14612 (RPL)P.O. BOX 1504 No. 14612
Building78-495 CALLE TAMPICO
Address '°7"085 Lia Lorca LA QUINTA, CALIFORNIA 92253
Owner Landrex California
Mailing BUILDING: TYPE CONST. OCC: GRP. -
Address 78-816 Via Avante
A.P. Number
City Zip "Tel. y ' •
La. Quirata, CA 92253 564--5457. " Legal Description
Contractor Poral:.. and Spa.-
California- Pools 'a S,pa3 Lake La Quinta
Project Description
Address _
41-9I0 Boardwalk A-2
City Zip - Tel
f'Alm Desert, c;_. 92260 345-9000'..
State Lic. City _.
& Classif.. C.,!53 18502 Lic. # .355 Sq. Ft. No. No. Dw.
' -Arch. Engr.,
Size Stories. Units
Desigrier New ❑ Add ❑ : -Alter ❑ Repair ❑ Demolition'p:
Address Tel.
City . Zip State
Lic. #
LICENSED' EONTRACTOR'S DECLARATION
f I hereby affirm thatA am licensed?�nder provisions of Chapterg'(commencing with Section . N Y
7000) of Divisi6n13 of'the Busine�s�+and Professions Code, and my license is in full force and
effect. -�� f> •y - - .. w ..
ti ,rte
SIGNATURE fi Y DATE
OWNEWBUILDER DECLARATION
Estimated Valuation
I hereby affirm that I am exempt from the Contractoes License Law for the following .
reason: (Sec. 7031.5,Business and Professions Code:. Any city or county which requires a $94000.00
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also -
requires the applicant lor.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 or the Business and ProfessionsCode, 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 penallyof not more than rive hundred dollars ($500). •. • - 7
❑ I, as owner of the property, or my employees withwagesas their sole compensation, will Plan Chk. Bal. f O'• vn
do the work, and the structure is not Intended or offered for sale..(Sec. 7044, •Buisness and 100.00 nci [�(�
Professions Code: The. Contractors License Law does not, apply to an owner of property who Const.. 1 V 0 . 0 V
builds or improves thereon and who does such work .himself or through his -own employees. Mich. -24.00 ..
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 build or improve for the purpose of sale.) n -
O-1, as owner of the property, am exclusively contracting.with licensed contractors to con- Plumbing%.. Qf
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.1. - -
such projects with a contractors) [tensed pursuant to the Contractor's License Law.)
Grading
❑ 1 am exempt under Sec; - B. & P.C. for this reason
Driveway Enc.
Date Owner Infrastructure
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that lave 'a certificate of consent to self -Insure,' or a certificate -of
Worker's Com en&'on I surance, or a.certified copy thereof. (Sec: 3800, Labor Code.)
Policy ...TCompany '
Copy is filed with the city, .O Certified copy is hereby furnished.
TOTAL 274.20--
CERTIFICATE
74.20-
CERTIFICATE OF EXEMPTION FROM
REMARKS
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 personin any manner sous to become* subject -to -the Workers' Compensation
Laws of California.
Date Owner
. NOTICE TO APPLICANT. d, after making this Certificate of Exemption you: should become
-subject
."ZONE:
BY:
to the Workers' Compensation provisions of the, Labor Code; you, must forthwith
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback Distances: .' .. -
Front Setback from Center Line
Rear Setback from Rear°Prop. Line
77A
WARNING: FAILURE TO SECURE WORKERS'COMPENSATIONCOVERAGE ISUNLAWFUL, AND •
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES.UP TO ONE '
Side O�,Cente Line
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
Side Setback,from���o>erty -i'ne
r// �I
ATTORNEY'S FEES.
FINAL DATE
C/ -,
/INSPE*13) �
This is a building permit when property filled out, signed and validated, and is subject to
/rTlit
expiration it work thereunder is suspended for 180 days.
`
v
• 1 certify that I. have read this application and state that the above information is correct.
Issued by:
P
Da -
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
�.
`+� .t
mentioned property for inspection purposes.
Validated by:
(�
Signature of applicant Dater
V/
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING; FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. SO. FT. p
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. S0. FT.
DUCT WORK
DRAINAGE PIPING
WALL SO. FT.
DRINKING FOUNTAIN
SO. FT. ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
$, plus x$
LAUNDRY TRAY
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® I%. c
SEWAGE DISPOSAL
FIREPLACE
SO.FT.GAR ® 3/ac
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
ROCKSTORAGE
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
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL