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9511-0081 (POOL)79100 Arbola Circle ALCM BUILDING PERMIT PERM'T' LICENSED CONTRACTOR DECLARATION ' ;4l7-093Y 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing with DATE 11/161!).5 VALUATION $10,400.06 LOT TRACT W Section 7000) of Division 3 of the Business and Professionals Code, and my Qcr) JOB SITE ADDRESS APN LLo icense is in full force and effect. 2'. 947 C. 3/321% 79-10 t OiL4 CIRCLE r- U License#_ LIC.C ass I_icp.Date OWNER CONTRACTOR Date Signature of Contractor Z r` Wx.;rmR.P001"s ((0 0 0) OWNER-BUILDER DECLARATION i W - I hereby affirm that I am exempt from the Contractor's License Law for the SAME 2)A hi DESERT CA 92260 following reason: - ( ( ) I, as owner of the property, or my employees with wages as their sole LAC L'EM%A CA 9253 NERIENGINEE tfi C.I I(.(f 116 (f) Z m DESIGNER/ENGINEER 7 compensation,will do the work,and the structure is not Intended or offered for sale (Sec.7044, Business&Professionals Code). IIIIIIII11111111111111111 45 ( ) I, as owner of the property, am exclusively contracting with licensed USE OF P 'R OOL AZIDIOiZ SPA IE contractors to construct the project(Sec.7044,Business&Professionals Code). — ( ) I am exempt under Section B&P.C.for this reason 1100),ANL)SPA C0 Date Signature of Owner L N rn WORKER'S COMPENSATION DECLARATION FEE DESCRIPTION FEES CL Q I hereby affirm under penalty of perjury one of the following declarations: g Z ( ) I have and will maintain a certificate of consent to self-insure for workers' CONTRACT AI ivU'r12 10,400.E LS u-) cc compensation, as provided for by Section 3700 of the Labor Code, for the O t X LLI 0 performance of the work for which this permit is issued. O J J ( ) I have and will maintain workers'compensation insurance,as required by m Q U Section 3700 of the Labor Code,for the performance of the work for which this lid U permit is issued. My workers'compensation insurance carrier&policy no. are: CL rn Carrier Policy No. o. ,. IT Z (this sectid`n"h eFcl nc"itt16 bompleted if the permit valuation is'fo/$r1`0090b or less). 11"ST[AtkTED COST OV ' 'd ' 10,4ia31L0 0 0 Q ( ) 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 PLANi~'(1F.,OKFEE, 101-00(W39-328 workers' compensation laws of California, and agree that if I should become CONSjRUC i ION F"EF 10.1-0()0-X923-000 SI26,00 subject to the workers' compensation provisions of Section 3700 of the Labor ACC`(-iANICAL FEE--POOL 101-M-421.000 421.000 $24 00 06 Code, I shall forthwith comply with those provisions. RIAC'31R1CAL FEE--K)OL i(I1.-Ut)(420-f?O() $43.00 1Date: Applicant PI.lMITA1Ca FTLE--POOL 101-000-414--OW $27.00 _ Warning:Failure to secure Workers'Compensation coverage is unlawful and shall - subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. l 1.Each person upon whose behalf this application is made&each person at44 whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application agrees to,&shall, indemnify SUB-TOT.FI,.I..;_ i I©N d A1> P1,AAt CHECK a303.90 &hold harmless the City of Indian Wells,its officers,agents and employees. ,;r . 2.Any permit issued as a result of this application becomes null and void if ,-f'w LES PR&PA D 1:1'ES $0.00 work is not commenced within 180 days from date of issuance of such permit,or cessation of work for 180 days will subject permit to cancellation. TOTAL PERMIT FEES DUE NOW $303.90 s 1 certify that I have read this application and state that the above information is TOTAL PROJECT PERMIT FEE,S 303-90 correct. I agree to comply with all City, and State laws relating to the building construction,and hereby authorize representatives of this City to enter upon the • above-mentioned property for inspection purposes. fel. S'idnaWre (Owm/Agent) DatB RECEIPT DATE BY DATE FINALED INSPECTOR h ' INSPECTION RECORD - OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms&Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K.to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans&Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall-Int.Lath Final Final POOLS - SP S BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg.Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice(Gas) ELECTRICAL APPROVALS Temp.Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp.Use of Power Final Utility Notice(Perm) NOV-16-95 THU 10 :58 MASTER POOLS+ & SPI=ice:• 6197765889 P. 01 .. �- ' �; � j i � III It i I.� Ill • I ' I i i• s •M1 I j J 1•. 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F';�ik' f� '�I• 9 !' rf' 'SII 't� �I �� i � il,� �' I, '� il� 'I I, 'Y I11,yllf'{�l �r }' � I !' i�� ff I I ' r�,ai�4ia 'n. r,,, all.•I„ �I ,� gg �J'f I i '� �, � !J i ii I ilS' I( i 4'4 ,I ll �I I,I�I��n•�.I rr J y'� 1�'i I• ! l�,hj1�I�,ill,'r � iii'" I I i i ;� I I } l • ' I fn I I I IY I II ' ' I I � O 'I �l a � ' •i ;; 1 , I I ' I Y I I il, y •�' I I it I• � fl � � I � � j � t I„ ��..t •,,�i,, l I I.�•. ,.,I, i;,.,,•;,:,",a I`'. ,•�, 11 ,, ,`; i � ? � I, • I'%I iI SCr �r 1 i l':VII may' I 1I?G1 �frnvMmS =?i'N�'r'rn��44N I• ,II.F'tI�TTkA-c nA dmmLYY'Tn'sTI IIIIIIIIIIIII 46 11 Qum& . IIIIIIIIIIII IE P.O.BOX 1504 No. 15682 Building 78-495 CALLE TAMPICO Address 79-100 Circle LA QUINTA,CALIFORNIA 92253 Owner Snellenberger & Associates z Mailing BUILDING: TYPE CONST. OCC.GRP. ' Address 41-•865 Boardwalk, Ste. 212 604--271-003 A.P.Number cityZip Tel. Ldt 72. Tract 23913 Phase l Palm- desert, A 9222.1 77-7768 Legal Description Contractor Project Description SFD flan l Same s Address Quinterra City Zip Tel.: State Lic. City &Classif. $ 48$234 Lic.# 1358 sq.Ft. No. No. Dw. Size 1968 Stories Units Arch., Engr., Charles �.. Garland Designer New ❑ Add ❑ Alter ❑ Repair❑ "Demolition ❑ A!rjos163 Cathedral Cyn Or. Tt5l9) 770-7025 Cit zip State 6athedrzI �Cit3 I, CA 92234 Lic.# LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed-uhd6r>rovislons,of Chapter 9(commencing with Section 7000)of Division 3, 1 th Business and-Profes5id'n§=Code,and my license is in full force and effect. DATE OWNER-BUILDERDECLARATION Estimated Valuation $118o289.00 I here ffirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Buslness 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 - I requires the applicant for such permit to rile a signed statement that he is licensed pursuant to. PERMIT AMOUNT 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 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($500). Plan Chk. BBI. 9 3 ❑I,as owner of the property,or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for sale.(Sec. 7044, Buisness and Const. 706.00 Professions Code: The Contractor's.License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, Mech. 6$ Q 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 144.04. 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- Plumbing 150.00 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 $.M.I. 11.83 such projects with a contractor(s)((tensed pursuant to the Contractor's License Law.) ❑I am exempt under Sec. B.8 P.C.for this reason Grading 20.00 Driveway Enc. .00 Date Owner Infrastructure 2,661.51 Arts in -Public Places ,` 28.22 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. Company ❑Copy is filed with the city. ❑Certified copy ls�ereby furnished. .��''""// TOTAL 14,385.53 CERTIFICATE OF EXE( ION FROM REMARKS 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 th?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. It, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation•provisions of the Labor Code, you must forthwith ° comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop.Line WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS'UNLAWFUL,AND Side Street Setback from Center Line SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE - - HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION, Side Setback from Property Line DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR'CODE, INTEREST, AND ATTORNEY'S FEES. /n T `� ` eis is a buildin � expiration if work the g permit when properly filled out,signed and validated,and is subject to FINAL DATE INSPECTOR reunder is suspended for 180 days: jV'�/ I certify that I*have read this application and state that the above information is correct. Issued by: Date Permit 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. Validated by: Signature of applicant Date R 1996 Mailing,Address Validation: City, State, Zip G/ t CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES 1ST FL. SQ.FT.® $ UNITS 2ND FL. SQ.FT. YARD SPKLR SYSTEM POR. SQ.FT.® MOBILEHOME SVC. BAR SINK GAR. SO.FT.® POWER OUTLET ROOF DRAINS CAR P. I SQ.FT. DRAINAGE PIPING WALL SQ.FT. DRINKING FOUNTAIN SO.FT.® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE:Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE,TEM/PERM. LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO.FT.®c BATH TUB SQ.FT.®c WATER HEATER MAX.HEATER OUTPUT,B.T.U. SQ.FT.RESID®iV.c SEWAGE DISPOSAL SQ.FT.GAR®3Ac HOUSE SEWER 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 PL UNDERGROUND A.C.UNIT COLL.AREA SLAB GRADE ROUGH PLUM . BONDING HEATING(ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND.REINF. GAS(ROUGH) ETER LOOP HEATING(FINAL) OTHER APPJEQUIP. REINF.STEEL GAS(FINAL) TEMP.POLE GROUT WATER HEATE SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING LUMBER GR. FINAL INSP./ 6 cu.yd. FRAMING FINAL INSP. $ plus x$ =$ ROOFING 1 q / I REMARKS: VENTILATION I /FIRE ZONE ROOFING 1 FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 1117 " I MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION /l CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURES/INITIALS GARDEN WALL FINAL IIID I I I I I I III IIII 47 IE 44 P.O. BOX 1504 No. 15677 Building 78-495 CALLE TAMPICO Address 79-105 ;t rbola Circle LA QUINTA,CALIFORNIA 92253 Owner Snellenberger & Associates3 VN BUILDING: TYPE CONST. OCC.GRP.. R-3 Address 41-855 Boardwalk, Ste. 232604-271--008 A.P.Number City Zip Tel. Lot 77 Tract 23913 Phase I Palm Desert, 4A 92211 1(619)777-7768 Legal Description Contractor Project Description "FD Plan 3 Same Address Q12 .nteX>rA City Zip Tela State Lic. City &Classif. B 488239 Lic.If 1858 Sq. Ft. No. No. Dw. Arch., Engr., Size 2359 Stories Units Designer Charles D. Garland New ❑ Add ❑ Alter ❑ Repair❑ Demolition ❑ Asfcl[es163 Cathedral. Cyn iDr. T�6,9)77 th-7025 Ci3t.i Zip State G�athedrai Cit CA 92234 Lic.a LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed unde_Drovlsion"s 'Chapter 9(commencing with Section 7(100)of Division 3 01 a Bbsiness and Proffeessionni Code,agd'my license is in(ull force and effect. SIGNATURE OWNER-BUILDER CLARATION 1 Estimated Valuation $140t251.00 1 n I hereb ffirm that I am exempt from the Contractor's License Law for the following 40/251•Dt3 reasori.. ( c. 7031.5,Busfness and Professions Code: Any city or county which requires a permit to construct, after, 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 PERMIT AMOUNT 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 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 rive hundred dollars($500). . . 659.93 ❑I,as owner of the property,or my employees with wages as their sole compensation,will Plan ChkBal do the work,and the structure is not intended or offered for sale.(Sec. 7044,Buisness and Const. 783.08 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. �� SO 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 1S2•81 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- Plumbing 174.00 struct the project. (Sec. 7044, Business and•Professions Code: The Contractor's License Law •0 does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. such projects with a contractor(s)(Icensed pursuant to the Contractor's License Law.) Grading 20.00 ❑1 am exempt under Sec. B.&P.C.for this reason Driveway Enc. .flQ Date Owner Infrastructure 3,143.98 Arts in. Public Places 100.63 WORKERS'COMPENSATION DECLARATION I hereby 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 eel ❑Copy Is filed with the city. ❑Certified copy i�hereby furnished. TOTAL 5,113.88 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'COMPENSATIONINSURANCE (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: H, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensatkm provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback from C� ine Rear Setback from ro Line WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND Side Street Set om Cent Line SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE i HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION, Side Setbacl(from PZnert c� DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND J' U ATTORNEY'S FEES. This is a building permit when properly filled out,signed and validated,and is subject to FINAL DATE L INSP LQQR expiration it work thereunder is suspended for 160 days. (l/J I certify that I have read this application and state that the above information is correct. Issued by: Date nrml I agree to comply with all city and county ordinances and state laws relating to building t7' construction, and hereby authorize representatives sof this city to enter the above-. l7'A mentioned property for inspection purposes. Validated by: t7� Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO.FT.® $ UNITS 2ND FL. SO.FT. YARD SPKLR SYSTEM POR. SO.FT.® MOBILEHOME SVC. BAR SINK GAR. SO.FT.® POWER OUTLET ROOF DRAINS CAR P. SO.FT. DRAINAGE PIPING WALL SO.FT.® DRINKING FOUNTAIN SO.FT.® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE:Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEM/PERM 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 SO.FT.GAR®3/ac HOUSE SEWER 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 PLU 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 . LUMBER GR. rFINAL INSP. cu.yd. FRAMING 1,2 FINAL INSP. $ plus x$ =$ ROOFING ? REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING ` I MESH INSULATION/SOUND / FINISH GRADING // FINAL INSPECTION 7 CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESIINITIALS GARDEN WALL FINAL