9665 (RPL)Building
Address 54-570 Diaz
Pinson Brothers
.414 aubtral
�1 No.
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Address
City Zip 'ITel. - —
Contractor
015
F & F P0
Address
JILDING: TYPE CONST.—OCC'. GRP. -
P. Number
�gal Description
oject Description
POOL AND SPA
9665
809.75 Indio Blvd
BY:—
Minimum Setback Distances:
City
Zip
Tel.: -
Rear Setback from Rear Prop. Line
indio
92201---
345-5 070
FINAL DATE
State Lic.
City -
Date_Permit
Validated by:
& Classif. 476807
Lic. # - 130
Sq- Ft-
No. No. Dw.
Size -
Stories Units
Arch., Engr.,
Designer
New 0 Add 0
Alter 0 Repair 0 -Demolition 0
Address
Tel.
City
Zip
State
Lic; #
LICENSED CONTRACTOR'S DECLARATION
I herel�rqfflrm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 o��e Business and Professions Code, and my license is in full force and
:effe.6 .
del<
if— DATE
_26VATURE
OWNER -BUILDER DOCLARATION
Estimated Valuation
I hereby affirm that I am exempt from the Contractorjs License Law for the following
0'.700.00
)31.5,Business and Professions Code: Any City Or'CckUnly, Which requires a
permit to.construct, after, improve, demolish, or repair any structure, prior to Its issuance also
requires the applicant for such permit to rile a signed statement that helis,ficensect pursuant to
PERMIT
AMOUNT
the provisions of the Contractor's License Ww, Chapter 9 (commencfng�wfth Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the Any Section 7031.5 by 'any for,
Plan Chk. Dep.
alleged exemption. violation of applicant a permit
subjects the applicant to a civilpenafty ofnot more than rive hundred daflars.($500).
Plan Chk. Bal.
70. 20-
0 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
Conit.
108.00
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 empkiyees.
Mech.
24. 00
provided that' such Improvements are not intended or offered for safe. It, however. the building
or Improvement is sold within one year of completion, the owner -builder wig have the burden
Electrical
45. 00
of proving that he did not build or Improve for the purpose of sale.)
b 1, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
27. 00
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 and who contracts for
S.M.I.
90
'thereon,
such projects with a,contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
0 1 am exempt under Sec.—a, & P.C. for this reason
Driveway Eric.
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 certified copy thereof. (Sec. 3800, Labor Code.)
Policy No.
company
5. -Copy is filed with the city. 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATION INSURANCE
(This section need not be completed ff the permit is for one hundred dollars ($100) valuation
or less.) I
I certify that in the performance of tho 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__!___L__Owner
NOTICE TO APPLICANT: if, after making this Certificate of Exemption you should beco . me
subjeCt to the' Workers' Compensation provisions of the -Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
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.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days. .
I certify . that I have read this application and state that the above information is correcL
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.
Maili ' ng Address
City, State, Zip
n ras ruc uv
TOTAL 275.10
REMARKS
J.
ZONE:
BY:—
Minimum Setback Distances:
—Front Setback f rom.Center Lin
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
IST FL. SO. FT. @ $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
I
2ND FL. SO. FT. @
FORMS
SEWER OR SEPTIC TANK
POR. so. FT. @ -
MOBILEHOMESVC.
BAR SINK
GAR. so. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. so. FT. @
OTHER APPJECUIP.
DR AINAGE PIPING
WALL SO. FT. @
TEMP. POLE
DRINKING FOUNTAIN.
SO. FT. @
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
=$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
.FURNACE UNIT WALL FLOOR SUSPENDED
REMARKS:
LAUNDRYTRAY
AIR HANDLING UNIT CFM
IKITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYST�M FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
So. Fr. @ c
BATH TUB
SO. Fr. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 1 V4 c
SEWAGE DISPOSAL
SO.FT.GAR @ 3Ac
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT.FEE
SMI FEE7 PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR,
SETBACK
GROUND PLUMBING
?to UNDERGROUND6 �N/Az ep,
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJECUIP.
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
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GR
FINAL INSPECTION -
FENCE FINAL
INSPECTOWS SIGNATURESIINITIALS
GARDEN WALL FINAL