06960 (RPL)• „
4
4
• P.O. BOX 1504. N Q
Building 78-105 CALLE ESTADO
Address 56-348 Pebble Beach LA QUINTA, CALIFORNIA 92253 '
Owner I
_
Mailing
Address 707 CoontTy LWW
City Zip
Gleacoe, Ulf 6=2
Contractor
G a 8 Foal Construction
Address
Tel.
707.-43271211 . �.
68-465 Per z Road A'
City Zip Tel.:
Cathedral. City 52234 328-26$1 -
State Lic. City
& Classif. 275796. Lic. # 69
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions,,of Chapt@r 9 (commencing with Section
7000) of Di"' is
ofMe Bu ir)®ss and fEssions'Gode7and my license is in full force and
effect.-
SIGNATURE DATE
OWNER -BUILDER DECLARATION '
I hereby affirm that I am exempt from the Contractors License law for the following
reason: (Sec. 7031.5,13usiness and Rdessions Code: Any city or county which requires a
permit to construct, after, improve, demofsh, 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
the provisions of the Contractors 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 exempborh. Any viatation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penally of not more than five 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 appy to an owner of property who
but)& or kmproves 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
orimprovement is said within cure year of completion, the owner -budder will have the burden
of proving that he did not build or krpiove for the purpose of safe.) ,
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project- (Sec. 7044, Business and Protessions Code: The Contractor's License Law
does not appy to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
. Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 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 (qmpany
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKED' COMPENSATION INSURANCE
(This section. need not be completed i1 the permit is for one hundred dollars ($100) valuation
or less.)..
I certify that in the performance of thg work for which this permit is issued, I shall not •
employ any ppeerson in any manner so as to become subject to the Workers' Compensation
Laws of Califomia. ,
Data Ow
069660 - ..r.
r •
BUILDING: TYPE CONST: OCC: GRP.
A.P. Number PGA Ve84.
Legal Description -
Project Description Pool spa
Sq. Ft. No. No. Dw.
Size • - __Stories Units
New ❑ Add.❑,
Alter ❑ Repair ❑ Demolition ❑.
BY;'
subject to the Nbrkers' Compensation provisions of the Labor Code, you must . /orthwith
campy with such provsfons or dhis permit shall be deemed revoked.'
Minimum Setback Distances: .,
Front Setback from Center Line
Rear Setback from Rear Prop. Line
coNsrnucnoN LENDING AGENCY
»1
Estimat' on
yed,Valuati
�iq45ttl0i! nn nn
'
PERMIT
AMOUNT
Plan Chk. Dep.
work for which this permit is issued. (Sec. 3097, Cha code.)
Plan Chk. Bal.
S163.80
Const..
252.00
Mech.
3 -00
Electrical
r'2
Plumbing
24,00
S.M.I. .
2/1/90
Grading
Issued by:
Driveway Enc.
agree to comply with all city and county ordinances and state laws relating to building
Infrastructure
construction, and hereby authorize representatives -of this city to enter the •above-. • +
mentioned property for inspection purposes
Validated by:
.Signature of applicant Date
TOTAL
Mailing Address
REMARKS
City. -. State, Zip
i
.qtr iJ r1N=r Y tV➢F'r•«,. .h - •»e
.,! .. • wMi,.
nen
NOTICE TO APPLICANT: if, after making this Certificate of Exemption you should become
ZONE:-
BY;'
subject to the Nbrkers' Compensation provisions of the Labor Code, you must . /orthwith
campy with such provsfons or dhis permit shall be deemed revoked.'
Minimum Setback Distances: .,
Front Setback from Center Line
Rear Setback from Rear Prop. Line
coNsrnucnoN LENDING AGENCY
»1
Side Street Setback from Center Line '
hereby affirm that there is.a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Cha code.)
Side Setback from Property Line
Lender's Name
Lender's Address
FINAL DATE '
INSPECTOR
This is a building permit when property filled out, signed and validated, and is subject to .
expiration it work thereunder is suspended for 180 days.
t • •
2/1/90
I certify that 1 have read this application and state, that the above information is correct.
Issued by:
Date' Permit -
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:
.Signature of applicant Date
Mailing Address
`Validation:.'
City. -. State, Zip
.,! .. • wMi,.
y '. .. ' - -
i
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL SQ. FT.
HEATING (ROUGH)
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
METER LOOP
DRAINAGE PIPING
CAR P. SQ. FT. ®
REINF. STEEL
GAS (FINAL)
WALL SQ. FT.
TEMP. POLE
DRINKING FOUNTAIN.
SQ FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
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.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
LUMBER GR.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FRAMING
LAUNDRY TRAY
AIR HANDLING UNIT CFM
ROOFING
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEWPERM
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.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
SPARK ARRESTOR
SQ.FT.GAR ® Vic
HOUSE SEWER
GAR. FIREWALL
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 APPJEQUIP.
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
T,4
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL