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14812 (RPL)Building Address 48-»2610 Via Solana Owner Spalli.6rc 44 P.O. BOX 1504 78-495 CALLE TAMPICO­ LA QUINTA, CALIFORNIA 92253. Mailing Address 5114 Blackbawk Dr. CityZip Tel. Datk'��.�.le - 94546 (530) 249-5100 Contractor Cali forpl a Pools & spa: A dressf. . E.e-Ya.0 Soardt ales: A-•2 . . City Zip Tel.: Palm Desert, 92211 340-9000 State Lic.C53"b56i�.2� City 3 & Classif. • Lic. # 55 Arch., Engr., Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under.provisions of Chapter 9 (commencing with Section 7000) of;Dlvision.3-of the -Business aFid-Protessions.Code, and my license is in full fort -e and SIGNAru iE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: - (Sec.. 7031.5,Busfness and Professions. Code: Any city or county which requires a. Permit to construct, after, Improve, demoffsh, or repair any structure, prior to its•Issuance also requires the applicant for such permit to file a signed statement that h& 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 that. he is exempt therefrom, and the basis for the alleged exemption: Any violation of Section 7031.5 by 'any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). • ' O 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, Suisness 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 cnprove for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- - Strutt 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 contractar(s) (caned pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or -a certificate of Wo is Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) , Pofio� No. Company M 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'anyparson in any -manner so as to become subject to the Workers' Compensation Laws of California Date " Owner NOTICE_ TO APPLICANT: ff, after making this Certificate of Exemptions 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.'^ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND 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, - DAMAGES AS PROVIDED FOWIN SECTION 3706 OF THE LABOR CODE.* INTEREST, AND ATTORNEY'S FEES. This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. - I certify .that I have read this application and state that the above information -is correct. I'adree to comply with all city.and,county ordinances. rdinances 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. 148112-' BUILDING: TYPE CONST: OCC: GRP. A.P. Number Legal Description Project Description Pool.and SpA Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair:❑ -Demolition ❑ stimated Valuation $17r200.00 PERMIT AMOUNT Plan Chk::Dep. " Plan Chk. Bal. 122.85 Const. 189.00 Mech. 24.00 Electrical 45.00 Plumbing 27.00 S.M.I. Grading Driveway Enc. Infrastructure TOTAL 407.85 .� REMARKS . ZONE: BY: Minimum_ Setback'Distances: Front Setback from Center Line Rear. Setback from Rear Prop. ,'ne Side Street Setback from C L' e' ' Side Setback from Propefoo-- _ FINAL DATE I N S P Issued by: - Date��P>i , Validated by:� Validation: .d� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUVIW FEES J 1ST FL. SQ. FT. ® $ UNITS COLL. AREA 2ND FL. SQ. FT. ROUGH PLUMB. YARD SPKLR SYSTEM BONDING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® SEWER OR SEPTIC TANK ROUGH WIRING GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (ROUGH) DRAINAGE PIPING CAR P. SQ. FT. ® OTHER APP.IEQUIP. REINF. STEEL WALL SQ. FT. DRINKING FOUNTAIN SQ. FT. ® 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 FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM �) / 1 — G_ / 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® IA c SEWAGE DISPOSAL . GAR. FIREWALL SQ.FT.GAR ® 3/ac 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 APP.IEQUIP. 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 �) / 1 — G_ / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESIINITIALS GARDEN WALL FINAL UFo MEMORANDUM . CASE: aS- Locations) 6, (its Request(s):, e�LwcA ,�cc� o^d.47 Your setback adjustment- application is hereby approved, subject to the following..conditions: 'Conditions:" Obtain* a- building permit" from the Building and, Safety Department. F . 2.. The "other Zoning f'Code- provisions -shall be met. ' 3. If'ground excavation is,required, please.contact Underground Service Alert (USA)-at`i-:800-422-4133. The service is free of. - charge provided USA is given at least two working days' notice. 4. Additionai Condi.tions:l 'After review it was determined -that:'' 1. This adjustment is consistent.with.the-'intent.and purpose of the Zoning Ordinance: - 2. There are special circumstances applicable to -the property, including *such factors•,as`- size,. shape, topography,, location or surroundings that justify approval of the adjustment. These circumstances' are: �iw�.4� �-,r Th k yo o your cooperation: S erel , coldu D velopment.Department :Attachments c: Building and Safety.Department C 3 � a Al - v LAA cr-LU J l = CY ri W g L'1L-i Q Ili; w to O®oou Od;boa�� ;t.