13985 (SFD)P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 79-705 Star Flower Trail. LA QUINTA, CALIFORNIA 92253
Owner r,
Address 55-£95 Pebble Beach
CityTel.
rp92253
La Quinta 977-7767
same
ress ..
Zip
State Lic. City
& Classif. g , 488234 Lic. # 1858
-Arch:, Engr.,' - - - -
Designer CArlos Elias -Engineer
Addre18825 Charles—wor Dr Tel. 328-7271
City Zip State
Cathedrai' City 92234 Lic. #
. LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that l am•licWKsed under provisions of Chapter 9 (commencing with Section
7000) of Divisioh'3 of the Businessland Professions Code, and my license is in full force and
effect. �. i � 30'r?iV
SIGNATURE .�_ - I ! DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Seca 7031.5,Susiness 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) or
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
or 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 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
0 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
or less.)
I certify that in the performance of lhp 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
ateMailing Address
City, State, Zip
No. 13985
(BUILDING: TYPE CONST: OCC. GRP.
A.P. Number 604-251'015
,Legal Description Lot 15 Tract 24208
Project Description SFD Plan 1442 Cactus .dower
Sq. Ft. 1482 No.
Size Stories
No. Dw.
Units
New ❑� Add ❑ Alter ❑
Repair ❑ Demolition ❑ ^y
•i..
Estimated Valuation
S8S 0$15.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
504.54
Const.
590.00
Mech.
62.00
Electrical
124.77
Plumbing
144.00
.S.M.I.
8.81
Grading
2o.00
Driveway Enc.
Infrastructure
1983,93
TOTAL
REMARKS
r"1 A\ r
U
IAUU 1 1994 111)
ZON E: BY: J
Minimum Setback Distances: _)V
Front Setback from Center Line-
Rear
ine Rear Setback from Rear Prop. Line
Aft;
Side Street Setback from Center Line r
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. g $
UNITS
COLL. AREA
SLAB GRADE((
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
HEATING (ROUGH)
STORAGE TANK
FORMS 1p
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
DRAINAGE PIPING
CAR P. SO. FT. @
GROUT
DRINKING FOUNTAIN.
WALL SQ. FT. •9
FINAL INSP.
BOND BEAM
URINAL
SQ FT:0
GRADING
cu. yd.
$ -Plus-X$-=$
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP. /6 `
WATER PIPING
NOTE: Not to be used as property tax valuation
ROOFING $�
VENTILATION
FLOOR DRAIN
MECHANICAL FEES
!/ /(J S�
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.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 A E CTRICAL HEATING R AIR COND. SOLAR
SETBACK
GROUND PLUMBING 'A
7UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE((
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS 1p
SEWER OR SEPTIC TAN
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
ER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) 4 11
V/TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-X$-=$
LUMBER GR.
FINAL INSP. /6 `
FRAMING /
FINAL INSP.
ROOFING $�
VENTILATION
Q (��I'
l/
Z I/J
aL
!/ /(J S�
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LAIN /7,7
MESH
INSULATION/SOUND 1/
FINISH GRADING
/+
FINAL INSPECTION 7
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESrINIT1ALS
GARDEN WALL FINAL
i o yW
(�A.
• — >Ilk'
�
�t f oa WI11n cl
I Ii
This Certificate issued pursuant to the requirements of Section 306 of the • Uniform Building 1 ,
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: i SII
_ • III
BUILDING ADDRESS 79-705 Star Flower Trail
use Classification. VSingle Family Dwelling Bldg. Permit No. 3?9g�
I.
i
Group R3 Type. Construction N Fre Zone Use Zone SR
Snellenberger &•Associate55-695 Pebble Beach'
Owner of Building Address"
La Quinta, CA 92253
City
:1. City B Bruce Pelletier
is y`
�I
Dote: December 19, 1994. Il
_ Building Offioiel POST IN A CON81PI000US PLACE
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