14744 (SFD)P.O. BOX 1504
Building., 78-495 CALLE TAMPICO
E
Address 48-609 Calle speranza LA OUINTA, CALIFORNIA 92253
Owner
Meager Snellenberger & Associates
Address 41.-as55 Boardwalk 0212
CityTkZ
ip Tel.
Palm. Desert, 92211. (619)777-7766
Contractor
Same
Address '
State Lic. City
& Classif. S. 488234 Lic. # 1858.
Arch:, Engr.,
Designer Cc?3?" loi3 EliaS Engineer
,yWW1t Charlesworth yr. 1 14) 328--7271
Cathedral City, IpCA 92234. Lict# - -'
LICENSED CONTRACTOR'S DECLARATION
it hereby affirm that I am licensed under provisions f Chapt r 9 (9Qmmencl with Section
'htX)0) of Divis[ionr3 of the Business and P fission Code, d` license i m full force and
effect. 7C t.C..r���a.• r �I� J3Cj.LL.,��>�+-'"�
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, atter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to 81e 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 exemptkm. Any violation of Section 7031.5 by.'any applicant for a permit
subjects the applicant to a civil penafty'of not more than five hundred dollars ($500). -
0 1, 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
orimprovement is sold within one year of completion, the owner -builder .will have the burden
of proving that he dM 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 contractors) #tensed 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' tDompensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Po1i#y� o. Company
O 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, ff. 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 ($100,000), IN ADDITION TO THE COST OF. COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
This is a building permit when properly filled out, signed and .validated, and is subject to
expiration it work thereunder is suspended for 160 days.
I certify that I have read this application and state that the above information.is correct.
I agree to comply with all cityand county ordinances and state laws,relating to building
construction, and hereby authorize representatives -ofthis city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 14744
BUILDING:- TYPE CONST..- *W; OCC: GRP._
A.P. Number 546--121-005
Lot 5 . Tract 20052--4
Legal Description
Project Description .'�Fla
Laguna _ire La Paz
R3
Sq. Ft. No. No. Dw.
Size - 1:852 " Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $11.1.,,430.00
�PERMIT t
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal. 1 -
+ ' ` 576.1'7
Const.
681.50 .
Mech.
68.5111)
Electrical
137.04
Plumbing
150.00
S.M.I.
11.14
Grading
20.00
Driveway Enc.
.00
Infrastructure
2,462.89
:Axts in Public- Maces
28. 58
TOTAL
4.11-3-5.82
REMARKS
ZONE: BY:
Minimum Setback Distances: r
Front Setback from Center
Rear Setback from Rear Pr
Side Street Setback. from
Side Setback. from Pro
�Q I
FINAL DATE_ INS SPO
Issued by: Date \
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. S0. FT.
YARD SPKLR SYSTEM
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
SEWER OR �N
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
DRAINAGE PIPING
CAR P. I SO. FT. ®
HEATING (FINAL)
OTHER APPJEQUIP.
WALL SQ. FT.
DRINKING FOUNTAIN
SO. FT. ®
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.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROOFING /
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11A c
SEWAGE DISPOSAL
GAR. FIREWALL
LATHING
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 a _A'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 �N
ROUGH WIRING
DUCT WORK
ROCK STORAGE '
FOUND. REINF.
GAS (ROUG
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATE
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING /
��
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL