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12571 (SFD)Building Address Owner mailing Address BOX 15_04-"�*'_'.A` NO. IZO 1-i 78,105 CALLE'ESTADO 48-637 Vista -Tierra I/,, LAQUINTA,'C.ALIFORNIA92253 r Snellenberger & Associate, -S* BUILDING: TYPE CONST. OCC. GRP.. .55 -695 -Pebble Beaph A.P. Number 617-661-019, City Zip ITel. 4619) 777-7767 scription La QuintA. 92253 CA I Legal De Lot ­ 19 Trac,,- 20052�-6 Contractor, , .•Spb. Plan 2 Project Description &emtr . Mayd Develbpmeent ru: BOX 7 yy 7 City Zip Tt� RancWo i r Age 92270. 19)340-3792 State Lic. City & Classif.' T'620453 Lic. # Arch.; Engr.,;--`­ Designer ,j,,-_-- CArio',s" -E, lia-s' --Engineer Addr 9§ '2`_": s-5dhir1b-5W0rth Drive A19) 3 A19)328-7271 City Zip State Cathedral 'Cit 1l, CA 92234 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that r am licensed under provisions of Chapter 9 (commencing with Section 7000) of Dif ' n oh a Business and Professions Code, and my license is in fullforceand effect . SIGNATURE DATE 'OWNERIBUILDER DECLARATION I herebyaffirm ihai I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Busines-all'and Professions Code: Any city ori 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 file a signed statement that he is licensed pursuant to the provisions . ons of'the Contractor't 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 violation of Section 7031.5 by 'any applicant for a -,permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 1, 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 11 builor..,,' roves thereon and who does such work himself or through his own employees, e_ ",',t,ha!f' such improvements are not intended or offered for�'§ale. If, however, the building liioW* ent,i 0 sold within one year I completion, the owner -builder will have the burden 0 Vin"thathe did not build or improve for the purpose of sale.) as owner 0 the I h property, am exclusively contracting with licensed contractors to con- st ' ru ( the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law oes not apply to an owner of property who builds or improves thereon, and who contracts for s uch projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 0 1 am exempt under Sec B. & P.C. for this reason ii Date _�'-Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of it Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company cLcrpy is filed with the city,. 0 Certified copy is hereby furnished. 71 - CERTIFICATE OF EXEMPTION FROM WO.RKERS'COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) Icertify that in'the,pbrformance of,thp work for which this permit is issued, I shall not employ any person iin'any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT If, 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction -lending agency for the performance of the work for which this.permit is issued. (Sec. 3097, Civil Code.) Lender's Nam Lender's Address This is a building permit when properly filled out, signed and validated, ind 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 sof this city to enter the •above=. mentioned properly for inspection purposes. Signature of applicant -Date Mailing Address City, State, Zip Sq. Ft. AINo, No. Dw. Size .1950 Units i New 0 Add Ei, "y' Alter 0' Repair 0 -Demo*liti8n'b' 4 Estimated Valuation. 4111 392.00 PERMIT AMOUNT, .,4Plan Chk. Dep. 250.00 'Plan .Chk., Bal.25. 52 Const. Mech. Electrical. Plumbing .S. M. 1. Grading Driveway Enc. Infrastructure - 62, A G', 140 95'.'� 15 0 0 _0 2 4 0 2 TOTAL 4,152.64 *1.902.64:-, REMARKS ZONE: BY: Minimum Setback Distances: Front Setba ck from -Center Lin RearSetback from Rear.Prop. Line Side -Street Setback from Center Line ;,_�SiJe Setbac.-k from Property Line FINAL DATE INS I TOR /A / Issued by: Date Permit Validated by: V 0 Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINGc-EES 1ST FL. SO. FT. $ UNITS v n r BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. @ FORMS SEWER OR SEPTIC TANK / 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. SO. FT. @ GROUT WATER HEATER WALL SO. FT. @ FINAL INSP. DRINKING FOUNTAIN. SO FT @ WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' r 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 @ 11/4 c SEWAGE DISPOSAL SO.FT.GAR @ 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE LPL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK 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 FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL CD , -17 Building Address LAGUNA DE LA PAZ Owner ling P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 City Zip Tel. LA QUINTA 92253 1777-7767 Contractor ROGER SNELLENBERGER Address - ':SAME -City Zip Tel.. State Lic. City & Class if' 488234 Lic. # Arch., Engr., Designer TERRA -DEL SOL DESIGN GROUP Address I Tel CityZip State PALM DESERT 92261 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the usiness an Professions Code, and my license is in full force and effect. ✓C��C�( 1GNATIIRE V DATE 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 file 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 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1-; 1, 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 of proving that he did not build or improve for the purpose of sale.) 1.-1 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) licensed pursuant to the Contractor's License Law.) 17 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 Woiker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it 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: If, 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's. Name Lender's Address 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 BUILDING DIVISION BUILDING: TYPE CONST. A.P. Number Legal Description Project Description S PLAN 2 1 9 So Sq. Ftp No. Size Stories New ❑ Add ❑ Alter ❑ Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS OCC. GRP: Lor I? No. Dw. Units Repair ❑ Demolition ❑ AMOUNT nC(l f1 Q 1QQ1/11 ZONE: BY: Minimum Setback Distances: , Front Setback from Cerj Line Rear Setback flaom RehT-Prine_ Side Street Setoack from Center Line Side Setback frim Property Line_ FINAL DATE INSPECTOR Issued by: Date Permit_ Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING BEES IST FL. SO. FT, g $ 2ND FL. SQ, FT. POR. SO. FT. @ GAR. SO, FT. CAR P. SO. FT. to WALL SO. FT. frq SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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, p c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1'/. c SEWAGE DISPOSAL SO.FT.GAR @ 3/ac HOUSE SEWER REMARKS: VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEEELECT, FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATI ONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL