13058 (SFD)• 4,QUW6
4
1 A' 7
P.O. BOX 1504 N o . 13058 �r
Building 78-105 CALLE ESTADO
Address 48`224 Vista De Nopal LA QUINTA, CALIFORNIA 92253
s
Own"er
Rdger-saellenberger a Associates BUILDING: TYPE CONST. OCC: GRP. -
Mail ing
Add'r'ess 48-117 Via. Hermosa A.P. Number 617-672•-015
City' '_ Zip Tel.
�,4: Quinta, CA 92253 564-5136 Legal Description' 15 Tract 20052-7
Contractor Project Description SFD pian 4
L e Trider. Corporation
Address
4$-360 Vista De Nopal.
City,Zip
Tel.'
La Qulx�ta, CA
92253
564-6136
State Lic.
City
&C i lassif. 595519
Lic. # 2866
Arch., Engr.,
Designer Earl& At3uAcntt?5
w.-
Address
Tel..
City (Zip (State
Lic. #
LICENSED-CONTRACTOR'.S DECLARATION,'
I h>ref)y,afiirm that I am licensed ynder grow sion offj hapter 9 commencing with Section
7000 of Di yi io -3`of the Busine` srnd Professions Code, and, y" icense is in full force and
effect.f^�
SIGNATURE' DATE
OWNER -BU ILDERgCLARATION
11,11" hereby affirm that I am exempt from the Contractor's License Law for the following
',_ea If (Sec., 7031.5,Susiness and Professions Code: Any city or county which requires a
. pe rt ro 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 3of 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).
O 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
�Projessions Code: The Contractor's License Law does not apply to an owner of property who
•liuflds 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.)
❑ 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.)
I
❑ 1 am exempt under Sec. B. & P.C. for this reason
I
li
Date Owner
IWORKERS' 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.)
P61 o. Company
—ZDopy 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 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.- 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
P 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. r
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.
7
Sigri'ecure of applicant Date
Mailing Address
,City, State, Zip
REMARKS rte( [,
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
t.
Validated by:
Validation:
t
Sq. Ft. 1562
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
0
Estimated Valuation
$90.1137.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
513.10
Const.
599,:00
Mech.
_
62.00
Electrical
127.2S
Plumbing
150.00
S.M.I.
9.10
Grading
20.00
Driveway Enc.
—fl-•
Infrastructure
2,028.08
TOTAL
3,5 08- 53
REMARKS rte( [,
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
t.
Validated by:
Validation:
t
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
r IST FL. SO. FT. ® $
UNITS
SLAB GRADE
n r h
BONDING
HEATING (ROUGH)
Ncs•.
2LSQ. FT.
FORMS
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. Q
POWER OUTLET
ROOF DRAINS
CAR P. SD. FT.
OTHER APPJEOUIP.
DRAINAGE PIPING
WALL SO. FT.
TEMP. POLE
DRINKING FOUNTAIN
SO. FT. ®
GROUT
URINAL
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.000L HOOD.
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
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
SPARK ARRESTOR
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LATHING
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 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
4 GARDEN WALL FINAL
r
cir�r of LA QUINTA
bEPARTMENT OF PLANNING &DEVELOPMENT
BUILDING DIVIS4-2246 ION
JU TOUR NOTICE FOR INSPECTIONS
Owner R° er Snellenbe
Contractor T-- e Trider . Cor
Permit Nu oration
POST ON JOB IN CONSPI
INSPECTOR MUST SIGN ALL A P`LIOCgg ELS ACES
JOSADDRESS 48-224 Vista De
• No al
SFD Plan 4
TYPE OF INSPECTION
FOUNDATION 8 SETBACK DATE INSP.
FOOTING STEEL _
MAIN GROUND SYSTEM L�
' GROUND PLUMBING
PRE-GUNITE
DO NOT: POUR CONCRETE UNTIL ALL ABOVE dqS ®EE SIG_NE
CONCRETE SLAB _ D
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE
RUNTIL ALL ABOVE HAS BEEN SIGNED
OUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING &VENT -A/C 6• ,y
FIREPLACE
ROOF
BOND BEAM _
O.K. TO WRAP
GROUT ❑ q
08, .. _
FRAMING
INSULATION � . : .
PRE -ROOF' l
' - COVER NO
WORK UNTIL ABOVE HAS BEEN SD
DRYWALL INTERIOR IGN
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEVER SEPTIC TANK
ELECTRICAL NNALS
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS .
.JOB COMPLETED
,TEMP POWER
ABOVE APPROVALS DO
TURN ON OT INCLUDE RIGHT p
vj a 88 UTILITIES OR OCCUPY
BUIL