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11351 (RPL)Building 50--925 Palma Address 4 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253' No. 11351 Bill Davis BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description Mailing Address 5aine City La Quinta Zip 92153 Tel. Contra tCorintyre Pools & Spas Pool, and Spa Address 45301 Roudel Lane City Zip Tel.: La Quinta 92253 342.93521 State Lic. City & Classif. �� 61461? Lic. # 1945 S Ft. No. No. Dw. Size Stories Units • Arch.,'Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # j LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3, of tfie Business and Professions Code, and my license is in full force and . /SIGNATURE' "" ! DATE V OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a 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 '• 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 rive hundred dollars ($500). O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who 0 thereon and who does such work himself or through his own employees, builds or improves provided that such Improvements are not.intended or offered for safe. If, however, the building or Improvement Is sold within one year of completion, the owner -builder will.have the burden of proving that he did not build or improve for the.purpose of sale.) Estimated Valuation 1 . 1500 PERMIT AMOUNT ' y Plan Chk."Dep. Plan Chk. Bal. a 3 i3 J COnSt: 144.00 M6ch. 24.00 'Electrical 45.00 Plumbing 27.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License.Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P:C. for this reason - S.M.I: 1.00 . Grading Driveway Enc. Date owner Infrastructure WORKERS' COMPENSATION DECLARATION ' I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800; Labor Code.) Polly No. Company O Copy is filed with the city. ❑.Certified copy is hereby furnished. TOTAL 334.90 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE his section need not be completed if the ' (T P Permit is dollars (5100) valuation 'or less.)' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation taws of California. REMARKS • ._. G. tY''ft' _ , �Zt i � - •Rsi<'i1 :;efi �•l.'�•$�'{..re`�grl t..n-�"if l?--�`^; '.j, � � f 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. ' -' ZONE: BY: Minimum Setback Distances: Front,Setback from Center Line 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 FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Lender's 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 of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES* 1ST FL. SQ. FT. ® $ UNITS A.C. UNIT 2ND FL. SQ. FT. SLAB GRADE YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. I SQ. FT. SEWER OR SEPTIC TANK DRAINAGE PIPING WALL SQ. FT. DUCT WORK DRINKING FOUNTAIN, SQ FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ HEATING (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SERVICE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM WATER SYSTEM FINAL INSP. 1l (% KITCHEN SINK ABSORPTION SYSTEM B.T.U. PERMIT SVC FAMPERES WATER CLOSET COMPRESSOR HP PERM LAVATORY HEATING SYSTEM FORCED GRAVITY ERV 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 ® 1% c SEWAGE DISPOSAL FIRE ZONE ROOFING SO.FT.GAR ® 3/4c HOUSE SEWER FIREPLACE 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 PLUMBIN16 DERGROUND? 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) /24 620 METER LOOP V/ HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. 1l (% INSP. GRADING cu. yd. $ plus x$ =$ LUMBER GR.FINAL FRAMING ROOFING LP C/U / 1 LILILI •t��"" T 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