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11612 (RPL)Building Address 51-52 Owner Rick Morris Mailing Address 51°525 Juarez CityZip Tel. La Ru.:�tax CA 92253 Contractor McIntyre Pools a spas Address 46-301 Roudel Lane City . Zip Tel..' La Tuinta, CP 92253 State Lic. City & Classif. CS3 514611 Lic. # Arch. Engr P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 JILDING: TYPE CONST. P. Number No. 11612 OCC: GRP. Description t Description Pool. addition .3+42-3521 r 945 Sq. Ft. No. J Size Stories No. Dw. . Units Designer New ❑ Add ❑ Alter ❑ ' Repair. O -*• ' Demolition ❑ Address Tel. ? Front Setback from Center Line City Zip State Lic. # - Side Setback from Property Line FINAL DATE INSPECTOR LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section, 70 OO) of Division3 of -the Business, and Professions Code, and my license is in full force and • effect. M,'// ;,'i0/ r Date Permit Validated by: � • 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 fide 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 'anyI 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. (Seo. 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 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 I am exempt under Sec. B. 8 P.C. for this reason Estimated Valuation r $8,000.00 ` PERMIT - AMOUNT - Plan Chk. Dep.. - Plan Chk. Bal. Const. ,, 00 Mech. ' Electrical Plumbing S.M.1. g)r� Grading Driveway Enc. Date owner Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that'l have a certificate of corisent to self -insure, or a certificate 'of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. .Company .O Copy is filed with the city. ❑ Certified copy is hereby furnished. `TOTAL 'r , `' 99.80 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 thg work for which this permit is issued, I shall not employ anypersn in any manner so as to become subject to the Workers' Compensation Laws of Californiao. 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 re roked. 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 Coos.) 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 REMARKS r' 'i'i.)f Int: 4.- 7 7.OU 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 1ST FL. SO. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. @ GAR. SO, FT. ® CAR P. SO. FT. WALL SO. FT. ® SO FT ® ESTIMATED 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 STORAGE TANK FLOOR DRAIN MECHANICAL FEES DUCT WORK WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER REINF. STEEL GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP. 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 MESH SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® 3Yic HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING NDERGROUND 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 FINAL INSP. nA FINAL INSP�jy—�,�9� tY �Q / / ` V CL C 7 1` �� LP n c'/ 1 1// C..I� GRADING cu. yd. $ plus x$ REMARKS: _ $ LUMBER GR. FRAMING ROOFING VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH G FINAL INSPECTION "GR7 G. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL