14751 (SFD)4
P.O. BOX 1504 No. 14751
Building 78-495 CALLE TAMPICO
Address 48-623 Calle Esperanza LA QUINTA, CALIFORNIA 92253
Owner
Roger Snellenber er & Associates BUILDING: TYPE CONST. VN'- OCC. GRP. R3
Address '41-865 Boardwalk #212 646-1214.012
I
' City Zip TA.P. Number
el. y ' Lot I2 • T7:aCt 20052-4Paim Ziesert., Ci 92211 (619)777-7766 Legal Description
Contractor Project Description. SFr? Plan 3
Same Laguna De -1a Paz
Address
City Zip Tel.:
State Lic. City
& Classif. g 488234 Lic. # 1.85S. Sq. Ft. 1980 No. No. Dw.
Arch., Engr., Size Stories Units
Designer Carlds Elias Engineer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
MOB Charlesworth Ar. 19'39y328-7273
CityZip State
Cathedral City • CA • 92234 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affiftAhat I am licensed un.019 proviai no s of Ch�pte 9 (commer}}rccing with Section
7000) of Division 3 of thiepusiness/p?�Profe oJns C�od�. a my licens., . i 'in full force and
effect. ���• �,�i fT''1 ���.
SIGNATURE DATE
OWNER•BUILDERDECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the. following $117j221.00
reason: (Sec. 7031.5,Buslness and Professions Code: Any •city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to Ole 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) -of
Division 3 of the Business and Professbns 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 permitPlan Chk. Dep.
subjects the applicant to a civil penalty of not more than Ove hundred dollars ($500): Plan Chk. Bal. 592.43
O 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 Const. 'Q2 •�
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 142.04
of proving that he did not build or improve for the purpose of sale.) '
❑ 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 M • 2K
does not apply to an owner of property who builds or Improves thereon, and who contracts for S.M.I. - i
such projects with a contractor(s) lkensed pursuant to the Contractor's License Law.)
Grading 20.00
❑ 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc. 48
Date Owner Infrastructure 2,622.81
Arts in Publig Places 43.05
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker'sinpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy} Company
0- opy is filed with the city. O Certified copy is hereby furnished.
TOTAL 4,353.05
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ff the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance'of thg 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 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,
Rear Setback from
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Setbac
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 fromDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.This is a building permit when property filled out, signed and validated, and is subject toFINAL DATE INSexpiration if work thereunder is suspended for 180 days.
I certify that.l have read this application and state that the above information is correct. Issued by: Date
1 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 Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE !
YARD SPKLR SYSTEM
2ND FL. SO. FT.
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
SEWER O
!�
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
DRAINAGE PIPING
CARP. SO. Ff.
METER LOOP
HEATING (FINAL)
WALL SQ. FT.
REINF. STEEL
DRINKING FOUNTAIN
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER HEATER
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LUMBER GR.
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
FIREPLACE
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/a c
SEWAGE DISPOSAL
SQ.Ff.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 _-C4_4
C4_ 4TRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
'
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE !
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER O
!�
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROU )
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP.
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING
ROOFING
VENTILATION9�
`
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREW LL
LATHING
MESH
INSULATION/SOUND 11
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESlINITIALS
GARDEN WALL FINAL