06029 (RPL)r
P.O. BOX 1504 No. 46029
Building 78-105 CALLE ESTADO • • -
Address $91$0 S@renatPt LA QUINTA, CALIFORNIA 92253
Owner
..Bert Bertocco. .. _
Mailing
BUILDING: TYPE -CONST. OCC: GRP....
...
Address v 'Pare t4 lo'r#�+ to
A.P. Number
City Zip Tel.
. ion Quinta 92253 '5646209 • Legal.Descrlptio'n -Lot 25 TR 215.5-a .
Contractor Project Description
:.
Unique Fools by Car�a►e mite pool Spa
Address 74818 Valia ff-ay 01 .
City Zip JTeI.:
Palm pert 92260 346-; 3
State Lic. City
& Classic 053520432 Lic. # 136
Arch., Engr.,
Designer
Address' Tel.
Sq. Ft. No.
Size - Stories
New ❑ Add'❑ Alter ❑
No. Dw.
Units -
Repair ❑ -Demolition ❑
City
Zip
State
-
^
Lic. #
' LICENSED CONTRACTOR'S DECLARATION
I hereby affi that I am licensed under provisigns of,Ghapier 9 (commencing with Section
7tXXl) of Division 3 of the Businesscland Professions Code, .and; my license is in full force and
effect �,,y^• A r� 4 .l'•-- �� i::.. {� Jssa:"�
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SIGNATLRE\ ..l.'s•' `" "'- • �'�. ':.'•Y !! a' DATE
'OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
Estimated Valuation ;
1 �OOIjc 00
i reason: (Sec. 7031.5,8useress and Professions Code: Any city or county which requires a
-
permit to to construct, after, orprove, 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
- ,, -
PERMIT AMOUNT '
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for, the alleged exenptiori. Any violation of Section 7031.5 by 'any applicant for a permit
Plan Chk. Dep.
subjects the applicant to a ch* penalty of not more than rive hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
'
Plan Chk. Bal. _
Const. •u
_
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractors License Law does not apply to an owner of property who
Mech. •'
builds or improves thereon and' whodoes such work himself or through his - own employees,
• provided that'such irprovements 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 buil or improve for the purpose of sale.), 4 -
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to coo-
Electrical - •
Plumbing 2 7• 11
-
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
_ -
' S.M.I. '•
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
O I am exempt under Sec B. 8 P.C. for this reason
Grading
Driveway Enc.
Date owner
Infrastructure
' WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, of a certificate of
Worker's Compensation Insurance, or a certified copy -thereof. (Sec. 3800, Labor Code.)
Policy No Company t� t:.fivf%l
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
.. ..o^•.>�.7
.
TOTAL
REMARKS t"tc�i+*i�•'!i 'Iti�1�° ;�1i ^2e�; - '_
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ff the pemit is for one hundred dollars ($100) valuation
or less.) ..
1 certify that in the performance of th0 work for. which this permit is issued, I shall not
t employ any person in any manner so as to become subject to the Workers' Compensation ,
Laws of California
- llo'6't i"e '" 3 4 S t `YL 1' «''Lys ' s� € '
t
Date Owner
NOTICE TO APPLICANT: N, 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 orthis Permit shall bedeemed revoked.
ZONE: " BY:
I -
Minimum Setback Distances:
Front Setback from Center Line
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.)
Rear Setback from Rear Prop. Line
r `SideStieet Setback from Center Line
-
Side Setback from Property Line
Lender's Name
FINAL DATE - INSPECTOR -
6--26'9
a3
Lenders Address
This is a building pertnifwhen pioperly 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.
' I agree to cortiply 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 -
-Issued by: Date Permit
Validated by:
Signature of applicant Date
Mailing,Address '-
Validation:
• City,. State,, Zip ;;
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CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL SQ. FT. ®
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SQ, FT. ®
ROUGH WIRING /
DUCT WORK
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. ®
GAS (FINAL)
TEMP. POLE
DRINKING FOUNTAIN.
WALL SQ. FT.
GROUT
WATER HEATER
SERVICE 1
URINAL
SQ. FT.
BOND BEAM
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
GRADING
cu. yd.
plus x$
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
-c
i
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
REMARKS:
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3Ysc
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE tLCK.FEE
NST. FEE COELECT. 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 APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE 1
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
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i
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL