13292 (RPL)Tw�t 4 4 agmt
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 78-585 Sagebrush Ave. LA QUINTA, CALIFORNIA 92253
Owner Mr. a Mrs. Klein. 1
Mailing same
Address
City
Zip
Tel.
La Quinta, CAI
92253
1
Contractor
McIntyre Pools and Spas
Address
P.o. Box 1751
'ta Quinta', CAJZip
92253
Tel. 3442-3521
State Lic.
City
& Classif. 614611
Lic. # 1945
Arch ' , Engr.,
Designer
Address
Tel.
City Zip State
I I Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that Itam licensed under provisions of Chapter 9 (commencing with Section
JqIXI) of Division 3 of he Business and Professions Code, and my license is in full force and
)ect.
"SIGNATURE DATE
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, 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
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
subjects the applicant to a civil penalty of not more than five 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 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.)
0 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) licensed pursuant to the Contractor's License Law.)
0 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
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Polic N Company
33,60'p,y is 'filedwith the cii;. 0 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 certify that in the performance of thl work for which this permit is issued, I shall not
employ any person in any manner so as 0 become subject to the Workers' Compensation
Laws of California.
Date -Owner
NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should beco
me
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 Addres
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 cer tify 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, Zi
No. 13292
BUILDING: TYPE CONST._OCC� GRP.:
P. Number
Legal Description
Project Description 50' of 51 high block wall.
This
permit
is part
of contract'for
pool
and spa
permit
no. 13292.
Sq. Ft.
Size -
No.
Stories
No. Dw.
Units
New 0
Add 0
Alter 0
Repair El -Demolition 0
Grading
Driveway Enc.
Infrastructure
TOTAL
45.00
REMARKS
Estimated
Valuation
083
3. 0 W
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
45.00
Mech.
Electrical
Plumbing
S. M. 1.
Grading
Driveway Enc.
Infrastructure
TOTAL
45.00
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Lin
ReAr"Setback from Rear Prop. Line
Side Street'Setback from Center Line
I
-Side Setback from Property Line
FINAL DA
Issued by:
Validated
Validation
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. @ $
2ND FL. SO. FT. @
POR. So. FT. @
GAR. SO. FT. @
CAR P. SQ. FT. @
WALL SO. FT. @
SO. FT. @
ES TIMATED 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
- jv/
WATER SOFTENER
VENT SYSTEM FAN EVAP.CCOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FOUND. REINF.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
I
LAUNDRY TRAY
AIR HANDLING UNIT CFM
GAS (FINAL)
IKITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
I WATER CLOSET:
COMPRESSOR HP
POLE, TEMIPERM
ILAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
LUMBER GR.
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID g 11/4 c
SEWAGE DISPOSAL
ROOFING
SQ.FT.GAR @ 3/4c
HOUSE SEWER
REMARKS:
IGAS WING
PERMIT FEE
PERMIT EE
PERMIT FEE
DBIL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT.FEE
SMI FFE---] PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK W/
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE C
la/
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
- jv/
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS(ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BONDBEAM
WATER SYSTEM
GRADING
cu. yd.
$ _plus -X$-=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES11NITIALS'
.GARDEN WALL FINAL