003490 (RPL)4: cv
P.O. BOX 1504 No.; �A
Building 7&105 CALLE ESTADO
Address 55-605 Pebble 'Beach LA QUINTA, CALIFORNIA 92253
Owner _
Arthur 9`, t Plar �e l? E. Brandt BUILDING- TYPE CONST. OCC:.GRP.
Mailing
Address 71 A M,"rt rl A"AA Vmss, W a A.P. Number West
City Zip Tel.
-La �3ollai 92037 454-78611 Legal Description
p.
Contractor Project. Desch Pool Spa
Address
City .. Zip Tel....
State Lic. City
& Classif. - Lica# Sq. Ft. No. No. Dw.
Arch., Engr.
Size • - - -Stories Units
' —.
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition .❑
Address Tel.
City JZip State
_ Lic. #
LICENSED.CONTRACTOR'S DECLARATION r
1 hereby affirm that I am licensed under provisions of Chapter 9 (cbinmencing with'Section - -e -
7000) of Division 3 of the Business and P,rofessions'Code, and my license is in full force and '
effect. .
_SIGNATURE DATE
OWNER -BUILDER DECLARATION Estimated Valuation,
I hereby affirm. that I am exempt from the Contractor's License Law for the following
reason: (Sec.7031.5, Business and Professions Code: Any, city or, county which requires a e .
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 licensed -pursuant to r PERMIT - AMOUNT'
,the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000). of X -
;Division -3 0l the Business and, Professions Code, or.thaLhe.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). - - . "
O 1, as owner of the property,.or. my employees with wages as their sole compensation, will Plan Chk. Bdl. S 4,L A
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and " COr1St. 74. -90
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, Mech, 20-00
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 ,
of proving that he did not build or.improve for the purpose of sale.) ' ' . . ^
❑ 1, as owner of the property, am exclusively contracting with Iicensed.contractors to con-. Plumbing. 14. 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 contractor(s)licensed pursuant to the. Contractor's License Law.)-
❑ Lam exempt under Sec. B. & P.C. for this reason Grading
Driveway Enc.
j.... r
Date -f. 7;?` g.
Owner r4f rr � ,+ Infrastructure
WORKERS' COMPENSATION DECLARATION '
Thereby 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
O, Copy.is filed wilh,the city. ..❑ Certified copy is hereby furnished.
TOTAL t
CERTIFICATE OF EXEMPTION FROM REMARKS '
WORKERS' COMPENSATION. INSURANCE
(This section need not be completed if the permit Is for one hundred dollars ($100) valuation ,{ •�i,
or less.) . y performance _ e p QQ 8.2 1A 4 ..tri ' 1 $ —20-917, r, �. � . .
I certify that in the of the work for which this permit is issued, I'shall'not' J;x„ ylr'.5..,,,. r,. ,.� ,,.,
• - 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 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 Prop. Line
CONSTRUCTION LENDING AGENCY -Side Street Setback fromCenter Line
hereby affirm'that there is a construction lending agency for the. performance of the
work for which this permit is issued. (Sec. 3097; Civil Code.) Side Setback from Property.Line
Lender's Name
Lender's .Address 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.
1 certify that I have read this application and state that the above information is correct: ISSUed'by: ' Dated"�',lPermit
I'agree to comply with all'city and county ordinances and state laws relating to building
consWction, and hereby authorize representatives -of this city to enter - the above-.
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SO. FT. ®
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT. ®
WALL SQ. FT. ®
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAS (ROUGH)
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.
SQ. FT. ®c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
_$
LUMBER GR.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TAL FEES
r
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. t 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./EQUIP.
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
�t7 r/ n„n (_
Q(
G y>1 Irl
/—nY
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
-FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL