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9453 (RPL)f4 4 P.O. BOX 1504 N Q . 9453 Building 78-105 CALLE ESTADO :Address 51-407 AVENIDA VELASCO LA QUINTA, CALIFORNIA 92253 Owner 'POOL AND STAUBLI BUILDING: TYPE CONST. SPA OCC: GRP. Mailina Address SANE LA QUINTA, CA 192253 1 564-4495 Contractor F & F POOLS 80-975 INDIO BLVD. City Zip State Lic. I City &Classif. C53-476807 Lic.# 130 Arch., Engr., Designer Address Tel. City IZipI State Lic. # LICENSED CONTRACTOR'S DECL-ARAT,ION I herebyy affirm thaw am licensed underpiovisions of Chapter 9 (comm 7000) of.'Div"ision of the Business acid Professions Code, nd'my licen effect. . ! __.. - - , .. 'r',( . OWNER-IBUIL`DER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8usiness and Professions Code: Any city or county which requires a permit, to construct, after, Approve, demolish, or repair any structure, prior to its issuance also requires, the applicant for such permit to No a signed statement that he is licensed pursuant to the provisions o/ the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division '3'o/ 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 penally of not more than five hundred dodars.(E500). • ❑ 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 :�:.. ,.;rbullds or Improves thereon and who does such work himself or through his own employees, .tKK provided that such Improvements are not intended or offered for safe. ff. however, the building or Improvement is sold within one year o/ aompfetion, the owner -budder will have the burden of proving that he did not build or improve for the purpose of sale.) O 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 o/ 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 Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workerr'',sfCo pen tion Insupnee, or a ced ie.4 cgpy ereof. ( a 3800, labor Code.) Policy�l8�! 125 >i— T pany . J.►4ili'a I''1; RD O Copy is filed with the city. O Certified copy is hereby fumished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff 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 any person in any manner so as to become subject to the Workers' Compensation Laws of California Date Owner NOTICE TO APPLICANT., ff, after making this Certificate o/ Exemption you should become subject to the Workers' Compensation - provisions o/ 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 property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip A.P. Number Legal Description Project Description POOL AND SPA Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ DemolitiO6 ❑ ,s Estimated Valuation $15,5©0.0�i PERMIT . AMOUNT Plan'Chk. Dep. Plan Chk. Bal. 11 ] 15 Const. 171.,00 Mech. .24s00 Electrical 4J . U U Plumbing Z7.00 S.M.I.. z Grading Driveway Enc. Infrastructure it'�"1�7�i {i.?"moi 14i t.r s' TOTAL .._. - REMARKS ZON E: 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 IST FL. SO. FT. ® $ UNITS COLL. AREA 2ND FL. SO. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. DUCT WORK DRAINAGE PIPING WALL SO. FT. GAS (ROUGH) DRINKING FOUNTAIN. SO FT ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. plus x$ LAUNDRY TRAY 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/. c SEWAGE DISPOSAL SO.FT.GAR ® V4c 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 FINAL INSP. ROOFING4�/, �r� � \ � i�/✓�/ J REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATUFESIINITIALS GARDEN WALL FINAL