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15001 (AR)' P.O. BOX 1504 N o . 15001 Building • 44-640 Saffron Ct. 78-495 CALLE TAMPICO Addracc•:, LA QUINTA, CALIFORNIA 92253 Vwner Michael Torres Mailing BUILDING: TYPE CONST. OCC: GRP. Address $aMe A.P. Number .City ' Zip Tel. La Qtiinta,. CA 92253 1. Legal Description Contractor3;aonuS R0G. i Ro<je.r Snellenberger & �s5s9c. , Project Description xnc. Address.. .41865 Boardwalk, 6212 clgyal;<I:t Desert, 11 9221,•1 Tel'17'7-7766 " State Lic_ City & Classif.. 48823 Lic. # 3858 Sq. Ft_ No. No. Dw. Arch., Engr.,Size . Stories Units Designer Rae -hard i7uheck New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under pCgisions ?chapter 9 (cgmmencing with. Section effeeL f Division 3 of tfie Business nd Prons eVhnd my license is in full force and SIGNATURE DATE OWNER -BUILDER fromt DECLARATION Estimated Valuation " $5 t 2055 00 I herebyaffirm that 1 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 me 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). s ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 52.65- do the work, and the structure is not intended or offered for ale. (Sec. 7044, Buisness and Const. 81.00 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. j v'�.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 a of proving that he did not bulk! or Improve for the purpose of sale.) 25 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. .52 , such projectswitha contractors) Licensed pursuant to the Contractor's License Law.) Grading ❑ 1 am exempt under Sec. " B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION I heretiviIiirm that I have a certificate of consent- to self -insure, or a certificate of Worker's gpfnpensation Insurance, or a certified copy thereof. (Seca 3800, Labor Code.), Policy Company opy is filed with the city, 0 Certified copy is hereby furnished. TOTAL 169.42 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, l 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' 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 Ce .Y rr ir? Rear Setback from. a op. LI e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Set f om Ce e 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, m f?rop&y Lin DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • .y t This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE SPEC<Y ' expiration if work thereunder is suspended for 180 days. 0 I certify that I have read this application and state that the above information is correct. Issued by: -Date \• PeI M%' -It I agree to comply with all city and county ordinances and state laws relating to building" 9 construction, and hereby 'authorize representatives -of this city to enter the above-. S mentioned property for inspection purposes. Validated by: Signature of applicant Date 3} Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES 1ST 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 HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/a c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ®-3/4c HOUSE SEWER FRAMING If Toft FINAL INSP. 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 SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPIEOUIP. 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 If Toft FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOON FINISH GRADING FINAL INSPECTION fCLI CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL . _ r Copy w�v'—��-7v wtL i�=z•S i -A QUINTA BLLG SAFETY 6195648487 P_pl 1 Certificate of Compliance: Residential (Page 1 oll 2) CF -1 R Tv 5 to Prow Title ,I q(o y lJ /�% =ab�a Project Addrew % �� h. —1 (o (o Documentation Author Tetephor� 1 Compliance Method (Package. Point Syetem or Compulor) Cltrntats Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 1 Std it, Building Type: Single Family Addition (check one or more) Muttl-Fatuity Existing -Plus -Addition Front Orientation: 2?U° North / East ! Southes All Orlentations gnput orientation in degre circle ono.) Number of Dwelling Units: Floor Construction Type: Slab I Raised Floor (circle one or balk) BUILDING SHELL INSULA11ON Construction Component insulation Assembly Locati0n/Comments Type R -Value U -Value (attic to garage, typical, etc.) Wall..............�X-rfL�oK toA-t-t� wall.............. _ Root ............. —3 B Root ............. Floor ............. Floor ............. Slab Edge _... AJ A FENESTRATION Fenestration Area Orientation (so Front.._.. 5 Front..... ( )✓ Lett ....... (vp_ Lett....... ( ) Rear..... ( ) Rear...-. ( ) Right..... ( ) Skylight ....... Skylight ....... Shading Devices Fenestration Interior Exterior Overtiang Framing LJ -Value (roller brind, etc-) (shadescreen, etc.) (yeslro rneta;Mroc THERMAL E&ASS Type/Covering Area Thickness (slablexposed, tile, etc.) (Si) _ (inches) L_ocatiofVDescript Ion (krlcfien, bash, etc.) Ra�i.wd January IM � J L NOV-23-54 WED 15:54 LA QUINTA BDLG & SAFETY 5155642457 Certificate of Compliance: Residential CA -e -- R-02 (Page 2 0: 2) CF -1 R HVAC SYSTEMS ' Now Input hydronio or combined hydrortic data under Water Heating 9y>9Wms, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat . Efficiency Location Plying Thermostat Pump, eta.) (AFUEIHSPF) (ducts.a tic, etc.) A -Value Type Cooling Equipment Minimum Duct Type (air conditioner, Efficlency Location Duct Thermostat Configuration heat pump, evap. cooling) (SEER) (attic etc.) _ R -Value Type (split or package) WATER HEATING SYSTEMS Energyi External Rated' Tank Factor or Tank Water Heater Disiribution ` Number Input (kW Capacity Recovery St naby1 . Insulation Type Type In System or Btu/hr) (gallons) Efficiency Loss t(9'o) R -Value ext s -r r&I GG 1. For aamQ gas storage (rated inpul 5 75,000 etulhr), elecWc maklanoe and heel pump Water heaters, list E�nrt��pyy Factor, For [am* pais a>arage water hectors (rated Inpul 2 75,00o Btvlhr), list Rated Input, Reoavery EfWency t>rtd 8t&-dby Loss. For instsntsnecus pas wow hoolero, licit Raped IrwtA and Recovery Eif"ency. SPECIAL. FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and perlomlance specifications "-tided to corn* K4th U13 24, Parts 1 and 6, of the California Code of Regulations, and the adminisbafm regulations to implement them. this cer0oate has been signed by the irldMdual with overall design responsibility. When this certificate of oompliance is submitted for a sslgfe building pan to be bull in mulfple orientations, any shading feature Wt(s varied is Indicated in (he Spedal Features/Remarks section. Designer or Owner (Pw euatnea4 a Professions code) Documentation Author Name: ISD �1�E %- 138+t2L.,£ SriSSOC.,M",-Name: �CzGice.'-l�N 1-i6Q/FirrrL TifoiFinn: Addrass: gral-S �O /Z��1J 1(L� z1Z Addrow 201, L-eN �2�r CA. 9Z2 t t Te h_ pF,one: (&k-91) -7-7-7-71C-(. Telephone. 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