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11524 (PAT)Building Owner Mailing Address XSEi „K T City lZip Contractor Brace Wells' Pur iec+ Pools Address P.O. Box 1524 CityZip Tel.' Palm Desert 1 92260 568 State Lic. & Classif. C53 483 Arch., Engr., Designer Address City City Lic. # ZipIState Lic. # 44 P.O. BOX 1504 N o . 11524 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP. 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 I hereby affirm that I am exempt Irom'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). ❑ 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 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.) b 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.) O 1 am exempt under Sec. B. & P.C. for this reason t Date Owner- WORKERS' COMPENSATION DECLARATION I hereby affirm that I have acertificate of consent to self -insure, or, a certificate of Worker's Compensation Insurance, or a certified copy thereof: (Sec. '3400, Code.) Policy No. Company I. ti , _ . ' r Copy Is filed with the city. ❑ Certified copy is heretiy furnished. /I/ %--) CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE • (This section need not be completed if the permit is for one hundred dollars ($700) valuation or less.) I certify that in the performance of lhg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation' Laws of California. Date Owner NOTICE TO APPLICANT: If, . after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith ' comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) ' Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip P. Number Legal Description Project Description 7asii i^r,Rso�- 7 tS4 ft+t ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit 3 - Validated by: Validation: Sq. Ft. 16$ Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Estimated Valuation $2,536.60 PERMIT !, AMOUNT Plan Chk. Dep. Y Plan Chk. Bal. ` 25.10 Const. 1' 54.00 Mech. Electrical Plumbing S.M.I. .30 Grading Driveway Enc. Infrastructure TOTAL IV Lri'i:st i 3 1 t it -L I t9.40-.sREMARKS REMARKS _89.140— 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 3 - Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS 1 COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL. SO. FT. ROUGH PLUMB. BONDING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAR. SO. FT. ® POWER OUTLET ROOF DRAINS DUCT WORK ROCK STORAGE DRAINAGE PIPING CARP. SO. FT. GAS (ROUGH) WALL SO. FT. METER LOOP DRINKING FOUNTAIN. SO FT ® REINF. STEEL URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM LUMBER GR. 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 ®1Va c SEWAGE DISPOSAL SO.FT.GAR ® 3/<c 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 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/0211 v FINAL INSP. ROOFING J2 —�7 /'j / / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING M FINAL INSPECTION- /N CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL lq Building Address c&ty/ 4 4 " P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address City Zip Tel. cior t,onuaF_;<v.s 0--9—` Cl 7r' , YC`5—d Addren City✓ 7Up Tel State Lic. City & Class if Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that,Lam licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisi g B�lsiness and Plofessions Code, and my license is In full force and effec. ...6 ^ �J\ l� Ali ��� SIGNATURE — — _— DAT 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). 11 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 builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended gr 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.) i 1 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.) 17 I am exempt under Sec. B. R 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. ,.(Se 800, Labor Code.) Policy No. Company �s�Ys� SA=%A`� O Copy is filed with the city. D 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 ihP work for which this permit is issued, I shall not employ any person in any manner so as o become subject to the Workers' Compensation Laws all r ^ _ Date net /`�`-�--�-� NOTICE TO A PLICANT: II, r ma g 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 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 bove mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip FINANCE BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description Projectn�Description Sq. Ft. Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. e Const. Mech. Electrical Plumbing S.M.I. , Grading Driveway Enc. Infrastructure 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: WED 14 = 11 DESERT RESORT tlGMT _ P _ 02 Fred M. Behrens t 76-915 Ave.rlda Fernando La Quinta, GA 92253 October 28,' .1992 V1A FASZE I M,11 �4 Elaine Lloyd pteert assort Management post offiQe Box 4772 palm AOoArt, cA 92261-4772 REx ARCHITECTURAL COMMITTEE REVIEW 77-070 AVEN10A FERNANDO Dear Ms. Lloyd: Concerning your lettor of October 15, the LOIS Est.ados ArChiteCt.ural Committee approves of tha patio structure at 77070 Avenida Fernando, per the pct,obOt 14,1 992 proposal from Perfegt Pools. Sincery, „ Behrens chairman FH8/gi 0 '--UffY U i- LA U HN i M BUILDING ENT Ly ISU i5*qSjAI-LATi3Of-,' 1"S2 PER DATE 1 AND ALL APPLI A�. I C-Lcr—1