13851 (SFD)44
P.O. BOX 1504
Building 44-615 BlazingStat Trail 78 105 CALLE CALIFORNIAESTAD9
Address LA QUINTA, ORNIA 92253
Roger Snellenberger a Associates
Address 55-695 Pebble Beach
CityZip Tel.
La Qui,nta, CA 92253 (619)777-7767
Contractor
Address
City lZip I Tela
State Ljc. B 488234 I icy# 1858
&Classif.
Arch., Engr.,
Designer Carlos Elias - Engineer
38525 Charlesworth Dr. {619) 328-7271
City Zip State
Cathedral. City 92234 Lic. #
LICENSEOZOONTRACTOR'S DECLARATION
I hereby affirm that I am licet sed under -provisions of Chapter 9 (commenci g with Section
7000) of Division 3 of the BSuIsiness and Professions Code, and my liiccern : is fu 11 forceand
effect.�C...�Ofr
SIGNATURE �/' - - `^'�+`^'^9' 1 DATE
OWNER -BUILDER DECLARATION %
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 file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
Division 3 or the Business and Professions Code, or that. he is exempt therefrom• and the basis
for the alleged exemption. Any violation or Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty or not more than rive hundred dollars ($500).
❑ 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 or 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. It, however, the building
orimprovement is sold within one year or completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose or 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.)
❑ 1 am exempt under Sec. B. & 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 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
WO R KERS' 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 if work thereunder is 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.
Signature of applicant Date
Mailing Address
City, State, Zip
I
No. 13851
BUILDING: TYPE CONST. YIN OCC. GRP. R3
A.P. Number 504-252-1003
Legal Description Lot 23 Tract 24208
Project Description SFD Plan 5
Cactus Flouter
Sq. Ft.
Size 1402
No. No. Dw.
Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$88.085.00
PERMIT
AMOUNT
Plan Chk.' Dep.
Plan Chk. Bal.
504.54
Const.
590.00
Mech.
62.00
Electrical
124.77
Plumbing
144.00
S.M.I.
8.83
Grading
20.00
Driveway Enc.
00
Infrastructure
1, 983.93
TOTAL
3,438.05
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
FINAI r)ATF INSPECT R/ �� I
Issued by:
Validated I
Validation.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. a $
UNITS
A.C. UNIT
l
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SQ. FT. a
ROUGH PLUMB. i
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAR. SQ. FT. a
POWER OUTLET
ROOF DRAINS
ROCK STORAGE
FOUND. REINF.
DRAINAGE PIPING
CAR P. I SQ. FT. a
GAS (ROUGH)
METER LOOP
WALL SD. FT.
OTHER APPIEOUIP.
DRINKING FOUNTAIN
SQ. FT. a
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation ---
FLOOR DRAIN
MECHANICAL FEES
SERVICE
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
_$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FRAMING
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. a c
BATH TUB
FIRE ZONE ROOFING
SO. FT. a c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID a 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR a 3/ac
HOUSE SEWER
GAR. FIREWALL
GAS PIPING
PERMIT FEE
LATHING f
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING A ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. i
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SFeP"19-14NK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPIEOUIP.
REINF. STEEL
GAS (FINAL)/ 'Z.� 9
TEMP. POLE
GROUT
WATER HEATE
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP/
GRADING
CU. yd.
$ plus x$
_$
LUMBER GR.
FRAMING
FINAL INSP.
ROOFING /�
v v 9
I �
O 9 L// !/7
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING f
MESH
INSULATION 1(2-7
-7 I
FINISH GRADING i
FINAL INSPECTION ZI
CERT. OCC.
FENCE FINAL
INSPECTOR'S
SIGNATURESIINITIALS
GARDEN WALL FINAL
•44k
of IlttI�urnta
1111flbin� �lllb ��1fPt�J ID Ib[,!5[Dlt
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 44-615 Blazing Star Trail
Use Classification Single -Family 'Dwelling Bldg. Permit No: 13851
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building Snellenberger & Associate dress 55-695 Pebble Beach
City La Quinta; CA 92253
By; Bruce Pelletier
Dote: December 21, 1994
Building Official
POST IN A CONSPICUOUS PLACE