13747 (RPL)• Iry
DEsCA,1150 t4 P.O. BOX 1504 No. 1-3T4T
Building 78-955 T' --gra T � n_jo 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Kreuter m
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address Same
A.P. Number
City Zip Tel.
La Quinta i C 92253 Legal Description
Contractor Project Description Pool and. Spa
California Pools
AdINU91.8 Boardwalk
06alm :IDesert, z61 92260 Tel: 340-9000
State Lic. C--53 185102 City 355
& Classif. Lic. # Sq. Ft. No. No. Dw.
Size Stories Units
Arch., Engr.,: El Ferrel
Designer • New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
zi�Ci
City Zip State
Lic. #
>f,7 LICENSED CONTRACTOR'S DECLARATION
jl hereby affirrp rat I am licensed under provisions of Chapter 9 (commencing with Section
000) of Divisiorir3 of the�Biisiness.and Professions Code, and my license is in full force and
effect.
V OWNER -BUILDER DECLARATION
I hereby affirm th t I am.ekempt from the Contractor's License Law for the following
reason: (Sec. .703 1.5, Business 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 !le 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 Professions Code, or that. he is exempt therefrom, and the bast
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 rive 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner or 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 of 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 or property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
0 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby loan that I have a certificate of consent to self -insure, or a certificate of
Worker's Comp nsation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Poli Ny9/ .Company
0eopy 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 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 or the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I 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.)
Lender's Name-
Lender's
ame
Lender's Address
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.
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-
Mailing
ateMailing Address
City, State, Zip
Estimated Valuation
$171,500-00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
1.22.85
Const.
189.00
Mech.
24.00
Electrical
45.00
Plumbing
27.00
.S.M.I.
Grading
Driveway Enc.
Infrastructure
i
TOTAL
4U7. X55
REMARKS
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback -from -Rear Prop. Line
Side/�i eget Setback from Center Line
�r
Side Setback from Property Line
FINAL DATE I
II if 1 1G�1SrPECTOR
Issued by:—
Validated by:
Validati
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO. PLUMBING FEES
tiST FL. SQ. FT. ® $
[
[
UNITS
ROUGH PLUMB. 1
k J• ��
HEATING (ROUGH)
STORAGE TANK
FORMS
2ND FL. SD. FT. ®
"
ROUGH WIRING.
DUCT WORK
YARD SPKLR SYSTEM
POR. SO. FT. ®
[
MOBILEHOME SVC.
BAR SINK
AGAR. SO. FT. ®
[
POWER OUTLET
ROOF DRAINS
[CAR P. . SQ. FT. ®
j
,f
DRAINAGE PIPING
WALL SO. FT. @
[
![
WATER HEATER
DRINKING FOUNTAIN.
SQ. FT.
[
`
URINAL
ESTIMATED CONSTRUCTION VALUATION
WATER SYSTEM
)
GRADING
cu. yd.
$ plus
WATER PIPING
NOTE: Not to be used as property tax valuation G
LUMBER GR.
�}
ti
FINAL INSP.
FLOOR DRAIN _.
[ MECHANICAL FEES
[
[[
WATER SOFTENER
VENT SYSTEM. FAN - EVA?.COOL ,. HOOD
��
SIGN
WASHER(AUT(5)(DISH)
APPLIANCE DRYER
FI
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR 'SUSPENDED
- 4
FIREPLACE
LAUNDRY TRAY
AIR HANDLING UNIT CFM
{
)I
SPARK ARRESTORS
KITCHEN SINK
ABSORPTION'SYSTEM B.T:U.
GAR. FIREWALL
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
jj
POLE, TEMIPERM
LAVATORY "
HEATING SYSTEM FORCED GRAVITY
INSULATION/SOUND
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
[
SQ. FT. ® c
BATH TUB
[
[�
SQ. FT: ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
FENCE FINAL
i ��
SO. FT. RESID ® IIA c
SEWAGE DISPOSAL -.
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL.[
SQ.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
[
;i
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE.
MECHj.FEE
PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE - I PLUMB. FEE
t i It
STRUCTURE t PLUMBING ELECTRICAL HEATING & AIR COND. I SOLAR',
SETBACK
GROUND PLUMBING
i
UNDERGROUND
A.C. UNIT
COLE. AREA
q. SLAB GRADE
ROUGH PLUMB. 1
I BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
t METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
. .t
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
)
GRADING
cu. yd.
$ plus
x$ =$
LUMBER GR.
ti
FINAL INSP.
FRAMING
FINAL INSP.
l i�
ii
ROOFING
i!
[ � .
I1
¢pp kkEEj ` v l
?`
{
REMARKS:
I • ~ _
VENTILATION
77
FIRE ZONE ROOFING'
- 4
FIREPLACE
SPARK ARRESTORS
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
[
FINISH GRADING
FINAL INSPECTION
CERT. OCC:
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL.[
f