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14514 (RPL)It P.O. BOX 1504 Building 78-495 CALLE TAMPICO Address ., 4-5. 155 Desert dills Court LA QUI NTA, CALIFORNIA 92253 Owner Brent Rnigge No. 14514 Mailing S=eBUILDING: TYPE CONST. • OCC. GRP. Address A.P. Number City Zip Tel.' La QuInta, CA. 92253 Legal Description ContractorPool and Spa �?f3e�l3Ei?1 C©IIt:3tZ`t1Ct]I.OL� Project Description - 3` rear yard and side yard sebbaek 1694- bS A Petfz Rd. ';fit. E-9 adjustment approved 95-280 city Cathedral City Zip CA 92234 I el.: 324-1232 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND State Lic. Z53 5 74.122 City 1044 - // & Classif.. Lic. # Sq. Ft. No. No. Dw. �r Size Stories Units Arch.; Engr., This is a building permit when properly filled out, signed and validated,.and is subject to Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Issued by: I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. City Zip State Lic. # . Validation: LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section Jj W) of Division,3 of -the Business ting Protons Code, and my license is in full force and ;effect r1, SIGNATURE DATE OWNER -BUILDER DECLARATION ` I hereby affirm that I am exempt from the Contractors License Law for the following : Estimated ValUatlOn$16,000400 reason: (Sec. 7031.5,Bustness and Professions Code: Any city or county which requires a i 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 lioensed.pursuant to °PERMIT AMOUNT the provisions o/ the Contractor's License Law, Chapter 9 (commencing with `Section 7000)• of Division 3 o/ the Business and Professions Code. or that. he is exempt therefrom,- and, the basis Section 7031.5 'any for ' plan Chk. De p. for the alleged exemption. Any violation o/ by applicant a permit subjects the applicant to a civil penalty o/ not more than rive hundred dollars ($500). . - . " e t ) - Plan Chk. Bal.. , 15 ❑ 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 Const.' 171.00 .. 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, Mech.24.00 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 Electrical 45 flQ of proving that he did not build or knprove.Ior 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.I. ' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ❑ 1 am exempt under Sec B. & P.C. for this reason Driveway Enc. Date Owner v Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or'a certificate of Workers CompensationAnsurance, or a certified copy thereof. (Sec. 3800; Labor Code.) - !rT'�-Company POlicy l; Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 378.15 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed ff the permit is for one hundred dollars ($100) 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. n, after making .this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions o/ the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Lune City, State, Zip Rear Setback from Rear' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Setback fiti� C SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE - // HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Side Setback fr operty DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND �r ATTORNEY'S FEES. . . FINAL.DATE 1I PECT I 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 that I have y Date certify read this application and state that the above information is correct. Issued by: I agree to comply with all city and county ordinances and state laws relating to building 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. PLUMBINv FEES 1ST FL. SO. FT. ® $ UNITS SETBACK GROUND PLUMBING UNDERGROUND YARD SPKLR SYSTEM 2ND FL. SO. FT. COLL. AREA o ROUGH PLUMB. l MOBILEHOME SVC. BAR SINK FOR. SO. FT. ® STORAGE TANK FORMS GAR. SO. FT. ® POWER OUTLET ROOF DRAINS • DUCT WORK ROCK STORAGE DRAINAGE PIPING CAR P: SQ. FT. @ METER LOOP WALL SO. FT. ® OTHER APP.IEOUIP. DRINKING FOUNTAIN GAS (FINAL) TEMP. POLE URINAL SQ. FT. ® GROUT ESTIMATED CONSTRUCTION VALUATION $ SERVICE WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. 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' COMPRESSOR HP POLE, TEM/PERM 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. SO. FT. RESID ® 1+A c SEWAGE DISPOSAL SO.FT.GAR ® VAc 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 A/ HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. l BONDING y 1 HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TAN 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 f� � 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 SIGNATURES/INITIALS GARDEN WALL FINAL