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12247 (RPL)247. Building 4i--3$5 CORDOt�A t 78-105 CALOLE ESTADO P.O. 1504� NO. 1•L Address LA QUINTA, CALIFORNIA 92253 , r Owner CAMPBELL '' r Mailing BUILDING: TYPE CONST.- - - OCC: GRP. Address—,SAME A.P. Number City Zip Tel. LA �QVINTA,. 92.253 _ �� Legal Description ` Contractors , Project Description POOL -AND 'SPA P ' St F POOLS + Address P. 0.. BMX 1025 _ _ 4 ' City. Zip Tel �..• LA .tlif�A : 92253 3�i5-5079 ; r f= State Lic City & Classlf '-4•fA�, Lic. # 130 Sq. Ft.:Y No. No. DAi. ' Arch:; Engr:, r,: . r - ... ...... - I Size Stories Units Designer' t New ❑ Add 0­ Alter ❑ Repair ❑ Demolition ❑• Address Tel. I 1 { City Zip State . :f Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that [.am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisio >,3 {,t he,BusinessanA Professiocis Code, and my license is in full force and effect: r}'/ •SIGNATURE _ - DATE ' ^f 1 i �, • 1* OWNER.-BUILDER DECLARATION Estimated Valuation I hereby: affirm that'l am exempt from the Contractor's License Law for the following , $13,000 ' reason: (Sec. 7031.5,Buslness and Professions Code: Any city or county which requires a - - s permit to construct, atter, Improve, demolish, or repair any structure,Iprior to its issuance also requires the applicant for such permit to lila a signed statement that,he is licensed pursuant to PERMIT .AMOUNT' 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 is exempt therefrom, and the basis Plan Chk. for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a. permit Dep.,- subjects the applicant to a civil penalty of not more than five hundred dollars ($500). t - ❑ 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. (Sec. 7044, Buisness and r .Professions Cotler The Contractor's License Law does not applyConst. to an owner o/ property who , builds or improves thereon and who does such work himself or through his own employees, Mech.• t%' 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 . } . 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 +% slruct 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 /or .S.M.I. - +'�• such projects with acontractor(s), pursuant to the Contractor's License Law.) r .. ❑ 1 am exempt under Sec. B. & P.C. for this reason Grading r Driveway Enc. r• 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 ❑ Copy is filed with the city. ❑Certified copy is hereby furnished. �, TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' CO_ MPENSATION INSURANCE J (This section need'not be completed i/ the permit is /or one hundred dollars ($100) valuation or less.) r I certify that in the performance of the 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 r 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 - comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: K _ - Front Setback from Center 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 �T± work for which this permit is issued. (Sec. 3097, Civil Code.) ' Side Setback from Property Line Lender's Name - *' Lender's AddressFINAL DATE I 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. Issued by: Date It fp§ 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: lr��y• f w City, State, Zip �. Rv / Sf�'•t.�� - t $ SETBACK GROUND PLUMBING9—F-93 //UNDERGROUND CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEFQ ` 1ST FL. SQ. FT. ® $ UNITS HEATING (ROUGH) I1 h ~ FORMS YARD SPKLR SYSTEM -;.. 2ND FL. SQ. FT. @ ROUGH WIRING DUCT WORK ROCK STORAGE MOBILEHOME SVC. BAR SINK FOR. SQ. FT. ® METER LOOP HEATING (FINAL) GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WALL SQ. FT. SERVICE DRINKING FOUNTAIN. SQ. FT. / URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation LUMBER GR. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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. SQ. FT. @ c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER FINISH GRADING FINAL INSPECTION 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 PLUMBING9—F-93 //UNDERGROUND �� �3 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) _3 J3 METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. GRADING cu. yd. $ plus - x$ _ =$ LUMBER GR. FRAMING ROOFINGREMARKS: t VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 78-495 CALLS TAMPICO — LA GIUINTA, CALIFORNIA 92253 (619) 777-7000 F^� OF ° FAX (619) 777-7101 December 23;1997 Campbell 47-385 Cordova La Quinta, CA., 92253 RE: Pool & Spa. Permit #12247 Dear Mr. Campbell The purpose of this letter is to inform you that your Pool & Spa Permit #12247, for the project at 47-385 Cordova, has expired. In accordance with 1994 UBC section 106-4.4, no further work may be performed until a new permit has been issued. Please contact Daniel P. Crawford Jr., Building Inspector I, at (760) 777-7012 to obtain any information you need regarding anew permit and/or any required inspection3. Should you choose not to complete the project, we would then have to pursue any or all of the following actions: 1) Abatement of the project through the City Attorney's Office and Code Compliance Division. ;2) Notice of non -conforming structure placed upon property profile. 3)'Action"filed with'Contractor State License Board. Optional if Owner/l?uilder: Please contact us at your.earliest convenience prior to 10 working days to resolve this issue, and for any questions you may have. <. is Sincerely, Mark Harold Buildin Safety Manager aniel P. Crawford J Building Inspector I cc: file dpc 1 MAILING ADDRESS - P.O. BOX 1504 - LA OUINTA, CALIFOF.NIA 92253