15204 (RPL)_ f
Buildin&
Address 79"223 Kara Court
McG raw ° S
Mailing n
Address E3Ii',e
City lZip Tel:
La tZuin a,,. CA. .92.253
Contractor .
.4 1 I
P.O. BOX 1504
78-495 CALLE TAMPICO
LA OUINTA, CALIFORNIA 92253
68~845 A Perez Rd. Ste. R -n9
c,:at iedra C.3,ty ZIPCi� 92234 -Tel. 324-12 32.
State Lic. `5114-4121-17 2- City 1044
& Classif.. Lic. #
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed und4r provisions of Chapter 9 (commencing with Section
000) of Division 3 of Jpe Business and�P,r_ofessions Code; and my license is In full force an
effect. .•3,yr�i.; :� » " l("�j�
SIGNATURE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's* License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: -Any city or county which requires a
permit to constiuct, after, 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 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 penalty of not more than rive hundred dollars ($500):. - ••
❑ 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 or 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
or proving -that he did not build or improve for the purpose or sale.)
❑ 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 applyto an, owner of property who builds or improves thereon, and who contracts for
such projects with's contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby,affirm that 1 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 Nq— -Company
[Vopy Is filed with the city. ❑ 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.)
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: N, after making this Certificate or Exemption you should become
subject to the Workers' Compensation provisions of -the Labor Code, you must forthwith
comply with such provisions or this permit shalt be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
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,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST; AND
ATTORNEY'S FEES.
TNSs 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 informationis 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
No. 15204
BUILDING: TYPE CONST. • OCC: GRP.
A.P. Number
Legal Description
Project Description Pool
Sq. Ft.
Size •
No. No. Dw.
Stories- Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Estimated Valuation
$10,900.00
I
PERMIT
AMOUNT
Plan Chk. Dep.,
Plan Chk. Bal.'
81.90
Const.
126.00
Mech.
24.44
Electrical
45.00
Plumbing
2'7.00
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
343.93
REMARKS
r
ZONE: BY: '
Minimum Setback Distances:
Front Setback from Ce t Ines
Rear Setback from Rei / I Line,
Side Street Setbackfr ocentefL nr
Side Setback fromgi/opertyI ine�u
FINAL DATE
Issued by: Date_
Validated by:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL.SO. FT.
POR. SO. FT.
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT.
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET,
[NO.
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB. !
t
FLOOR DRAIN
MECHANICAL FEES
STORAGE TANK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FOUND. REINF.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
HEATING (FINAL)
LAUNDRY TRAY
AIR HANDLING UNIT CFM
GAS (FINAL)
-,,,KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
_ TEMP USE�PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITYAMPERES'SERV
ENT
SHOWER
BOILER, B.T.U.
SO. FT. ®c
1BATH TUB
LUMBER GR.
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 1'A c
SEWAGE DISPOSAL
ROOFING
SO.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
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 I ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBIN \
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. !
t
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMSSEWER
OR SEPTIC NK-
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)- N
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 I S .
ROOFING
V[
I
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC. "
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
i
-21' 6"
31' DECO DRAIN
J BOX
EM 40'
7131.+
I • .
SIZE 14' X 28' AREA 308
DEPTH 3' TO 5'
SHAPE OVAL PERIMETER 68
TILE SIZE GROUP 3
TILE COLOR CHOICE
RAISE BEAM NONE
COPING CANTILEVER
POOL CAPACITY 9100 GALS
PUMP CAPACITY 50 GPM
MOTOR HP STA DURA HP 1
FILTER SYSTEM 3 300 SQ FT
FILTER RATE 100 GPM
TURNOVER 3.25 HRS
RETURN LINES. '7 "
31' DECO DRAIN
MAIN DRAIN YES "
SKIMMER MODEL DUAL PORT
CHECK VALVE NO
HEATER LAARS SIZE NO BTU
GASLINE BY NONE
POOL LIGHT 400 WATT
SPA LIGHT NONE
CLOCK 24 HR
ELECTRIC BY SDC 120'
ELECTRICAL BONDING BY: SDC
TILE AND COPING SDC
DECKING BY SDC 646 SQ FT
NATURAL SALT FINISH
CONTRACTOR cannot assume
responsibility for damage to
curbs, sidewalks, driveways,
cement slabs, sewers,
lawns,trees, fences, retaining
walls, sprinklers, telephone lines
or shrubs. When access is made
through a neighbor's property it is
understood that you, the owner,
have that neighbor's permission
and assume full responsibility.
Name.: THE MCGRAW'S
Address_ 79225 KARA COURT
Citi: LA QUINTA, CA
DEL. REY
Musk
RD &OVID- 01,
d5g;n
SNIV:y
P00145
SHOW ROOM
68-805-A PEREZ RD. STE. E-9
CATHEDRAL CITY CA. 92234
PHONE (619) 324-1232
LIC # A-574127 dan bjelde