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15137 (RPL)r �t P.O. BOX 1504 Building, 55.725 Pebble Beach78-495 CALLE TAMPICO.. Address LA OUINTA, CALIFORNIA 92253 A Owner Richard Guenther Mailing Address 55-725 'Pebble Bruch City Zip Tel. Quinta 92253 ' Contractor m1rag'e Wat4r Features Address . No. 15.37 BUILDING: TYPE CONST. -• OCG: GRP. A.P. Number Legal Description Pool & _Spa > Project Description 75-080 St Charles PL "'B" City Zip' Tel.: Pala. Desert 92211• 568-035-2: State Lic. City r s. &'Classif.. • CS3- 524933. Lic. # 571 Sq.Size., Ft. �:;x� No. f, Arch., Engr., - ..... ., .. - Designer. Walling., F. ticcalLiuin New ❑ Add 0'. Alter ❑ Address -Tel. City ]Zip State it Lic. # " f LICENSED CONTRACTOR'SDECLARATIOtY = -1 hereby affirm that I am licensed under proysions f Chapter 9 (commencing with Section 7000) of Division 3 of the Busine ss and'Professions C e, and my license is in full force and .•� SIGNATURE `1' DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following. reason: .(Sec. 7031.5,Bustness 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 rile a signed statement -that he ts•licensed pursuant'to the provisions of the Contractor's License Law, Chapter 9 (commencing with. Section 7000) of -Division 9 or 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 five hundred dollars,($500). . - '.. : ❑.l, as owner.of the property, or my employees with.wages as their sole compensation, will do the, work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does, not apply to ,an owner of property who. ,. builds or.improves thereon and who does such work -himself or through his own. employees, Provided that such improvements are not intended or offered for sale. -If, however, the building or Improvement is sold within * one year of completion, - the owner -builder will have the burden of proving that he did not build or improve for the purpose or sale.)... - ❑'I, as. owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's -License Law does not apply to an owner of property who builds or Improves thereon, and who contracts'for. such projects with a contractors) Ptcensed pursuant to the Contractor's License Law.) - - - O.I-am exempt under Sea B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of conserit to self -insure, or a certificate' of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3900„ Labor Code.) ' Policy No. Company D Copy i rilJeq$ th the ity. rt,�e \py_is Araby furnished. . CEA IFICAIEfO��EMPTIE. ROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the�peimtt is to one hundred dollars ($100) • valuation or less.). ' ai \ i ! 1 ` % I certify that in the performance of thr.,work for yuhieh thi 1permit is issued, I shall not employ any pperson in any manner so as'tobebome ubj' ct to the • orkers''Compensation Laws of -California. +� .Date p NOTICE -T,O APPLICANT: ff,, after making "this Certificate of exemption you -should become . subject td 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 UPTO.ONE 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 ATTORNEY'S FEES. ' This Is a building permit when properly filled out, signed and validated; and is subject to: expiration itmork thereunder is suspended for 180 days... I certify that I' have read this application 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 to. enter the.. above-.% mentioned property for Inspection purposes. Signature of applicant � Date tsumatea valuatlo_ n z • RERMIT�.,� Plan Chk:,Dep. Plan. Chk, Bal. Const: . Mech. ' Glcrfrir�l ' No. Dw. Units Repair ❑ ' _ .Demolition ❑ .;i 2.2 1000. 00-, n. AMOUNT Plumbing ! 4, UU S.M.I. Grading . Yry- Driveway Enc. Infrastructure TOTAL ' b + G REMARKS ' ` .ZONE: :' BY: Minimum Setback. Distances: Front Setback from C ine• Rear Setback from -J a Prop:. , \ Side Street Setback from,benter Li Side Setback.fro,Prope in FINAL DATE -- IN., CTOR Issued by: Date \ Permit Validated by: Mailing Address Validation:. ' \ City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SD. FT. ®' BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. 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 I IKITCHEN 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/ac HOUSE SEWER LATHING 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 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 FINAL INSP. ROOFING REMARKS: VENTILATION w/ Alf.4qte ZZ/ 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 75080 St. Charles Place; Suite B cA� Waw AEatcu Palm Desert, California 92211 619-568-0852 FAX 619-341-5161 POOL SPECIFICATIONS LENGTH WIDTH DEPTH_ TO FILTER � 1�� T.> i PUMP , H . P . , HEATERii BTU LIGHT w SPA SPECIFICATIONS SIZE 9/,� DEPTH TO FILTER doe L_ `- PUMP H. P. HEATER - v BTU JET PUMP H.P. LIGHT D (Jl 1 POOL OWNERS NAME ► eN ©� ��t9 1 k� (�l� ADDRESS `cS 7 Z PHONE NUMBER 77/ c53570 POOL CONTRACTOR MIRAGE WATER FEATURES 75080 -ST. CHARLES PL., -SUITE B. PALM DESERT, CALIFORNIA 92211 LIC. # C53 524983