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14545 (SFD)Building Address A-8-623 Paseo Tarato Owner P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 R(v er Snelleoberger & Associates Mailin Address 41-865 Boardwalk #212 City Zip Tel. Palm desert, C11 92212 1(619)777-t-7766 Contractor Sam No. 14545' BUILDING: TYPE CONST. - VN OCC: GRP. R3 A.P. Number 646-082-012 Legal Description Lot 38 Tract 20052-4 SFV 3 Project Description Plan Laguna De. Lia Paz WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Corgpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) - PolicYccompany . to%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 ($100) valuation or less.) ' 1 certify that in the performance of thg 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., d, after making this Certificate of Exemption you should become subjectto 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. This is a building permit when property filled out, signed and validated, and is•subject.lo expiration it work thereunder is suspended for 100 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and'county ordinances and.state laws relating to building construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection.purposes. '- Signature of applicant Date Mailing Address City, State, Zip 413�i:S '133. �^.3b� Pld,.cs alafi TOTAL 4j,227 0 REMARKS ZONE: ' BY: Minimum Setback Distances: Front Setback from Center.Line Rear Setback from Rear Prop. Line-` Side Street Setback from Center Line Side Setback from`Pjpvrty Line - FINAL DATE INS�ECT.� l�� V Issued by: Date/"" ate/9 (mit r (/ Validated by:� s' Validation: v "Y t City-. _.. Zip Tel.: State Lic. & Classif..$ 488234 City Lic. # 1858 Sq. Ft. Size. -198£x. No. No. Dw. Stories Units Arch:, Engr.; Designer Carlos E2.as —' Engineer New ❑- Add ❑ Alter ❑ Repair ❑ Demolition O iffl4S Charle�orth Dr.. 66e19) 328-7271 City L.Ahedral Cxtg Zi • to 922.34 State Lic. # LICENSED CONTRACTOR'S DECLARATION'. I hereby affirm that I am licensei"nder provisio sof Chapter 9 (commencing with Section 7000) of Division 3 of a Business and�Pfrbffessio�sfl "bde, anti my license is in full force and SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness 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 Divlslori 3 of the Business and Professions Code, or Nat. 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 ($500). ❑ 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 of Improvement is sold within one year of completion, the .owner -builder will have the burden. or proving that he did not build or improve for the purpose of sale.) O 1, 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) (rcensed pursuant to the Contractor's License Law.) - ' • O.1 am exempt under Sec B. & P.C. for this reason Estimated Valuation $112,799.00 T99 ) - PERMIT .. - - AMOUNT - Plan Chk: Dep. - Plan. Chk.. Bal. t - - .3l Const. t 68-5.00 . Mech. �!� •(� Electrical �4Z p4 Plumbing162.00 S.M.I. - 11-.30 Grading 20..00 .. Driveway Enc. .00 Date Owner Infrastructure 2t523.31 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Corgpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) - PolicYccompany . to%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 ($100) valuation or less.) ' 1 certify that in the performance of thg 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., d, after making this Certificate of Exemption you should become subjectto 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 property filled out, signed and validated, and is•subject.lo expiration it work thereunder is suspended for 100 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 Address City, State, Zip 413�i:S '133. �^.3b� Pld,.cs alafi TOTAL 4j,227 0 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`Pjpvrty Line - FINAL DATE INS�ECT.� l�� V Issued by: Date/"" ate/9 (mit r (/ Validated by:� s' Validation: v "Y CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIWj FEES 1ST FL. SQ. FT. ® $ 2ND FL. SO. FT. ® POR. SO. FT. ® GAR. SQ. FT. ® CAR P. SQ. 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 HEATING (ROUGH) FLOOR DRAIN MECHANICAL FEES SEWER OR SEPTI �I ROUGH WIRING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER OTHER APPJEOUIP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM WATER HEATER SERVICE 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. SQ. FT. ® c BATH . TUB REMARKS: SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL 0 SO.FT.GAR Q 3/ac HOUSE SEWER FIREPLACE GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE OBL 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 PLUMBI UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADERO UGH PLUMB. 'BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTI �I 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. / 1 +J FRAMING 7 FINAL INSP. ROOFING �ll� vQ,/Jn/ �� • REMARKS: VENTILATION 0 FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR // GAR. FIREWA L r �' HNG 31 13%. MESH INSULATIONISOUND 7 FINISH GRADING FINAL INSPECTION 1 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL