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13055 (SFD)4 a weoj P.O. BOX 1504 . 78-105 CALLE ESTADO �8-21'5 V6i8 ZigYogat LA QUINTA, CALIFORNIA 92253. Associate- SLS Tel. 56A�6i36 Tel: - 564'�6136. City Lic. # �0�6 Tel. , State Lic. # DECLARATION hapte�9 (commencing with ,�d m�license is in full TION or's License Law for the following Any city or county which requires SfNCfUIB, prior f0 IIS ISSUanC men, that he is licensed pursuant (commencing with Section 70 Is exempt therefrom, and the 1.5 by 'any applicant /or a hundreddollars ($500). es as their sole compensation, for sale. (Sec. 7044, Buisne apply to an owner olpropert or through his own d for sale. 1/, however, the owner -builder will have the e.) with licensed contractors t Code: The Contractor's License thereon, and who Contractor's License Law.) reason DECLARATION to self -insure, or a certificate thereof. (Sec. 3800, Labor Code. hereby furnished. FROM �. INSURANCE one hundred dollars (S 100) this permit is issued, I shall to the Workers' o/ Exemption you should b Labor Code, you must AGENCY agency for the performance o 1 ed and validated, and is the above information is and state laws relating to this city to enter the Date Build ng Address °pager Snellenberger Mailing Address 48-117 Via Herm© City Zip Const. La Qu nta, CA 9225 _ 68.50 Contractor The Trider Corporation Address 46d360 Vista #fie Nopal City Qminta, CA Z1p92253 Grading State Lic.; , Driveway Enc. & Classif. 505529 Infrastructure Arch. Engr., ' Desic�ner Robert Harl. a Addrass , City Zip r LICENSEWCONTRACTOR S. DEC I heieby WAR am licensedlunde pfo isrons,.f-, Section 7000) of Division of t e Business and Professions Code force and effect. OWNER -BUILDER DECLAR%1 p I r:ere�y affirm that I am exempt from the Cont act owing ,a orJ(Sec. 7031.5,Business and Professions Code: An Cres a pens o construct, after, improve, demolish, or repair any a also requires the applicant for such permit to rile a signed state ant to the.provisions of the Contractor's License Law; Chapter 9 00) of Divi,^fox 3 of the Business and Professions Code, or that he basis for{the alleged exemption. Any violation of Section 703 permit subjects the applicant to a civil penalty of not more than live hun ❑ 11, a> owner of the property, or my employees with wag n, will do 4he work, and the structure is not intended or offered ss and Profesaions Coc!e:.2-The 1,Contractor's License Law does not y who builds 'br improves thereon`and who does such work himselfemployees, provided that such improvements are not intended or offers building �.Or.lmp:-ovement is sold within one year of completion, the burden of prouing that he did not build or improve for the purpose of sal 0 I, as owner of the property, am exclusively contractingo con- struct the project. (Sec..7044, Business and Professions a Law does Pot apply to an owner of property who builds or improvescontracts for such projects with a contractor(s) licensed pursuant to the Cont I O 1 am exempt under Sec. B. & P.C. for this Date Owner WORKERS' COMPENSATION DE ,.hereby affirm that I have a certificate of consentate of Wor is Compensation Insurance, or a certified copy the ) Pott- No- Company ( (3opy is filed with the city. ❑ Certified copy is he CERTIFICATE OF EXEMPTION jj WORKERS' COMPENSATION IN (This section need not be completed i/ the permit is for o valuation or les--.) i I certify that in the performance of fhg work for whichall not employ any person in any manner so as to become subjectCompensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate ecome subject to the Workers' Compensation provisions of theforthwith comply with such provisions or this permit shall be deemed revoked. 1 1 CONSTRUCTION LENDING A 1 -iereby affirm that there is a construction lending a f the work or which this permit is issued. (Sec. 3097, Civil Code. Lender's Name Lender's Address This is a building permit.when properly filled out, sign subject to expiration if work thereunder is suspended for 180 days. I ce-tify that I have read this application and slate that correct. I agree to comply with all city and county ordinances a building construction, and hereby authorize representatives of above-. ment oned property for inspection purposes. Signature of applicant Mailie,g Address City,' State, Zip No. 13055 BUILDING: TYPE CONST. OCC: GRP.; A.P. Number 617-590--008 Legal Description Lot 0 Tract 20052-7 Project Description SFD Sq. Ft. 198o No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ L Estimated VYation 12,799'.00 PlRMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 5582.92 Const. 685.00 Mech. _ 68.50 Electrical 142.04 Plumbing 162,.00 S.M.I. 11.30. Grading 20,.00 Driveway Enc. ..0_ Infrastructure 2,523.31 Al t:E5 ~ Places �� 32 . 0 Vi TOTAL 4,227.07 REMARKS AA!i it 'r ACF ` pf . Y5 ti. tib f, w �.� Mtxr•�N � ? W �i"tL b f'S L�w.'C ,t�i ZONE: �' BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from,Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: . / Validatio+fi: 1 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 15T FL. SQ. FT. @ $ UNITS SLAB GRADE r BONDING HEATING (ROUGH) 2ND FL. SQ. FT. @ FORMS YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ OTHER APPJEQUIP. DRAINAGE PIPING WALL SQ. FT. @ TEMP. POLE DRINKING FOUNTAIN. SQ FT @ GROUT URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES _ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED — L-AUNDRYTRAY AIR HANDLING UNIT CFM 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. SQ. FT. @ c BATH TUB SPARK ARRESTOR SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL LATHING SO.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 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 3 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL v Koo / CITY OF LA QUINTA DEPARTMENT OF PLANNING & DEVELOPMENT �r L4 LUjig4 BUILDING DIVISION 564-2246 NUN 1 5 24 -HOUR NOTICE FOR INSPECTIONS 1tl 1yy., Ge,U81r�t+j.,'as66ia' Owner Roger nellenberger & Associates Contractor The Trider Corp. Permit Number 13055 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 48-215 Vista De Nopal SFD Plan 3 TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK FOOTING STEEL — _ MAIN GROUND SYSTEM GROUND PLUMBING 7 PRE-GUNI-M _ DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED CONCRETE SLAB 3 JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST / HEATING & VENT - A/C FIREPLACE ROOF7C— BOND BEAM O.K. TO WRAP GROUT ❑ 4' ❑ 8' FRAMING INSULATION G PRE -ROOF COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED POOL FENCE & GATE SFWFR .RFPTIr. TANK FINALS ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING-' 4!88