10671 (RPL)• � �li��/(I�IClt1 -
P.O. BOX 1504 C-44 N Q. 10671
Building 45,480 DESERT FOX DRIVE 78105CALLEESTADO
ORNIA9
Address LA QUINTA, CALIFORNIA 92253 (�
Owner V1
GWR DEVELOPMENT
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address SAME
A.P. Number
City Zip Tel.
LA QUINTA 192253 Legal Description
Contractor Project Description POOL AND SPA
SUNAIR POOLS
Address .
P 0 BOX 835
I City Zip Tel.:
PALM DESERT 92261 568-4014
State Lic. City
& Classif. C53-397262 Lic. # 529 Sq. Ft. No. No. Dw.
Size Stories Units
i Arch., Engr.,
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
CityZip. State
1-1")
Lic. #
� /r LICENSEWCONTRACTOR'S DECLARATION
I herebyaffiFm tha� art lie`�enseeunder provisions of Chapter 9 (commencing with Section
7000) of Div lai/on�'3 of t�h ORusin&" and Professions Code, and my license is in full force and
i effect .,./'�r�C/ !•^y..lt ll_i ,
st ill!!! i rf X^�
�SIGN&TURE A F DATE
OWNER• 'DER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following $ 13 v 2O0
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 hie a signed statement that he is licensed pursuant to PERMIT AMOUNT
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 exempt therefrom, and the basis
.for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than five hundred dollars.(8500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. $99.45
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 153.00
Professions Code: The Contractor's license Law does not apply to•an owner of property who A
builds or improves thereon and who does such work himself or through his own employees, Mech. 2 4 O 0
provided that such improvements are not intended or offered for sale. If, however, the building
or Improvement is sold within one year of comptedon, the owner -builder will have the burden -
I of proving that he did no_t build or bnprove for the purpose of sale.) Electrical 45.00
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
!+ struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law 27 7.00
L 0
does not apply to an owner of property who builds or improves thereon, and who contracts for - S.M.I. •Y
such projects with a contractors) licensed pursuant to the Contractor's License Law.) ,
Grading
❑ I am exempt under Sec a- 8 P.C. for this reason .
Driveway Enc. • . -
Date Owner Infrastructure f
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 t
U.-I
Copyis filed with the city. ❑ Certified copy is hereby furnished:'TOTAL $349.85*1
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS'COMPENSATIONINSURANCE
(This section need not be completed the pemrlt is for o e hundred ,dollars 8100) valuation : : dt7 tl-•. '
or less.) 't�
I certify that in the performance,,( thg�Grork for Gfiich this.pe mit is issued, I shall not i
employ any pperson in any manner so as to becomesubject to thelWorkers' Compensation
Law of Call ori G', 7 f(
Dat ' / Af '1 caner /� . l� \i cd ?"n:'o
NO E TO APPLICANT. ff,of drr makhg this Certificate of Exemption you 'should become ,ZONE: BY: '
'subject ro the Workeis',�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
gear 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
Lender's Address FINAL DATE INSPECTOR
This is a building permit when properly filled out, signed and validated, and 1s 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. Issued by: Date Permit
I agree to comply with all city.and county ordinances and state laws relating to building t r
construction, and hereby authorize representatives of this city .to enter the above-.
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Address Validation: -
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. S0. FT.
ROUGH PLUMB.
YARD SPKLR SYSTEM
POR SO FT CQ
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. S0. FT.
DUCT WORK
DRAINAGE PIPING
WALL SO. FT.
GAS (ROUGH)
DRINKING FOUNTAIN.
SO. FT. ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GAS (FINAL)
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER HEATER
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
WATER SYSTEM
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 I
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Va c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
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 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.
FRAMING
FINAL INSP.
ROOFING/!
U
}
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESJINITIALS
GARDEN WALL FINAL