15683 (SFD)
79110 Arbola Circle
11111111 VIII III VIII(III 53IE 4
P.O. BOX 1504 No. 15683
Building78-495 CALLE TAMPICO
Address 79-110 A.rbola Circle LA QUINTA,CALIFORNIA 92253
Owner Snellenberger & Associates
BUILDING: TYPE CONST. VN OCC.GRP. R'3
Mailing
Address 41-865 Boardwalk, Ste. 212 60'4--271-002
A.P. Number
CityZip 14 ITel. y ' Lot 71 Tract 23913 Phase I
Palm Desert, 4A 92211 F619)777-7768 Legal Description
Contt raa cytor Project Description SPD Plan 12
Same S
Address Quintesra
City Zip Tela
State Lic. City
&Classif. B 488234 Lic.# 1858 Sq.Ft. No. No. Dw.
Size 2132 Stories Units
Arch., Engr.,
Designer Cba=lB$ D. Garland New ❑ Add ❑ Alter ❑ Repair❑ Demolition ❑
Adles,163 C 0
athedral Cyn Dr. T(6
I 19)777025
City Zip State
Cathedra' Citi', CA 92234 Lic.#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed,under Provisions of Chapter 9(commencing with Section
7000)of Division 3'of the-Business and Profess"ions Code;'and my license full force and
effect.
SIGNATURE ✓ s % ° " .✓ DATE
OWNER-BUILDER DECLARATION
Estimated Valuation 4 s A 1
I Pereb affirm that I am exempt from the Contractors License Law for the following $128,559.00
I'+_ reason: (Sec. 7031.5,B..111.. and Professions Code: Any city or county which requires a
permlt`to construct, alter, Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to PERMIT AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that.he Is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by'any applicant for a permit Plan Chk. Dep. G1$p.7
subjects the applicant to a civil penalty of not more than five hundred dollars($500).
O 1,as owner of the property,or my employees with wages as their sole compensation,will {
Plan Chk. Bal.
do the work,and the structure is not Intended or offered for sale.(Sec. 7044,Buisness and Const. . g
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, 57C•C50ts
provided that such Improvements are not Intended or offered for sale. If, however, the building Mech.
or improvement is ;old within one year of completion, the owner-builder will have the burden Electrical 150.06
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 S.M.I. 12.86
such projects with a contractor(s)Pcensed pursuant to the Contractor's License Law.)
Grading 20.00
O 1 am exempt under Sec: B.&P.C.for this reason
Driveway Enc. .00
Dale Owner Infrastructure 2,8 8.05
Arts in Puha is Places 71.4€1
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to gglf-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 is'hereby furnished.
f _, TOTAL4,687.58
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS'COMPENSATION INSURANCE
(This section need not be completed U 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: U, after making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must-forthwith Minimum Setback Distances:
comply with such provisions or this permit shell be deemed revoked.
Front Setback from Center Line
Rear Setback from Re Prop.Line
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND Side Street Setb d r enter 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 opert ine
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST., AND
ATTORNEY'S FEES. FINAL DATE I NAPECT
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. Issued by: ate-Permi
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-
Mailing
ate Mailing Address Validation: V
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
DRAINAGE PIPING
CAR P. S0.FT.
WALL $0.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.0OOL HOOD SIGN WASH ER(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,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®1 V.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 I
STRUCTURE PLUMBING ELECTRICAL HEATING&AIR COND. SOLAR
rz
SETBACK GROUND PLUM UNDERGROUND A.C.UNIT COLL.AREA
SLAB GRADE ROUGH PLUMB. f 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 APPJEDUIP.
REINF.STEEL GAS(FINAL) TEMP.POLE
GROUT WATER HEATER SERVICE 'FINAL INSP.
BOND BEAM WATER SYSTEM
�RADING
LUMBER GR. FINAL INSP. Z cu.yd.
FRAMING 9� FINAL INSP. $ plus x$ _$
ROOFING 1fY— / n REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND IIZ--7
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL '