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14419 (RPL)-i 4 4v Qgb& 47-030 Via Lorca P.O. BOX 1504 No. 14419 BuildiFB 78-495 CALLE TAMPICO Address LA QUINTA, CALIFORNIA 92253 Owner Landrex homes Mailing BUILDING: TYPE CONST. OCC. GRP. Address P.O. Box 1.504 A.P. Number City Zip 15ii� Paha DL'3f3rt, CA 92261289 Legal Description Contractor Projecl Description Pool and Spa California Pools & Span Add,r�ss910 Boardwalk A -;t 1 Cit9 Zip Tela alr4 Desert, ICA 92211. 344-9000 State Lic. City & Classif. C-53 185102 Lic. # 355 Sq. Ft. No. No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # � LICENSED CONTRACTOR'S DECLARATION I hereby affirrif that I am icensed under provisions of Chapter 9 (commencing with Section 7000) of Divisiow2l of th 'Business and Professions Code, and my license is in full force and effect. ), / j�! SIGNATURE,? r / — DATE Fjr OWNER -BUILDER DECLARATION I hereby affit4 fi/Xat I am exempt from the Contractor's License Law for the following Estimated Valuation $10,000.00 reason: (Sec..7 ,T.5.Bustness and Professions 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 file a signed statement that he is licensed pursuant to PERMIT AMOUNT 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 violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. - subjects the applicant to a civil penalty of not more than five hundred dollars ($500): Plan Chk. BBI. 76.05 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will 1 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 117.00 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 hlmself or through his own employees, Mech. 24 Qt� 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 45.00 of proving that he did not bund or knprove for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 27.00 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 S.M.I. such projects with a contractor(s) (tcensed pursuant to the Contractor's License Law.) Grading O 1 am exempt under Sec B. & P.C. for this reason 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 289.05 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'COMPENSATIONINSURANCE (This section need not be completed H 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: 11, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear Pro.Line WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFU_, AND Side Street Setback from C ter`�bi e SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Side Setback from Prop, rt jne DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. This is a buildingFINAL DATE INSP O 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 PerYn 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-. y 9 mentioned property for inspection purposes. Validated by: Signature of applicant —Date— Mailing ate Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBWU FEES r 1ST FL. SO. FT. ® $ UNITS L 2ND FL. S0. FT. STORAGE TANK YARD SPKLR SYSTEM POR. S0. FT. ® MOBILEHOME SVC. BAR SINK ) GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. REINF. STEEL DRAINAGE PIPING WALL SO. FT. DRINKING FOUNTAIN SO. FT. ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation LUMBER GR. FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER VENTILATION 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 ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER FINISH GRADING 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 PLUMBIPC- , DERGROUNDC LD A.C. UNIT COLL. AREA SLAB GRADE I ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE R FOUND. REINF. .(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 15� LI / e REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION �5 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL .. � b _ _ �� .. - � .. .. � 1 I "POOL AREA TO BE ENCLOSED .BY MINIMUM 5 FT. HIGH FIENCE. ALL GATES TO BE SELF-CLOSING." AND SELF -LATCHING. 1 -CITY OF LAQUINTA BUILDING & SAFETY DEPARTMENT CONDITIONALLY ACCEPTED FOR CONSTRUCTION SUBJECT T.0 INSTALLATION As f [n AND ALL RP�PLICABLE C ES -� �B a r� a. _,RESIDENCE. -._-- Lam.•-a..L.�a. C2.�„3-r,� _ ��r� � m Y -I'! R N• •1 { Y { V 1 ,r Lij I y r L { e { -I'! 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