14588 (RPL)44
P.O. BOX 1504 No. 14588
Building 47"145 Via Lorca 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner LcIidYe3
Mailing BUILDING: TYPE CONST: � OCC: GRP.
Address 47-355 Via Ravema
A.P. Number
City Zip Tel.
..La :Qutae CA 92253 564-- 4'07 Legal Description
ContractorPloo1 a�Ld -SpA
Calif 3rnia Pools ,& Spas,
Project Description
'%dT2 10,, goardwalk Avg
".ty'Desert," Ap 9.2260 Te340_9400
"Alm,
'
-
State Lic. ' ' City.
& Classif C-53'185102 Lic. # 355 Sq. Ft. No.
Arch.;' Engr.; - - - -
Size - - Stories
Designer New ❑ Add. ❑ Alter
Address Tel.
City Zip State
1.•-. Lic #
No: Dw.
Units
Repair.❑ Demolition, ❑
• WORKERS' COMPENSATION INSURANCE
EMARKS
(This section need not be completed i1 the permit is , for one hundred dollars ($ t 0o)- valuation
}
or less.)
rrff i LICPNSED CONTRACTOR'S DECLARATION..
I certify that in the performance of the work for which this permit is issued, I shall not
I hereby affikthat 1 a 1..',rli'censed under provisions of Chapter 9 (commencing with Section
7000) of Division 33oof the Business and Professions Code, and my'license is in full force and • .
,, effect: f./ - .
-
SIGNATURE? d DATE
V OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractors License Law for the following
Estimated Valuation$90000.00
subject to the Workers' Compensation provisions or the Labor .Code, you must lorMwith'
comply with such provisions or this permit shallbe deemed revoked. -
reason: (Sec. 7031.5,Susiness 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 Iicensed,pursuarN to.
the provisions of theContractor'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
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and.
Professions Code: The Contractor's License Law does not apply to an owner of property who
Front Setback from Center Line
..PERMIT
.
- .AMOUNT
. Plan Chk. Dep. •.
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plan .Chk. Bal.. -
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builds or .improves thereon and who does such work himself or through his own employees,
prodthat such Improvements are not intended or offered. sale. If_however, the building
- or Improvement, is sold within one year of completion, -the owner -builder will have the burden
of proving that he dM not build or improve for. the purpose of sale.) , . .. - .
O'1, as owner of the property, am exclusively contracting with licensed contractors to con- :
struct.the project. (Sec. 7044, Business and .Professions Code: The Contractor's -License Law
does not apply to an owner -of property who builds or improves thereon; and who contracts for
- such projectswith a contractors) )icensed pursuant to the Contractor's License Law.) ..
❑ 1 am exempt under Sec. B. & P.C. for this reason
Electrical'
. �q.
a'�i9
Plumbing.
27 .00
S.M.I.
. .
Grading
t
Driveway Enc.
Validated by: ! . I
Date Owner•
Infrastructure
..Mailing, Address
WORKERS' COMPENSATION DECLARATION
Ir re by#fiirrtt,•,that I have a certificate of consent to self -insure, of a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy Not :Company
&71s filed with the city, . ❑ Certified copy is hereby furnished. .. ,
City, State, Zip
-
!By yzn
TOTAL
274.20
CERTIFICATE OF EXEMPTION FROM '
R
• WORKERS' COMPENSATION INSURANCE
EMARKS
(This section need not be completed i1 the permit is , for one hundred dollars ($ t 0o)- 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: d, 'after making - this Certificate of Exemption you should become
ZONE: BY:
subject to the Workers' Compensation provisions or the Labor .Code, you must lorMwith'
comply with such provisions or this permit shallbe deemed revoked. -
Minimum Setback Distances: - -
Front Setback from Center Line
Rear Setback from Rear. Prop. Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND
'Side Street Setback from Center Line
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 Property Line
DAMAGES AS PROVIDED FOR. IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
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 f
• 1 certify that'I have read this application•and state that the above information is.correct
Issued by: Date P rn'it
t
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.
Validated by: ! . I
Signature of applicant Date'
i JAN 2 6 1995
..Mailing, Address
Validation:
City, State, Zip
U
!By yzn
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIWU FEES
1ST FL. SO. FT. @ $
UNITS
SLAB GRADE
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
CARP. SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN
SO. 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.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
`FINAL INSP.
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,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 @ 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR @ 3/sc
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE
MESH
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
ROCK STORAGE
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.
i
`FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION iS
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL