14659 (RPL)I•
4
P.O. BOX 1504 No. 14659
Building 44-325 Las Vistas 78-495 CALLE TAMPICO
Address LA OUINTA, CALIFORNIA 92253
Owner Robert Wier I
.
Mailing
Address Same
BUILDING: TYPE CONST.
A.P. Number
Legal Description
Project Description
OCC: GRP.
Pool And Spa
�
CityZip
La Quanta, CA
92253
Tel.
360-1218
Contractor
Family Pools Cclnstructiol><
_ .. Address
53-300 Ave. Ramirez
Cit
CR
Quiatar CAZip
92253
Tel.'-
564-3655
State Lic. . C-53 658995
& Classif..
City 2893
Lic. #
Sq. Ft.
-Size• - •.
No. No. Dw.
Stories Units
Arch.; Engr.,
Designer
New ❑ Add ❑
Alter ❑ - Repair ❑ Demolition ❑
Address
Tel.
City
Zip -
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 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 -
-
J
-
-
SIGNATURE DATE
' OWNER -BUILDER DECLARATION..
I hereby affirm that I am exempt from the Contractors License law for -the following
reaso :.(Sec. 7031.5,Business and .Professions Code: Any -city or county. which requires a'
permif to construct, after, 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 civ)Ipenalty of not more than five hundred dollars, ($500).
❑ 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 andConst.
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 of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale:) -
O 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 apply to an, owner of property who builds or Improves thereon, and who contracts for
- such projects with a contractors) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec. B. 8 P.C. for this reason
Estimated .Valuation
-
$13,600.00
PERMIT
..
AMOUNT
-
.Plan.Chk.. Dep.
- -
r
Platt Chk. Bal.
+.
15 3 00
e
Mech.
eV_
Electrical
45.00
Plumbing
27.00
S.M.I.
,
Grading
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.)
Policy No. 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 ff 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: tl, after making this Certificate of �Exemptkln you' should become'
subject to the Workers' Compensation provisions of- the Labor Code, you must forthwith -
complywithsuch provisions or this permit shall be deemed revoked.'• • . -
'
TOTAL 348.45
REMARKS
..
'ZONE: BY:
. Minimum Setback Distances:
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 properly filled out, signed and validated, and is subject to"
expiration if work thereunder is suspended for 180 days.
1 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 Address
City, State, Zip
5
f
Front 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: l l
F Lb U 3 ,
r>V
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
UNITS
ROUGH PLUMB.
2ND FL. S0. FT.
HEATING (ROUGH)
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. S0. FT.
METER LOOP
DRAINAGE PIPING
WALL SO. FT. ®
REINF. STEEL
DRINKING FOUNTAIN.
a
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $'
WATER HEATER
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
7 >
LAUNDRY TRAY
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c.
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
LATHING
SO.FT.GAR ® 3/ac
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
EJ
DEL
TOTAL FEES
MICRO FEE
MECH.FEEPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING i ELECTRICAL I
i HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING UNDERGROUNDUP
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
'BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTI
N 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
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
V
7 >
REMARKS:
VENTILATION,
FIRE ZONE ROOFING
'FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIQNATURESIINITIALS
GARDEN WALL FINAL