15681 (SFD) I IIIIIII VIII III VIII IIID 41c&tivl 4
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P.O.BOX 1504 No. 15681
Building79,,,,090 Arbola Circle LA QUINTA,CALIFORNIA A 902253
Address ,
Owner Snellenberger & Associates
BUILDING: TYPE CONST. VN OCC.GRP. R-3
Mailing
•• Address 41-86_5 Boardwalk, Ste. 212 b04•-271-004
A.P.Number
City Zip Tel. Lot 73 Tract 23923 Phase I
Palm Desert, FA 92211 (639) 777-•7768 Legal Description
ContractorSFD Plan 3
Same Project Description
Address Quinterra
City Zip Tela
State Lic. City
&Classif. B 483234 Lic.# 1858 _ Sq.Ft. No. No. Dw.
Arch., Engr., Size 2359 Stories Units
Designer Charles D. Garland New ❑ Add ❑ Alter❑ Repair❑ Demolition ❑
AdIsesrsx63 Cathedral Cyn Dr. T1619)770--7025
"L'a.thedral City, CA 9223 Lict#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
7000)of Divvi'slorf Of the Business-find Professions Code,�and my license is in full force and,
effect.
SIGNATURE'_ .w-+'•""!a'� DATE
OWNEWBUIL&R DECLARATION ,i
, 55 aby affirm that I am exempt from the Contractors License Law for the following Estimated Valuation $140,,`51.00
reasq (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
peNit to construct, atter, 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 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 Nat.he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by•any applicant for a permit Plan Chk. Dep. 250.00
subjects the applicant to a civil penalty of not more than rive hundred dollars(5500). 6 5�.93
❑1,as owner of the property,or my employees with wages as their sole compensation,will Plan Chk,Bal. 3
do the work,and the structure is not intended or offered for sale.(Sec. 7044,Buisness and Const. 783.00
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. 68.50
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 Electrical 152.81
of proving that he did not build or improve for the purpose of sale.) 1 t
❑ I,as owner of the property,am exclusively contracting with licensed contractors to con- Plumbing 174 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.
such projects with a contractor(s)(caned pursuant to the Contractor's License Law.)
Grading 20.00
❑1 am exempt under Sec B.&P.C.for this reason
Driveway Enc. .00
Date Owner Infrastructure 3,140.98
Arts in Publid Places 100.63
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.(Sac,3800,Labor Code.)
Policy No. Company !/Z-
❑Copy Is filed with the city. ❑Certified copy is herebyfumished.
r` TOTAL 5,113.88
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS'COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars (S100) 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: ff, alter making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances:
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
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 ' 'J
ATTORNEY'S FEES.
FINAL DATE ^ INSPECTOR
This is a'buildin
g permit when properly filled out,signed and validated,and is subject to 1,(� y '3
expiration if work thereunder is suspended for 160 days.
I certify that I have read this application and state that the above information is correct. Issued by: Dafen. Permit A
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
ateMailing Address Validation:
City, State, Zip
- .R
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES
1ST FL. SO.FT.® $ UNITS
2ND FL. SO.FT.0 YARD SPKLR SYSTEM
POR. SO.FT.@ MOBILEHOME SVC. BAR SINK
GAR. SO.FT.® POWER OUTLET ROOF DRAINS
CAR P. SO.FT.@ DRAINAGE PIPING
WALL SO.FT.® DRINKING FOUNTAIN
SO FT ® URINAL
ESTIMATED CONSTRUCTION VALUATION $ 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,TEMIPERM 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
SO.FT.GAR® 3/4c HOUSE SEWER
GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FEE
DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEECONST.FEE ELECT.FEE SMI FEE PLUMB.FEE
STRUCTURE PLUMBING ELECTRICAL HEATING&AIR COND. SOLAR .
SETBACK GROUND I UNDERGROUND A.C.UNIT COLL,AREA
SLAB GRADE f) ROUGH P B. BONDING HEATING(ROUGH) STORAGE TANK
FORMS SEWER OR SEPTIC TAN OUGH 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 ,
LUMBER GR. FINAL INSP. cu.yd.
FRAMING FINAL INSP. $ plus x$ =$
ROOFING O REMARKS:
VENTILATION
FIRE ZONE ROOFING I fly
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL h
LATHING Jr fill ?'j
MESH I
INSULATION/SOUND 7-3 J
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESItNITIALS
GARDEN WALL FINAL