12700 (SFD)i QUM&
P.O. BOX 1504 N o .2700
Building 79-585 Star Flower Tra�.� 713 105 CALLE ESTADO
Address to QUINTA, CALIFORNIA 92253
Owner Roger Snellenberger a Associates
Mailing BUILDING: TYPE CONST. OCC. GRP.
Address 55-695 .Pebble BeaobA.P. Number 604-2S3-005
City Zip Tel.
La Quinta, CA 92253 1(619)777--7767 Legal Description Lot6.7'frau 242Q8
Contractor Project Description SFD Plan 2 A
Sate
Address
City Izip I Tela
State Lic. City
& Classif. ' B 4118234 Lic. # 1858
Arch., Engr., '
Designer Carlos Elias - Engineer
-Address38825 Charlesworth Dr. {619} 328-7271
City Zip State
Cathedral Cit592234 Lic- #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that am li'_lensed under provisions of Chapter 9 (commencing with Section
00) of Divis,`3 of the Business'and Professions Code, and my license is in full force and
effect.
QIGNATURE' DATE
f 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, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file 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 or Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
O 1, 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 sold' within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose or sale.)
O 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business nand Professions Code: The Contractor's License Law
does not apply to an owner or property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) t
❑ 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 Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
OL opy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM w
WORKERS' COMPENSATION INSURANCE I
(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 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: If, 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
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 above-.
mentioned property for inspection purposes.
Signature of applicant -Date-
Mailing
ateMailing Address
City, State, Zip
Sq. Ft. 1633 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS InVeSt
,voE•vm
AMOUNT
.
t7G o��
OZ. U7
144.uv
i . f'7 0
20.00
. UI U
G,- 13. 99
,zs.0v.
770.1
220.1
v
vr..
_s
vJrs ..cai v. fir'.e.�._ Y+v
}sva>;a.�s. a..ara�atvyaia..:.
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 Y`
! x ff
FINAL DATE INSPECTOR i
Issued by:
Validated
Validation
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
ROUGH PLU B. BONDING
'y
STORAGE TANK
Y
ARD SPKLR SYSTEM
2ND FL. SD. FT. p
DUCT WORK
ROCK STORAGE
FOUND. REINF. /A -91f/
MOBILEHOME SVC.
BAR SINK
POR. S0. FT. ®
REINF. STEEL
GAS (FINAL) TEMP. POLE
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. 0
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRAINAGE PIPING
CAR P. SO. FT. ®
LUMBER GR.
FINAL INSP. r'L
WALL SO. FT. ®
FINAL INSP.
DRINKING FOUNTAIN.
[/✓� 6/ /`/�/
t V
URINAL
S0. FT.
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(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, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
S0. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
GARDEN WALL FINAL
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
11ECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK ` 2
GROUND PLUMBING f v7 �� UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLU B. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER K ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. /A -91f/
GAS (ROUGH) - Z! 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. r'L
FRAMING Aw
FINAL INSP.
ROOFINA�k
[/✓� 6/ /`/�/
t V
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING+
MESH
INSULATIONISOUND 3 /�
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL