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14027 (SFD)4 P.O. BOX 1504 1 Building 78-105 CALLE ESTADO 7x Address -615 Star Flower Frail LA QUINTA, CALIFORNIA 92253 Snellenberger & Associates Address 55695 Pebble Beach City Zip Tel. La Quinta, CA 92253 1619)777-7767 Contractor Same Address Zip State Lic. City & Classif. B 488234 Lic. # lase ArchDesigner Carlos Elias — Engineer A`Wss charlesworth Dr. Tbei9y 328-72.71 Cathedral Citli a CA 9223ip 41 Lic.# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am,licensed under provisions of Chapter 9 (commencing with'Section 7000) of Division,3 of the"Businessand Professions Code, and my license is in fu t'force and ffect. ,( SIGNATURE 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.) O 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 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 Cofipensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Pot iW 1t�. 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 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., 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 No. 14027 BUILDING: TYPE CONST. VN OCC. GRP.. A.P. Number 604-253-002 ,Legal Description Lot 64 Tract 24208 Project Description SFD Plan 6 Cactus Flower Sq. Ft. 1C84 No. No. Dw. Size Stories Units N-ew ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $102,613.00 PERMIT AMOUNT Plan Chk. Dep Plan Chk. Bal. Const. Mech. Electrical Plumbing .S.M.I. Grading Driveway Enc. Infralstructure "' _ V _ V "y Arts In F l .c Places 20.00 TOTAL 3,V90.61 REMARKS P\ V v. ZONE: BY: Minimum Setback Distances: k Front Setback from Center Line Rear Setback from R' ar Prop. Line Side Street Setba from Center Line Side Setback fro Property Line FINAL DATE Issued by: Date Validated by: Validation: I 11 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. p $ UNITS 4. SLAB GRADE YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT: ® DUCT WORK ROCK STORAGE GAR. SQ. FT. POWER OUTLET ROOF DRAINS METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. SO. FT. ® GAS (FINAL) WALL SQ. FT. DRINKING FOUNTAIN. GROUT URINAL SO FT ® FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation GRADING cu. yd. $ plus FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROOFING Q GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED lj I LAUNDRYTRAY AIR HANDLING UNIT CFM 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 SPARK ARRESTOR SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL y� LATHING �` SO.FT.GAR ® 3/ac HOUSE SEWER 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 It SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC ANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus LUMBER GR. FINAL INSP. FRAMING / FINAL INSP. ROOFING Q ��u """///�� / �w /�y� C— a OK lj I REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL y� LATHING �` MESH INSULATIONISOUND �/ 3l7 / FINISH GRADING FINAL INSPECTION ' CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL �1tt.��tlt1 ctltt� ��t�P� '� t11t�tult 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 79-615 Star Flower Trail Use Classification Single Family Dwelling Bldg. Permit No. 14027 Group R3 __ - Type Construction NTM Fre Zone Use Zone SR Owner of Building Snellenberger & Associate - Address 55-695 Pebble Beach City La .Quinta, CA 92253 By; Bruce Pelletier ' Dote: December 21., 1994 4�uiling Offici lOffici I , Y09T IN A CONS}ICUOW PLACE