9603-0030 (SFD) IIIIIIIIffiIIIIIl 39 QUM&
IE 44
P.O.BOX 1504 No. 15679
Address 79-085 Arbola Circle LA QUINTA,CALIFORNIA 92253
Owner Snellenberger & Associates
BUILDING: TYPE CONST. VN OCC.GRP. R-3
Mailin
Address 41-865 Boardwalk.. Ste. 212 604--271-006
A.P.Number
CityZip Tel. Tot 75 Tract 23913 Phase I
Palm Desert, A 9.2211 X619)77?-7768 Legal Description
Contractor Project Description SFD plan 1
Same
Address Qu riIltt'rr8
City Zip Tela
State Lic. City
&Classif. B 468234 Lic.# Z858 Sq.Ft. No: No. Dw.
Arch.,Engr., Size 1968 Stories Units
Designer Charles D. Garland New ❑ Add ❑ Alter❑ Repair❑ Demolition ❑
AdlC rc As 63 Cathedral Cyn #fir. T1'619)770-7025
Cit Zip State
G�etthed,7ra1 Cit , CA 92234 Lic.#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am'if ensg�d under,'provisions,d rChapter 9(commencing with Section
7000)of Divisio of the,,Bus' s and,'.Prbfesslons^Code,and my license is in fullllGforce,and,.t a141
effect. f r�+.__�A�,.•�. .�.-ate
SIGNATOR .+r° • -DATE
OWNERBUI thetFt
Estimated Valuation $118 2
I�g eby affirm that 1 am exempt fr the Contractor's License Law for the following j $;9.00
rea�Ori" (Sec. 7031.5,Bustness 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 Ole a signed statement that he is licensed pursuant to PERMIT AMOUNT
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 plan Chk. De
for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit p
subjects the applicant to a civil penalty of not more than rive hundred dollars($500).
0 I,as owner of the property,or my employees with wages as their sole compensation,will Plan Chk. Bal. 595.43
do the work,and the structure .is not intended or offered for sale.(Sec. 7044,Buisness and Const706.00
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, Mech. '68 5Q
provided that such improvements are not intended or offered for safe. If, however, the building
or improvement is sold within one year of completion, the owner-builder will have the burden Electrical 144.04
of proving that he did not build or knprove for the purpose of sale.)
O I,as owner of the property,am exclusively contracting with licensed contractors to con- Plumbing 150.00
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 S.M.I. 11.83
such projects with a contractor(s)licensed pursuant to the Contractor's License Law.)
Grading 20.00
❑ I am exempt under Sec. B.8 P.C.for this reason
Driveway Enc. .00
Date Owner Infrastructure 2,661.51
Arts in Public' Places 28.22
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
❑Copy is filed with the city. O Certified copy is hereby fumished. TOTAL 4,385.53
CERTIFICATE OF EXEMPTION FROM REMARKS
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: If, after making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear`Prop. Line
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND Side Street Setback:from Center Line
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 1i
HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION, Side Setback from.Property Line
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND v 1
ATTORNEY'S FEES.
This is a building permit when properly filled out;signed and validated,and is subject to FINAL DATE /INSPECTOR b
expiration if work thereunder is suspended for 180 days. ' V C) n r
I certify that I have read this application and state that the above information is correct. Issued by: Date =Permit
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-. \ J
mentioned property for inspection purposes. Validated by:
Signature of applicant -Date-
Mailing
ate Mailing Address Validation:
City, State, ZIp \\ It
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES
IST FL. SQ.FT.® $ UNITS
2ND FL. SQ.FT.
YARD SPKLR SYSTEM
POR. SO.FT.®' MOBILEHOME SVC. BAR SINK
GAR. SQ.FT.® POWER OUTLET ROOF DRAINS
CAR P. SQ.FT.® DRAINAGE PIPING
WALL SQ.FT.
DRINKING FOUNTAIN
SO.FT.® URINAL
ESTIMATED CONSTRUCTION VALUATION is WATER PIPING
NOTE:Not to be used as property tax valuation FLOOR DRAIN
MECHANICAL FEES WATER SOFTENER
VENT SYSTEM FAN EVAP.0OOL HOOD SIGN WASHER(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,TEMIPERM LAVATORY
HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER
BOILER B.T.U. SQ.FT.a c BATH TUB
SQ.FT.®c WATER HEATER
MAX.HEATER OUTPUT,B.T.U. SQ.FT.RESID®1'A c SEWAGE DISPOSAL
SQ.FT.GAR®3Ac ]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 GOND. SOLAR
SETBACK GROUND PLUMBING UNDERGROUND A.C.UNIT COLL.AREA
SLAB GRADE ROUGH PLUMB. BONDING HEATING(ROUGH) STORAGE TANK
FORMS SEWER OR SEPTIC TAJK ROUGH WIRING DUCT WORK ROCK STORAGE
i
FOUND.REINF. GAS(ROUGH) METER LOOP HEATING(FINAL) OTHER APPJEOUIP.
REINF.STEEL GAS(FINAL) TEMP.POLE
GROUT WATER HEA E SERVICE ;FINAL INSP.
BOND BEAM WATER SYSTEM
.GRADING ,
LUMBER GR. ^ FINAL INSP/ l cu.yd.
FRAMING /
D/ 7 FINAL INSP. $ plus x$ =$
ROOFING / REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
l
SPARK ARRESTOR
GAR. FIREWALL
LATHING " O��'�
MESH J
INSULATION/SOUND / /6
FINISH GRADING !!!
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL