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14167 (SFD)414 11 A4 07 P.O. BOX 1504 N U. Building 78-105 CALLE ESTADO Address 79--715 Iris Court LA QUINTA, CALIFORNIA 92253 Owner �gsr Snellen- berger & A sooiates BUILDING: TYPE CONST. VN OCCGRP. R3 Mailing Address 644-251-009 A.P. Number City Zip Tel. t 24208 ( Legal Description Lot9 Tract Contractor Project Description M Plan i �3AE Address Cactus Plower -11. City State Lic. City & Classif. B 488234 Lic. # 1058 .Arch., Engr:, _,i Designer di7l4 E:i a5 — Engineer AJd�e�s�5 Charlesworth Drs Te(619)328-7271 City , Zip State Cathedral Cite,. CA 92234 Lic.# LICENSED CONTRACTOR'S DECLARATION I hereby affirm tfiat I am,licensed under provisions of Chapter 9 (commencing, with Section ��000) of Division Sof thefBusiness and -Professions Code, and my license Eis,in full force and rf��0/ SIGNATURE / / DATE 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 of Section 7031.5 by 'any applicant for a permit 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 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 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 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.) ❑ I 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 Coiipensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy.// Company O� opy 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 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 abree to comply with all city and county ordinances and state laws relating to'b)`llding 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 r 4 — So. Ft. 1,$67 No No. Dw. ' Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition.❑ 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 INSPECTOR \. Issued by: Date/�itdPerrrilV �"I"%- Validated by: �h V V Validation: \\ �i9e) t Estimated Valuation $114,706.00 PERMIT AMOUNT- MOUNT-Plan PlanChk. Dep. Plan Chk. Bal. 580.26 Const. 692.00 Mech.- 55.51D Electrical,. r 142.45 Plumbing - 1.44.00 S.M.I. 11.4-7- 1.47Grading Grading 20.00 • Driveway Enc.; 16 Infrastructure 2'1580.89 Arts" in FTb_ 11 , Places TOTAL 4,Z63.34 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 INSPECTOR \. Issued by: Date/�itdPerrrilV �"I"%- Validated by: �h V V Validation: \\ �i9e) CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINGF—tES 1ST FL. SO. FT. @ $ UNITS SLAB GRADE r w BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ FORMS SEWERROUGH MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® FOUND. REINF. GAS (R (UGH) GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SQ. FT. @ I WALL SQ. FT. ® - SERVICE DRINKING FOUNTAIN. SO. FT. @ BOND BEAM URINAL ESTIMATED CONSTRUCTION VALUATION $ :GRADING cu. yd. $ —Plus—x$—=$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. 7 FLOOR DRAIN MECHANICAL FEES FINAL INSP. 1 WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER REMARKS: 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. SO. FT. @ c BATH TUB SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL SO.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 ^� ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. IV BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWERROUGH WIRING DUCTWORK ROCK STORAGE FOUND. REINF. GAS (R (UGH) METER LOOP HEATING (FINAL) OTHER APPIEQUIP. 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. 7 FRAMING 1,efi FINAL INSP. 1 ROOFING ( ©v REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LAT ING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL I aru5 i5 to Certify that •-�••+ ' current ewer insu3atiOn Inas beers Cali£omia � re�•'iatior�► California ir�ta2led tri corzfo , try the building Administrative ve Code, we kith the SITE located at: ► Titie Z� State of CEII,ASS �UqZ • S � 4 � ch Batts: TYpe ��. Manufacturer OIC/ Blown: ape Th,ckness 12. R_Value R-3$ ZSCtisr@T �`" _sem IMATIONOWiFkCATIQAf • This is t® current energy regulationt �aaaiion has been install ed in California t}ye building, Qlifor,yia �inistrative c�o�tae witty the luted at : Title 2 State of r SITE AWRESS . C, $acts: Type f facturer Biown: Type �r�sf ThiClaiess 1Z- R -Value R�38 SIM WAU S act�rer Thickness �y R -Value �I,oc1RS �t�facturer / 5! `." ��nufacty,rer ahicjvyess � $ !i -Value R-13 General Contractor fihiclaryess T� R -value By Lxc�yse � Title Schmid insulation Date • � �-Mt�gCtOX'S� Inc.By License 0221517 G 2 e 'title � �irP ��i��t Date 12--21-94