14038 (RPL)i •
76- P.O. BOX 1504
Building Irwin Circle 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Steve Feiraro
Mailing I
BUILDING: TYPE CONST.
Address
City Zip
Tel.
La Quinta9 92253
Contractor
P & is Pool$
Addr9:0. 8033 1.1206
' City Palm Desert
Zi& 9,22'5,
Tel 345-5070
State Ljc. C53 47680?
& Classif.
City 130
Lic. #
Arch.;'Engr.,
Designer
Address
I Tel.
City( Zip I
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. . "' � t'� ¢I,/iLAt,
SIGNATDRE '+�` DATE LA"
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 construct, alter, improve, demolish, or repair any structure,. prior to its issuance also
requires the applicant for such permit to file 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 five hundred dollars ($500).
O 1, 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 or completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
O I, asowner 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 property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
• O 1 am exempt under Sec. B. & 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' Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
POlicy o. Company
Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it 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.
Date Owner
NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
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.
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
ateMailing Address
City, State, Zip
A.P. Number
No. 14038
_OCC. GRP.
1
Legal Description
Project Description
Pool and Spa
Sq. Ft.
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Estimated Valuation
$13,500.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
99.4
Const.
153.00
Mech.
24.00
Electrical
45.00
Plumbing
27.00
S.M.I.
Grading
,
Driveway Enc.
Infrastructure
TOTAL
344 4
REMARKS
I A 100/1 1j II
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center' Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
Issued by: Date
Validated by:
Validati
INSPECTOR
Permit
CONSTRUCTION ESTIMATE
• NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
r
Y t " ' • ~
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
GAS (ROUGH)
DRAINAGE PIPING
CAR P. SO. FT.
HEATING (FINAL)
OTHER APPJEQUIP.
WALL SQ. FT. p
GAS (FINAL)
DRINKING FOUNTAIN.
SO FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
i
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.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
4A -
O
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 ® 1+/a c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
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 /J HEATING & AIR COND. SOLAR
A d,
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
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
4A -
O
G
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
7
fi..., _......._'�,it ......:.... .�,.,.. _,..,...w...., ... ,.t,.... ..tea........ -..... i�.<la.�-x.....�.�.. �.ta�.a-�..�sl,�m:.-. 5. rw-lrn...._ s.. _. �._ .��......__.r.•.. .. ., �. �.... :..... .�. .u�--.,.,., ka ... '4... �...
. •.
G,o10
Pool Size X
V Surface�.�
Spa Size >'
T tal Perimeter 9a'r
DESIGNED FOR MR/MRS VCRY—RRO
ADDRE
I
ti
1_ I
Deck Ties Yes No
PLUMBING
POOL AREA TO ,BE ENCLOSED>BY
Gas Line
MINIMUM 5 FT. HIGH FENCE o;j
Number of Returns a
Number of Jets 4
EXCAVATION
ALL GATES TO:BE.SELF-CLOSING
Anti Syphon Valve
C
Concrete Removal—:—sq ft
Stub fo Auto Cleaner Yes No
CITY.UF. LA �U:�1TA
Ype
th er
BUILDING & SAFETY DEPAPTIMENT
UNITE
I
eats or Ledges
S F
Z
SUBJECT TO INSTALLATION AS PER
Trash Loads
::.
ILEA
'Y
AND ALL Af�PLICABLE CC3pES
1
Stump Removal
Work
Arick
DESIGNED FOR MR/MRS VCRY—RRO
ADDRE
I
ti
1_ I
Deck Ties Yes No
PLUMBING
POOL AREA TO ,BE ENCLOSED>BY
Gas Line
MINIMUM 5 FT. HIGH FENCE o;j
Number of Returns a
Number of Jets 4
ALL GATES TO:BE.SELF-CLOSING
Anti Syphon Valve
AND SELF -LATCHING. V ^:;
Fill Line Footage 2r' ft
Stub fo Auto Cleaner Yes No
CITY.UF. LA �U:�1TA
Ype
th er
BUILDING & SAFETY DEPAPTIMENT
UNITE
CONDITIONALLY
eats or Ledges
ACCEPTED FOR CONSTRUCTION
eep End Walk Out Yes No
SUBJECT TO INSTALLATION AS PER
aised Bond Beam sq ft
::.
ILEA
AND ALL Af�PLICABLE CC3pES
Pe
Work
Arick
I I DATE
SECTION THROUGH POOL
1
DECKS
Finish S,40 �oCc�R
Total sq ft. 4ao a
Drains
Mastic
Steps
POOL EQUIP
Filter CV7,...,)
Pump /MP
Auto Cleaner
Heater, 254.1
Jet Pump P. �..P
Maintenance Kit
Diving Board
Slide _
Additional Itemes
1/811 = 1 Foot