13850 (SFD)4 4Q.2WA
P.O. BOX 1504 No. 13850
Building 44-585 Blazing Star Trail5 C
Address LA QUINCALIFORNIA 92253
Owner
Roger Snellenberge ' & Assoclates VN R3
Mailing BUILDING: TYPE CONST. OCC. GRP.
Address 55-695 Pebble Reach A.P. Number 604-252.004
CityZip Tel.
`
La Quinta, CA 92253 (619} 777--7767 Legal Description Lot 24 Tract 242{35 .
Contractor Project Description S?d Plan 8
Same Cactus Flower
Ae4fi e
ty . jZip
State uc. Lrty
& Classif. $ 458234 Lic. # 1858
Arch., Engr., - ~
Designer Carlos Elias Engineer s
Address Tel.
38825 Charlesworth Ar.. (619)3281-72,71..
CityZip State
Cathedral Cit 92234,'. Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby aftffm that I6m licensed under provisions of Chapter 9 (commencing,w th Section
7000) of DivisiorO of the Buginess and` rofessions Code, and my license isrnff� force and
effect. /1 i �Jf {
�:/. ! f
SIGNATORE ~� f c�. DATE
OWNER -BUILDER DECLARATION % I
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, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile 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). .
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
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 lmprovement 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.)
O 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 contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
i
Dale Owner
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. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
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
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 it work thereunderAs 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 property for inspection purposes.
Signatuie-of-applicant Date
Mailing Address
City, State, Zip
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-
�
/6 1
FINAL DATE INSPECTOR
Issued by: Date PerMI/i
Validated by: �Pt�l t Q
r A
Validation:
Sq. Ft. 225
Size
No. No. Dw.
Stories Units
.New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$122,345.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bala
604. 31
Const.
•
Mech.
49.00
Electrical
14 7 • 0
Plumbing
10A UU
.S.M.I.
• d
Grading
CU • U
Driveway Enc.
• u
Infrastructure
2,752. / V
Au 't s 't.i
ail'iab 7.-.k. 0 tt
TOTAL
J4.>•1y
REMARKS
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-
�
/6 1
FINAL DATE INSPECTOR
Issued by: Date PerMI/i
Validated by: �Pt�l t Q
r A
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
FORMS
SEWER
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH) 1
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SQ. FT.
GROUT
WATER HEATER t
WALL SO. FT. ®
FINAL INSP.
DRINKING FOUNTAIN
BOND BEAM
WATER SYSTEM
URINAL
SO FT ®
_$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FRAMING �L / �/
WATER PIPING
NOTE: Not to be used as property tax valuation
A
FLOOR DRAIN
MECHANICAL FEES
REMARKS:
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL 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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
MESH
INSULATION/SOUND
FINISH GRADING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/e c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSPECTION
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 I n 9LECTRICAL HEATING & AIR COND. SOLAR
(Tr
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) 1
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER t
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
CU. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING �L / �/
FINAL I P.
R0
ROOFING / Q
A
REMARKS:
VENTILATIONI
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
c
LATHING /b 3/ / y
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
; M7r
idull�iu�iel Iuu �� ia'Iiff11111 ii•
( 57- _
0F
�tt r 11 ? a �lttlt�ct
!Nllilbt*'11� tilt �,afv i�It. i111t
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 44-585 Blazing Star Trail
r Single Family Dwelling 13850
Use Classification Bldg. Permit No.
Group R3 Type Construction STN Fre Zone Use Zone SR
Owner of Building Snellenberger & Associate!lddress 55-695 Pebble Beach
City La Quinta, CA 92253
By; Bruce Pelletier
l-,iy^
Date;
December 23, 1994
(T _ &�t�
Building Official
D09T IM A CONS}ICUOU! PLACE