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15002Tit, f4 " 1 ' P.O. BOX 1504 B&Wding 78-495 CALLE TAMPICO Addressr 79-665 Starflower Tr. LA QUINTA, CALIFORNIA 92253 Owner r Walter Likina Address Santa City Zip Tel. .La Quinta, CA 92253 1 777-11.61 Contractor Roger Sneilenberger & Assoc., Inc. Addres 4.L d5 Bda.rdwalk, Suite 212 Desert, Xr 92216 State Lic. City & Classif.. g 4882.34 Lic. # 1858 Arch., Engr.,' Designer A3 chard Dulleck Address Tel. «`is�IQE3 City Zip State Lic. # ,. LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisionspf Chapter 9 (Commencing with Section 000) of Division 3 of�he Busines/sand /P fessions//CCode, and my license is in full force and effect: E /1 ' E1 r _.,Citi: SIGNATURE -' DATE OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,ausiness 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 of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civilpenally of not more than five 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 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.) - ❑ I, 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 contractor(s) (kensed pursuant to the Contractor's License Law.) ❑ 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.) Polic IP'tcompany Wr 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.) 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: 11, 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 ($100,00D), IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Thls 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 1 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, Zlp No. 15002 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description T�Oi>u Rboia Sq. Ft. Size ISO No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation �,C� , 205.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 52.65 Const. 81.00. Mech. 15.00. Electrical 20.25. Plumbing S.M.I. o 52 Grading Driveway Enc. Infrastructure TOTAL 169.42 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear P ine' Side Street Setback from,er ine Side Setback from Pro'e L-11 FINAL DATE '�SPECTOQR_ L Issued by: Date ern e Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES IST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. S0. FT. @ FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. g0, 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. Ff. FINAL INSP. DRINKING FOUNTAIN. SO. FT. ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. 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 FIRE ZONE ROOFING 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/4 c SEWAGE DISPOSAL INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. SO.FT.GAR ® 3/ac HOUSE SEWER 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 ROCKSTORAGE 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. FRAMINGWall FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING y , MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIG NATURES/INITIALS GARDEN WALL FINAL . ��_iUINTA BDLG & SAFETY 6195648487 ' IAV V' -<::J-'7 '� WtL 1;��.5 Lr'1 . Certificate of COmPliance: Residential (Page 1 of 2) CF -1 R t f'tJ S J I t om_ r RA t `— Project Aactteaa y CD i� Nlr4,t 9 Teleptoone ;CUmsntatjon Author 5 Cotnplfance. 111 !'111-04 (Padcape, Paint System a Computer) Climate Zone GENERAL INFORMATION Total Conditioned Floor Area: j 57� ' tt2 Building Type: Single Family Addition (check one or more) Muttl-Famity AlExisting-P.kus-Addtion ..Front Orientation: 27 �° onpui own /S �� es c�dej Irl'stations Number of Dwelling Units: Floor Construction Type. Slab i Raised Floor (circle one or bath) BUILDING SHELL INSULATION to Bullring Permit it Plan check / ale Field Check/ Data Enforcement Aqency Use Only Construction Component Insulation Assembly Location/Comments T R -Value 1 -1 -Value (attic to garage, typical, etc.) Wall ............. Wall ..:........... — Roos ............ — — ---��� �� ► r S — Root ............. — Floor ............. Floor-.: .......... loor..:.......... _ Slab Edge FENESTRATION Shading Devices Fenestration Area Fenestration Interior Exterior rlriPnlnlinn fsfi U -Value (roller blind, etc.) (shadescreen. Front.... (✓j ::VS S Front..... ( ) Lett ....... (✓) 25 • '1 5 Rear-- Rear ear— -Rear ( ) Rigrti..... ( } Right..... Skylight ....... — Skylight ....... Overhang Framing THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc..) (Si} (inches) Local ionlOescrlptIon (kitchen, bath, etc.) _— �Lv_S-�--- na'ir A January 007 Q 1 "�/ COO/,l Ak o' ql� Iq � WED 15:54 LA bUINTA FDLG & SAFETY 5195548487 F-(32 Certificate of Compliance: Resldentlal (Page 2 of 2) CF -1 R Nrajetl iltle Dele HVAC SYSTEMS Nola: Input hydronir or combined hydraric data under Water Heating Systarns, exoept Design Heating Load. Distribution. Heating Equipment Minimum Type and Duct or Type ournaco, heat Etficlency Location Piping Therlostat _. pump, etc.) (AFUl1HSPF) (ductsrattic, etc.) R -Value Type f✓xt ST1uG u �A Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Configuration heal pump, evap. cooling) (SEER) (attic etc.) R -Value Type (spt3t or package) r --x 1 5-1-7 &j NI /A WATER HEATING SYSTEMS Energy Extemal Rated' Tank Factor or Tank Water Heater Disiribution Number input (kW Capacity Recovery Standby Insulation Type Type In System or Btu/hr) (gallons) - ' Efficiency Loss (%) R -Value �)c r ST IN 6 to IA 1. For slash gas storage (rated input S 75,000 Btu/hr), e6ettrlc maislance and beet pump water tr¢atam, list Energy Factor. For targe gas storage waLwf hosters (rated Input 2 75,OOo 8tultrr) Ilst Ratod Input, Recovery Efficiency end Stancby Losa. wou For Inatantare gas waw be* lore , list Rebed Input and Recovery Efficiency. SPECIAL. FEATURESIREMARIKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications =ded to compty vAh Tina 24, Parts t and 6, of Ute California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the inclMdual with overall design responsibility. When this certificate of mripliam is s txnitted for a sNe building plan to be buil in mulliple orientations, any shading feature that Is varied is Indicated in the Special Features/Remarks section. Designeror Owner (pr ausina" a Professions code) Documentation Author Name: RV [o ,�L =c $;✓fQ S[ OC.�Z/�cNama: TidelFim:cyJ?lMt� TiterFirm: Address: 4 19 to Dw 1- AddrpsA: aQ -, 221 t Tehphona: C (n l 4 -7-7 -7 - -71 Lo (o Telephone: Lir,. R: 5� (signature) (dam} (signature) datxr) Enforcement Agency -Name: Tido: Agency: Telofrf.one: (sigma W ru/stamp) R,ovlead January 1992 0 2 v C) r z -Cco � T N C,CD r C T Z Q �oc_+c O p n N t l : p 0 -_ �No _ n C3 C= =-c C; r- :2! -z rn D r y p j Ir L r rr. o Crn r-1 70 y m S r m z rn rn rn N -' Y 0) z o c/) rrr q O O A O n�` n Qb. , -PA c/tt_✓ _ ---Ri9A9- Q en.t� m, m <7 410 b V _ Jo o r o - v u o y L./ o —C-OU6-I � 0 C , eo 1.41 N ^ ZI V, eo 9N.OL Z D5 as '1 n �a o lj, � V to L N NO \ ar ljl Q M V 1�. V `� OS BO (iI G Z "Pt c J I -G�b`Rfi— � 0 a i- �>�fFf�BM ` a _ a f//ry��' •' ` I a � rr N n` r /oo 4 N b Jo 9Q• // /35.7 v, � 1 v cb + V ol 4 i° �, 2I y y 'µ n4.7y et So Lore u ° k ^ o•a•taae .'royc'L°M /i5.G! so DO 7s7z PZ QOe 0IN �TTaTT 4. -T-RA IL 0 2 v C) r z -Cco � T N C,CD r C T Z Q �oc_+c O p n N t l : p 0 -_ �No _ n C3 C= =-c C; r- :2! -z rn D r y p j Ir L r rr. o Crn r-1 70 y m S r m z rn rn rn N -' Y 0) z o c/) rrr q O O A O n�` n Qb. , u r Is2. Ak 23, & V -DP, l,L ,am