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14550 (SFD)P.O. BOX 1504 No. 14550 Building48-63�c'iSeO�M7.o 78-495 CALLE TAMPICO Address LA QUINTA, CALIFORNIA 92253 Owner i . Roger Snell,enberger & Associate& BUILDING: TYPE CONST: � OCC: GRP.Mailin � Address 41-865 Boardwalk 9212 646-082•-010 A.P. Number Cit Zip Tel. L©C. 36 Tract 200524 Fan Desert. C .92211 619) 777-7766 Legal Description Contractor v1� a Contractor Same ntr Project Description Laguna De..La Paz Address City Zip Tel:: State Lia City & Classif. $ 498234- Lic. # 1858 Sq. Ft No. No. Dw. Arch., Engr., Size 1850 Stories Units Designer Carlos Elias —'Engineer New ❑ Add ❑ Alter ❑ Repair ❑ - Demolition ❑ "sA� r2�s Charieawotth Dr. 9) 328-7271 E.�VUedra1 City, ZCA 92234 Lict# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that ham licensed under provisions'of Chapter 9'(commencing with Section 7000) of Division 3 ofthe`Bus�in(�. ss and{,professi r�pCode ,and my license is in full orcCe and effect. #-tr•GC+2l�F/.r•' $LGNATURE 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 construct, after, 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 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 subjects the applicant to a civil penalty of not more than rive hundred dollars (5500). 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 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 soil within one year of completion, the owner -builder will have the burden of proving thathe did not build or knprove 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 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 I have a certificate of consent to self -insure; or a certificate of worker's_Q,ompensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Po is OF Company Copy is filed with the city, O Certified copy is hereby furnished.. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it 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 pperson in any manner so as to become subject to the -Workers' Compensation . Laws of Califarnia- Date _ Owner NOTICE TO APPLICANT: 1f, alter making this Certificate of Exemption you should become subject' to the Workers' Compensation provisions of the Labor Code, you must' forthwith comply with such provisions or this permit shall be deemed revoked. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND 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, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 abovew mentioned property for inspection purposes. ' Signature of applicant Date Mailing Address City, State, Zip Estimated Valuation *107,1,272.00 -' BY: PERMIT AMOUNT. Plan Chk. Dep. Plan Chk. Bal. .566.16 Const. 667.50 Mech. 68.50 Electrical .137.04 Plumbing 150.00 S.M.I. ... 10.80 Grading 20.00 Driveway Enc. .00 Infrastructure 2,369.34 Lrts in Pa is Places 25.00 14,014.34 TOTAL 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: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES STORAGE TANK WATER SOFTENER VENT SYSTEM FAN EVAP.0OOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER ROCK STORAGE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM OTHER APPJEOUIP. 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 WATER SYSTEM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/. c SEWAGE DISPOSAL SO.FT.GAR ® 3/4c HOUSE SEWER FINAL INSP. -PV 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 SEPT%71 , ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. 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 1j FINAL INSP. -PV ROOFING \ G ® Z (/✓��//C�� � REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 3 f �o4fm MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESIINITIALS GARDEN WALL FINAL