14317 (SFD)44
P.O. BOX 1504 No.
143i7
Building78-495 CALLE TAMPICO
Address x 99 695 .tris Court. LA QUINTA; CALIFORNIA 92253 ,
Owner ceger . snellenberger & Associates _
: Mailing
BUILDING: TYPE CONST. VH 'OCC,. GRP. t.3
Address
604--1251-011
A.P. Number
,'City Zip' . Tel- %OL; ,ll Tract 24208
,- . ( egal Description
:. ContractorS.9 Pian
Project Description
.. . .
Cactus F-16vMt 111
Address.
City Zip Tel::
State Lic. City
& Classif.. 488.23:4 Lic. # 1358 Sq. Ft. NO _ No. Dw.
Size 1r.®Stories Units --.• • - -
Arch., Engr.,. C: � '�.8 ' liars ,.,� i �1 nee
Designer New ❑ Add ❑ Alter ❑.' Repair.❑ Demolition-❑
AddreS� S ,Ck Ya.eawo�- Dom. Tel.tsi$ 3?x"'727.,
City33:.t833 ZipState -
ethadval '' ! s'� 22 tic. # v
LICENSED CONTRACTOR'S DECLARATION'
r• I. hereby affir that I am9fceri8eunder provisions of Chapter'9 (corrmmencingrwith Section -
yL'000) of Divi/sipI 3jof th Business anb Professions Code; and my licensg i1p NuII f ce apd
effect. t.! �G-..�- rs z " •' ��"�G/f
ter• _�.,..�i�....__.. _ _
SIGNATURE ` / DATE - _ 'OWNER-BUILDER DECLARATION
Estimated Valuation a. L'v:$p5:a ViinR
I hereby affirm that I am exempt- from - the Contractor's Llcense.Law for the following - h � ;.
reason: (Sec. 7031.5,Busfness and, Professions .Code: Any -city or; county which requires- a--.
permit to. construct, atter, 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: PERMIT - .. AMOUNT
the provisions of the Contractor's License Law, Chapter g (commencing. with Section. 7000) of. - -
Division 3 o/ the Business and Professions Code, or that. he is exempt. therefrom,' and. the basis
for the alleged exemption. Anyviolation of .Section '7031:5 by 'any applicant /or a permit Plan Chk. -Dep..
subjects the applicant to a'civil penalty of not more than' five hundred dollais.($500):.. 0 .. . • .:. . I e
0.I,.as owner.of'the property, or my employees with wages as their'sole compensation, will Plan Chk. Bal. .504. 54
.
do the work, and:the structure is not intended or offered for sale. (Sec. 7044, Buisness and COf1St.
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.of/ered for. sale. If, however, the. building Mech. ' .. 62.00
or improvement fa,sold•rwithm one year of completion, the owner-builder will•.have -the burden Electrical'1�,,4' 77 +
of proving.that he did not build or fmprove for the purpose of sale.).: ° ,
1, as.owner'of the property, am exclusively contracting with licensed contractors to con• Plumbing -. 19.4.00 '
struct the project. (Sec: 7044, Business'and,•Prolessions Code: The. Contractor's License Law
does not apply to an owner, •of property *who builds or improves- thereon, and who contracts for • S. M.I:
'such projects with'a contrac(or(sJ.(icensedpursuant to the Contractor's License Law.)• ..
Grading 20.00 ,
• ❑ •1 am exempt under Sec B. & P.C. for this reason
.P Driveway Enc... a �Q
.. Date owner - Infrastructure 1 9$3..93
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self-insure,' ora'.certificate of
Worker's Compensation Insurance, or a certified copy thereof: (Sec. 3800, Labor Code.) - Policy0 Company.
Copy is filed with the city. O Certified copy is hereby furnished.
TOTAL
3,438,.05
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE ..REMARKS .
(This section need of bei completed d/ 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•nota
employ any person in any. manner so as to become subject'to the Workers' Compensation
Laws of California
Dale Owner
NOTICE., TO APPL/CANT;,tf, after .making- this Certificate :of' Exemption" you should become . .ZONE: "' BY:' '
subject to the Workers' Compensation provisions o/ the Labor . Code; • you must -forthwith -
comply with such provisions or this permit shall be deemed revoked" . •• - Minimum Setback Distances-
'' -
Front Setback from Center Line
Rear Setback.from Rear Prop.. Line
WARNING: FAILURE TO SECURE' WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,-AND 'r ' `�
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES•AND'CIVIL FINES, UP TO 'ONE - Slde Street Setback frOf Cents Llne
HUNDRED THOUSAND DOLLARS $100,000 ; IN ADDITION TO THE COST OF COMPENSATION', i% rr
( ) Side Setback from.Pr_?(Weriy e '
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR :CODE, INTEREST, 'AND' i
ATTORNEY'S FEES. /
"This is a bbilding permit when properly filled out, signed and validated, and'is subject to a ,' ,FINAL, DATE I SP R / 7
expiration it work thereunder is suspended for 180'days.
I. certify that I have read this application and stale.thatthe above. Information;is'correct Issued"by Dated tEYP�f Tllt f
I agree to comply with all city and county ordinances and state laws relating to building 99
construction, and hereby authorize representatives. of . thls: city to enter the . above �J
mentioned property for inspection purposes: •Validated by: /
Signature of applicant- Date
Mailing Address Validation: v
_. City, State, Zip
4 •r
- CONSTRUCTION ESTIMATE
NO ' ELECTRICAL FEES
NO. PLUMBIW%3 FEES
`
1ST<FL. � SQ. FT. @ $
UNITS
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
2ND�FL. SQ. FT. @
'i
HEATING (ROUGH)
YARD SPKLR SYSTEM
POR,:•; SQ FT ®
MOBILEHOME SVC.
BAR SINK
GAR SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
DRAINAGE PIPING
WALL SO. FT. @
HEATING (FINAL).
DRINKING FOUNTAIN
SO. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GRADING
cu. yd.
$ -plus-x$_=$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FRAMINGqqqg� .
LAUNDRYTRAY
AIR HANDLING UNIT CFM
�J f
r � &-,
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.
SQ. 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 @ 3/4c
HOUSE SEWER
LATHING
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,
ROUGH WIRING
DUCT WORK
ROCK STORAGE !
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL).
OTHER APP.IEOUIP.
REINF. STEEL
GAS, (FINAL)
TEMP. POLE
1 GROUT
WATER HEA ER
SERVICE
FINAL INSP.
--;'BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP.
GRADING
cu. yd.
$ -plus-x$_=$
`LUMBER GR.zw
FRAMINGqqqg� .
ROOFING M
/17
�J f
r � &-,
/ ���
REMARKS:
VENTILATION
FIRE ZONE ROOFING,
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
TION/SOUND `
FINISH GRADING
FINAL INSPECTION
i
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
y
INSULATION aRTIFICATION
This is to certify that insulation has been installed in confoia
current energy regulation, California Administrative Code, Title2j S et the
California, in the building located at:
SITE ADDRESS
CEILINGS
Batts: 7ype RMM �hMfacturer C/CORMM
131ic�ness 12"` I2 -Value
Sloven: Type
Manufacturer
1cicriess __ R-Va3ue
F.XiERICFt MI.I.S
�e Manufacturer i G Thickness 35/8 R-13
FLWRS �,pe — R -Value
Manufacturer Thickness R -Value
General ContractorBY +.
License 1t .
Title Date
Schmid Insulation CUntractors, Inc.
License #221S17 C-2
8y �As.
Title Vice President Date -21_
INS'UiATIt+k3' i F iGRT ICAs
Ibis is to certify that insulation has been installed in Conformance Wath the
�tgy tegulatiara, California Administrative Code, Title 2j State of
California, in the building located at'.
SM ADDRESS /% LA WnM, CA
CEILINGS
Batts: 'iype Mxwfacturer t /COFM= '}hicluaes5 12`R-38
R -Value
Blown: type�oManufactumr
T'laiclness R -value
zOR WALLS
FM IG
Type S Malw£acturer 0406/cMUNG Thickness ;T 6 R -Value R-13
�S Z%Pe Mmufacturer Thickness
R -Value
General Contractor ROGER SNEUENDEMERLicense
Title Date
%Schmid Insulation Contractors, Inc. License
221517 C-1
Title
-Vice gree;&n !late 1 1-94
(r .