10086 (RPL)f/ P.O. BOX 1504 No., 1086
Building 78-105 CALLE ESTADO
Address 47.335 Via - Koran- , - LA QUINTA, CALIFORNIA 92253
Owner. s Torre
'
BUILDING: TYPE CONST. OCC: GRP.
Mailing ti
Address same
A.P. Number
City lZip Tel. ".
:L;a Quinaa - 92253 343-4437 Legal Description
Contractor *" Project Description Pool. and Spa and,
California Pools
Addres41—q10 �O.,0i 16'- -black waiBoardwalk.
City Zip Tel. r
Palm vedla�;, 92260
State Lic. City i
& Classif.`- C53 18.5102. Lic. # 3.55 Sq. Ft. - No ' e No. Dw.
Size • Stories . Units
Arch., Engr.,
Designer New ❑ .' Add ❑ Alter ❑- Repair ❑ Demolition;❑
Address Tel.' ,
- Val.uaithian on wall. -" 346.40
...City Zip State-
Lic. #
• , LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under Provisions of Chapter 9 (commencing with Section f a
7000) of DivisioFn 3 'df the fBQdsi/ngss and Professions'Code, and my license is•'n full force and
fact.V / ✓ i - (. 1
'1GNATUREr'- ••,F.' DATE
OWNER•BUILDER DECLARATION - ' - r • • , � ,. •.
` I ereb affi that h.am exam t fromtheConollowinEstimated Valuation a0pon� (Sec:'.:703.1: SiBusiness and Pro/essonsCod'aitrocoiis[rucImrove;demolishor ce alsoOeseapprmtsignedrsuant to - PERMIT. AMOUNTprovisions o/ the Contractor's License Law, Chapter 9 (commencing w1N Section 7000) of -
Division -3.o/ the,8tisiness•and Pro/essions Cade; or thaLAe is exempt 'therefrom, antl the basis. - -
ror •the alleged exemption. -Any violation r of Section 7037.5 by 'any" applicant ror a permit - Plan P.
Dep.
subjects the applicant to a civil penalty of not more than five. hundred dollars.(8500). - -
O 1, as owner -of the -property,: ormy employees with wages as their sole compensation, will Plan Chk.. 631.. 1-34. 5 5
do the work, and the -structure is. not intended or offered for sale. (Sec:.7044, auisness"and rery f6 l+
Professions Code; The Contractor's License Law does not apply to an owner of, property who Const., - 20 I-.. at:0 ,
builds of •improves thereon and who -does such work himself or through his- own employees, Mebh.. • y Y.��.Q
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 EIQCtrICdl • .4.5 . 00 -
o) proving that he did not build or Improve loi the purpose o/. sale.) . ^ e _
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing ,t 27 . 00, ,
struct the project. (Sec. 7044,,86siness 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: - - - 2'• Q-[�.'-«,a 4
such projects with contractor(s) licensed pursuant to the Contractor's License Law.)
❑• 1 am exempt under Sec. - B. 8 P.C. for this reason Grading
Driveway Enc.
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 439.55.:
CERTIFICATE OF EXEMPTION FROM•' REMARKS s r a 9 A_ ,
WORKERS' COMPENSATION INSURANCE .: •• • S 4
• a o.V�.�q�L�,tl `` �1 z �• -
(This section need not be completed i/ the permit is for one hundred dollars:(8100J valuation- -- C,•tda4it I T�C, .4•'t*�ta.a1- i
or less.) .. ,. ,, - -' .tT
1 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 ' • .g_ r —
NOTICE TO APPLICANT: If, after _making this Certificate :of. Exemption . you should "become :.ZONE: - .BY: ' - - '•' ''` '' _
subject to the Workers' Compensation provisions o/ the 'Labor Code,. you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked. - 4*
Front.Setback from Center,Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY, Side Street Setback from Center Lille" `
I hereby affirm that there is a construction lending agency for -the performance of the 1
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 certity that I have read this application and state that the above information is correct. Issued by: Date Permit-
' 1' agree to comply with all city and county ordinances and state laws relating to building r.
construction, and hereby authorize representatives' .of this city to enter the --above-. ;
mentioned property for inspection purposes: r Validated by:
Signature of applicant r Date ~ ;
,. Mailing.Address Validation:'
•'City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES}
IST FL. SQ. FT. @ $
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB. BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
GAS (FINAL) TEMP. POLE
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
FINAL INSP. �((
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SO.FT.GAR ® VAc
HOUSE SEWER
VENTILATION
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING UNDERGROUND --i7
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)/61(t 1q (C_j METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
$ plus x$
=$
LUMBER GR.
FINAL INSP. �((
FRAMING
FINAL INSP.1th J w
ROOFING
Q%, ^/�
pf �]U�l c 1�(/ I' n [ t// alc( `O
5 5�cl
0
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION a
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIAIS
GARDEN WALL FINAL