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13459 (SFD)Building Address Owner P.O. BOX 1504 48-633 Paseo Tarazo 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Roger Sne23enberger & Associates Mailin Address 55-695 Pebble Beach City Zip Tel. La Quints, CA 92253 (629)777-7767 Contractor SW Ie Address Zip State Ljc.B 488234 (City .1858 & Classif. Lic. # Arch., Engr., Carlos Elias a Engineer Designer g Ab15 Charlesworth Dr. TtI61.911328-7272 Cjt Zip State Uathedral. Citi 92234 ILic.# 2866 LICENSED CONTRACTOR'S DECLARATION I hereby affign that 1•arri licensed under provisions of Chapter 9 (commencing wit ,Section 7000) of Divisio'p 3'o['the Busihess nd Professions Code, and my license is in ful office and effect. d ( !.!` LL �./ SIGNATURE— ,c 1 / i 'fDATE 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, 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 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). ❑ 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. 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.) O 1, asowner 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 i1 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 Ihereby 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 No. 13459 UILDING: TYPE CONST. VN OCC. GRP. "S' R3 .P. Number 646-082-, egal Description Lot 43 Tract 20052-4 roiect Description SFD Plan 3 Laguna De La Paz Sq. Ft. 2850 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 1 Estimated Valuation $107s272.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal.J�f6.15 Const. 667.50 Mech. 6 �i Electrical 137.04 Plumbing 150.00 .S.M.I. 20.80 Grading 20.00 Driveway Enc. .Ori Infrastructure 2369.34 arts In F=1 1c Places 25.00 TOTAL -,1 U 4. 3 4 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear.Setback,from, Rear.Prop.. Line Side'Str'eet Setback fromlCenterLine Side Setback from- Property LineU FINAL DATE— Issued AA n V le E Issued by: _©ate Permit Validated by: By-- Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES ' 1ST FL. SQ. FT. ® $ 2ND FL. SO. FT. POR. SQ. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SO 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM I 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 FINAL INSP. SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL REMARKS: SQ.FT.GAR ® 3/ac HOUSE SEWER VENTILATION 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 1�7 TEMP. POLE GROUT WATER HE TE SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus -x$_=$ LUMBER GR. FINAL INSP. FRAMING INSP. ROOFING�04 FFI!NAL I1,% ee YYY REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING / 9 MESH INSULATION/SOUND / FINISH GRADING FINAL INSPECTION Q CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 1 4 6Z MZ� �tN. of, a (0111*11ta Thi s* 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 487633 Paseo Tarazo use Classification Single Family Dwelling Bldg. Permit No. 13459 �N Group R3 Type Construction Fire Zone Use Zone SR Owner of Building Snelienberger-&- Associat-eAddress 55-6 c; Pi-hh I P_ gpa r -h City* La Quinta, -CA 92253 Bruce Pelletier By: December 21, 1994 77-��Dot 'Building 6ffiyfol POST IN A CONSVICUOUS PLACE