9459 (RPL)Of
P.O. BOX 1504
No. .9.459
}Building •78-105 CALLE ESTADO
Address 48721 -SAN ISIDRO LA QUINTA,-CALIFORNIA 92253
Owner , POOL -AND
JOHN MARAY SPA
Mailing BUILDING: TYPE CONST. -OCC'. GRP..
Address SAME
A.P. Number
CityZip Tel.
LA QUINTA, . CA 92253 1564- Legal Description
Contractor Project Description POOL AND SPA +
RICH PARZIERRY
Address
Zi
PALM SPRINGS 19
State Lic.
&C11sWS3 472334•
Arch., Engr.,
'Designer
Tel::
92263 327-8080
City
Lica# 971
Sq. Ft.
Size
New ❑
No. No. Dw.
Stories Units
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 Businessland Professio,nss� Code, license is in full
r
r•
and my force and
effect+ �3 `
1,. 1GNATURE•'A ' " " r� 7G ""' `_ 7 DATE
9 OWNERf UILDER D€C%t #RATION
F I.heteby affirm that I am exempt from the Contractors License Law for the following:
Estimated Valuation t n tf
1 0 ®0
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
-
:r requires the applicant for such permit to file a signed statement that he is licensed pursuant to
PERMIT --. AMOUNT
'
the provisions o/ the Contractor's License Law, Chapter 9 (commencing with Section 7000) o/
ONlslon 3 df the Business and Professions Code, or that -he Is exempt therefrom• and the basis'
•• for the alleged exemption. Any violation Section 7031.5 by 'any* for
Plan Chk' Dep.. "•
of applicant a permit
subjects the applicant to a civil penalty of not more than Ove hundred dollars .($500).
'.
-.' _ ;L:
Plan Chk. Bal.
❑ 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 -14
Profess ions. Code: The
.
Const.'".. �4 .O
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,
e
Mech. 24.00 '
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
Electricals - �.�5 0.0
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
PlUmbjng 27.00
struet the project. (Sec. 7044, Business and Professions Code: The Contractor's. License Law
does not apply to an owner o/ property who builds or improves thereon, and who contracts for e
--S,M.I. 1 `
•
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 -
❑ Copy Is filed.with the city. ❑ Certified copy is hereby furnished.'
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f+Ji.. ��:i!}� 1 �� �J'� ^ 4—: 14
TOTAL -0tl $3'3T4:9f� ltt BL 1,�=fakir
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(This section need not be completed if the permit is /or one hundred dollars (8100) valuation
•�� -
orless.) -
I certify that in the -
inthe for
-
,� performance;'of work which this permit is issued, I shall not
mploy any person in any manner so as to become subject to the Workers' Compensation
Law of California.
Date /'� f !• - Qwner
• NOTICE TO APPLICANT: If, aRei1 making this "Certlhcate oI`-::Exemption yQL ,¢hould become
ZONE: • BY:
subject to the Workers' Compensation provls/ons o/ the �l..abor Code, yo must /orthwilh
comply with such or this permit shall be deemed rewked. -
-
Minimum. Setback Distances:
Front Setback from Center Line
i.
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
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.)
Side Setback from Property Line
Lender's Name
Lender's Address
FINAL DATE INSPECTOR
' 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'
Issued by: Date Permit'
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.
Validated by:
Signature of applicant _ Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO, FT. ®
CAR P. I SO. FT.
WALL SO. FT. ®
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK 1
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SLAB GRADE
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
SEWER OR SEPTIC TANK ROUGH WIRING.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
DUCT WORK
LAUNDRYTRAY
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.
SO. FT. ®c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
BOND BEAM
SO.FT.GAR ® 3Vic
HOUSE SEWER
,n
$
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 [? t% 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) ul( �fn L METER LOOP
CCC l
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
,n
$
GRADING
cu. yd.
plus x$
-$
LUMBER GR.
q �j/
FINAL INSP.( C
LO [ 1
FRAMING
FINAL INSP.16 Q 9
ROOFING
� L � e /
►/iJ/L $�( L( C�
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION /O ( TIL
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
'OF LA �QUINTA
Ca
EPARTMENT
ALLY
AS PER
1) AEE ; ' 3 �:�i,� >-' ,•
C
cl U
1
P0,01. 3
MI IN TO BE ENCLOSED By
AAh �: FENCE.
II �� )t Y'•r W6 .
APdU SELF,. � S --
LIF -CLOSING
LA�GP�i9�Gy
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