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11264 (RPL)4 P.O. BOX 1504 �•_- N o . 11264 Building 7&105 CALLS Address 78-675'CARNES LA QUINTA, CALIFORNIAORNIA 9 92253 Owner ALPBT Mailing BUILDING: TYPE CONST. OCC: GRP. Address SAAB A.P. Number City Zip Tel. LA QUINTA 92252 Legal Description Contractor F & F POOLS Project Description POOL SPA Address 80-875 INDIO City Zip Tel.: INDIO 92201 345-5070 State Lic. City & Classif. 476$07 C53 Lic. # 130 Sq. Ft. No. No. Dw. Arch., Engr., Size Stories + Units ' Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affir that l am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divi. ofthe Businessand Professions Code, and my license is in full force and effect. ��- SIGNATURE sit w Y DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following 1 reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a 3000 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 PERMIT AMOUNT 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 Plan Chk. Dep. $93.60 6 subjects the applicant to a civil penalty of not more than rive hundred dollars (5500). Plan Chk. BBL' t7 ❑ 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 Const. 144.00 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. 24.00 provided that such improvements are not intended or offered for sale. If, however, the building L5.00 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 or sale.) 4 O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 27.00 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. 2.30 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ❑ 1 am exempt under Sec. B. & 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 i4 Copy is filed with the city. O Certified copy is hereby furnished. 1 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation .'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 California. Date' Owner NOTICE TO APPLICANT: If, after making 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 permit 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 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 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 IST FL. SQ. FT. ® $ UNITS COLL. AREA 2ND FL. SQ. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOMESVC. BAR SINK GAR. SO. FT. I 1POWER OUTLET ROOF DRAINS CAR P. I SQ. FT. DUCT WORK DRAINAGE PIPING WALL SO. FT. GAS (ROUGH) DRINKING FOUNTAIN. SO FT ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to De used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. $ -Plus-X$-=$- lus X$=$ROOFING LAUNDRYTRAY AIR HANDLING UNIT CFM 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 LATHING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL FENCE FINAL SO.FT.GAR ® Vic 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, DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-X$-=$- lus X$=$ROOFING LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING //�� t� nw / / REMARKS: �( ft i- VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESJINITIALS GARDEN WALL FINAL i �- �7 t To PL if 11 X 17 PRINTED ON NO. 100011 CLEARPRINT • 0 O 0 / o ` K;19`c l o/�. Ql- I-Vv a I I 6 ItIQ5 1 4 � y �Ao 1 Cl. 1Y OF LA LINTA, 11RDILDING &'SAFE EPART NT S' To PL SU IE OTTO INSTALL 1014 AS PER il Ail o�A�j _ ALL APPLICA L : CODES _ ' { OATS ._ .. � BY �/� �/3 ��- _ i't'c . gvt:71Ns11�G-- - - - - • - - ---� - � - - - - / 3 � o�ER•ortc /.rruuo�.� ac��tq. _ ......_ _ . � z A406 ` �RoPnSED AT►cs Coue12 <Tcu=u.is T��> a APPROVED BY: SCALE: la I DRAWN BY l/ /,�e.Ax, wr PosT —Ca DATE: REVISED S 4 Y111R . + ms . Zvi o �?� _ DRAWING NUMBER