14319 (SFD)91
P.O. BOX 1504 N o . 1.43119
Building 78-495 CALLE TAMPICO
Address 79--700 Iris Court LA QUINTA, CALIFORNIA 92253
Ownerog®r Snellanberger '& Associates .. ��
Mailing' BUILDING:. TYPE CONST: ;OCC: GRP.-
Address ...604-261-002
A.P. Number
City Zip - Tel.t'.2. Tract 2420$
( Legal Description
Contractor S FD Plan 5
Project Description
Address cacius- Flower _11-
City
1 -
City Zip ITel..
State Lic. City
& Classif.._ t 8 234. .Lica# 1 5$
Arch., Engr.;
Designer �" aC ::, •�r�8 Engirieer
A Ttrpj� ' WMAX,1 swort.h Dr o {619)328-7-271
City Zip State
cathedral-. Ci. '; ok 92234 Lic..#
LICENSED QMNTRACTOR:S DECLARATION
I hereby affirm that 1'am de
licensed unr provislons of Chapter 9 (commencing with Section
7000)of Division 3`&A ie;Bueiness and Professions'Code, -and my license is in full forcerand"
effect S. f ... /I�'•�%
Sq. Ft.' `.No. No. Dw.
Size 1402 Stories -:Units
New ❑ Add ❑ Alter❑" ' Repair ❑ Demolition ❑ .
SIGNATURE / DATE
" r OWNEWBUILDER DECLARATION
' I hereby affirm that I am exempt from the Contractor's License Law for the following
' reason: (See.:7031.5,Business; and Professions Code:,Any city vt county which - requires_a,
• permit to construct,. after,'(mprove, demolish, or repair. any structure, prior to its issuance also
' requires the applicarit"for'such permit to file a slgned statement that he. Is licensed. pursuant to .
the prov_islons, o/ the, Contractor's -License Law,, Chapter 9 (commencing with Section 7000)• of
- Division 3 of the of.
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 oivil penalty of riot 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 ofpropertywho
Estimated ValUatlOn
- -
I -
..- PERMITAMOUNT '
... '
Plan Chk. Dep;
- -
Plan Chk. Bal. _ 504.54-
Const. .
- oV V"
- t•,� ®. -
Meth." - 62. V
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,thathe did not build or improve for the purpose of sale.)
Electrical d 2 4 • d^ffy -
. 124.'77 R
Plumbing 14 d.;-00
❑'•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) #tensed pursuant'to the Contractor's License Law.),. -•
• ' ❑ I am exempt,undec Sec. ' -B. 8 P:C. for this -reason
S;M.I. .. , o
Grading 20 A Q
Driveway Enc. 0;
Date owner
Infrastructure l;, 933-4 93'- ,
ti WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of cohsent'to self insure, or a certificate%of
Worker's Compensation insurance, ora certified copy thereof. (Sec. 3800, Labor Code.)
Pol�lc o. Company
11 Copy is filed with the city.. ❑ Certified copy is hereby'furnished.
TOTAL 1 3,438_05
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATION INSURANCE
REMARKS
-
(This section need "not be completed it the' permit is for one hundred dollars (8100) • valuation
.. - -
or fess.)
1 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 -
Cal of ifornia
.
'
Date • ' •Owner
NOTICE TO APPLICANT,N, after making this Certificate , of Exemption you. should become
' subject io the .Workers' Compensation provisions. of -the Labor Code, • you must forthwith
comply with such provlslons or this permit shall be deemed revoked - • .
ZONE: BY: `
Minimum Setback Distances: - - -
Front Setback from Center Line '
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES :AND CIVIL FINES UP.TO ONE
Side Street Setback from Center Line -
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF -THE LABOR CODE,. INTEREST,' AND `
- Side Setback from Propert� I
ATTORNEY'S FEES. - - -
' This is a tiuildri properly g i
g pemi)t whenfilled out, si ned and validated; and is subject to •
expiration if work thereunder is suspended for 180 days.
-
FINAL DATE INSPECT' i
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 Inspeption.purposes.
Issued by- Date / It
;8 (/�//.
g
Validated by: y V
Signature of applicant Date:�
\ /9�
Mailing Address
Validation: t
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
IST FL. SO. FT. ® $
UNITS
COLL. AREA
2 ND FL. SO. FT. p
ROUGH PLUMB.
YARD SPKLR SYSTEM i
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
DUCT WORK
DRAINAGE PIPING
' WALL SO. FT.
GAS (ROUGH)
DRINKING FOUNTAIN.
SO. FT. ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GAS (FINAL)
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEESWATER
WATER HEATER!SERVICE
SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED.
GRADING
-...yd.
$ -Plus-x$-=$
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.
SO. 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
GAR. FIREWALL An
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE LE.
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBINGA ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBIN
UNDERGROUND
A.C. UNIT -
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL \
GAS (FINAL)
J
TEMP. POLE
GROUT
WATER HEATER!SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP. 1
GRADING
-...yd.
$ -Plus-x$-=$
LUMBER GR.
FRAMING r/9,96,
FINAL INSP.
ROOFING Q
VENTILATION
^ � lid
�
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL An
NG
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
•
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
IPiWTION cERTIFICATION
This is to certify that insulation has been installed in c0nfozffg=e with the
current energy regulation, California Administrative Code, Title 21 State of ,
california, in the building located at:
SITE ADDRESS .,, , .. PLOMM PHASE 4 IUr# 1A TEM, C'
CEILINGS
Batts:: 'type EUg2KM Manufacturer 0MWC0WWC Thickness 1297 R -Value
Blown: 'type Manufacturer _ Thicimess R -Value
L\"MIOR WALLS
Type XISM&M Manufacturer 3+15/ Thickness 3S/8 P, -Value R-13
FLCORS 'Type Manufacturer Thickness R -Value
Generai�Cantraetor FD= SNUTRQ0GW License t
By Title elate
Schmid Insulation Contractors, Inc. License 1 .221S17 C-2
Fy.t. �: ems,►...` �_ .j Title Vice Fresi&nt Date t2-21-24
'= This is to cCrtify that inmaation Inas been installed = co�t�sommnce 6,r�tn uie
current energy regulation, California Administrative Code, Title 2j State of
California, in the building located at:
SITE AUDRESS _ r-j=grz pI m Ems' 4 UMIo LA Ourm, CA
CEILIWZ
Batts: 'Type -210089LASManufacturer 9I m Thickness 12" R -Value R-38
Blown: 'Type Manufacturer Thickness R -Value
EX'd"F•RIOR WALLS 5/
.�.
Type M Yanuf acturer 0�M Thickness 3 R-Yalue 1 13
FLOORS Type Manufacturer Thickness' R -Value
Gewral Contractor Bo3ER sNELLwegmlt License N
By Title Date
�1 Schmid Insulation Contractors, Inc.
221517 C-2
Title-ise president Date 12-21-94