9488 (RPL)P.O. BOX 1504
Building513--035 !raEl Troves ,Ga 78-105 CALLE ESTADO `
AddresLA QUINTA, CALIFORNIA 92253
BUILDING: TYPE CONST.
A.P. Number
Cover
Address same
CityZip Tel.
La Qulnta 92253
Contractor
California Pools and Spas
Addres41--910 Soa. dwalk OA2
City Zip Tel.:
Palm Desert 92260 34069000
Legal Description
Project Description
POOL AND SPA
No. - 9488
OCC: GRP.
State Lic. City
C53 185102 Lic. # 355
& Classif. Sq. Ft. No. No. Dw.
"
Arch.,-Engr., Size . Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that licensed under:provisions of Chapter.9 (commencing with Section
7009) of Division 3rof,the Business and'Professions Code, and my license is in full force and
SIGNATURE ! ! 1 .!- DATE
OWNER -BUILDER DECLARATION
ereby ffirm that I am exempt from the Contractors License Law for the following Estimated Valuation 16 .004 00
'reason: (Sec. 7031.5,Business and Professions Code: An or coup which r g
Any city county squires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit l0 file a signed statement that he is licensed pursuant to PERMIT AMOUNT
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.
subjects the applicant to a civil penalty of not more than five hundred dohs ($500). 5
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.
do the work, and the structure is not intended or offered for sale. (Seca 7044, Buisness and Const.,171.
Professions Code: The Contractor's License Law does not appy to an owner of property who'
00
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 safe. N, however, -the building - - 45-00
g C �c It
or improvement is sold within one year of completion, the owner -builder wig have the burden Electrical 45 . (Iii
of proving that he did not build or improve for the purpose of safe.) ,
❑ 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 1.600
does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.L. .
such projects with a contractor(s) licensed Pursuant to the Contractors License Law.)
O I am exempt under Sec. - B. & P.C. for this reason Grading
Driveway Enc.
Date owner Infrastructure
�WORKERS' COMPENSATION DECLARATION
I hereby affirnjf(ha4 I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, r-a=cettified copy thereof. (Sec. 3800, Labor Code.)
Policy No. + rtiP na Y a°
L�Copy is fled with the city. ',0 Certified copy is hereby furnished.
�i TOTAL 379.75
CRE TIFICATE OF EXEMPTION FROM REMARKS
WORKERS'COMPENSATIONINSURANCE u^.e`rsh�n, clod +>rF�'+xutlYAt"
(This section need not be completed if the permit is for one hurMred dollars (Stool valuation . f n,} plJ ,t t li I Aid �� 37 . i:>
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. If, after making this Certificate of Exemption you should become ZONE: BY: i
subject to the Workers' Compensation provisions of the Labor Cade, you must forthwith -Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked. '
Front Setback.from Center 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, CW Code.)
Lender's 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 100 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
FINAL DATE
Rear Setback. from Rear Prop. Line
Side Street Setback from.Centdr Line
Side Setback from Property Line
INSPECTOR
Issued by: Date Permit;
Validated by:
Validation:
u
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. SO. FT.
ROUGH PLUMB.
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
SEWER OR SEPTIC TANK
ROUGH WIRING.
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
. CAR P. SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO.1=T.
HEATING (FINAL)
DRINKING FOUNTAIN.
SO FT ®
GAS (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER HEATER
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GRADING
cu. yd.
plus x$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
F AL INSP —
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 r
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SO.FT.GAR @ V4c
HOUSE SEWER
GAR. FIREWALL
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
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./EQUIP.
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
F AL 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