14741 (SFD)i
P.O. BOX 1504
Address 48-603 Calle ggPeranza LA QUINTA, CALIFORNIA 92253
Owner
Roger Snel.lenberger & Associates
AddresMailins 41.-865 Boardwalk 4212
City Zip Tel.
Palm Desert, CA 92212 1619)777-71766
777-71766
Contractor
Saute
Address
City .
State Lic. City
& Classif.B 488234. Lic. # 1858
Arch., Engr.,
Designer Carlos Elias - Engineer
AIM Charlesworth Dr. 41193328-7272
Cat3' edra2 City,
ZI State
_ � GPS -92234 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am -licensed under proytslons of�el�,ap G 9 (cor),iiencing with Section
l 7000) of Divdision 3 of thlB,'Business d Professions Code, nd may license is in full force and
f deffect 1.6 �r� 1 v !�r Ur C
siGNATl1RE DATE
OWNER -BUILDER DECLARATION.
I hereby affirm that I am exempt from the Contractor's License taw for the following
reason:. (Sec. 7031.5,Business and ,Professions Code:. Any city or county which requires a
I 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). .
❑ 1, 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 or 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.Ynprove 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 Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) .
Policy ;' Company
lCopy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE '
(This section need not be completed it 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: d, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions or the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.,
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION;
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
This is i building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days..
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for Inspection purposes.
Signature of applicant -Date-
Mailing
ateMailing Address
City, State, Zip
No. 14741
BUILDING: TYPE CONST. VN. OCC. GRP. R3
A.P. Number 646-121'002
Legal Description Lot 2 Tr.act 20052-4
Project Description$FD P1821
Laguna Da La Paz
Sq. Ft. No. No. Dw.
Size
1852 Stories -Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation x$111, 430.00
PERMIT,
AMOUNT
Plan.Chk. Dep.
,
Plan Chk. Bal.•
576.17
Const.
681.50
Mech.
68.50
Electrical
137.04
Plumbing
150.00
S.M.I.
11.14
Grading
20.00
Driveway Enc.
00
Infrastructure
2,462.89
Arts in Pub -- c Places
28.58
TOTAL
4,135.82
REMARKS
ZONE: BY:
Minimum ce.1,�r u n,..�.,,.
FINAL DA
Issued by:
Validated
Validation
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
2ND FL. SO. FT.
SLAB GRADE
YARD SPKLR SYSTEM
ROUGH PLUMB.
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
STORAGE TANK
FORMS
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
ROUGH WIRING
DUCT WORK
DRAINAGE PIPING
CAR P. SO. FT.
GAS (ROUGH)
WALL SO. FT. ®
METER LOOP
DRINKING FOUNTAIN
SO. FT. ®
REINF. STEEL
URINAL
ESTIMATED CONSTRUCTION VALUATION $
G
1
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER HEATER
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
I
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
SO. FT. ®c
I WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/sc
HOUSE SEWER
SPARK ARRESTOR
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 /0 ELECTRICAL HEATING 6 AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR P I
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
G
1
TEMP. POLE
GROUT
WATER HEATER
SERVICE
:FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP.
Rj�ADING
(/�/cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING
ROOFING1-7
VVVV
qLJ
S
REMARKS:
114
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIRE AL
LATHIN
CAL
MESH
INSULATION/SOUND j7t
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
I
GARDEN WALL FINAL
!
A,iltivrr �
V
of
Orrrl-,
T �C�
Tit�r of Ed Q n-inta
'Nuilbin� anb �safvt� 310141tbw*1111
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 48-603 Calle Esperanza
Use Classification 6FLP Bldg. Permit No. 14741
Groin. -3 Type Construction VN Fire Zone Use Zone R--1
Owner of BuildinjRc)cjPr Snp1 1 c-nhPrgL-r Address 41 -865 Boa rdwa11, .4212
City Palm LlPsi-rt r1a 92260
Buildina Official
,,:Bruce Pelletier
Dote: 6-2-95
I _ POST IN A CONSPICUOUS PLACE U