08744 (RPL)P.O. BOX 1504�[ NO. 08744
Building 78-105 CALLE ESTADO (/
Address R v e±' -:_ LA QUINTA, CALIFORNIA 922534- --
Owner
/0
'un—
' r' BUILDING: TYPE CONST. OCC. GRP.
Mailing
Address 42-600 Cook St. A.P. Number
City I Zip ITel.
1 92260 1 563 -
Contractor
Address
38-46' 11 -ret- Road
City JZIp
,t. cit'l 1 92234 1 323 -
State Lic. (City
& Classif. Lic. #
C-53 27579
Arch., Engr.,
Designer
Address I Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I herehyy affirm that I am licensed under provisions of Chapter B�commencing with Section
7aD0j of ❑€vision a-01 rho Business bnd Profesalans.PyDde, and;nYy license is in full force and
efifect. -
•-
StCNATUR7E DATE
OWNER -BUILDER DECLARATION
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
permit to
COnStrffCI, alter, improve, demolish, or repair 4ay structure. prior to 8s Wauance §J5o
requires the appicant for such pofmit to hte a signed statement that he its Pcensad pursuant lo,
the provislons of the Contraclor's License Law, Chapter 9 (conrmancing with Section 7000) of
Aivislon 3 df. the Business and Profassions Cade, or Thal he is exsmpt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by any appik:ant for a permit
Subjects the applicant to a civil penally of not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure 1s not intended or offered for safe. (Sac. 7044, Buisness and
Professions Code: The Contractors 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•buftder 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 Pmfassfons 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 contractor(s) licensed pursuant to the Contractor's License Law-)
❑ I am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy 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 (S100) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
emptoy any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: Il, after making this Cerfllicale at Exomplbn you should become
subject to the Workers' Comoensafloa provisions of iha Labor Code, you must forthwith
comply with such provisions or this pamNI 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 Nafne
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.
1 certify that 1 have read this application and state that the above information is correct.
I agree 10 Comply wlth all city and county ordinances and state laws relating to building
constructlon, and hereby authorize represenlatives sof this city to enter the above-
mentioned property for Inspectlon purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
Legal Description
Project Description Fgo I and kpa
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by:
Validated
Validation:
Sq. Ft.
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
r
Const.
207.(10
Mech.
Electrical
4 - 't A
Plumbing
17
S.M.I.
Cr
Grading
Driveway Enc.
Infrastructure
TOTAL
o R _ Q C
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by:
Validated
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT. @
WALL SQ. FT. ® I
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
IMOBILEHOME SVC.
POWER OUTLET
SLAB GRADE
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROCK STORAGE
FLOOR DRAIN
MECHANICAL FEES
METER LOOP
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
WATER HEATER
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.
SQ. FT. RESID Q, 11/i c
SEWAGE DISPOSAL
VENTILATION
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FIRE ZONE ROOFING
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 APP.IEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus r$
-$
LUMBER GR.
GI AL INSP.& I
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECFgITS SIGNATURESflN171ALS
GARDEN WALL FINAL
,STATE OF CALIFORNIA—THE RESOURCES AGENCY
CALIFORNIA ENERGY COMMISSION
1516 NINTH STREET
SACRAMENTO, CA 95814-5512
October 18, 1990
Butch Haltman
G & H Pools
68465 Perez Road
P.O. Box 399
Cathedral City, CA 92234
Dear Mr. Haltman:
GEORGE DEUKMEJIAN, Governor
Staff of the Energy Commission have received a complaint that certain gas swimming pool
heaters manufactured by Comfort Zone are being sold and installed in California illegally.
The Appliance Efficiency Regulations prohibits the sale or offering for sale of any pool heater
that is equipped with constant burning pilots in California. (Title 20, Sections 1601 and
1605, California Code of Regulations).
The Building Energy Efficiency Standards also place requirements on pool heaters. Section
2-5314(c) states that any gas pool heater shall not be installed if equipped with a continuously
burning pilot.
All existing units of Comfort Zone (or any other brand) pool heaters that are equipped with
standing pilots must be removed from your stock. No further units of pool heaters with
standing pilot lights can be sold, offered for sale, or installed in California.
Your response to this letter, outlining the action you have taken correcting this situation is
required by November 2, 1990. Please contact Mr. R. Michael Martin at (916) 324-3354 if
you have questions.
Sincerely,
ELENA SCHMID, Manager
Building and Appliance
Efficiency Office
cc: M. Ghianni
Comfortzone
Ge I POOL CONSMUCTION
68-465 PEREZ ROAD
CATHEDRAL CITY, CALIFORNIA 92234
PHONE: (619) 328-2681
November 30, 1990
California Energy Commission
1516 Ninth Street
P. 0. Box 944295 /1
Jac amie II.o, Ca. 942'rrit-2950
Dear Mr. Martin,
This is in response.to our telephone conversation.
G. H. Pool Construction is -no longer installing or selling millivolt heaters.
We are using electronic heaters only.
Any millivolt heaters we have in stock we will either send back to the factory
or sell them to out of state contractors.
If you have any further questions please call.
Sincerely, �f
Butch Haltman
BH/eh
C.C. Em Ghianni
Riverside County Building Dept.
Cathedral City Building Dept.
Rancho Mirage Building Dept.
La Quinta Building Dept.
Palm Desert Building Dept.
Palm Springs Building Dept.