chk. Dep.
Front Setback from Center.Line
Plan Chk. Bal.
52.65
Const.
81.00
Mech.
24M
Electrical
FINAL DATE
Plumbing
a.0
S.M.I.
.xi
Grading
Validated by:
Driveway Enc.
Infrastructure
TOTAL
, ti
HtMAHKS -A'N rti+las 1%. -^,*,:irt+. « • n
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
4/6/89
Issued by:
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT. 0
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING s' ��_
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH) s L �
!!v//
ETER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TEMP. POLE J
GROUT
DRAINAGE PIPING
CAR P. SQ. FT. ®
FINAL INSP."
WALL SQ. FT.
WATER SYSTEM
FINAL INSP.
DRINKING FOUNTAIN.
GRADING
cu. yd.
$ plus x$
=$
URINAL
SO FT ®
ROOFING
40
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SQ.FT.GAR ® V/ao
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 TANK
ROUGH WIRING s' ��_
DUCT WORK
ROCK STORAGE
1
FOUND. REINF. %� N riCj '
GAS (ROUGH) s L �
!!v//
ETER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE J
GROUT
WATER HEATER
SERVICE
FINAL INSP."
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP.
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING
ROOFING
40
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