14436 (SATT)44
P.O. BOX 1504 No. 1.4436
78-495 CALLE TAMPICO
Address 48-646 Paseo Tarazo LA OUINTA, CALIFORNIA 92253'
OwnerRoger Snellenberger &dissociates
VN BUILDING: TYPE CONST. OCC: GRP:
Mailing R3
Address 55-6.95 Pebble Beach A.P. Number 646-082-043
City Zip Tel. Lot 53 Tract 20052.4
lzk Qu 4 a, C 92253 1(629) 777-7767 Legal Description '
ContractorProject Description " D' Plan 5
same
Address L><agana Do.. Lei Paz
City Zip Tel.:
State Lic.. City
& Classif.. $ 488234' Lic. # 1058 Sq. Ft. No. No. Dw.
Arch., Engr:, Size. 2001 Stories Units
Designer' � c� Z a. glias — . En inee.. - New ❑ Add ❑ Alter. ❑ Repair [71 -Demolition. El
Ad I%s25. Charlesworth Dr. Te 629) 328-727
Cit Zip State _
• • �:athedral.- Ci y, CA 3223= Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby of tirrr?lh�am licehsed under provisions of.Chapter 9 (commencing with Section
7000) of Di/v�sro 3 QEf the Business and Professions Code, and my license is in,ful fort and
effect.:/ �,f l I�u'�/ l�J
SIGNATURE f if DATE _
OWNER -BUILDER DECLARATION r
I hereby affirm that I am exempt from the Contractor's License Law for the'following Estimated Valuation $1� a 20
reason:. (Sec. 7031.5,Business 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
requires the applicant for such permit to* rile a signed statement that. be 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 rove hundred dollars ($500). plan Chk. Bat. _ 585.92..
❑ I, as owner of the property, or my employees with wages as their sole compensation, will r
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and , Q�
Professions Code: The Contractor's License Law does not apply to an owner of property who Const. V
builds or improves thereon and who does such work himself or through his own employees.
L A A
provided that such improvements are not intended or offered for safe. If, however, the building MBCh'.". 6'00
or improvement is sold within one year or completion, the owner -builder will have the burden Electrical, 142.52 '
of proving that he did not build or inprove. for the purpose or sale.)
O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
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. - - �.�
such projects with a contractors) [tensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec B. ti P.C. for this reason Grading 20. 00
Driveway Enc. 00
Date owner Infrastructure 2,452.58
Arts - in PublI c 'Places. 38.32
WORKERS' COMPENSATION DECLARATION
Thereby 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.)
Polic 1.W01__ Company _
Copy is filed with the city. . ❑ Certified copy is hereby furnished. t r
TOTAL 4,!58,.44
CERTIFICATE OF EXEMPTION 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 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: 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 Mlnlmlim'SetbaCk Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear:Prop. Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATIONCOVERAGE -IS UNLAWFUL, ANDSide Street Setback frOr'/ enter Line
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP.TO ONE op
HUNDRED THOUSAND DOLLARS.($100,000), IN ADDITION TO THE COST OF COMPENSATION, Side Setback from Pirty Lin
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR *CODE' INTEREST AND , --• '• I
ATTORNEY'S FEES.
" This is a building permit when propedy.filled out, signed and validated, and is subject to
FINAL DATE
expiration if work thereunder is suspended for 180 days.
I.certify that 1, have read this application and state that. the above information is correct.
Issued by: • Dz
I agreeto 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 Inspectiowpurposes: '
Validated by:
Signature of applicant Date
Mailing Address
Validation: t '
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SQ. FT. ® $
2ND FL. SO. FT. ®
POR. SO. FT. ®
GAR. SO. FT. ®
CARP. 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
COLL. AREA
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
METER LOOP
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 ® 1Ya c
SEWAGE DISPOSAL
BOND BEAM
SQ.FT.GAR p 3/4c
HOUSE SEWER
WATER SYSTEM
GAS PIPING
PERMIT FEE
LUMBER GR.
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE B PLUMBING I ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUM (Y
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
FORMS
ROUGH PLUMB.
r
SEWER 0 IC T
BONDING
ROUGH WIRING
HEATING (ROUGH)
STORAGE TANK
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) 3
7)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
v
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
$ plus x$
-$
LUMBER GR.
FINAL INSP.id
FRAMING U 9J
FINAL INSP.
ROOFING v
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I
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REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND 2,11 ,
FINISH GRADING
FINAL INSPECTION
CERT. OCC. 11
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL