The URL can be used to link to this page

06272 (RPL)P.O. BOX 1504 No, 06272 Building 7.0485 Via C€�>I ildor LA Q Address UINTA, CALIFORNIA 92253 Owner , Jo 14=terosaa BUILDING: TYPE CONST. OCC: GRP. Mailing r.r Address swill A.P. Number Parc La nta City Zip Tel. + La Qu%ata 92253 327^5043 Legal Description Contractor Project Description Pool. Spa Urdq xe Posts Address 764$18 Vel.3a Way ifw City Palm Desert ZIp9226f3 Tela 346-6335 State Lic. City & Classif. 520432 Lic. # Sq. Ft. No. No. Dw. Arch.; Engr., Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOWS DECLARATION I her affirm Mal I am licensed under provisions of Chapter 9 (commencing with Section e000) of ion 3 of the Business and Professions Code, and my license is in full force and SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec- 7031-5.0isihess and Phofassions Code: Any city or county which requires a permit to Construct, after, reprove, demolislh. or repai any structure, prior to its issuance also regi vas the applicant for such pend to file a signed statement that he is licensed pursuant to the provisions of the CCmbac[arS License Law, Chapter 9 (commencing with Section 7000) of Mvsion 3 of the Bnssness 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 subjects the applicant to a ciWpenafly of not more than five hundred dollars ($500). ❑ 1, 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, Suisness and Prolessinhs Code: The Cordradors License Law does not apply to an owner of property who dalds or improves therein and Who does such work himself or through his own employees, provided that such rhprovanenls are not herded or offered for sale. 11, however, the building or improvement s said wOd rhe yaw of completion, the owner-buBder will have the burden of proving that he did net did or irprove for the pupose of sale.) - ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of pucperty who builds or improves thereon, and who contracts for such pwiecs with a conbactor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec ---------B. & P.C- for this reason Date Owner 4w WORKERS' COMPENSATION DECLARATION Worker's I hereby that I have a certificate of consent to self -insure, or a certificate of Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed d the pend is for one hundred dollars ($100) vafua0on of less.) 1 certify that in the performance of tlhg 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 aliforniaDate Owner NOTICE TO APPLICANT: f after maiig the Certificate of Exemption. you, should become subject to the Workers' Carvesati n provisions of the Labor Code, you must forthwith COMp1Y with such provsions or Drs pend shag 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 property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 160 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 Addrrss City, State, Tip REMARKS Al - -a rs 1 ��"•C:F't:i74;.��"r�fiS=1 ` �." _-.u4?`f.iri i ZONE: k BY: Minimum Setback Distances: Feont.Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line .FINAL DATE -INSPECTOR Issued by: Date Permit Validated by: Validation: Estimated Valuation �r ff rrqq//�►, PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 126.0An 0 Mech. 30.00 Electrical 27.00 Plumbing 24,,00 S. M.I. .77 Grading Driveway Enc. Infrastructure TOTAL REMARKS Al - -a rs 1 ��"•C:F't:i74;.��"r�fiS=1 ` �." _-.u4?`f.iri i ZONE: k BY: Minimum Setback Distances: Feont.Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line .FINAL DATE -INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL SO. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. 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 SO. 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 WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED / o/�%� G J� o /// �1�y ILAUNDRY TRAY 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 SPARK ARRESTOR SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL LATHING SO.FT.GAR ® 3/.c HOUSE SEWER 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 APPJEOUIP. 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 FINAL INSP. ROOFING / o/�%� G J� o /// �1�y REMARKS: VENTILATION�� FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR izf GAR. FIREWALL LATHING MESH/lV/L►ZG INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL