002302 (RPL)'C
P.O. BOX 1504 No. 002302
Building 78-105 CALLE ESTADO
Address 54-365 AverMa amera LA QUINTA, CALIFORNIA 92253
Owner
BUILDING: TYPE CONST. OCC: GRP.-
Mailing
Address 54-355 AVS HOrzOra A.P. Number 774-245-018
City ZipTel.
.3a � 93Y�3 . Legal Description Lot 6
Contractor Project Description
ri-mm TlInnis
Address
67»652 Mrm 1 -bad
City i .Zip Tela 326
- - .. .
2-2 i 92253 326-6996
State Lic. City
& Classif. Lic. # Sq. Ft. No. No. Dw.
CS342101A 20 Size -Stories Units
Arch., Engr:,
Designer, New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City ]ZIP r State IR 21L '
/ Lic. #
LICENSED CONTRACT,OR'S DECLARATION_
I hereby affirm that I am:licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 or,the.Business and Professions Code; and my license is in full force and ;►•-• -
effect.. �� t
V t 4,,W4
_SIGNATURE i DATE trfi
I �' OWNER -BUILDER DECLARATION'
I hereby affirm that I am exempt fromrthe Contractor's License Law for the following Estimated Valuation
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a P. mrl1- n
permit to construct, site,, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to. - PERMIT AMOUNT
the provisions of the Contractor's License Law, Chapter9- (commencing with.Section 7000) of .t.
Division 3 of the' Business and Professions Code, or that. he isexempt 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 dollars ($500):
O I, as owner of the property, or my employees with wages as their sole compensation,_ will PIBn Chk. Bal.. _
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 of property who.
COr1St.
• 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. If, however, the building Mech.
or improvement is sold within one year of completion, the owner -builder will have the burden Electrical '
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
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,
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 Grading
f Driveway Enc.
Date owner Infrastructure
I WORKERS' COMPENSATION DECLARATION
i 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.)
I Policy No. Company
I I ❑ Copy Is filed with the city. ❑ Certified copy Is hereby furnished.
TOTAL I AK_ RS
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it 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 - -
employany-person in any manner so as to become subject to the Workers' Compensation--
Laws of California.
Date Owner `
NOTICE TO APPLICANT. It, after making this Certificate of Exemption you should become ZONE: BY: -
subject to the Workeis' Compensation provisions of the Labor Code, you must forthwith 'Minimum Setback Distances: '
comply with such provisions or this permit shall be deemed revoked.
Front Setback from.Cen.ter Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
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 I have read this application and state that the.above information is correct r� Issued by: Date A—1A4.-PA 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
ctiln puiposes. j ` / f� Validated by:
Signature of applicant s �d.1 r( 1'f ; I Date �t/ !I + YMailing Address >✓ k % f Validation:
City, State, Zip
A 5 2 3 2 4 14 J 45,55 Ck
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
UNITS
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SQ. FT. ®
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
DUCT WORK
ROCK STORAGE
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. I SQ. FT. @
F
GAS (FINAL)
WALL SQ. 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
FINAL INSP.
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 @ 1Ya c
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/ac
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 PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. i
ILI
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.
I REINF. STEEL
F
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
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS,
GARDEN WALL FINAL
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SWAN POOLS
67652 RAMON ROAD
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OWNER APPROVAL:
DATE - j' -J-- {-
FOR OFFICE USE ONLY
AREA POOL__7�SO. FT. PERIMETER
GALS. CHANGE HRS.
MAIN DRAIN`f�POOL SWEEP RUNS
FILL LINE_I_E_",&? ' ANTI -SYPHON YC•;�_
BONDING ✓ SPA RUN '
SKIM -VACUUM =' # RETURN LINES
TILE.S_V__2a_COPING'TILE TRIM ?
DRAFTSMAN.- Z6i,(M% 'G?,;I-7
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LOT
SWAN POOLS
67652 RAMON ROAD
OWNER 11 11/ �7711
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JOB ADDRESS 5'�:6 (%E� 1"goo � j
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CODE #
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SALESMAN %1- PLAN If
Telephone: (619) 320-6996
Lic. #C53-421014 _
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JOB PHONE
UBUS. PHONE