15192 (RPL)r 4.4 "
i P.O. BOX 1504
Build--in�g ' 47-545 Sia Florence 78-495 CALLE TAMPICO
Adder LA QUINTA, CALIFORNIA 92253
... Mannas Construction
R.
Mailing
Address -
City Zip Tel.
La Quanta 92253 564-5407
Contractor
California Pads and Spas
Aaaress
41-910 Boar>dwal . A-2
-City Zip Tel.: �.
1)altf3 Desert 92211 340--90QO
State Lic. City
& Classif. C-53 65.6128 Lic. # 355'\.
' -Arch., Engr.,
Designer
Address Tel.
City Zip State
t
Lic. #
LICENSED CONTRACTOR'S DECLARATION.
I hereby affirm that I am1licensed ufsdeer provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Busine and Professions Code, and my license is in full force and
effect. • " : i • /'
OWNER -BUILDER DECLARATION
I hereby affirm that I m exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Buslness and'Protessions Code: Any city or county which requires a • .
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he.is licensed pursuant to
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 violationof Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
❑ I,as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structbre is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code;.,?- Contractor's License Law does not apply do an owner of property who
builds -or- IMP -r',._ ,;ereon and who does such work himself or through his own employees,
mL.vruee mar .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
of proving that he did not build or knprove for the purpose or 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 property who builds or -improves thereon, and who contracts for
such projects with a contractors) ycensed pursuant, to the Contractor's License Law.)
11-1 am exempt under Sec, eB & P.C. for this reason
� l
Date Owner
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
O 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 N the permit is for one hundred dollars ($100) valuation
' or less.) '
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
Laws of California
Date Owner
NOTICE TO APPLICANT: N, after making this Certificate of ' Exemptlon you should become
subject to the Workers' Compensation provisions of. the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES. ,
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 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
No. 15192.
LDING: TYPE CONST: OCC: GRP.
P. Number
Legal Description
Project Description
P601 a,spa
Sq. Ft.
Size
No.
Stories
No. Dw.
Units
New -Q Add ❑
Alter ❑• Repair ❑ Demolition ❑
Estimated Valuation
Bio f 200
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal
$ 81.90
Const.
$126.00
Mech.
24 ..00
Electrical
45.00
Plumbing
27.00
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL'
_
$3 03.90
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear _r p. Line
Side Street Setback fro ent r Line
Side Setback from Pro�y Line
FINAL DA
Issued by:
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS S1
CAR P. SO. Ff.
GAS (ROUGH) ✓1 J
/
DRAINAGE PIPING
WALL SQ. FT.
OTHER APPJEQUIP.
DRINKING FOUNTAIN
SQ. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
u,4
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.
SO. FT. ® c
BATH TUB
SPARK ARRESTOR
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ec
HOUSE SEWER
MESH
GAS, WING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE LPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING ai -
UNDERGROUND, �j
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STC^AGE
FOUND. REINF.
GAS (ROUGH) ✓1 J
/
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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. /�
u,4
ROOFING
`
�j/v// 41�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL