14433 (SATT)4
P.O. BOX 1504 No. 14433
Building 48,.,.638 Paseo 111aa azo78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner Roger Snellenberger a Associates
BUILDING: TYPE CONST. V13 OCC. GRP. R3 •
y
Address 55-695 Pebble Beach
Addre"
.City 7tii Tel. y '
La Quinta, L 9'.225 f6I.9p';i7-.7
Co
g
Address •
State. $ 455.234
8 Classitsif.
Arch., Engr., Carlos Elias ••
' 'Designer .
A?1j OS Charlesworth Dr:
Li C. # 1858
A19) 328-7211
-l-ta l2eEi 32. Cf t r'PCF�. 92234 Istate
Llc. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmhat,'l aq(licensed under provislons of Chapter 9 (commencing with Seofion
7000) of Divisio 8'of th Busin Sand Prroofessions Code, and m license 's ' fu fo� p' nd
effect. t � {'w��K--�' y �i A P
SIGNATURE Jr DATE
OWNEWBUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and: Professions Coder 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).
❑ 1, 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 suchimprovements 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.) • .
b I, 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) (rcensed 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 mpensation Insurance, or a certified copy thereof. (Sec: 3800, Labor Code.)
Polic 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 ff the permit is for one hundred dollars ($100) valuation
of 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: ff, after making this Certificate dr Exemption you should become
subject )o 'the Workers' Compensation. provisions or the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), .IN ADDITION TO T.HE.COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN 'SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES. '
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 1 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
646--082--€ 39
A.P. Number "
%d 65 Tract 2085.2--4
6iZal Description
Project Description
Lagnra De .Iia Paz-
Sq.
az
Sq. Ft. No. No. Dw.
Size .. 2001 - Stories " - Units
New ❑ Add. ❑ Alter ❑.:. Repair Demolition ❑
Estimated Valuation 13 33.1 . 21
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
585.32
Const..
635.56•
Mech.
692.: € ()
Electrical : ;
142.52
Plumbing
-.156,60
S.M.I.
11.150 It,
Grading
. ,20.00
Driveway Enc.
.00
Infrastructure
2,452z58 ;
krr is 2.n- 14iblid, Places
38.32
TOTAL '.
4,158.44
REMARKS
ZONE: BY:
Minimum Setback Distances. .
Front Setback from Center Line
Rear Setback from Reair) op. Line
} Side Street Setback'm Cent Line"
Side Setback from,Bropertyll ine�
FINAL DATE r INSPC�4p�R
"Issued by: � Date cc.•'j
Validated by:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT. p
POR. SO, FT, ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. 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
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM.
HEATING (FINAL)
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.
SO. FT. ® c
BATH TUB
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 V. c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® 3/ec
HOUSE SEWER
FIRE ZONE ROOFING
FIREPLACE
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 PLUMBI
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
FINAL INSP.
0
( Z
i
4,11
FINAL INSP. �j
GRADING
cu. yd.
$ -plus-x$_
REMARKS:
_$
LUMBER GR.
FRAMING
ROOFING a(�kqjpv.(?
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING S/
MESH
INSULATIONISOUND_d7f If
FINISH GRADING
FINAL INSPECTIO
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL