05705 (RPL)Building 49-023 FORA
Address
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
-i
Mailing s ,
Address -
CU QUINTA 212253
Contractor. C.ALIFORNTA SLS 6 SPAS �-
Address
67-712 ;AMON RD.
CITY Z%2234
State Lic.
& Classif. 185102 C-53
Arch., Engr.,
Designer
Address
Te6�3�323=?343,
City
Lic. # 3555`
Tel.
City izipStateI
Lic. #
LICENSED CONITRACTO WS DECLARATION
I hereby affinm`that,I.arn ticerse I undid provisions of Chapter 9 (commencing with Section
7000) of D" ' ion 3 of the &sines anCftofessiors Code,, and my license is in full force and
effect
SIGNATURE - ' DATE
0VMER$UILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031-5,11usihess and Professions code: Any City or county which requires a
permit to construct, after, ihprove, dam[sh. of mpai any structure, prior to its issuance also
requires the applicant for such pemmi to ft a signed statement that he is licensed pursuant to
the provisions of the Con&acftrS Lke se Law, chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Pma/es9 Code, or that. he is exempt therefrom, and the basis
for the alleged exemption- Any riafalim of Section 7031.5 by any applicant for a permit
subjects the apliicait to a dN penally d not more Man fire hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sale compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Busness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such rmprovenxsfs are not ktended or offered for sale. lf, however, the building
or improvement is sold wfthin one year W onrpAcion. the owner-buider wig have the burden
of proving that he did not buil or improve for the purpose of sale.) ..
❑ 1, as owner of the property, am exdusWely contracting with licensed contractors to con-
struct the project (Sec. 7044, Business and Pfofessions Code: The Contractor's License Law
does not apply to an owner of properly who bulls or improves thereon, and who contracts for
such projects with a cont ractorrs) ice sad pmeahart to the Contractor's License Law.)
❑ 1 am exempt under Sec -------& S P.C. for this reason
Date Owner
WORKERS COMPENSATION DECLARATION . x
I hereby affirm that I have a certifimte•of-,consent to self insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof . 3800, Labor Code.)
m
PolicyNo Copany �./�"�. e
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM r
MIORKERS' COMPENSATION INSURANCE
(This section need not be rnnp'r f r 9 the permit is for one hundred dollars ($ 100) valuation
or less.)
I certify that in the perfamhancL of the work for which this permit is issued, 1 shall not
employ any person in any manner So as to became subject to the Workers' Compensation
Laws of California.
Date owner
NOTICE TO APPLICANT: 9 after mating Ors Cer6Ticate of Exemption you should become
subject to the Kbrkers' Compensation provisions of the Labor Code, you must forthwith
comply with such provi;bw or Ors permit shaft 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.)
Lenders Name
Lenders Address
This is abuilding permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certity that 1 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 Addmss_
City, State, Zip
No. 05705
BUILDING: TYPE CONST. OCC: GRP..
A.P. Number S'A $OSA COPE
Legal Description
Project Description POOL & SPA
REMARKS
ji!`U:.iki�k3::ii% �m:�3fi•ir:r-Zv-r--vYJk'4. �1 l.�r
ZONE:
BY:
Minimum Setback
Distances:
Sq. Ft. No.
Size Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑
Repair ❑ Demolition ❑
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
514/89
Issued by-
Estimated Valuation $16,600,00
Validated by:
PERMIT .. `
AMOUNT
Plan Chk. Dep. `
Plan Chk. Bal.
93.60
Const.
144.00
Mech.
24.00
Electrical
22.00
Plumbing
30.0€
S.M.I.
.41
Grading
Driveway Enc.
Infrastructure
� A
TOTAL
</2-7_
REMARKS
ji!`U:.iki�k3::ii% �m:�3fi•ir:r-Zv-r--vYJk'4. �1 l.�r
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
514/89
Issued by-
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUYL31NG FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL SO. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCKSTORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT.
GAS (FINAL)
WALL SO. FT.
DRINKING FOUNTAIN.
SQ FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROOFING
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.
SQ. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/aa
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 FEE —t PLUMB. FEE
STRUCTURE PLUMBING ELECTRI AL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
ERGROUND ��
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 APPIEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING
FINAL INSP.
ROOFING
✓�
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