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14025 (SFD)P.O. BOX 1504 Building 79-655 Star Plower Trail LA OUINTACCCALIFORNIA 92253 Address "w"ekoger Snellenborger & Associates Mailin Address 55--69S Pebble Beach City Zip Tel. La Qui.ntas CA 92253 (619) 777--7767 Contractor Same Address ty State Lic. City & Classif. B 488234 Lic. If i858 -Arch.; Engr:, Carlos Elias -- Engineer Designer � Ad eW25 Charlesworth Dr. � it19) 328-7271 City&thedra CitiZip ,, CA 92234,ILict# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am ligensed-under provisions of Chapter 9 (commencing witti Section 7000) of Division 31of the Business and Professions Code, and my license is in full force and effect. ✓ j J SIGNATURE -" / DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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 stricture, 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) 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 rive 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 contractor(s) licensed pursuant to the Contractor's License law.) - O 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 C.Xpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy o. Company Copy is filed with the city. O 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 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. 1 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. 14©25 BUILDING: TYPE CONST. VN OCC: GRP.. R3 A.P. Number 604-251•-020 Legal Description Lot 20 Tract 24.208 Project Description SFD Pian 8 Cactus Plower. Sq. Ft. No. No. Dw. Size 2025 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ ;tlmatea valuation $sZ i 3+,45. ji�Fi PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 634.31 Const. 720.0.0 Mech. 49.04 .' Electrical 147.03 Plumbing 162.00 .S.M.I. 12.23 Grading 20.00 Driveway Enc. ..fl0 Infrastructure 2t752.76 A-te, in Publlc Places 55.86 TOTAL 23.19 REMARKS ZONE: BY: Y t t Minimum Setback Distances: x 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:. Validated t Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. ` BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS SEWER OR SEPTIC TiA 3 ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SQ. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM INSP. DRINKING FOUNTAIN. WALL SQ. FT. LUMBER GR. FRAMING �3 f FINAL ROOFING/yfil URINAL SQ. FT. REMARKS: ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL FENCE FINAL SQ.FT.GAR ® 3/ac HOUSE SEWER INSPECTOR'S SIGNATURES/INITIALS GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES T77EE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE a PLUMBING 0 ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. ` BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TiA 3 ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. V GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) j TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM INSP. FINAL INSP. GRADING /cu. yd. g -plus-x$_=$ LUMBER GR. FRAMING �3 f FINAL ROOFING/yfil �� H/ ✓ (/J REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LA ING Z 7' MESH INSULATION/SOUND / �l FINISH GRADING !/ FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL W I wwl� J It moi' f `�5" Ilk Tit11f '149a 011111tc1 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 ordinancei of the City regulating building construction or use. For the following: BUILDING ADDRESS 79-655 Star Flower Trail Single Family Dwelling 14025 Use Classification Bldg. Permit No. Group R3 Type Construction VN Fire Zone Use Zone Sr Owner of Building Snellenberger & AssociateSAddrass 55-695 Pebble Beach City La Quinta, CA 92253. BY: Brucd'Pelletier, Date; DpCpmhpr 191, 1994 Building Official POST IN A CONSPICUOUS PLACE II W I wwl� J It moi' f `�5" Ilk Tit11f '149a 011111tc1 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 ordinancei of the City regulating building construction or use. For the following: BUILDING ADDRESS 79-655 Star Flower Trail Single Family Dwelling 14025 Use Classification Bldg. Permit No. Group R3 Type Construction VN Fire Zone Use Zone Sr Owner of Building Snellenberger & AssociateSAddrass 55-695 Pebble Beach City La Quinta, CA 92253. BY: Brucd'Pelletier, Date; DpCpmhpr 191, 1994 Building Official POST IN A CONSPICUOUS PLACE