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14529 (RPL)II 44Q w P.O. BOX 1504 No. 14529 Building •79-695 Siar ?lower Tr. 78-495 CALLE TAMPICO Address LA OUINTA, CALIFORNIA 92253 Owner Snel enberger & Associates BUILDING: TYPE CONST. OCC. GRP. Address 55-695 APebble Beach A.P. Number City Zip Tel. y La Quinta, . C.A. 922S3 777--7766 Legal Description Contractor 1.ProjePool and SpA � Tina Gilbert Inc'. c Description 3-apt+�drea�-�as•�-eetbae�-�ac��e�ment $ 5 St. Midhael Place, City ' � Zip Te . Alm Reser' t, C � 92260 360-1403 State Lic. City & Classif. A 617723 Lic. # Sq. Ft. No. No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair Or Demolition ❑ Address Tel. City Zip State Lic. # LICENSED,6,TRACTOR'S DECLARATION I her€rvfir that 1 am licensed under pr visions of Chapter 9 (commencing vii Sectio?-� y000) of ivision 3 o t'e Business and P of salons Code, and my license is in fu force and ffect. GNAT i DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation $a ,f Q0fl = 0() 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 rife a signed statement that he is licensed pursuant to PERMIT AMOUNT the provisions or 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 five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 64.35 l do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. i.7 • v� Professions Code: The Contractor's License Law does not apply to an owner of property who 00 builds or improves thereon. and who does such work himself or through his own employees. Mech. 24.00 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�Q of proving that he did not build or knprove for the purpose or sale.) O I, as owner of the property, am exclusively contracting with licensed contractors to torr Plumbing 27.00 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- such projects with a contractor(s) Pcensed 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 hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Comp tion Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company Lee py is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 259.35 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.) 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: ff, after 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 it 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 above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip 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 PPro�pr rty Line FINAL DATE_ IN PECTOR� Issued by: Date ✓�&6rmit Validated by: �y� 199 I ZY Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIWU FEES 1ST FL. SQ. FT. ® $ UNITS` SLAB GRADE ROUGH PLUMB. kv BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS SEWER' OR SEPTIC TA ROUGH WIRING l \ MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. ® GROUT WATER HEATER WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN. SO. FT. ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FRAMING FLOOR DRAIN MECHANICAL FEES �1 (/ WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD. SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT, WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL INSULATIONISOUND SQ.FT.GAR ® 3/ac HOUSE SEWER FINISH GRADING FINAL INSPECTION 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 ' W ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. kv BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER' OR SEPTIC TA ROUGH WIRING l \ DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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 FINAL X4SP. ROOFING �1 (/ REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESrINITIALS GARDEN WALL FINAL EQUrf T-YASU r �r}P RAMP 15,0 iz Fri sojom aru Ifs 400 w 4 �Ers zN SP1'd- Po� 7Qo9S STAk Fk&vEt