13842 (SFD)-4
s No. 1.3842
'� 78-105 0CALOLE ESTADO
Building 4�^- _.� i;~f�rb�.'r�a �i�1�7�
Address LA QUINTA, CALIFORNIA 92253
Owner Roger Snellenbearger & Azoociates
BUILDING: TYPE CONST. VN OCC: GRP. R3
Mailing 55-695 Pebble Reach 604--252 -012
A.P. Number
City Zip Tel. • L6t 32 Tract 24208
Zia Quinta, CAI 92253 1(619)777-7767 Legal Description
Contractor Project Description SFB Plan 8
Sams Cactus Plower
Address
ty
State Lic. 'S 48823€ (City 1858
& Classif. Lic. #
Arch., Engr., ' Carlos Elias - Engineer
Designer g
Asd U25 Charlesworth Dr. T{n19j 328-7271
Cit Zip State
CYathedrr�l Cit;r 92234 Lic.#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm tt)5t I am_flcens� ed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 'fAhe Busin9ss and Professions Code, and my license its full force and
effect ,
SIGNATURE i -� DTE
OWNER -BUILDER DECLARATION r
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 of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than rive 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 or 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 of 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) licensed pursuant to the Contractor's License Law.)
0 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
❑ 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 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
Ihereby 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 Address
City, State, Zip
Size t 2825 No.
No. Dw.
Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $122,345.00
PERMIT
AMOUNT
Plan Chk. Dep.
Distances -
Plan Chk. Bal.
6U4.31
Const.
7 ZU . UU
Mech.
4'.3. UU
Electrical
147.03
Plumbing
16.2. UO
.S.M.I.
12.23
Grading
20. QU
Driveway Enc.
.00
Infrastructure
2tr752. 76'
arts in Vu—511c aces
. dto
TOTAL
t • ��
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 Property.Line
FINAL DATE
i
INSPECTOR
Issued by:
Date ermit `r f
J if
Validated by:
Validation:
�-
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. @ $
UNITS
COLL. AREA
SLAB GRADE A
AJ
Y
ARD SPKLR SYSTEM
2ND FL. SQ. FT. @
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. @
ROUGH WIRING
DUCT WORK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
GAS (ROUGH) O
METER LOOP
DRAINAGE PIPING
CAR P. SQ. FT. @
REINF. STEEL
WALL SO. FT. @
DRINKING FOUNTAIN.
GROUT
URINAL
SO. FT. @
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
GRADING
cu. yd.
$ plus x$
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP. ,7A 14
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
/
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
VENTILATION
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
GAR. FIREWALL
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 11/a c
SEWAGE DISPOSAL
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 A
AJ
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
I
SEWER OR SEPTI ' ANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) O
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) �/ TEMP. POLE
v
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. ,7A 14
/J
FRAMING /6 �1' �D'
FINAL INSP.
ROOFING /� �+
l
Q 2 —7L�
(// !�
/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LAT ING (� L
MESH
INSULATION/SOUND 0 ' 9
FINISH GRADING
/
FINAL INSPECTION' / y
CERT. OCC. 111
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL