14318 (SFD)Sep
P.O. BOX 1504 N b . 14 318
Building 44,,,,61Q n l � fw 4 st ns .1 78-495 CALLE TAMPICO "
Address g %&J.Z4'31LA QUINTA, CALIFORNIA 92253
Owner Roger Sne2l.enberger 4 Associates VN
Mailing BUILDING: TYPE CONST. OCC. GRP..
Address 55®695 Pebble Beach 604-251-012
A.P. Number
City Zip _r(6
el.
i.ra. Quintant 92253 It &I9y77`7-776'
Contractor
Sane
Address -
Zip j Tel.:
State Lic. City
& Classif. 8"488234 Lic. # 1853
Arch:, Engr.;" Carlos Elias -. Ery ineeir
Designer �
AddM25 Charlesworth Dr. Tel 1619) 340--727
'"CatheCdral• Cilp N1
"" CA 9223pie# -
LICENSED CONTRACTOR'S DECLARATION
4hereby affirm that I ampl ceni� sed undunder-provisions of Chapter 9 (commending wilh�Seection
000) of Division 3'df'the'Business and'Plofessions Code, and my licepse's in full orce and
• 'effect. %2 moi-
SIGNATURE s'--cvrar___�•'�
OWNER -BUILDER DECLARATION .
I hereby affirm that 1 am exempt from the Contractors 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 Ole 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 penahy 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 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.) - -
O 1 am exempt under Sec. B: S P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION.
I,hereby affirm that I have a certificate of consent to.self•insure, or a certificate of
Worker's ,.fnpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy o. 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 thq work for which this permit is issued, 1 shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
R3
Lot 12 Tract 24200
Legal Description '
Project Description SFA. Plan ._j5
. Cactus . Plower 11.
NOTICE TO APPLICANT: O, after making this 'Certificate. of Exemption you should become
ZONE:
' BY:
subject to the Workers' Compensation provisions of. the Labor Code, you must forthwith
Sq. Ft.No.
Size • 1402
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Front Setback from Center Line
'
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE .WORKERS'COMPENSATIONCOVERAGE 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
Side Setback.from Property Line.
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
Estimated Valuation
s8$ y i08S 0- 08
ATTORNEY'S FEES.
'
I,
PERMIT
/
INSPECTOR 1 ,
AMOUNT
Plan Chk. Dep.
expiration it work thereunder is suspended for 180 days.'
I certify that I have read this application and state that the above information is correct.
1 agree to comply with all city and county ordinances and state laws relating to building.
Plan Chk. Bal.
/
Date Pegnit
504.54
Const.
590..00
Mech.
62.00
Electrical
324.77
Plumbing a
144.00
S.M.I.
..
8.81
Grading
20.00
Driveway Enc.
.00
Infrastructure
1,983.93
TOTAL
3,433.05
REMARKS
t .
Date Owner
NOTICE TO APPLICANT: O, after making this 'Certificate. of Exemption you should become
ZONE:
' BY:
subject to the Workers' Compensation provisions of. the Labor Code, you must forthwith
Distances: '
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback
Front Setback from Center Line
'
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE .WORKERS'COMPENSATIONCOVERAGE 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
ATTORNEY'S FEES.
'
DATE
/
INSPECTOR 1 ,
This is a building permit when properly filled out, signed and validated, and is subject to
..FINAL
expiration it work thereunder is suspended for 180 days.'
I certify that I have read this application and state that the above information is correct.
1 agree to comply with all city and county ordinances and state laws relating to building.
Issued by:
/
Date Pegnit
construction, and hereby authorize representatives of this city to enter the above-.. ,I✓
mentioned property for inspection purposes.
Validated by:
Signature of applicant Date -
',
Mailing Address
Validation:
�- City, State, ZIP
..
- CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
UNITS
'*
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SO. FT.
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
SEWER
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
DRAINAGE PIPING
CAR P. SO. FT.
LOOP
HEATING (FINAL)
WALL SO. FT. ®
REINF. STEEL
DRINKING FOUNTAIN
SO. FT. ®
GAS (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP. I
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LUMBER GR.
LAUNDRYTRAY
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 ® 1114 c
SEWAGE DISPOSAL
SPARK ARRESTOR
SO.FT.GAR ® 34c
HOUSE SEWER
GAR. FIREWALL
LAWWI
MESH
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 PLUMBINGF�1:fr:TRICAL HEATING & AIR COND. SOLAR
—rte i� 11 �, A
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(METER
LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FIN/AL INSP.
FINAL INSP. I
GRADING
J CU. yd.
$ plus x$
=$
LUMBER GR.
FRAMING
ROOFING
®� G
Zj
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LAWWI
MESH
INSULATION/SOUND dol
FINISH GRADING
FINAL INSPECTION 1
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
min
�� %Zlytrt
of
OrrTI-1.
ug
TiN of IlttI�uinta
llillflbin� 'allb �safvt�r 34ilitkiion
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 44-610 Blazing Star Trail
Use Classification Single Family Dwelling Bldg. Permit No. 14318
Group R3 Type Construction VN Fre Zone Use Zone SR
Owner of Building
Snellenberger & As:;ociates Address 55_-695 Pebble Beach
City La Quinta, CA 92253 Bruce Pelletier
By:
Dote; March 7, 1995
Building Official
P09T IN A CONSPICUOUS PLACE