14369 (RPL)L
4 QUM&
P.O. BOX 1504 N o . 14369
Bui40ng 78-,'785 Sa rook Lane 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner Inco Homes
Mailing 250 E. Rxncon Ave. #202
Address
BUILDING: TYPE CONST.
A.P. Number
Legal Description
Project Description
OCC: GRP.
Pool only
Cl"Yaro'1`r1, , CA
.CityJT(�09)
Zi 427?,
73''6-0100
Cont actor
Address
506 W. Mini t;ion Ave.
.should
subject to the Workers' Compensation provisions offtne Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
_
Minimum Setback Distances: '
QL%c andido, CA
Zi92125
WOW 877-5657
State Lic.
& Classif.. e-53 1.90179
City
Lic. #
Sq. Ft.
Size
No. No. Dw.
Stories Units -
Arch., Engr.; .
' Designer
New ❑ Add'❑.
Alter ❑.. Repair ❑ 'Demolition;❑
Address
Tel.
—Side Setback from Property Line
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
- City
Zip
State
Lic. #
FINAL DATE
INSPECTOR
This is a building permit when properly filled out, signed and validated, and is subject to
LICENSED CONTRACTOR'S DECLARATION- .. -
I hereby affirm that I am licensed under provisions.of Chapter 9 (commencing with Section
.000) of DivisioW3 of the Business and-PYofessions Code, and my license is/in/(ull foJce n�{
ffect. Azle /V�_, �Sf!'"7 Jfi I�! sf/1�J
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the aboveinformation is correct.
SIGNATURE <7 - - 1 f r DATE
OWNER -BUILDER DECLARATION'
I hereby affirm that I am exempt from the Contractor's .License Law for the following
reason: (Sec. 7031.5,Buslness. 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 rile 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 thathe is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by: any. applicant for' a -permit
subjects theapplicant to a civil penallyof not more than -five hundred.dollars ($500).
O 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
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 (trove for the purpose of sale.) , -
O 1, 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 propertywhobuilds or improves: thereon, and who contracts for
such projects with'a contractor(s) jkensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec. B. & P.C. for this reason
Estimated ValUatlOn
Q�
i
- -• -
.PERMIT
-
AMOUNT '
P
Plan Chk. Dep.
_
Plan Chk. Bal.
99.45
Const.
153.00.
0li
Mech..R
V�
Electrical45.00.
"
Plumbing
27-00
$,M-1.
-
Grading
Driveway Enc.
Mailing Address
Date owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
' Therebvffirm that I have a certificate of consent to self -insure, or a certificate of ••
WorkePs Codfpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
PolicvNpl.I' Company.
O Copy is filed with the city. O Certified copy is hereby furnished..
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.) - -
NOV 2 9 1994
TOTAL
348.45
REMARKS'.':
.
I certify that in the performancerof thg work for which this petmlt is issued; I shall not
employ anyerson inrany marine/s
Lawsbf li reen ro as to becgme'subject to the Workers' Compensation
Date /.i �lpwmir
NOTICE TO APPLICANT: d,"after making: this .Certificate of Exemption you become "
ZONE:
BY:
.should
subject to the Workers' Compensation provisions offtne 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; ANDSlde-Street
Setback' from Center Line '
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE'
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION;'
—Side Setback from Property Line
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
"
ATTORNEY'S FEES.
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 aboveinformation is correct.
Issued by:
Date Permit
'
1 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-.
I
IT property for inspection purposes-
Validated by:EN
Signature of applicant Date
I O
Mailing Address
Validation:
City, State, zip
NOV 2 9 1994
•
Rv
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SQ. FT. @ $
UNITS
SETBACK
GROUND PLUMBING
UNDERGROUND
YARD SPKLR SYSTEM p
2ND FL. SO. FT.
SLAB GRADE
ROUGH PLUMB.
BONDING
MOBILEHOME SVC.
BAR SINK '•�
POR. SO. FT. @
SEWER OR SEPTIC ANK
ROUGH WIRING
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
GAS (ROUGH)
METER LOOP
DRAINAGE PIPING
CAR P. SO. FT.
REINF. STEEL
GAS (FINAL)
WALL SO. FT. ®'
DRINKING FOUNTAIN
SQ. FT. @
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
LUMBER GR.
WATER SOFTENER
VENT SYSTEM , FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
VENTILATION
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 @ 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/ac
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 .4 ELECTRICAL .4 HEATING R 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 ANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
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
FIN SP.
ROOFING
(,
`
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
!
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
,
GARDEN WALL FINAL
-
FLOOR SYSTEM
FLOOR HEADS#
STEP HEADSN�_
_...., - - _... � .z_:-.. ___��� �..._•,<�....,:�....«..r..-�..+.._x :- _
BENCHHEADS M
LOVE SEATk
7 y� SPA HEADSN
Heads may very due to
shape, size and depth.
�.
1�
PLUMS/BING
POOL SET BACKS
SKIMMER'T ,. — FT HOUSE FT.
6 RETURN _ FT SIDE — — --- FT.
RETURN — — FT REAR �� _�__ FT
RETURNFT
SPA SUCT. FT EQUIP. SET BACKS
SPA RET _ _ _ FT HOUSE
ROST SUCT _ FT SIDE ____.____—FT
BOST RET --- - FT PEAR . _ -- ------ FT.
AIR LINE FT, RED FENCE HEIGHT _ FT
FII l UNE _ .-_ -- FT
AUTO C R FT
A—E FTFT
4
GENERAL SPECIFICATIONS '
SIZE �p X �2 DEPTH TO PERIM �� FT.
SHAPE AREA SO, FT. L1/oc)
COPINGTYPE� E/)T -VY._Q���
MOTOR H.P. GPM FILTER 7)�: q --ASO. FT.
SKIMMER # BACKWASH M '5174--
POOL
%74-JPOOL EQUIPMENT