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003511 (SOL)• P.O. BOX 1504 No. 003511 Building 78-105 CALLE ESTADO Address 77-61-9 C 1, Potrero LA QUINTA, CALIFORNIA 92253 Owner Pp` P_r T's t7-m'kn BUILDING: TYPE CONST. OCC: GRP. Mailing Address �a-Lae A.P. Number {i �:i ` 'Sia ? -- City Zip Tel. �.."A €dui nta. 92253 5644685.-. - ' Legal Description Contractor Project.Description 1C x? [1 hi1'rAt Ing Address imou kmicagQ ave. .b -1i City _...Zip Tel. 71A_701_f;191 State Lic. 'T City & Classif. 337556 [Lic. # ff Sq. Ft. No. No. Dw. Size • Stories Units Arch., Engr., _.. . Designer New ❑ Add ❑ Alter ❑. Repair ❑ Demolition ❑ Address Tel. City Zip State 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 Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the followingw reason: (Sec... 7031.5, Business and .Professions Code: Any city or county _ which requires a 9[ 1 V V permit to construct, alter, 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 PERMIT - - AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section .7000) of ' Division 3 o the Business and Piofessions Code, or that, he is, exempt therefrom, • and the basis for the Any Section 7031:5 by 'any for - Plan Chk. Dep. - - alleged exemption. violation of applicant a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). - -Plan Chk. Bal. ❑ 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 Const.. ' ✓ •� � -. 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, Mech. 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 Electrical - 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- Plumbing 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 S.M.I." such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading O 1 am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date owner Infrastructure WORKERS' COMPENSATION DECLARATION ' I hereby affirm.that I have a certificate of consent to self -insure, or .a certificate of Worker's 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 furnished. TOTAL CERTIFICATE OF EXEMPTION FROM ' • REMARKS 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' ' Owrier NOTICE TO APPLICANT. If, after making this Certificate of Exemption, you'should become ZONE: BY: ' subject to the Workers' Compensation provisions of. the Labor Code,'' you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: - ' Front Setback from Center. Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 1 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:) , —Side Setback from Property Lint? Lender's .Name Lender's Address FINAL DATE INSPECTOR' This is a building permit when'properly filled but, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I - 12/3/ 7 certify that I have read this application and state that the above information is correct. 'all Issued by: Date J Permit I'agree to comply with city and county ordinances andstate'laws relating to building - construction, and hereby authorize representatives -of this city to enter the above•. - mentioned property for inspection purposes. Validated by: Signature of applicant -Date- ateMailing MailingAddress Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ 2ND FL. SO. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ. FT. WALL SO. FT. @ SO. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FANI EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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. SQ. FT. @ c BATH TUB SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL _ c17 SQ.FT.GAR @ 3/ac HOUSE SEWER REMARKS: VENTILATION 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 RSUNDLU BIN :�gP7 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. 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 _ c17 DEC lii(I/ 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 PP -rine Da compon-enI Id 1!j!!CCfl VACUUM PANEL BODY STRAPS PANEL BODY TIE -DOWN ENO CAP 0_ .. TIE -DOWN SUBSTRATE 'Optional W oaneb reatl M avadWe Panel Body Dimensions Q� i. TOP nF--DOWN— % SHORT COUPLER TOP HEADER LONG COUPLER i BOTTOM HEADER s SUN SENSOR n! I S LAR HEATING ' SPECIALISTS, INC. TO POOL 1860 Chicago Avenue (I-17) AUTOMATIC ,... {714) 781-6520 Lic. X1337656 FROM POOL TOP CONTROL PANEL BODY ---TIE DOWN BALL VALVE BRACKET � � I � o . TO 110 or 220V— BALL VALVE E21 TEE CENTER THE MIDDLE TIE DOWN CHECK 4 WAY CROSS HEATER BRACKET VALVE . FILTER \PINCH VALVE WATER SENSOR BOTTOM PANEL BODY TIE DOWN / BRACKET 10(- 5-1 PRESSURE LINE ' EXHAUST LINE O PUMP I I S LAR HEATING ' SPECIALISTS, INC. TO POOL 1860 Chicago Avenue (I-17) Riverside, CA 92507 ,... {714) 781-6520 Lic. X1337656 FROM POOL 3 P tx tx o�- oc t�- cc t�- t=<- tx C tx t=.e - cx oc� tac- o fac- e o.e- f=.f— C=W— C=-e- C=W— O� INTc."71NA T ICNAL ASSOCIATION OF PLUMBING AND OFFICIALS A NON-PROfR =RPORATION RECCMMENCAi ICN CF rHE RESEARCH C -MMI MECl A N I C A L Samoies of the product described herein have been tested by an independent testing laboratory and have been reviewed and recommended for acceptance by the Researcz Committee of the Internationai Associa- tion of Plumping and Mecnanicai-0fflciais as meeting the requirements of the UNIFORM SCLAR ENNEFGY CCDE. This recommendation is subject to the conditions set fortn in the characteristics beiow and is not to be construed as any recommendation, assurance or guarantee by the Association of the product or of prod. uct acceptance by locai jurisoictions or authorities using the UNIFORM SOLAR ENERGY CCDE or otherwise affiliated with the Association. •. Accepted 1 ap>; (:-"-at Mat`) Ptif©, Eat~ Z35 mrtscit= cn Dr-ve Me.^.io Park, CL 9402 Void after -NazQlf:-ems '1087 IV 8FaL© Iii IOr, (ai2Z--d) 108 *? 4hf= IIO r (Ml#=e_'j j We_c ht W=tong Pini P_ es=e ire°= IYS Fsi Giae3 Call e& -=r. T- Migl=ed CcUet=3-: Stz=ataa maat`:a=re l 3Ciz1'�1: Pe ar�*it I �T shtuing maniea&-,ms`s s I3me O= t arrnmarke 7Rfs reoomrrlenoation is for thea ' , ' Indicated heein and Is void after Hats mown abma Arty champ in materia4 mamdacv.Wnq proems. ItBum nq or oeelgn without hamnq first wtarnao the acvravaf of ttfe Flesearcft COmmmea or emdence of nonaotnolianee vntn attofic=16 atanaarns or of infanar we. tmansma. may be Caemad as sufflaent Cause for revoeailorrat this nxommemaadttn. Aearaaucnon of or .M. encs to tis form for aave dum; MPaC343 may be made onry oy stteuffo vrnttsn permrsmon of the Intantationai Aaaa .adon asp,,* IAeenanlot Cttleial :tris out/trdrizaa ttte uae�at�rtvthe 4AEO fogo on pmau�'ce '�m C�ovJw�e/d tty this ctitftyte. /�il3 • .ND.eetf! vi/ / Id bs Pou+>e>s �r oeatlon of U*I /—_ .w . / ___ � � i Gu►trtrunt. REWJACH m)rrrlrrE& YMCLMVG CII Sponsors of the Uniform Plumbing Cede, Uniform Swimming Pool, Spa and Hot Tub Code and Uniform Saiar Energy Cane. • - f�1>_CMwenw ref fAs l I�:f�� •__�___—..�___ .. oma' ate' cam' or' or' or' a� �r2•- cr- cc- or o�- oc' cr- C=W' 01- or" o� oma' o� or oc' or o�- or oc� oc' or oe" or c-<- o<' C=>< - ac" cc- c�- cr- ,\µ v v v U , v v v v V V V v vwvyvvvv14vvv �- INTI=RINAiICNAL ASSOMATION OF PLUMBING AND McC'sin,"MICAL • CF=;CIALS A NON -PROW CORPORATION REC'04 MENCAMCN CF T'.E . RESEARCH COMMIT E_ CMM7 IFICA7� A=soled�c laE6 Vcid after �c Ao;siicartt - - -- � Produc:trade mame' C:1—t s (Flat mat--) c ..Pie number—9 Z -Gag-- Page _ c c 1110&-T nL'iljrer3 and II...c"'CCel r�t=on mar: (M • c ..rte C�.`RA= 1: Mat plate solar c Uec--crs fcr use in sca, pool,. sc3c-- or o=F--"c wat=r heating sys=s. Si. -es and we,-== are as shown. To be ins..3L' ed in a=rcar.L-- with the mam.=-act•� .r' s irs=,ac:::ons and the r=74—sions at the later ea -on of tre IInif = Solar Fier r Ccdm. -� C