15771 (RPL)Owner
414
r
P.O. BOX 1504 N o , 15771
79-230 Kara Ct 78-495 CALLE TAMPICO s
LA QUINTA, CALIFORNIA 92253
Jerry & Gigi Maceda
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address 79-230 Raga Ct.
"'y La Quinti Zip 92253
Contractor
Sunrise Pools
Tel.
Address
P.O. Box 12573
City T 1p Tel.,'
Palm Desert92266 340-5521
State Lic.City
& Classif.. 550236 Lic. # 1604
Arch., Engr.,
Designer
Address Tel.
City ' (Zip (State
Lic. #
_ LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and,
effect fr f r R
LGNATURE "\ DATE
OWNEWBUILDER DECLARATION
I hereby affirm that 1 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 construct, after, inrprove, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to We 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 o1 not more than live hundred dollars (8500).
❑ 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, Suisness 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,
prodded that such improvements are not intended or offered for sale. It, 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 improve for the purpose of sale.)
❑.I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and-�Prefesslons Code: The Contractor's License Law
does not apply to an, owner of property who builds or Improves thereon, and who contracts for
such projects with a contrabtor(s) P.censed pursuant to the Contractor's License Law.)
❑ t am exempt under Sec 8. & 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
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy 1'of Company
PeCopy 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 (8100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any pperson in any manner so as to become subject to the Workers' Compensation
Laws of Calrfomla
Date Owner
NOTICE TO APPLICANT: ff, after making this Certificate of Exemption you should become
subject to the Workers' Com;msatfon provisions of the Labor Code, you must forthwith
comply with such provisions or this Permit shall 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.
This is a -building permit when property filled out, signed and.al dated a d is subject to
expiration it work thereunder is suspended for 180 days.�—
I certify that I have read this application and state that the abovejinfo� a ion is correct.
I agree to comply with all city and county ordinances and state laws'relat ng to building'
construction, and hereby authorize representatives -of thisa 00_'fo—enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
A.P. Number
,Legal Description
N
Project Description
Pool
BY:
Minim�_Set a • -Distanc
int Setback from Center Line
Rear Setback from Rear Prop. Line
Sq. Ft.
Size
No.
Stories
No. Dw. -
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Date Permit
Validated by:
Validation:
Estimated Valuation
$9r005.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
*iX100
Mech.
2.. C�i1
Electrical
45.00
Plumbing
27 * 0a
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL�Ldl.0
�f
REMARKS.
ZONE:
BY:
Minim�_Set a • -Distanc
int 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
r
2ND FL. SO. FT.
ROUGH PLUM
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK {
a
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. S0. FT.
FOUND. REINF.
DRAINAGE PIPING
WALL SO. FT.
HEATING (FINAL)
DRINKING FOUNTAIN.
SO. FT. ®
GAS (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SERVICE
FLOOR DRAIN
MECHANICAL FEES
BOND BEAM
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING
ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
' FIREPLACE
SPARK ARRESTOR
LAUNDRY TRAY
AIR HANDLING UNIT CFM
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
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 ® 1+/4 c
SEWAGE DISPOSAL
SO.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 ELECTRICAL HEATING & AIR COND. SOLAR
II r n
SETBACK
GROUND PLUM IN
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUM
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SE I TANK
t
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
L I P.
jj
O
1� 1
FINAL INSP.
:GRADING
cu. yd.
$ plus x$
REMARKS:
=$
LUMBER GR.
FRAMING
ROOFING
VENTILATION
FIRE ZONE ROOFING:
' FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESANITIALS
GARDEN WALL FINAL
1 ,
�NLti_
P/L
i
.gx
GENERAL SPECIFICATIONS
QTY OF LA QUID
�` POOL WE 6.30
TA POOL AREA 400 $0. Fl
L-' ` -f DfNrC a SAFETY DEPARTMENT POOL PERMETER q5 LINEAR F,
P/L COIN ITIONAILY DEPTH 3'6' TO 5'
COPING GANTLEVER
S 1ECT C{Fi �� C� �� ; � � TLE CHOICE GROUP 1
NSTALL„�TdON AS PER
% POOL CAPACITY APP. 10,000 GALS
PUMP CAPACITY qO GPt
AND AL APPLICABLE Co )ES POOL Pt" 15 ULTRA M-0 H
EMBAW ENT LNE
a
FUER QUNTU
AM 175 SOFT.
E B�JT ` �vFLTER RATE 175 GPt
TUMVER APPROX 4 HRS
VACISKMhER 11/2 /2 H
RETURN LNE I N
MAN DRAW ANTI VORTEX
SKR'T'ER MODEL DUAL PORT
FLL DEVICE MANUAL
HEATER N/A BTt
GASLNE BY: WA LENGTH FT
POOL AREA TO BE E Id C . S.�� 0 BY LIGW S—POOL 400 WT. SPA N/A
MINIMUM 5 FT. HIGH � � �, E. TK (LOCK NTOWAT6 24 W.
ALL GATES TO BE SELF-CLOSING ELECTRIC BY: 51� BONDING SUNRIS
14' % AND SELF -LATCHING. POOL CLEANER WA
CHLORNATOR N/A
f DNNG BOARD WA
LADDER N/A
PECKING
P/L
j ACCESS TRACTOR t30BGAT I