13503 (SATT)P.O. BOX 1504 No. 13503
Building 78-105 CALLE ESTADO
Address 40'-618 Paseo it$Y'F$,`to LA QUINTA, CALIFORNIA 92253
Owner Roger Sne,lienberger a Associates
i?' R3
Mailin
Address 55-635 Pahble Beach
City Zip Tel.
La Qu.inta, CA 92253 (519) 777-776
Contractor
Same
Address
Zip
State Lic. B 488234 (City 1858
& Classif. Lic. #
D sli ergr Carlos Slias --Engineer
9
Ad 1025 Charlesworth Dr. ITe(619) 328-r7.7
Cit&athe�al CiZ1p State
l: �;r CA 9223 Lia #, 6839
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm th!��ons
rovisions of Chapter 9 (commencing with Section
7000) of Division 3 fessions Code, and my license is inGfull f fce and
effect. ../ 11_11A,/
SIGNATURE 01 ! DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I 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 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 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.)
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
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 thg 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 -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING: TYPE CONST. n OCC: GRP.
A.P. Number 646--082-032
Legal Description Lot 5E Tract 20052-4
Project Description SFB Plan 5
Laguna De La .Paz
Sq. Ft. 2001 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation W5031.20
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
585.92
Const.
695.50
Mech.
62.00
Electrical
142.52
Plumbing
150.00
S.M.I.
11.68
Grading
20.00 '
Driveway Enc.
0a.
Infrastructure
2r452.58
Arts in Public Places
38.32
TOTAL
4,158.44
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop3lLine
Side Street Setback from Center Line
Side Setback from Property Line.
FINAL DATE
Issued by: Uatc
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
FOR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. - SQ. FT.
WALL SQ. FT. ®
SQ. FT.®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
BONDING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
SEWER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROCK STORAGE
LAUNDRYTRAY
AIR HANDLING UNIT CFM
GAS (ROUGH
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. ®c
BATH TUB
FINAL INSP.
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 14/4 c
SEWAGE DISPOSAL
GRADING
cu. yd.
$ plus x$
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSP. 9
FRAMING 2-
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 COND. SOLAR
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 APP.IEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEAT E
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. 9
FRAMING 2-
FINAL INSP.
ROOFING -6 1
II /
n
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL q _
LATHING
MESH
INSULATION/SOUNDOP
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
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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 48-610 Paseo Tarazo
Use Clossiticotion Single Family Dwelling Bldg. Permit No. 13503
!! Group R3 Type Construction VNR1Zone - Use Zone R1
owner of..BuildingRoger Snellenberger & Asso Address 55-695 Pebble Beach
iLa uinta Ca.; 92253
i' City Q By; Bruce Pelletier
May 10, 1995
Oofe • -
--Building Officio
POST IN A GON9PI000U9 PLACE
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II ..... . . . . . .
' 0V wa.
q,
�t Diltilt�i '
!,1It�11Clt� ctltclL' '� tlit 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 48-610 Paseo Tarazo
Use Clossiticotion Single Family Dwelling Bldg. Permit No. 13503
!! Group R3 Type Construction VNR1Zone - Use Zone R1
owner of..BuildingRoger Snellenberger & Asso Address 55-695 Pebble Beach
iLa uinta Ca.; 92253
i' City Q By; Bruce Pelletier
May 10, 1995
Oofe • -
--Building Officio
POST IN A GON9PI000U9 PLACE
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1,
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