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15675 (SFD)Building 44-795 Prcnterra Ur. e Arirlrae P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Uwner Snellenberger & Associates I naamng Address 41'865 Boardwalk, Ste. 212 CityZip Tel. Palm Desert, r 92211 619) 777-7768 Contractor Same State Lic. City & Classif. B 488234 Lic. # 1858 Arch., Engr., Designer C-harlea D. Garland s4 P63 Ca€hedral Cyn Uro 1e -l5) 770-7025 Cathedral Cityl, CA 92234 iuZip cta LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divvisign:3 of tAe,Business and Profe/Sal'ons Code, and my license is in full force and effect. rr .r+��„s � GNAT JgF- i ./.r-`�-_� •.r ..,�+".ec�+'�r r .,f '�✓G.., DATE OWNER -BUILDER DECLARATION 1hereby affirm that I am exempt from the Contractor's License Law for the following (_7(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 to pursuant to 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 violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penally 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 of 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.) ❑ 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 contractors) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent•tp self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. 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 employ any person in any manner so as to become subject to the Workers' Compensation Laws of California Date Owner' NOTICE TO APPLICANT: d, after malting 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 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 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 Address City, State, Zip No. 15675 BUILDING: TYPE CONST. VN OCC. GRP. R-3 A.P. Number 604-271-010 Legal Description Lot 79 Tract 23913 Phase 1 Project Description PFD Plan 2 t�ttX.'Xlt�rZi]. . Sq. Ft. No. No. Dw. Size• 2132 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $128155,9.00 PERMIT AMOUNT Plan Chk. Dep. ` Plan Chk. Bal. t_ 618.71 Const. 741.00 Mech. 55.50 Electrical 150.06 Plumbing 150.00 S.M.I. 12.86 Grading 20.00 Driveway Enc. .00 Infrastructure 2,86-8.0-5, Arts in Public places 71.40 TOTAL 4,687.58 REMARKS • :a • . ZONE: BY: Minimum Setback Distances - Front Setback from Center Line • Rear Setback from Rear Prop. Line Side Street S \from Center Line Side Set,aCI®r erty Line n FINAL Issued Validat Validat CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SO. FT. p BONDING YARD SPKLR SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SO. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. I SO. FT. GAS (FINAL WALL SO. FT. DRINKING FOUNTAIN SO. FT. ® WATER EATER URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FINAL IN . 24 FLOOR DRAIN MECHANICAL FEES LUMBER GR. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER REMARKS: GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1'A c SEWAGE DISPOSAL SO.FT.GAR ® 3/<c HOUSE SEWER FINISH GRADING 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 (' UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC T K 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 EATER SERVICE FINAL INSP. BOND BEAM WATA SYSTEM FINAL INSP. FINAL IN . 24 GRADING / cu. yd. $ plus x$ _$ LUMBER GR. FRAMING / ROOFING L' ) VENTILATION !v ' L' 1 /> /J ��� �►/// REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. I FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL