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14037 (RPL)14037 P.O. BOX 1504 No. d Building 78-805 Yr�yin Circle 78-105 CALLE ESTADO 4 Address LA QUINTA, CALIFORNIA 92253 Owner Mark Nenwan Mailing s BUILDING; TYPE CONST. OCC. GRP. Address A.P. Number. City Zip Tel. La Quinta, CA 12253 ( Legal Description Contractor Project Description Pool and Spa f F Pools Adiss 11245 C Desert,,ftp 92255 TeL 345-'5070 State Lic. City & Classif. C 53 476807 Lic. # 130 Sq. Ft. No. No. Dw. Size Stories Units Designer New ❑ Add ❑ Alter. ❑ Repair ❑ Demolition ❑ 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 �0yh0"00) of Division 3 of the Business and Professions Code, and my license is in full force -and '7erfecL wg;*�_rw- t .rN.� jy ;cam.'" q SIGNATURE + DATE OWNER -BUILDER DECLARATION 9y I/S�A eAf^ I hereby affirm that I am exempt from the Contractor's License Law for the followingEstimated Valuation�J jSV�"•Y� reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also AMOUNT . requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT 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 Dy 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars ($500). - Plan Chk. BBI. �, ❑ 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 Const. 53� 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, Mech. ti 24.00 provided that such improvements are not intended or offered for sale. If, however, the building • iTi7 orimprovement Is sold within one year of completion, the owner -builder will have the burden Electrical 4J �� } 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. Plumbing 27.00 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 withra contractor(s) licensed pursuant to the Contractor's License Law.) - Grading ❑ I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date owner Infrastructure j WORKERS' COMPENSATION DECLARATION I 00pyls (firm that I have a certificate of consent to self -insure, or a certificate of t Workeensation Insurance, or a cert led copy thereof. (Sec. 3800, Labor Code.) 1 Policy Company C, ins lr L led with the city. p Certified copy is hereby furnished. TOTAL 348.45 "+ CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COM P ENSATION 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 the 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. N TT 17 V Date owner x NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become ZONE: BY: + !„r f subject to the. Workers' Compensation provisions of the Labor Code, you must forthwith , comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: j Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line Ihereby 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 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: Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FI, SO. FT. ® $ UNITS COLL. AREA SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SQ. FT. HEATING (ROUGH) STORAGE TANK POR. , SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. GAS (ROUGH)EN DRAINAGE PIPING CAR P. SO. FT. HEATING (FINAL) OTHER APPJEQUIP. WALL SQ. FT. GAS (FINAL) DRINKING FOUNTAIN, SQ. FT. ®-_ URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER HEATER 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 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRYTRAY AIR HANDLING UNIT CFM t 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAR. FIREWALL SO.FT.GAR @ 3/ac HOUSE SEWER LATHING GAS PIPING PERMIT FEE MIT FEE PERMIT FEE DBL TOTAL FEES MICRO =MECH.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL 1 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 SEPTI T ROUGH WIRIN T. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH)EN METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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 t REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL DFSIGNFD FnR MR/MRS ✓Uayl it=—>MAn - - POO=OG CLOSC D BYE. 11111NH FENALL E. LF-CLOSINGAND. sOU ITA ETY DEPARTMENT & SAFE CONDITIONALLY ACCEPTED FOR CONSTRUCTION Su.&IECT TO INSTALLATION AS PER =AND ALL APPLICABLE CO' ES SECTION THROUGH POOL 109:cc Pool Sizex Surface 39.5 Spa Size /o `X y ' Total Perimeter (09' EXCAVATION Concrete Removal sq Trash Loads Stump Removal STEEL Deck Ties . Yes No PLUMBING Gas Line a S Number of Returns 5? Number of Jets 4 Anti Syphon Valve q Fill Line Footage ft Stub fo Auto Cleaner Yes No Type —.. Other GUNITE Seats or Ledges Deep End Walk Out Yes No Raised Bond Beam sq ft TILE, Type---.4- 'Brick Work Otfi er DECKS Finish-' Vo0L \ �c Total sq ft. 6,nn Drains Mastic Steps POOL EQUIP Filter' -0 -'r, f �2 Pump ©,moi � Auto Cleaner Heater Jet Pump Maintenance Kit Diving Board Slide Additional Itemes 1/8" = 1 Foot.