11628 (CP)TA-tyl
P.O. BOX 1504 No. 11628
Building 78-105 CALLE ESTADO
Address 79-305 °.8t{ negate. + LA QUINTA,.CALIFORNIA 92253
Owner
BUILDING: TYPE CONST. -OCC-.GRP.-
Mailing �-
Address 41.-555 `Cook St. Ste. 260 A.P. Number
City Zip 'Tel. •
Palm Desert, C k 92260 568-271'$ Legal Description
Contractor I I Project Description P001- and -Spa
EXX9W( Blue Cascade Pods
Acaress.
676 Williams Rd.
City - Zip
Palm Springs,, tM 9226+4
324-054
State Lia
City
& Classif.Lic.
47019
#
1663
Sq. Ft.
No. No. Dw. i
-Size-. -
Stories Units
-Arch:, Engr.,
.Designer Hacker•
New ❑ Add -0.-,
Alter ❑. , Repair ❑ Demolition ❑ . ,
Address
Tel.
City
Zip
State
Lia. #
LICENSED CONTRACTOR'S DECLARATION
hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70 130) of Division 3 of the Business and Professions Code, and my license is in full force and
of f act.
DATE
OWNER -BUILDER DECLARATION
' I hereby affirm that I am exempt from the Contractor's License Law for the following
Estimated VBIUBtIOn
9 000. 00
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
KPERMIT
•requires -the applicant for such -permit to'file. a signed statement that he is licensed. pursuant to
AMOUNT -
the provisions of 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 Any - Section•. 7031.5 by for
_ -
Plan Chk. Dep..
-
alleged.exemption. violation of any applicant a permit
subjects the applicant to a. civil penalty of,not more than five hundred dollars ($500).'
Plan Chk. BBI.-
• 3 0
0 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
-•
COf1St.
161. 00, '
Professions Code: The Contractor's License Law does not apply to. an owner of property who
f
.• builds or Improves thereon and who- does such. work himself or through his own -employees,
Mech
�� A '
provided that' such improvements are not intended or offered for sale. If, however, the building: .
..
. V!1
or Improvement is sold within one year of completion, the owner -builder will have the burden
Electrical
w
- - K5 0th. '
_ 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-
Plumbing
7 0 • ;
- 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".'- -
_
50`�
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
❑ 1 am exempt under Sec. B. & P.C. for this reason
_.
Driveway Enc.
Date Owner
Infrastructure
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. (Sec: 3800, Labor Code.)
Policy�o. Company
opy is filed with the city. O Certified copy is hereby furnished.
TOTAL
i
' 364.80
CERTIFICATE OF EXEMPTION FROM
REMARKS
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
.
x �N� ) �` �Jr~ ` -�^ ;tJ
- employ any person in any -manner so as to become subject to the Workers' Compensation
-
Laws of California.
Date' Owner
NOTICE TO APPLICANT: 11, after making this Certificate of Exemption you -should- 4ecome
'to
ZONE: - -
- BY:
subject the Workers' Compensation provisions of' the Labor'Code, you must forfhwith
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
Slde'Street Setback from Center Line•
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.)
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 I have read this application and state that the above information is correct.
Issued by:
Date Permit'
I agree to comply with 611 -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.
Validated by:
Signature of applicant Date
Mailing Address
,Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
` NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL, SO. FT. ® $
! UNITS
SLAB GRADE
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SO 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.
SO. FT. ® c
BATH TUB
SO. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® 3/4c
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
bIECH.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.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION•
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATUF.ESIINITIALS
GARDEN WALL FINAL
\b a
0
s CITY OF LA OUINTA
°ro.a4 6� DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-22246
24-HOUR NOTICE FOR INSPECTIONS
14 tlU�t%t
Owner Strother Construction
Contractor Blue Cascade Peels 1997
Permit Number 116 8 ` iiTAug..,
POST ON JOB IN CONSPICUOUS PLAC
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
"ADDRESS 79-305 Stonegate
Pool and Spa
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUM—TIE. G
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
Rrl1IMI-I FI FrTRIC
ROUGH GAS A GAS I ES I I I
HFATI Nr, A VENT - A/C T
PRE -ROOF I I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER '
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL 1 % f fid' I
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO '
TURN ON UTILITIES OR OCCUPY BUILDING
4,88