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14873 (SFD)P.O: BOX 1504 No. 14873 Building 78-495 CALLE TAMPICO - Address 48-625 Calle Esperanza LA QUINTA, CALIFORNIA 92253 Owner Roger >Snellenbe.r er & associates" BUILDING: TYPE CONST -'-"VN. OCC: GRP. R3 Mailing . _ " . . Address 41«855 Daardwalk #212- s A.P. Number 646=-121-01.3 City Zip lel: 'LQjt,'�1.3':Tract 20052-�4. i.Palm Desert, ' CA 922 ..71 (619)777-776 6 Legal Description Contractor• %n+fr _ Project Description S3 - Address 14guna De La..,Paz. . City ... Zip TO.: State Lic. City & ClassifP. 488134 '"Size Lic. # 1958 Sq. Ft. 1852" No.' "- " No. Dw. - Stories- Units -; Arch., Engr., Designer Carl,69 $"lias o weer New ❑ Add"❑ Alter ❑ Repair -0 Demolition ❑ AV,Ss Cha&r24�sw6rth Dr. 09-1328-7271 City" • Cathedral Cit-;, FZ&92.234 State LICENSED.CONTRACTOR'S. DECLARATION ,;(7I hereby affirm that I am licen and rovis ons of Chapjer 9 (commencing with Section IKJp) of Di ion 3 o�the Busin ss and/rProfess�C Code; alb my license is sin• full force and ��.W�E,r{ � � ry _3"' a;7�•-�� .- . + _ $1GNATURE - DATE OWNER -BUILDER DECLARATION I hereby aftirm that I am exempt from the ContractorLicense 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, prior to its issuance also .- requires the applicant for such permit to rile 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 exemption. Any "vfolatbn of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (8500). '' O I, as owner of the property, or my employees with wages as their sale 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 safe. If, however, ,the building or improvement is sold within one year of completion, the owner -builder .will have the burden of proving that he did not build or urtprove 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 contractor(s) pcensed pursuant to the Contractor's License Law.) O I am exempt under Sec- - B. & P.C. for this -reason Estimated Valuation 11s ,3 0.00 , .: PERMIT - AMOUNT - - .Plan Chk. Dep. - Plan Chk. Bal. 576.17- o �s 'COr1St. , 6®� • 5�. Mech.}.� �© Electrical- - - "r t 137.04 Plumbing 158 * 0'D 4 g S,M:I. - 11.14 - Grading 20.00 Driveway Enc. ; Date owner Infrastructure 2,462.8.9 -ts in' Public P- aces 28.55 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of - - Worker's Compensation Insurance,.or a certified copy thereof. (Sec. 3800, Labor Code.) - Policy � No, —r Company �y is filed with the city: O Certified copy is hereby furnished. , . - TOTAL 4,135.82' CERTIFICATE OF EXEMPTION. FROM WORKERS' COMPENSATION INSURANCE - REMARKS (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 thF work for which this permit is issued, I shall not manner employ any peon in anmanner so as to become subject to the Workers' Compensation Laws of Californirsany 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. - -ZONE: BY: Minimum Setback Distances: - Front Setback from Cente Line Rear Setback from Rear ine 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,' - • - - Side Street Se enter. -'ne Side Setback fy L' ' DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND. ATTORNEY'S FEES. ' This is a building peiniit when properly filled out, signed and validated, and is subject to'. expiration if work thereunder is suspended for 1Ii0.days., .y r' .I.certify that I have read this application and state that the.above information is correct.- i laagree to=comply with all city and county ordinances and state laws relating to -building •. construotion, ,and hereby authorize representatives -of this city to, enter the above-.. mentioned property for inspection purposes. . - f% FINAL DATE" PEC " ISSUed by: -Date°= -- Perot Al., F 9Q Validated by: Signature of applicant Date— ate Mailing Address Mailing a,... Validation: - City, State, Zip sir .' CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS A.C. UNIT COLL. AREA SLAB GRADE Y ARD SPKLR SYSTEM 2ND FL.SO. FT. p BONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. SO. FT. ® SEWER ORIC ROUGH WIRING DUCT WORK POWER OUTLET ROOF DRAINS GAR. SO. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CAR P. SO. FT. @ GAS (FINAL) TEMP. POLE WALL SO. FT. DRINKING FOUNTAIN SO. FT. ® WATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED n LAUNDRYTRAY AIR HANDLING UNIT CFM REMARKS: 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID a 11/4 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 n PLUMBING _ _a ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUM UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ORIC ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING L� I FINAL INSP. ROOFING / 1� n REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND \ l FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL