14437 (SATT)P.O. BOX 1504 No. 14437
Building 48 -648 -Paseo Tarazr 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
' Owne Roger 'nelleaberger & Associates
BUILDING: TYPE CONST:
A.P. Number
Legal Description
Project Description
Laguna-• .De
' ° .00C. GRP.- • P.3
646-082-044
Vicat �� Tract � -�
SFD plan 5
La . Pax '
" Mailing 55--695 :Pebble . $each
Address
Ci�tyg uinta, GA
Zip. 9-2253
Te�• 19) � w 7767
Contractor
Sate
- Address
City'
Zip
Tel.:
State Lic.
& Classif.. B 488234
City
Lic. #18 8
Sq. Ft.
Size 200...'
No.- No. Dw.
Stories Units
Arch., Engr.,
Designer �'a los, .Elias "' Engineer
New ❑ Add' -0 . Alter ❑ ` Repair ❑ : Demolition ❑
AVITSI!5 Charlesiwort 3 Dr.
T11619) 328-7271
Ci Zip
ieathedral *it' , CA' 92234
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affi'rnj. hat hcertsed:under provisions of Chapter 9 (Commencl'ng with Section '
7000) of Division3 the Business and Professions Code, and my lijceln�se i3� fault (Dice and
effect.. �F./t
... .
SIGNATURE a. -""'."--^o_
f BATE
OWNEWBUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law -for the following
- reason: (Sec. 7031.5,Busi7ess 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
provisions o/ 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 permit
'subjects the applicant to a civil penalty of not more than rive hundred -dollars (8500).
❑ 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. (Seca- 7044, Buisness and
Professions Code: The Contractors 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 knprove for the purpose of sale.)
❑ 1, 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 cdntractor(s) [caned pursuant to the Contractor's License Law.).
• ❑ I am -exempt under Sec. B. 8 P.C: for this reason '
Estimated Valuation
1'� 9 t 331 A
/ • 2$
I -.
-' PERMIT-
- - AMOUNT
Plan Chk. Dep.
_
Plan Chk. Bal.
-
565.92
Const.,
�.o .a3,8
Mech.
62.00
Electrical r
14 5
•
Plumbing
- .• � '
S.MA.
, • 11.60
Grading
20400
Driveway Enc.
88
Date Owner
• Infrastructure
2,452.58 `
Art
li
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 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:)
PolicyhlCompany
Copy is filed with the city, 0 -Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
.(This section need not be completed it the permit is for one hundred dollars (8100) 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
Dale .Owner
NOTICE TO APPLICANT: N, after 'making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of -the Labor Code, you mustforthwith
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 THE.COST OF COMPENSATION, ,.
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF'THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES. - -
Ttiis'is a building perm)t when properly filled out, signed and validated, and is subject to
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:
I agree to comply with all city and county ordinances and state laws relating•lo building
construction, and hereby authorize representatives of this city to enter the above..
mentloned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
Q0 xAL P Places .32
TOTAL 4,158.44
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback.from Center Line -
Rear Setback from Reay �O�Line
Side Street Setback fro/ enter Line
Side Setback from Prrty Linn \
FINAL DATE �thlrP.E F3 V
Issued by:: Date�L Rerr�t" .it,
Validated by: 9
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES,.
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
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
STORAGE TANK
FLOOR DRAIN
MECHANICAL FEES
DUCT WORK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REINF. STEEL
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
WATER HEATER SERVICE
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
REMARKS:
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SO.FT.GAR ® 3Ac
HOUSE SEWER
FIREPLACE
GAS PIPING
PERMIT FEE
PERMIT FEE
I PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING I ELE�CjTRICAL HEATING & AIR COND. SOLAR
SETBACK IV
GROUND PLUMBING UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. &DING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANdjj IF ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) Ri ) METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
01 TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ —Plus—X$—=$
LUMBER GR. All
FINAL INSP. %�
FRAMING 2 r
FINAL INSP.
ROOFING
O K— 4--bh9 r�/� f ��
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND I6
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
,� � � x��� 4 a� . �. �� ext � • .. ,-
• '� OF 'fifE�
f it of 41a 1 11thita t
uta inl 1i est ti�t5t0n
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 48-648 Paseo Tarazo
Use Classification" Single Family Dwelling Bldg. Permit.W. 14437
Group R3 Type Construction VN Fre Zone Use Zone Sr
Owner�of Building �
Snellenberaer & Assoc. Address 41-865 Boardwalk #212
, ,
elly Palm. Desert;, CA 92.2611
By: Bruce Pelletier
_ March 22, . 1995
Dote:
Building Official
POST IN A CONSPICUOUS PLACE