13847 (SFD)t
Ce
440
P.O. BOX 1504
Building 44-670 Verbena Drive 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
No. 13847
Mailing Rocer Snellenberae & azacw-4;+ BUILDING: TYPE CONST. "I OCCGRP. 83
Address 55-695 Pebble BeachA.P. Number
604-252-007
City Zip Tel.
La Quinta, CA 92253 1(619)777-7767 Legal Description Lot 27 Tract 24.2€ 8
Contractor Project Description SFD Plan 7
Same
Address
Zip
State Lic. $ 480234 City
& Classif. Lic. # 1858
-Arch., Engr.,
Designer Carlos Elias -- Engineer
JWV15. Charlesworth Dr. 7619) 328-7271
CityZip State
Cathedral Citi. 922.34 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby aft rim that l am icensed,under provisions of Chapter 9 (c0mmencingpnith Section
7000) of Division 3 of the �usin7s f and Professions Code, and my license�jna�y �rc�e%
effect. i ) x i
OWNER -BUILDER DECLARATION r `
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, after,, improve, demolish, or repair any structure, 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) 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 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
❑ 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 thg 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' Compensatfon provisions of - the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 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 stale 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
Cactus Flower.
Sq. Ft. 1967 No. No. Dw.
Size Stories Units
New ❑ Add ❑ -Alter ❑ - Repair ❑ Demolition ❑
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Estimated Valuation *114,706.00
`
PERMIT
AMOUNT
Plan Chk. Dep.
FINAL DATE
Plan Chk. Bal.
bd• A0
Const.
d • UU
Mech.
V
Electrical
Validation:
Plumbing
44 •
.S.M.I. `
•
Grading
2U. UU,
Driveway Enc.
*0U
Infrastructure
Z,:Otiv • 41
Arts to viiBl cx Places
316.17
TOTAL
4,403
REMARKS
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback f om,Center Line
Side Setback from Property Lin
FINAL DATE
-INSPECTOR
1 •'', v %�
Issued by:
Date Yer it V r
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
UNITS
COLL. AREA
SLAB GRADE
Y
ARD SPKLR SYSTEM
2ND FL. S0. FT. @
BONDING
HEATING (ROUGH)
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. S0. FT. @
K
ROUGH WIRING
DUCT WORK
- POWER OUTLET
ROOF DRAINS --
GAR. SO: FT.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. @
GAS (FINAL
/
TEMP. POLE
DRINKING FOUNTAIN.
WALL SO. FT. @
GROUT
WATER HEAT
URINAL
SO FT @
BOND BEAM
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
GRADING
CU. yd.
$ plus x$
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
6
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
/�
L�cf
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
SPARK ARRESTOR
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
MESH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
M=CH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING n 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'3fP+t0-'
K
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL
/
TEMP. POLE
GROUT
WATER HEAT
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
CU. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. 6
FRAMING/0M7
FINAL INSP.
ROOFING /Q
6
rp !V
/ !1
CJ
/�
L�cf
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING /D Z
MESH
INSULATION/SOUND 1f
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
�IVeAk�
,art
17f OrrTtIlL.
t �X�
C t
of Ka - lOutnta
�llt�i�tnl �ilt� �C1�P� �tltt�tun
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 -44=670 Verbena Drive'
Use Classification Single Family Dwelling Bldg. Permit No. 13847
Group R3 Type Construction VN Fre Zone Use Zone SR
owner of Building Snellenberger & Assoc. Address 41--865 Boardwalk #212
City Palm Desert, CA 92211 BY; Bruce Pelletier
December 21, 1994
Dote:
Building official -
POST IN A CON9PICUOU! PLACE