12845 (SFD)P.O. BOX 1504
Building 44-585 Saffron Court 78-105 CALLE ESTADO
Arirlracc LA QUINTA, CALIFORNIA 92253
Owner
Roger. Sne2lleubcrger S Associates
Mailing
Address, 55-695 Pebble Beach
City Zip Tel.
%a Quina, CA 1 92253 1(
Contractor
Sam
City lZip I Tel.'
State Ljc. 40234 I Lio #
& Classif.
Arch., Engr.,
Designer Carlos Elias " Engineer
3d e 5 Charlesworth Dr. (61911328-7271
City Zip State
Cathedral Ci.ity, CA 92234 Lic. #
L°ICENSED CONTRACTOR'S DECLARATION
the reb Raf. rm tha I am licensed under provisions of Chapter 9 (commencir)g with Section
7000) of {vision 3 0l the -Business and Professions Code, and my license's 'n full ore and
effect. _ 1 i I
SLGNA7URE _I 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) 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 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 contractors) licensed pursuant to the Contractor's License Law.)
O I am exempt under Sec. B. & P.C. for this reason
Date Owner
11 WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificatetof" onsent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certifi opy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
O Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This sectiod rieed not be completed it the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT., It, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days. 7
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No.
11LDING: TYPE CONST. OCC: GRP.
P. Number 604-252-027
12845
,Legal Description Lot 47 Tract 2420$
Project Description SFD Plan 3
Cactus Plower
Sq. Ft. 1805 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$107 r 442 . Bio`-
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
312.31.
Const.
66.7.50
Mech.
55.50
Electrical
140.66
Plumbing
144.00
.S.M.I.
10 4. .
Grading
20.00
Driveway Enc.
Infrastructure
2,416.'57
.Arts in Public Places 25.00
TOTAL
4,042.28 3.79.2.28
REMARKS
its � f '1l
ZONE: BY: ' 41 t
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
FINAL DATE INSPECTOR
Issued by: Date ` : hermit
Validated by:
Validation:
k
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
2ND FL. SO. FT.
FOR. SO. FT. ®
GAR. SO. FT. ®
CAR P. I 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, TEM/PERM
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 ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
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 2 y
GROUND PLUMBING IS ROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER QB.GEPFMCrfRiQK� ` �!' IRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF. f T
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
,
1 !
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING S
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION -7hpff
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
I
Xtt
�i
a Wuinta it
-
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
I�
p g yCode certifinthat at the time of issuance this structure was in compliance with the various
l
ordinances of the City regulating building construction or use. For the following:
l l
f
BUILDING ADDRESS 44-585 Saffron Court
1,
'
Use Classification Single Family Dwelling Bldg. Permit No. 128 5
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building Snellenberger & Associate Address 55-695 Pebble Beach
City La Quinta, CA 92253
- By; Bruce Pelletier
i
Date; ,�19A4,�19A4
Building Official
POST IN A CONSTICUOUS PLACE