14880 (SATT)_ :..
44
P.O. BOX 1504 r No. 14880
1 Building78-495 CALLE TAMPICO
1 Addres48-528 Calle EsPeranza LA OUINTA, CALIFORNIA 92253
Owner
Roger Snellehber er & Associates.. " R3 .
BUILDING: TYPE CONST.• ,'- OCC: GRP.
Mailing"
Address '41m-865 Boardwalk 021.2 646-:321-424
A.P. Number
City Zip Tel. Lbt 24 'bract 20052-4
PA1M . De'sert4 4A 922121 (6'19)777-7766 Legal Description
Contractor
Project Description
..Address Laguna De ,T a. _,•aZ., .
City Zip Tel.:
State Lic. City
& Classif.. 8'A88.234 Lic. # -lass- Sq. Ft.� No. Dw. ,
Size 1. 62 Stories'' Units
Arch., Engr.,
Designer -Carlos L1
• Add ❑ - Alter, ❑ Repair ❑ Demolition ❑,
Elias •-`Sa�c�fneer New ❑ . �_
Ar g j.s ChArlesitiorth Dr. T 1 19)328- . 7271
Cit Zip State
&t.hedral "Cit CA 92234 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmrithat I ani licensed udder prOvisio of Chapt ,9 (commencing with Section'-
jj000) of Divis% oig3, ooff th£�usines/s/arid Pr6fessio s" rode, a my'hcense.'-i�sLin full tor�,$ma d
rfeffect. f(�- ��i� �%
SIGNATURE DATE
I'
OWNER -BUILDER DECLARATION-
_
I I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation $93' 715.00 ,.
reason: (Sec. 7031.5,Business. 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 - I
.requires the applicant, for such permit to rife a signed statement that he is licensed pursuant .to ,.PERMIT AMOUNT
the provisions of the. Contractor's, License Law, C_ Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or thathe is exempt therefrom, and the basis plan Chk. De '
for the alleged exemption. Any violation of Section 7031.5 by�"'any applicant for •a permit p
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages�as their sole compensation, will Plan Chk. Bal. 518.25
do the work, and the structure is not intended or offered for sale. (Sec: 7044, Buisness and Cbrtst. • ��
Professions Code: The Contractor's: License Law does not apply to an owner ,of property who. C
builds or improves thereon and who does such work himself or through his own. employees, Mech. - g :d
provided that such improvements are not intended or offered for sale. If, however, ' the building q �j
ry
1
or Improvement is sold within one year of completion, the owner -builder will have the burden 'Electrical - 27.•45
of proving.that he did not build or Improve for the purpose of sale.) n
❑-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 Coder The Contractors License Law - -
-does not apply to an owner of,property who builds -or improves thereon, and.who contracts for S,M.L 9..37 '
such projects with a contractors) Jicensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec.- B. & P.Cifor Grading 20.00 this reason ,
Driveway Enc. .00
Date -Owner Infrastructure 2,108.59
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'
-Company
Company
Copy is filed with the city. . ❑ Certified copy is hereby furnished.
TOTAL 3,607.96
CERTIFICATE OF EXEMPTION FROM REMARKS
. WORKERS' COMPENSATION INSURANCE
(This section need not De 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 pperson in any manner so as to become subject to the Workers' Compensation'
Laws of California.
Date Owner
NOTICE , TO APPLICANT., B, 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'arid validated, and issubject to:'
expiration it 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.wiih 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.
Signature of applicant -Date-
Mailing
ateMailing Address
City, State, Zip
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center Line '
Rear Setback from Rear Prop. Line.
Side Street •Setback'fromSine r Line
Side Setback'from.Pro»� .
`
FINAL DATE
' LNS�P
Issued by:
Date ��ieJmit
Validated by:
Validation-
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SQ. FT. ® $
UNITS
A.C. UNIT
2ND FL. S0. FT. p
SLAB GRADE
YARD SPKLR SYSTEM
ROUGH PLUMB.
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
FORMS li
U
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
ROCK STORAGE
FOUND. REINF.
DRAINAGE PIPING
CAR P. I SO. FT. ®
METER LOOP
HEATING (FINAL)
WALL SO. FT.
REINF. STEEL
DRINKING FOUNTAIN
SO. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
SERVIC _ \ \
FLOOR DRAIN
MECHANICAL FEES
BOND BEAM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
LUMBER GR.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
LAUNDRY TRAY
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
GAR. FIREW LLp(�[/n
SO.FT.GAR ® 3/ac
HOUSE SEWER
LATHI G
MESH
INSULATIONISOUND
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 COND. SOLAR
SETBACK
GROUND PLUMBI G
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS li
U
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) �j
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVIC _ \ \
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
VENTILATION
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREW LLp(�[/n
LATHI G
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL