07326 (RPL)P.O. BOX 1504
Building e.` 7&105 CALLE ESTADO
Qui
Address 49—M mera Court LA QUINTA, CALIFORNIA 92253
Owner Rudy Brito
'Mailing
Address 49-040 Quimera Court >
City Zip Tel.
La Quints 9.2253 564-0779
Unique Pools by Charmine
Addr
X74-31$ Ve.lie Way #1 ' >.
City PaZip Tel.: 19226-0. 9226- 346-6335
State Lic. City
& Classif. 520432 Lic. # 1366
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed iinder prOnsions of Chapter 9 (commencing with Section
7000) of Division Sof the Business and Professions Code, and my liceis in full force and
effect-,s'��x-a...,-7 1 •rd �..�;, _ 1 w"`�./ -275-6
SIGNATURE `�..+'" 6 -' ,f '. y DATE
OWNER -BUILDER DECLARATION
I hereby affiFyn that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031-5.8usness and Professions Code: Any city or county which requires a
permit to construct, after, irpm.e, demolish, or repair any structure, prior to its issuance also
requires the applicant for such pemeT to lie a signed statement that he is licensed pursuant to
the provisions of the Contractors 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
for the alleged exenwCw. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a dvi penalty of not more Man 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, Buisness and
Professions Code: The Contractors License Law does not apply to an owner of property who
builds or improves thereon and who Wes such work himself or through his own employees,
provided that such irprovements are not Intended or offered for sale. If, however, the building
orimprovement is sold wdhir one year of completion, the owner -builder will have the burden
of proving that he dud not bald or it prove 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 coribactWs) foensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sen a, & 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 romparry
❑ Copy is filed with the city. ❑ Certified copy is hereby fumished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed J lie 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 any person in any manner so as to become subject to the Workers' Compensation
Laws of Califomia
Date Owner
NOTICE TO APPLICANT: q after maurrg this Certificate of Eremptron you should become
subject to the Workers• CorrpensaLion provisions of tie Labor Code, you must forthwith
comply with such provisions or 0a peril shaft 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, Ciel Code.)
Lenders Name
Lenders 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 -of, this city to enter the above-.
mentioned property for inspection purposes-
Signature
urposesSignature of applicant Date
Mailing Address
city,. state, Zip
No. 07326
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number Parc La Quinta
Legal Description Lot .32i< Tract 22155
Project Description Pool' & 5.pa.
Sq. Ft.
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Estimated Valuation
$10,500
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
•
Const.
!G •
Mech.U.X.!
Electrical
27.00.
Plumbing
MUO
S.M.I.
.77
Grading
Driveway Enc.
Infrastructure
r 1
TOTAL
$289.67
REMARKS
ill s �)1 44.
T9-- Matt I tit, x
Ziii1.of
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
3/12/90
Issued by:' Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL SQ. FT. ® $
2ND FL SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. I SQ. FT.
WALL SQ. FT.
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE Not to be used as property tax valuation
ROUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE . DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROUGH)
GAS (ROUGH)x"
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11% c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FRAMING
FINAL INSP.
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
ROUND PLUMBI
UNDERGROUND
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.
ROUGH)
GAS (ROUGH)x"
METER LOOP
HEATING (FINAL)
OTHER APPJEQU1P.
REIN F. 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.
ROOFINGwP
— � `� ` 100-4
r(� ,
J
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL