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12039 (RPL)44 CV P.O. BOX 1504 No. 12039 Building 78-105 CALLE ESTADO Address 78-614 Forbes LA QUINTA, CALIFORNIA 92253 Owner Whitmire Mailing BUILDING: TYPE CONST. OCC: GRP.- Address Same A.P. Number City Zip Tel. La Quanta, CA32253 1 Legal Description Contractor Project Description Po&l and Spa F a F Pools -: Address P.O. Box .1825 City112253 Tela La Quintar CA 345-5070 State Lic. City & Classif. C53 475807 Lic. # 130 Sq. Ft. No. No. Dw. Arch., Engr:, - Size Stories Units Designer New ❑ Add ❑ Alter p Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # (•LICENSED CONTRACTOR'S DECLARATION I hereby affirm th t Iffam licensed under provi`s-ionS of Chapter 9 (commencing with Section 7000) ofW41 '1 {the•Business and'Pr`ofessions Code!and my license is in full force and ' effect. /9 (,./ ! ' DATE OWNER -BUILDER DECLARATION IEstimated Valuation (� *yy nrt AA I hereby affirm that I am exempt from the Contractor's License Law for the following i5.0oo. Vn 0 reason: (Sec. 7031.5,Business and Professions Code: Any city orjcounty which requires a permit to construct, alter, improve, demolish, or repair any structure, Il prior to its issuance also AMOUNT requires the applicant for such permit to file a signed statement that he Is licensed pursuant to PERMIT 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 Plan Chk. Dep. 105.30 subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal. 10 5 . 3© ❑ 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. 162.00 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 f�. �� of proving that he did not build or improve for the purpose of sale.) ❑ 1, 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. 1.50 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading O 1 am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date owner Infrastructure 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 Tcopy is filed with the city. ❑ Certified copy is hereby furnished: J TOTAL 36 4.80 CERTIFICATE OF EXEMPTION FROM REMARKS 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' Compensation4 t.tit♦ 1+d P1 L. l �YYt ypV Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith •MIrllfilUm Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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 Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR 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 1 have read this application and state that the above information,is correct. Issued by: Date Permit 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. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA i ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SO. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK FOR. SQ. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. SO. FT. GAS (FINAL) TEMP. POLE WALL SQ. FT. DRINKING FOUNTAIN SO. FT. ® WATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED k � //T�`' �� [// /�� lr / !/ I/✓A�'� / 7//';yJ 7 ( �f LAUNDRYTRAY AIR HANDLING UNIT CFM 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 SPARK ARRESTOR SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL LATHING SO.FT.GAR ® 3/ac HOUSE SEWER MESH GAS PIPING PERMIT FEE INSULATION/SOUNDC/�/ 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 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 APP.IEQUIP. REIN F. 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 k � //T�`' �� [// /�� lr / !/ I/✓A�'� / 7//';yJ 7 ( �f REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUNDC/�/ FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL