10508 (PAT)P.O. BOX 1504 i' No. 10508
Building 78-105 CALLE ESTADO I -y
Address 45~325 Dese--t Eagle LA QUINTA, CALIFORNIA 92253--
Owner l !
GWR Deve o€maent
BUILDING: TYPE CONST.
. OCC: GRP.
Mailing
Address same -
A.P. Number
City
Zip
Tel.
La Quinta
92253
Legal Description
Project Description
Pattio Corer
Contractor
Sunzlr Pools
Address
P. 0. flax 335
City
Palm Dese r
Zip
92261
Tel.:
8411-568-4014
State Lic.
City
& Classif. C53 397252
Lic. # 529
Sq. Ft.
Size p v
No. No. Dw.
Stories Units
Arch., Engr.,
Designer
w
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City -
Zip
State
Lic. #
�� LICENSED CON(fRACT,GR'S DECLARATION
I hereby affirm -that I; am censedfu/derprovlsions of Chapter 9 (commencing with Section
7000) df Division 3 of%the Businessland Profes§Ions Code, and.my license is in full force and
�f fetc'e AA,f.l w // �`.4i "� 2. "?- ? z. -
SIGNATURE" �' ^�f/"i 'DATE—
OWNER-BUILDER dItCLARATION t4 JEstimated
Valuation
V I hereby affirm that I am exempt from.the ontractor'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
Division3 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
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
r f�
n2 829.60
PERMIT
_
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
.
35.10
Const.
54. 00Professions
Mech.
-
Electrical
-
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.)
Plumbing
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Coder 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. 8. t> P.C. for this reason
-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
r
O. Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
89.40
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
-
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
orless.)
certify that in the performance of the work for which this permit is issued, l shall not
any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
>.y 6Vemploy
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
Side Street Setback from Center Line
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 Setback from Property Line
Lender's Name
FINAL DATE
INSPECTOR
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 sof this city to enter the above-.
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. SQ. FT. ® $
UNITS
A.C. UNIT
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
ROUGH PLUMB.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
HEATING (ROUGH)
STORAGE TANK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
ROUGH WIRING.
DRAINAGE PIPING
CAR P. I SQ. FT.
ROCK STORAGE
FOUND. REINF.
WALL SQ. FT.
GAS (ROUGH)
DRINKING FOUNTAIN.
SQ FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
OTHER APP.IEQUIP.
WATER PIPING
NOTE: Not to be used as property tax valuation
GAS (FINAL)
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER HEATER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSORHP
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 ® t+/a c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSP.
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
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 APP.IEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
LUMBER GR.
I
FINAL INSP.
cu. yd.
FRAMING
FINAL INSP.
$
plus x$
=$
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
V�
FIREPLACE
/
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL