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12277 (RPL)P.O. BOX 1504 N o . 12277 Building* 78-105 ALLE ESTADO Address 51"960 Vallejo LA QUINTACCALIFORNIA 92253 Owner SpidAell Mailing BUILDING: TYPE CONST. OCC: GRP. Address Same A.P. Number City Zip Tel. La Q33intati Cha 92253 .564-2429 Legal Description Contractor. Pool. American' Pool Construction,- Inc. Project Description Address 74 -350 -Magnesia Falls #1 Yip Desertsf,Ip92260 Tel 340-5876 F State Lic. City & Classif. -€;-5531 51,874.2 Lic. # 1104 Sq. Ft. No. No. Dw. Arch., Engr., f Size - Stories Units ' - - Designer-. ft• New ❑ Add ❑ Alter ❑ Repair ❑ Demolition 01 Add fess :: ' . ' . ; t Tel. 31 rear setback approved per setback City Zi'p 'state adjusen't 9.3-207. t Lic.•#., c �w _ J. 1l.ICENSED CONTRACTOR&DECLARATION I hereby affirm thatd am licensed under provisions of Chapten9.(commencing with Section 7000) of Division 3 of the Bffusin/eJss;anc$fProfessions-Code;!and'my license is in full force and effect. SIGNATURE d.�f'— t f Y .t ? DATE OWN'ER�BUILDER DECLARATION i • Estimated Valuation I0ereby.affirm that I am exempt from the pontractor's License Law for the following reason: (Sec. 7031.5,Business and Professions cooe�Any city oC;county which requires a permit to construct, alter, improve, demolish, or repair anystrubtrue,!prior to its issuance also - requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT 'AMOUNT _ 3 the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of 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 Plan Chk. Dep. ,• subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 87,. ?5 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. �� Q c Professions Code: The Contractor's License Law does not apply to an owner of property who . e builds or impro. ves thereon and who does such work himself or through his own employees, Mech. •y (� provided that'such improvements are not intended or of/ered /or sale. ll, however, the building .G • or improvement is sold within one year of completion, the owner -builder will have the burden Electrical �-� cA� of proving that he did not build or improve for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 2'r �� 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.1. _ such projects with a contractors) licensed pursuant to the Contractor's License Law.) .. Grading O I 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.) Policy0o .Company Q Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 318..7 fj 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 employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street-Setback,f(pm Center Line I hereby affirm that there is a construction lending agency for the performance of the . 4i1s: work for which this permit is issued. (Sec. 3097, Civil code.) Side Settiack'from Property Line-- Lender's ine Lender's Name f " Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INS '1 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 er 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. Validated by: G D 1 2 100 Signature of applicant Date Mailing Address Validation: City, State, Zip R }� B rX CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS 1 SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SO. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® ROCK STORAGE FOUND. REINF. GAS (ROUGH) POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WALL Sp. FT. SERVICE DRINKING FOUNTAIN. FINAL INSP. URINAL SO FT ® ESTIMATED CONSTRUCTION VALUATION $ -$ WATER PIPING NOTE: Not to be used as property tax valuation FRAMING FLOOR DRAIN MECHANICAL FEES /� 'Pt L5ovt I!• WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER FINISH GRADING 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 4 v/ UNDERGROUND —r6--Y34 eq A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. -$ LUMBER GR. FINAL INSP.�� 3t$-plus-x$ FRAMING FINAL INSP./b „S 2 •J ROOFING /� 'Pt L5ovt I!• �� 3 i�8^G REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION /D S--13 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL