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9844 (RPL)I Builds,`g 54-510 DIAZ Address Owner PINSON BROTHERS Mailing Address SAW& 95250 SMURR City Zip IxDza Contractor F & P POOLS Address 88975 INDIO BLVD City Zip INDIO. CA 92201 State Lic. & Classif. C 53476807 Arch., Engr., Designer Address City Zip LICENSED CONTRACTOR'S)I I hereby affirm'that°havlf ensed_under'provisions ( 7000) of Division 3 of the Bysiness'and.P..rofessions C effect. Tel. 4 P.O. BOX 1504 78-105 CALLS LA QUINTA, CALIFORNIAORNIA 92253 BUILDING: TYPE CONST. POOL P. Number !gal Description oject Description POOL Lic. # 130 I Sq. Ft. Size Tel. State Lic. # IATION� ,. e0 (commencing with Section d myJicense is in full force and <« OWNER -BUILDER DECLARATION I hereby affirin that I am exempt from the Contractor'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 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500). , ❑ 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 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 knprovements are not intended or offered for sale. If, however, the building orunprovement 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 sate.) ❑ 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 contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner 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 certif ieQ GQpy ereof� 3800, Labor Code.) Policy No Company A 21 2i i'' 119 13 C py is filed with the city. O Certified copy is jiereby furnished. i CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg 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., M, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions or the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 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.) Lenders Name 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 -of this city to enter, the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. Stories No. 9844 _OCC: GRP. No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑' Demolition ❑ Estimated Valuation $8,100 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 5 0 • l U Const. 108,00 Mech. 24.00 Electrical 45/00 Plumbing 27.00 S.M.I. • t) Grading Driveway Enc. Infrastructure TOTAL L 13 • L U REMARKS n ; / {�i t� d1El`►;!9'i'a�41't)t •'Ft t'b"7he��t^sr.:!" f'1�7-7 A A `a l� ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS ROUGH PLUMB. BONDING 2ND FL SQ. FT. ® STORAGE TANK YARD SPKLR SYSTEM SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP a GAR. SO. FT. ® POWER OUTLET ROOF DRAINS DRAINAGE PIPING CAR P. I SQ. FT. FINAL INSP. WALL SQ. FT. WATER SYSTEM FINAL INSP l730L-cu. FINAL INSP$$ DRINKING FOUNTAIN SQ FT ® LUMBER GR. URINAL ESTIMATED CONSTRUCTION VALUATION $ // � </ / A% /% G`n WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIREPLACE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER CERT. OCC. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND � SGt A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP l730L-cu. FINAL INSP$$ GRADING yd. plus x$ =$ LUMBER GR. FRAMING ROOFING // � </ / A% /% G`n REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL