10033 (RPL)P.O. BOX 1504 N o .
Building ,� 7&105 CALLE ESTADO /
Address 45-5,425 Dese'r't Eagle Ct LA QUINTA, CALIFORNIA 92253 <
Owner
Robert Preston
mailing
Address Sal' e
City La. Quint,a ZIp92253
Contractor
Sunair Pools
P. O. Bax 835
City lZip
State Lic. City
&Classif. C53 337252 Lic.# 529
Arch., Engr.,
Designer
Address Tel.
ity},.► f Zip State
I I Lic. #
P ff LICENSED CONTRACTOR'S DECLARATION
I hereby affirm thaUl am,licensed under provisions of Chapter9(commencing with Section
000) of Divisionf3'of the Bu Code, and my license is in full,force andf
OWNEWBUILDER DECLARATION
t
I hereby affirm that I am exempt from ihejr6ohtractors License Law -for the following
kreason: (Sec. 7031.5, Business and Professions Code: Any. city or countywhich'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 ficensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing wth SecOon� 7000) of
Division 3 of the Business and Professions Code, or that.he s'exempt Merehom, 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 or not more than rive hundred dollars ($500).
01,
as owner of the property, or my employees with wages as their sole compensation; will.'
do the work, and the structure isnot intended or offered for sale. (Sec. 7044, Busness 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 safe: b however, the building
or improvement is sold within one- year of completion, the owner-0,dder will have the burden
of proving that he did not build or improve for the purpose of sale.)
p I, as owner of the property, am exclusively contracting with licensed contractors to corn
.;struct the project. (Sec. 7044, Business and Professions Code: The Contactors 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 Contractors License law.)
❑ 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's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor.Code.)
Polity No. - .Company
IIACopy 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 (5700) 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 Exempbw 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 forwhich 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 authorizerepresentatives -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
10033
.a
BUILDING: TYPE CONST. j OCC: GRP. -
P. Number
Legal Description
Project Description
.POOL AND SPA
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition'❑
Estimated Valuation
11,700
PERMIT
AMOUNT
Plan Chk: Dep. r
Plan Chk. Bal.
V.75
Const.
135.00
Mech.
24.00
Electrical
45.00
Plumbing
27.00
S.M.I.
1. 210
Grading
Driveway Enc.
I of rastructu re
TOTAL
319. 9 5
REMARKS
i, K^{.•6a3� '��;-
++1 ,iia. AA-.M 4t�y
44
�4t'{h
fk1VA42" S Y
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 INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. SO. FT.
YARD SPKLR SYSTEM
POR. SD. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO, FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
DUCT WORK
DRAINAGE PIPING
WALL SO. FT.
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
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
CU. yd.
$ plus x$
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FINAL INSP. J/
[
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 ® 11/4 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
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING 10141I.4t h UNDERGROUND ICAA/
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) jj q/ METER LOOP
1
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. J/
[
FRAMING
FINAL INSP. i ti�
ROOFING
�► C VIU� ��( /' 01
1 ` f / l/ �L •/
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