10013 (RPL)Building
Ara
P.O. BOX 1504
a5-3985De Seri. Eagle Ct. 7fi 105 CALLE
E} LA QUINTA, CALIFOORNIARNIA 92253
No.( -10013
Owner
. Michelle Later
Mailing "
Address same
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description
POOL AND P
Cite Quirita
Zip 92253
Tel.
Contractor � I
Unique Foals by Carmine
Address.
74810 Velie Way #1
City
Palm Desert
Zip
92-260346-P335
Tel.:
State Lic.
City
& Classif. C53 520432
Lic. # 1366
Sq. Ft.
Size
No. No. Dw.
Stories Units
Arch., Engr.,
! Designer
i
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
^� f LICENSED CONTRACTOR'S DECLARATION
{ f I hereby affirm that I am licensed undenprovisions of Chapter 9 (commencing with Section
!�000) of Divisioh 3 of the Businessland Profes9ions Code, and my license is In full force and
jffect. 1v/ f! ` ��jj F rr f .�
1\
S,�_SIGN'ATURE \ 1"•"•" i! -!f .•. �`•"`✓""'�.. DATE
�
X•
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,ausiness and Professions Code: Any.clty 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 wiempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by Any applicant for, a permit
l subjects the applicant to a civil penalty'of not more'than five 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 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
i of proving that he did not build or improve for the purpose of sale.) _
Estimated Valuation
1 SQCr
PERMIT
_
AMOUNT
Plan Chk. Dep.
Plan Chk. BBI.
70.20
Const.
t%� . 00
Mech.
' . 00
Electrical
'�,� �, 00 '
Plumbing
27.00
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
strucl 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.)
❑ 1 am exempt under Sec. B. ti. P.C. for this reason
S.M.I.
•7 7
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.
TOTAL
275.10
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS \
(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, 1 -shall not
i 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.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
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.)
Side Street Setback from Center Line
Side Setback from Property Line
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
FINAL DATE
INSPECTOR
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 theabove-.
mentioned property for inspection purposes.
Issued by:
Validated by:
Date Permit
Signature of applicant— Date'
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. SO. FT.
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SO. FT. ®
DUCT WORK
DRAINAGE PIPING
WALL SO. FT. 00
DRINKING FOUNTAIN,
SO FT ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
$ plus x$
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
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% c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
SPARK ARRESTOR
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
INSULATION/SOUND
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBINGIII
ugUNDERGROUND (, (�h
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 C (? oil qq
v
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. Q G
FRAMING
FINAL INSP./ t R /L
G `
ROOFING
% /
VT1^/I A I G /�VENTILATION �� (+(r, ( (/ J
NJ
!� /q / ig
( ( C
O
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
01
FINAL INSPECTIONlQ <
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL