14745 (SFD)I
P.O. BOX 1504 No. 14745
Building 78-495 CALLE TAMPICO
Address 48-611 Calle. Esperanxa LA QUINTA, CALIFORNIA 92253
Owner
r1wz
Address 41--865 Boardwalk #212
CityZip Tel.
Palm Desert, 4Z 92211 (619)777-7766
Contractor
same
Address
Zip j Tel.
State Lic. City
& Classif. B 488234 Lic. # 1858
Arch., Engr.,
'Designer Carlos Elias - Engineer
.fid 42 Chariesworth Dr. 1919)328-7271
.City'State
Cathedral amityZip CA 92234 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I amaicensed und%provisi'on`s-of Chaptek9'(comme mg with Section
`7y000) of Division 3�of th/"usiness andf Professibns Codea'}d m,y licens ms in full force and
• effect. / !t 1 ..t� t�/..C/
5LGNATURE• "t' y - 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 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 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
reon
builds or improves theand who does such work himself or through his own employees,
uc
Provided that -such improvements are not Intended or offered for sale. If, however, the building
or Improvement is sold wither 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) #tensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Dale Owner
WORKERS' COMPENSATION DECLARATION
I hergby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker'slCompensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Polic.00.-Company
Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(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' Compensation provisions of 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 a building permit when properly filled out, signed and validated, and -is subject to
expiration it 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
BUILDING: TYPE CONST. VN OCC. GRP- R3
A.P. Number 646-121-006
Legal Description Lot 6 Tract 20052--4
Project Description S Plan 3
Laguna De ala Pax
Sq. Ft. 1990 No.
Size Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation $117,221.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
592.43
Const.
742.50
Mech.
69.50
Electrical
342.04
Plumbing
350.00
S.M.I.
23.72
Grading
20.44
Driveway Enc.
.00
Infrastructure
2,622.81
Arts in Publi Places
43.05
TOTAL
4,353.05
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center
Rear Setback from Rear Ine
Side Street Setback nter
Side Setback fro roperty%T�e Q
FINAL DATE IN CTOR
Issued by: Date Permit
Validated by: 19S
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
ONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
FORMS
FOUND. REINF.
SEWER OR SEPTIC TAN3
GAS (ROUGH)
ROUGH WIRING
METER LOOP
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
OTHER APPJEOUIP.
REINF. STEEL
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
CAR P. I SO. FT. ®
SERVICE
WALL SQ. FT.
DRINKING FOUNTAIN
SQ. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
LUMBER GR.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
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I
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIRE ZONE ROOFING
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIREPLACE
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.
SQ. FT. RESID ® 1+/e c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/<c
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 aECTRICAL HEATING S AIR COND. SOLAR
SETBACK
GROUND PLUMBIN313fj
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
ONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
FOUND. REINF.
SEWER OR SEPTIC TAN3
GAS (ROUGH)
ROUGH WIRING
METER LOOP
DUCT WORK
ROCK STORAGE
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)V1
I
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
'
_$
LUMBER GR.
j
i FINAL INSP.-) C
0
FRAMING
FINAL INSP.
ROOFING
VENTILATION
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I
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR FIR ALL
LA
MESH
INSULATIONISOUND \'J
FINISH GRADING
FINAL INSPECTION i
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
11151/1/
;M
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of
ng
Tit�1 of Ila (01tinta
1111t*lbin� 'alib �Sdfvt� 3141tNi1*011
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 48-611 Calle Esperanza
Use Classification SFD Bldg. Permit No. 14 7 4 5
Group R-1 Type Construction VN Fire Zone Use Zone Sr
Owner of Building Roger Snellenberger Address 41 -26 5 ##212
City Palm Desert Ca 92260 By: Bruce Pelletier
Date: 6/9/95
Building Official
POST IN A CON9PICUOU! PLACt?