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14748 (SFD)44Q - '- P.O. BOX 1504 No. 24748 Address 48-617 salla Esperanxa LA QUINTA, CALIFORNI A 92253 Owner Roger Snellenberger & ASSOCiate5 BUILDING: TYPE CONST. WET, OCC. GRP. R3 Mailin Address, 42-865 Boardwalk #212 646-121-009 A.P. Number City Zip Tel. Lot 9 Tract 20052-4 Palm Deserts C 92221 1(619)777-7766 Legal Description ContractorProject Description SFED Plan 1 Same Lacuna ate La Paz Address City' Zip Tel.: State Lic. City & Classif. B 488234- Lic. # less Sq. Ft. No. No. Dw. Size . 1852 Stories Units Arch., Engr., Designer Cirl•o8 Elias a, Eng3.I eer. New O Add 0 Alter 0 Repair 0 Demolition ❑ el VtYdW� Charlesworth Dr. 1019) 328-7271 City Zip State -Cathedral City CA 92234 Lic.# LICENSED CONTRACTO`R`S DECLARATION ^ I hereby affirm that I anylicensed un �proviSlons of Chap 'f) (comment`ing with Section 000) of D}�vi/sion 3 of t}%��e�,Business Profej�'� Ions Codef d my liiccenssgriisSin full force and effect. / K...�fi�.C.�LT � SIGNATURE �- DATE OWNER -BUILDER DECLARATION Estimated Valuation $11.1,430.00 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, *pdor to its issuance also ) requires the applicant for such permit to role a signed statement that he is licensed pursuant to PERMIT AMOUNT the provisions of the Contractor's license Law, Chapter 9(commencing with Section 7000) or Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any viotatkm of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. I subjects the applicant to a civil penalty of not more than rove hundred dollars ($500). Plan Chk. BBI. 576.17 O I, as owner of the property, or my employees with wages as their sole compensation, will AQ A do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 681. 50 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, Mech. 68.50 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 Electrical - 137.04 of proving that he did not build or improve for the purpose of sale.) I ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 150.00 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 S.M.I. 11.14 such projects with a contractor(s),pcensed pursuant to the Contractor's License Law.) - Grading 20'.00 ❑ 1 am exempt under Sec. B. ti P.C. for this reason Driveway Enc. QO Date Owner Infrastructure 2t462.89 Arts in PublIc Places 28.59 WORKERS' COMPENSATION DECLARATION I herby affirm that 1 have a certificate of consent to self -insure, or a certificate of Worker' Compensation Insuranc Pol ' e, or a certified copy thereof. (Sec. 3800, Labor Code.) o. Company _ 1 Copy is filed with the city. ❑ Certified copy is hereby furnished. 61CTOTAL 4,135.82 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed N 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 parson in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: n, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the- Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Lin Rear Setback from Rear Pro . WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Setback from Line 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,- . � Side Setback from Pro Ina 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 FINAL DATE INCTOR� expiration it work thereunder is suspended for 180 days. I certify that 1 have read this application and state that the above information is correct. Issued by: Date Perm 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 inspection purposes. Validated by: Signature of applicant -Date- Mailing ateMailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ; ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SQ. FT. ® $ UNITS A.C. UNIT COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL. SQ. FT. BONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® SEWER OR GAR. SO. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. DRAINAGE PIPING CAR P. I SO. FT. METER LOOP HEATING (FINAL) WALL SO. FT. REINF. STEEL DRINKING FOUNTAIN SO. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation WATER HEAT FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 11 FINAL INSP.WAOT f GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LUMBER GR. LAUNDRYTRAY AIR HANDLING UNIT CFM I IKITCHEN 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 FIREPLACE SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/a c SEWAGE DISPOSAL SO.FT.GAR ® 3/4c 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 ELECTRICAL HEATING & AIR GOND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEAT SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. 11 FINAL INSP.WAOT f GRADING. cu. yd. $ plus x$ _$ LUMBER GR. FRAMING '7S ROOFING( VENTILATION �J n' //�7� REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FiUa,EVAIL LATHIN / MESH If INSULATIONISOUND M FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL