14472 (RPL)a.
Building
Address
45-33.0 € welt Fox Dr.
John Cl eaary
maning
Address Same
City Zip
La Quinta, Cia 92253
Contractor
Sunrise" Pools -
Address.
P.O. Bax 22573
V911ri Das'ert, C Zip 92255
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
TJ.
40..5521
No. 114472
BUILDING: TYPE CONST: OCC: GRP.
A.P. Number
Legal Description
Pro*, - t Description's and.gyp`
AD
State Lic. C-53 556236
City 1604
-
& Classif..
Lic: #
Sq. Ft- No. No. Dw.
Size Stories • •.Units
" Arch., Engr.;
Designer
New ❑ Add ❑ Alter ❑ Repair•❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
I• LICENSED,CONTRACTOWS DECLARATION
thereby affi thattl am licensed under provisions of Chapter 9 (commencing wilh,Section
.
7000)o Division 3/qY flh�e Business and Professions Code, and my license is in )r!V11 I r a
effect. �/ �`'�"�
SIGNATURE � t DATE
,
OWNER -BUILDER DECLARATION'
for following'
Estimated ValUatlOnp
1 000 • 0,
I hereby affirm that I am exempt from the Contractor's License Law the
reason: (Sec. 7031.5,Susiness, and Professions Code: Any city or county which requires a
/
..
permit to construct, atter, Improve, demolish, or repair any. structure,. prior to -its issuance. also
requires the applicant tor. such permit to rile a.signed statement that he is licensed pursuant to
..PERMIT- " AMOUNT
the provisions o/ the Contractor's License Law, Chapter 9 (commencing with Section 7000) o/
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis.
Any Section 7031.5 by any for
Plan Chk. Dep.
for the alleged exemption. violation of applicant' a. permit
' subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). '' r -.
Plan Chk. BBL87.75
❑ 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
-property
Const.' 135.00
Professions Code: The Contractor's License Law does not apply to an owner o/ who
builds or Improves thereon and who does such work himself or through his own employees,
i A
. Mech. r 24 r 00
provided that such Improvements are not intended or' olfered for sale. If, however,. Qhe' building,
or improvement is sold within one year of completion, the owner -builder will have the burden
'Electrical 4S.00
of proving that he did not build or improve for the purpose of sale.)
❑ I, as' owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing 27.00
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
S.M.L.
:y_ js ch projects with a contractors) jicensed'pursuant to the Contractor's License Law.)
-
Grading
❑ I. am exempt under Sec. B. & P.C. for this reason
Driveway Eno.
Daie'" • owner
a:•
Infrastructure
�" •" WORKERS' COMPENSATION DECLARATION
I'hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensat!Wjnsuranoe, or a certified copy heregfr(Sec. 3800,. Labor Code.)
Y I— f i—+ro -A-J f�"73 C-1
-
Policy No. Company
XCopy is filed with the city, ❑ Certified copy is hereby furnished.
TOTAL 318.75 "
CERTIFICATE OF EXEMPTION FROM
REMARKS.
WORKERS' COMPENSATION INSURANCE'
(This section need 'not be completed i/ the permit Is for one hundred dollars ($100) valuation
r
or less.)
'
I certify that in the performance of thg work for which this permit is issued; I'shall not
employ any ppeon in any manner so'as to become subject to the Workers' Compensation
Laws of Californirsa.
Date' Owner
TO..
NOTICE TO APPLICANT: H, after making this Certificate. of Exemption' you. should become
_
ZONE: ' BY: '
subjec( to Workers' Compensation provisions of the Labor. Code, you must forthwith
Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked. -
Front Setback from Center Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE.WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND'
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE •'
Side Street Setback from Ce' ter Line
- . •
'
,/�f
from Prope
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST,OF- COMPENSATION,
Side Setback
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND.
ATTORNEYS FEES.
FINAL DATE ANSPE �+
This is a building permit when properly filled out, signed and validated; and is subject to
v
expiration if work thereunder is suspended for 180 days:
I certify that 1 have read this application and state that -the above information is correct.
Issued by: Date nit
I agree to comply with all cityland county ordinances and state laws relating to building
construction, and hereby authhorize representatives -of. this city to enter, the above-.
O
mentioned property for in/spection/purposes. ( /7
��!
Validated b19
y `
Signature of applicant / f % Li # Date
Mailing Address r
t�
Validation: 9
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING; FEES `
IST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. SO. FT.
ROUGH PLUMB. N
YARD SPKLR SYSTEM
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
SEWER OR SEP TANK
ROUGH WIRING
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (ROUGH)
METER LOOP
DRAINAGE PIPING
CAR P. SO. FT.
REINF. STEEL
GAS (FINAL)
WALL SO. FT.
DRINKING FOUNTAIN
SO. FT. ®
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
LUMBER GR.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
REMARKS:
LAUNDRY TRAY
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 ® IA c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE JPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING D ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. N
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEP TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
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
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`
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL