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15868 (RPL)Building 44--860 Fonterra Dr. "...._. Snellenberger & Assoc Mailing Address 55695 Pebble Beach City Zip Tel. La Quinta 92253 Contractor Paster Pools P.O. BOX 1504 78-495 CALLE TAMPICO LA OUINTA, CALIFORNIA 92253 Address I ?3-.555 Rwy Ill ..ny up t el.. Palm Desert346-6115 State Lic. City # Z & Classif.. 238947 1 Lic. Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm.that I l bl nsed u deF�rovjsions of Chapter 9 (commencing wit} Section 7000) of DOv sion 3 of te,Business m j?rgfess_kions Code, and my license}is.irLfulUforcmand OWNER -BUILDER DECLARATION 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, after. 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 or the Contractor's License Law, Chapter9 (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 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).. 01, 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 Professlons 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 of proving that he did not bulid or knprove for the purpose of sale.) O 1, asowner 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) 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 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. Company O Copy is filed with the city, O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (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., h, 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 and validated, and is subject 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 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. 15888 BUILDING: TYPE CONST. OCC. GRP. P. Number Legal Description Project Description PO`0l/SPa ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear, Setback from Rear Prop. Line Side Stree11N.qPFrTOR_ from�Center Line Side Setbackropevt�ne s, FINAL DATE / UJ Issued by:! 'Dot mit n �� 99S Validated by: i /� .Sq. Ft. No. Size Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair O Demolition ❑ Estimated Valuationp®� PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. $76.05 Const. $117.00 Mech. $ 24,00 Electrical $ 45.00 Plumbing $ 27.00 S.M.I. Grading Driveway Enc. Infrastructure TOTAL $289.05 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear, Setback from Rear Prop. Line Side Stree11N.qPFrTOR_ from�Center Line Side Setbackropevt�ne s, FINAL DATE / UJ Issued by:! 'Dot mit n �� 99S Validated by: i /� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING I� YARD SPKLR SYSTEM 2ND FL. SO. FT. @ FORMS SEWER OR SEPT NK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. @ GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN BOND BEAM - URINAL SO. FT. ® LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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 ® 11/4 c SEWAGE DISPOSAL SQ.FT.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 tLECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING I� HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPT NK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. 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 FINAL INSP. ROOFING l I (9I� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION NEW` CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL