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15241 (RPL)P.O. BOX 1504 N o . 15241 Building78-495 CALLE TAMPICO Address 44-065 Villeta 67. LA QUINTA, CALIFORNIA 92253 Owner Biggs Mailing Address Same Cityi Zip Tel. 99.45 La Quinta, CA : 922-3 772-5970 Contractor Family Pools Construction Address 53-300 Ave. Ramirez City La Quintal Zip 92253 TeL 5�4 36.55 State Lic. City & Classif.C53 b.58996 Lic. # 2893 Arch., Engr., Designer Address Te City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of Division 3 of the Businew and Professions Code, and my license is in full force a ` effect. - SIGNATURE DATE OWI--ER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business ar.1 Professions Code: Any city or county which requires a .permit to construct, atter, Improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such penoit to rile 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 Profssions 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 penah' of not more than rive hundred dollars ($500). D I, as owner of the property, or my employees with wages as their sole compensation, will a 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 wco 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 provingthat he did not build or Imp-ove for the purpose of sale.) D I, as owner of the property, an: exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Ersiness and Professions Code: The Contractor's License Law does not apply to an owner of pr©arty,who builds or -improves thereon, and who contracts.for such projects with a contractor(s)•ycensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason Da e""d Owner WORKEW 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. Ccmpany D Copy is filed with the city: ❑ Certified copy is hereby furnished. CERT=FICATE 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 o1 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 =$1()0,000), IN ADDITION TO THE COST OF COMPENSATION,. DAMAGES AS PROVIDED FOR Id 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 If work thereunder is suspended for 160 days. - I certify that I have read this afsplication 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 toenter the . above-: mentioned property for inspection purposes. Signature of applicant Date Mailing. Address City, State, Zip ILDING: TYPE CONST. . OCC: GRP.- A.P. Number Legal Description Project Description A2fTlnd Spa Sq. Ft. No.. No. Dw. Size Stories Units New ❑ Add ❑ • Alter ❑- Repair ❑ Demolition ❑ Estimated Valuation 433 MO.90 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 99.45 Const. 153.00 Mech. 24.00 Electrical 45.00 Plumbing 27-• 00 S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback !from Rear Prop. Line Side Street.Setback from Center Line /N\_ SidAletbabk\`fryom Property Line Ir1\ U �� I� 1 FINAL,p�ATE %Q� , II II fINSPECTOR . ►,,,,., tssuedby: DatePermit Validated Validation..= 'r�� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES 1ST FL. S0. FT. ® $ UNITS COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL. SO. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK FOR. SO. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. SO. Ff. GAS (FINAL) WALL SO. FT. DRINKING FOUNTAIN SO. FT. 1 URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER F AL IN P. 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 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 j ELECTRICAL _ / HEATING & AIR COND. SOLAR r SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC ANK 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. FINAL INSP. FRAMING F AL IN P. ROOFING VENTILATIONkP FIRE ZONE ROOFING FIREPLACE Cj / I, ` REMARKS: SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL - INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL