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14469 (RPL)Building 45-120DE'sert Fox Address �'� • Owner I Dan Smith Mailing i Address Same City Zip T-A. Qu. inter, CA .. 92253 Contractor Sunrise Pools Address .P.O. Box 32573 V13m Desert, Ap 92255 State Lic. C-53 .556235 & Classif, . Arch.;-Engr:, I Designer i. Address P.O. BOX 1504 78-495 CALLE TAMPICO LA OUINTA, CALIFORNIA 92253 "340-5521 City 1604 Lic. # City Zip State Lic. # . =LICENSED CONTRACTOR'S DECLARATION. I hereby affir?ithat{I am licensed under provisions of Chapter.9 (commenc 7000) of D))visi6n 3 of the Business and Professions Code, and niy license is P ffect.-1. .. a fd1 - No. 1446.9 BUILDING: TYPECONST.'.. OCC..GRP.- A.P. Number Legal Description Project Description P001 and Spa Sq. Ft. - - No. No. Dw. Size Stories Units - New ❑ Add 01' `J ith Section I fo ce and 'I DATE OWNER -BUILDER DECLARATION Estimated Valuation 11s000. 1 hereby affirm that I am exempt from the Contractors License Law for the following Alter ❑ . Repair ❑ Demolition ❑ _ reason:. (Sec. 7031.5, Business. and Professions Code: Any_ city or county which, requires • a i permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rite a signed statement that he is licensed pursuant to j the provisions of the Contractor's License Law, Chapter 9 (commencing wlth'Section 7000) of i Division 3 of the Business andProfesskms 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 -Ihe applicant to a civil penalty of not more than five hundred dollars ($500). .. - i ❑ 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 . of proving that he did not bulkd or knprove for the purpose of sale.) ❑ I, 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) (Icensed pursuant to the Contractor's License Law.) O I am exempt under Sec B. 8 P.C. for this reason ' - - PERMIT Plan Chk..Dep. Plan Chk. Bal. Const. Mech. - Electrical Plumbing', S.M. • - 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 ' Workers pe sat'So� I urance, it a certified hof. (Sec. 3800, Labor Code.) - PolicyNoK.�rS' Company ��9yj Co is filed with the city.. -❑ Certified co Copy ty, copy hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (This section need not be completed if the permit Is for one hundred dollars ($100) valuation ' or less.) - I rt' th t' th rf f h - { -` TOTAL REMARKS t ce ify a in a pe ormance o t g work for which this permit is issued, I shall not employ any parson In any manner so as to become subject to the Workers' Compensation' Laws of California Date Owner NOTICE TO APPLICANT: 11; after making this Certificate of Exemption you should become - ZONE: BY: subject to the Workers' Compensation . provisions of 'the - Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Center Line WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESAND 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 property filled out, signed and validated, and is subject to expiration if work thereunder is.suspended for 180 days. I certify -that.! 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 au horizej representatives -of* this city to 'enter the bove-. mentioned property for Ins pu tion{rpo(�ses. ! r Signature of applicant / • /1 t,,! 2� Date "/>< - Mailing Address ' City, State, Zip r Rear Setback from Rear Prop. L Side Street Setback from Cenllte Side. Setback from Property�L`irn, r FINAL -DATE —INSPEC ORI & Issued by. Date Pel Validated by: Validation: AMOUNT 87.75 135.00 . 24.00 45.00 27.00 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. I SO. FT. GROUT WATER HEATER WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN SO. FT. ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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 ® 11A c SEWAGE DISPOSAL SO.FT.GAR ® 3/.c HOUSE SEWER 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.IEOUIP. 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 I �� i pq V (Nil 1 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. }� FENCE FINAL INSPECTOR'S SIONATURESIINITIALS GARDEN WALL FINAL