003090 (RPL)P.O. BOX 1504 No. 003090
Buildingp, 78-105 CALLE ESTADO
Address 52-637 Avenida dila LA QUINTA, CALIFORNIA 92253,
Owner
Mailing
Address Se
City Zip Tel.
La uinta 92253 11,564-2128
Contractor.
sn"air Pools ...
Address
P. 0. BOX 835
City- Zip ... Tel.— _.
BUILDING: • TYPE CONST. OCC: GRP.
A.P. Number 773-303-008
Legal Description
Project Description Pool SOa
State Lic.
& Classif.
�'-53
City
Lic. # "'
..
Sq. Ft. No. No. Dw.
.39"1252
Size. Stories - Units
Arch., Engr.' : _. _ ...
Designer .
New ® Add ❑ Alter 0:.' Repair ❑ Demolition ❑
Address
Tel.
CityZip
State
_ ..
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
. 7000):of Division 3 cf tfie Business and Professions Code, and my license is in full foyrrce�'arnd
effectyY/ - 't'N ss .nr i'S'
-
SIGNATURE+' �✓ q -.•- d=✓'7DATE
✓ OWNER•BuILDER°DECLARATION
I hereby affirm that I am exempt fro Fie Contractors License Law for the following
reason: (Sec.. 7031.5,Business and Professions Code: Any city or county, which .requires a
- permli to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant /or.such permit to file a signed statement that he is licensed pursuant to
the provisions o/ the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
' Division 3 of the Business and Professions Code, or that. he 7s -exempt therefrom,- and .the'basis
for the alleged exemption. Any violation of Section, 7031.5 by 'anyapplicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500). •
O 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
Professions Code: The Contractor's License Law does not apply 'to.an owner o/ property who
Estimated Valuation
- •-
PERMIT -- AMOUNT
- . r.
PIan.Chk..Dep.
'"
Plan Chk. Bal.
Const. C C
8 +50^•
-
Mech.- :a Q
.
builds or' improves thereon and who does such work himself or through. his own employees,
provided that' such improvements are not intended or offered for sale. ll,, however; the. building
• or improvement is sold within one year of completion, the owner -builder will have the burden•
of proving that he did not build or improve /or the purpose of sale.) ,.
Electrical ���
Plumbing 14. 00
❑ I, as owner of the property, am exclusively contracting with.licensed contractors to con-
struct the project..7(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
_
• S.M.I. - - � 74
-
Grading
Driveway Enc.
Date owner
Infrastructure'.'t`'i�r^{i%
WORKERS' COMPENSATION DECLARATION
I'hereby affirm that I have a certificate of consent to.selhinsum, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
'Policy No. Company
MWpy is filed with the city. f7 Certified copy is hereby furnished. .
(q
TOTAL $193.46
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION.INSURANCE
• REMARKS
(This section need not be completed if,the•permil'is for one;hundred dollars ($100) valuation
or less.) .. "' _ ' /e/ /. ,.l
I certify that in the performance of thg work for which this,permit is issued, I shall not
--• =any person in any manner so as to becomes§utiject t&the Workers' Compensation
Laws of California.. f e B
DateOwner 7 .. . r''f
NOTICE TO APPLICANT:111`;Vafierr making this Certificate of -Exemption .youwsA'ould become
' subject to the Workers%.Cor`npensation provisions of the LaborCode`you must forthwith
comply with such provisions or this permit shall be deemed revoked.
ZONE: ' BY: -
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback. from Rear Prop.. Line
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.)
Side Street. Setback from. Center Line
Side Setback from. Property. Line
Lender's Name
Lender's Address
FINAL DATE INSPECTOR
.Issued by: - - Date /30/8 sPermit
Validated by:
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.p
- I certify-that.l have read this application and state that the above information is'correct.
" I agree to comply' with all' city and county ordinances and stale 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
Validation:
City, State, Zip
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
Sq FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ®c
BATH TUB
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FRAMING
FINAL INSP.
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
U ERGROUND
oe
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BOXING >tl7l-4�7
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
�411I•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 GRADING
//
//NAL INSPECTION
CC
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL