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14746 (SFD)P.O. BOX 1504 $-613 Car le >uf3 E29"e3n�t'! 78-495 CALLE TAMPICO Building -, Address LA QUINTA, CALIFORNIA 92253 Owner Roger Snellenberger & Associates Mailing Address 41-865 Boardvalk #232 Cit Zip Tel. 61km Desert, 92211 (619) 777 -✓7766 ontractor ame Address ty Zip State Lic. City & Classif. B 488234 Lic. # Arch., Engr., Designer Carlos' Elias - Engineer ; INM Charlesworth Dr. C66 911328-7271 dihedral City. Z to 92234 Lict# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I are licensed under proyfslons of Chapter 9 (con ncing with Section 7000) of Division 3 of the Business d Proffasions C e and my tic se is in full force and effect. ( -{„tet •6�.lig Gr �✓L 4C 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 file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or Division 3 or the Business and Professions Code, or that. he is exempt therefrom, and the basts for the alleged exemption. Any violation or 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 ,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 or proving that he did not build or improve for the purpose of sale.) b 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.) ❑ 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 acertificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) PolicYO- 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 the work for which this permit is issued, I shall not =any person'in any manner so as to become subject to the Workers' Compensation Laws of California Date Owner NOTICE TO APPLICANT:lt, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions o,f 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 '3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. This is a building permit when property 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 ordinanees.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 No. 14746 BUILDING: TYPE CONST. VN OCC. GRP. R3 A.P. Number 646-121-007 Legal Description Lot.7 Tract 20052--3 Project Description s Plan - Laguna De La, Paz Sq. Ft. No. No. Dw. Size 1952 Stories - Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $111,430.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 576.17 Const. 681.50 Mech. 68.50 Electrical 137.04 Plumbing 150.00 S.M.I. - 11.14 Grading 20.00 Driveway Enc. , 00 Infrastructure 2,46-4.89 Arts in Publi: Places 28.58 TOTAL 4,135.82 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback fromRea Line Side Street Setback f ent ine Side Setback from _ y FINAL Issued by: Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA cl SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SO. FT. STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. ® ROCK STORAGE FOUND. REINF. GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APP.IEQUIP. DRAINAGE PIPING CAR P. I SO. FT. ® GAS (FINAL)(It q 111 TEMP. POLE WALL SO. FT. DRINKING FOUNTAIN SO. FT. ® WATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER O r' � � �f ( GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED REMARKS: 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 GAR. FIREWALL SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Va c SEWAGE DISPOSAL SO.FT.GAR ® 3/ec 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 &ECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING J UNDERGROUND A.C. UNIT COLL. AREA cl SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC A ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. 3 GAS (ROUGH)7l METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL)(It q 111 TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. 6 GRADING cu. yd. $ plus x$ _$ LUMBER GR. ( FRAMING ' 7 ROOFING VENTILATION � O r' � � �f ( REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING V S MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL all J�g ` �� I I. ���� �t� � • i II I 1 11HI tlli alib �Safvt 13tiIt�ei11111 �' This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building ; it Code certifying that at the time of issuance this structure was in compliance with the various ,i ordinances of the City regulating building construction or use. For the following: 48-613 Calle Es eranzaBUILDING ADDRESS I I II ! Use Classification SFD Bldg. Permit No. 14746 Group R-1 Type Construction VN Fre Zone Use Zone SR — _ Owner of Building AAqer SnALlenbPrTr & 1�sscAddress 41 865 Rc)a-r wa --L #21d (1 I ilia,I Cit palm Desert CA 92.253 y ?i BY; H-13CQ-Fell€9t j ®1- I Dote: 6/9/95 — Buildinq Official "�— POST IN A CONSPICUOUS PLACtFIX --- -- — _ N ,viNL - .'^!