11660 (CP)' of
P.O. BOX 1504 No. 11660
Building78.105 CALLE ESTADO,
Addres55-069I. Tang3evood LA QUINTA; CALIFORNIA 92253. '.
Owner
suntise Company
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address 42•-600 Cook St, 4200 A.P. Number
City Zip Tel.
Palm Desert,. . 1 92260 560-2828 Legal Description
ContractorCh�a� a .out 01 heaters +�
Project Description g
Tridents Pools Pool 9G
Address .
74045 Pboaki. g' bird Tr.
City- Izip Tel.:
Indian Wells, VA 92210 393.--1327
State Lic. City r'
& Classif. 7605-0',:., Lic. # 3532 Sq. Ft. No. No. Dw. st
Size. Stories- Units
-.Arch.; Engr., .
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑.
-r'
Address Tel.
City Zip State
LIC. #
r5
LICENSED CONTRACTOR'S DECLARATION"
I hereby affirm that'I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Divislon 3 of thepBusines's and Profesalons Code, and my license Is in full force and
effect.
SIGNATURE f f "' DATE
—''' OWNER -BUILDER DECLARATION Estimated V81Uat10nR
I hereby affirm that I am exempt from the Contractor's License Law for the. following c $1 r 300.:00
reason: (Sec. 7031.5,Buslness and Professions Code:-Any:clty 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.flle.a signed -statement that he Is licensed pursuant to
PERMIT
the provisions of the Contractor's License Law, -,Chepter 9 (commencing with Section 7000) -of
'
Division 3 of the -Business and Professions. Code`, or that. he Is exempt therefrom, and the basis x
• for the alleged exemption: Any,vlolatlon-of Section 7031.5 by 'any applicant for a permit
Plan Chk. Dep.
subjects the applicant to a civil penalty.of not more than five hundred dollers.($500):
'with
Plan Chk. Bal.
O I, as„owner of the property, or my. employees wages as their sole compensation, will
; t...
_
do the work, and the structure Is not Intended or offered for sale. (Sec: 7044; Bulsness and
Const.
Professions Code: The Contractor's- License, Law. does "not apply to an owner of property who
employ person In any•mannerso as to become subject to the Workers' Compensation
builds or improves thereon and who does -such -work himself or: through his'own employees, .
Mech.
provided that, such Improvements ere' 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 •
- Electrical- -
of proving that he did not build. or Improve for the purpose of sale.).
ZONE:
.O I, as owner of the property, am exclusively contracting with licensed contractors to con- •.
- Plumbing.
' .struct the project. (Sec. 7044, -Business and Professions Code: The Contractor's. License Lew-
does,not apply to an owner of property who builds or.Improves-thereon, and who contracts for
S•M.I.-
' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - • -
Rear Setback from Rear Prop. Line
Grading
.O. Lam exempt under Sec.. - B. t; P.C. for this reason
Side Street Setback from Center Line
-
Driveway Enc.
Infrastructure
Date owner` ,
WORKERS' COMPENSATION DECLARATION
• I hereby affirm'that I have a cart ificate'of'consent, to self -Insure, or a certificate of
Side Setback -from Property Line
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code:J
_
Policy No. .Company — r
Lender's Address
O Copy Is filed with the city. O Certified copy is hereby.furnished.
INSPECTOR ^
l:
TOTAL
CERTIFICATE OF EXEMPTION FROM'
REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed !I the permit Is for one hundred dollars ($100) valuation
; t...
• or less.) -
I certify that in the performance of the work for which this permit Is Issued, I.shall not
7t _ _
�1?�fxtt5�4E ai81' ? 30 00 ° tt
employ person In any•mannerso as to become subject to the Workers' Compensation
Laws oforniaDate�Owner1`
zy
NOTICAPPLICANT: If, after' making this kCertlflcate of Exemption you should become ,
ZONE:
'BY:
subject 'to the Workers' Compensation' provlsloris of 'the, Labor Code, -you must forthwith -
comply with such provisions or this permit shall be deemed revoked:
Minimum Setback Distances: ' - '
Front Setback from Center Line
•
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
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.) -
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 If work thereunder is suspended.for 180 days.
I certify that.) have read this application and state that the above informatlon Is correct.
Issued by:
Date Permit -
I agree to comply with all city and county ordinances and state laws relating to building
constructlon, 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. SQ. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SQ FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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.
SQ. FT. ® c
BATH. TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/. c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
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
FINAL INSP. �— r//'S
✓
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATOR=SIINITIALS
GARDEN WALL FINAL