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12216 (RPL)Building Address 78-600 Via melodic 0bn&r'1 Dobbins Mailing Address Same City p La QuiAta, CT 92253 Contractor Unique Pools By Carmine A%, . Veiie Way 01 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Tel. 345-9222 Cit Zip Tela lain Desert, FA 92260 346w-6335 State Lic. City r" ` & Classif. C-'°53 520432 Lic. # K1366 Arch., Engr:, '`�... Designer Address I Tel. CityI Zip I State I Lic. # I hereby affirm that I am licensed under pr vision"s,'of Chapter 9 (commencing with Section D00) of Div�on 3 of the Business anq'Proffbssions,CodeAnd my license is in full force and OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, 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 the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or thathe 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 civil penalty of not more than five hundred dollars ($500). ❑ I, 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who 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 or improvement is sold within one year of completion, the owner -builder will have the burden 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- 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) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 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 Nor ' Company Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ' (This section need not be completed if 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: If, after making this Certificate of Exemption 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. 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.) Lender's Name Lender's Address 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. 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. 12216 BUILDING: TYPE CONST. OCC. GRP.; A.P. Number Legal Description Project Description Pool and Spa ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line *l'"'+-' ; Side Street Saback from Center Line Side Setback from Property Line a FINAL DATE INS MTOR /A fl Issued by: Date Validated by: Validation: _. t M� ?Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $12,500.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 93.64 Const. 144.00 Mech. 24.00 Electrical 45.00 Plumbing 27.00 S.M.I. Grading Driveway Enc. Infrastructure TOTAL 333.60 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line *l'"'+-' ; Side Street Saback from Center Line Side Setback from Property Line a FINAL DATE INS MTOR /A fl Issued by: Date Validated by: Validation: _. t M� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUM9ING FEES 1ST FL. SO. FT. ® $ UNITS ROUGH PLUMB. BONDING 0 (y STORAGE TANK FORMS 2ND FL. SO. FT. DUCT WORK YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS DRAINAGE PIPING CAR P. I SO. FT. ® FINAL INSP. WALL SO. FT. ® WATER SYSTEM FINAL INSP. -16-4/3-e FINAL INSP.(} �(/•�3 �, DRINKING FOUNTAIN SO. FT. ® LUMBER GR. URINAL ESTIMATED CONSTRUCTION VALUATION $ Q ✓ ^ 02 3 `Y WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIREPLACE�� 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/a c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER CERT. OCC. 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 ,.d�3 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 —2 3i-0 HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. -16-4/3-e FINAL INSP.(} �(/•�3 �, GRADING cu. yd. $plus x$ _$ LUMBER GR. FRAMING ROOFING Q ✓ ^ 02 3 `Y REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE�� SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION (b CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL „6`y� 1ti •!?Y.. ^•.. �`,"^i rt .S L,s {5,� "{1n"••bi Z^fi .S!t ,y�y -c i, ai ; ''.::wt r .. k f+ S.L.Y. +'"#?.. •♦�F s ` 5 T L $ - �. +• _ t = � '� •.1*tkr x .b 5` -�13 1+ A .._ � X.;� � t f Ci ' ' }, s T,a' ' Quinta California CA Ria RE O -3V17 —w-3 f y b a. f rr i t WHOM ITMAY CONCERN: `' 7 • + } .x '.i'..' < •.fid 'S`Nq,PARCJIA ASSOCIATION .poop ''reference'-location_;-� 3 _QUINI'A'.HCMD-_OWNERS y the understanding . the -•side < iall/gate,, will. be re=constructed i x ;AVAIL PROPERTY MANAGEMEHP .in , the :. exact location .,`.rom'r which. ; it ',was : `removed , and,°-with�the tea Yn ,`{» :'f.. k.3 f�` 5 > Fr n �. k a��h ,. P.O BQXt 1032 W'.,R t i - ,; _ Farther,Unique Pools : willclean the Tdebris ,`rom sigYit teach ,t°L Y M ``'; i • ..'� ,. `92261° ,• r„��y x Ali ff (619)4",`-'568-271W, * ; , Cam Anderson 'Project.. Mgr. �: quints t+ r µ ti s t , September 2I, 1993 < , September 2I, 1993 < Cltyf of La ;Quints T,a' ' Quinta California Ria RE O -3V17 —w-3 f y b a. f rr i t WHOM ITMAY CONCERN: `' 7 • + } .x '.i'..' < •.fid .... Unieen 'hired' to install a` :at he ;above. que`�Pi.bls has,:p .poop ''reference'-location_;-� 3 The Homeowners`Associati.on!-approves of this 1ainstallationl with the understanding . the -•side < iall/gate,, will. be re=constructed `r .in , the :. exact location .,`.rom'r which. ; it ',was : `removed , and,°-with�the 1� -same, or. similar .materials Farther,Unique Pools : willclean the Tdebris ,`rom sigYit teach night`tbefore - leaving,.`and no heavy: equipment', will be ;left ;visible i `-to .the . street . i, y x Should :.you have any questions,`please ?conta. this office_' Sincerely, , Cam Anderson 'Project.. Mgr. �: