13282 (SFD)Building 48-603 Vista Tierra
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Owner Roger Snellenbc.rger 6 dissociates
Address 55-695 Pebble Beach
City Zip Tel.
La Quinta, CA 1 92253 1(619)777-7767
Contractor
Same
Address
ity lZip I Tela
State Ljc.B 490234 I Lic.# 1858
� Classif.
Arch., Engr.,
Designer Carlos Elias - Engineer
SUZ5 Charlesworth Dr. (619)325-7271
City Zip State
Cathedral City CA 92234 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am Jicehsed under provisions of Chapter 9 (commencing Ah Section
7000) of Division 3/�oitthe Business and Professions Code, and my license,! n/(u`ll fo c/aynd
effect. / aJ ..Q✓ .--+__ �/ 7 ! <
SLGNATURE V I ,! 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 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).
❑ 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.)
❑ 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.)
Polic o-_ .Company
CT -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 thl 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. A
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 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 slate 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. 13282
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 61.7-'-661-00�)
Legal Description Lest 2 Tract 20052-'6
Project Description SPD Plan 3
Laguna. De La Paz
Sq. Ft. j g8.,() No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $112,799.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
5$2.52
Const.
685.00
Mech.
68.50
Electrical
142.04
Plumbing
162.00
.S.M.l.
11.30
Grading
20.00
Driveway Enc.
00
Infrastructure
2,523.31
Arts in Public Places
32.00
TOTAL
I AL'As 22 V1. 0 7ma
REMARKS
t !I
III
1 / T
r_
ZONE: RV BY: � '
Minimum Setback Distances:
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: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
A.C. UNIT
COLL. AREA
t
1ST FL. SO. FT. @ $
UNITS
HEATING (ROUGH)
r
FORMS
2ND FL. SO. FT. @
DUCT WORK
YARD SPKLR SYSTEM
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. @
HEATING (FINAL)
OTHER APPJEQUIP.
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
CAR P. I SO. FT. @
WATER HEATER SERVICE
FINAL INSP.
WALL SO. FT. @
BOND BEAM
DRINKING FOUNTAIN,
SO FT @
GRADING
cu. yd.
$ -Plus-x$-=$
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
ROOFING�frl�
VENTILATION
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
LAUNDRYTRAY
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
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 1+/a c
SEWAGE DISPOSAL
SO.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 ELECTRICAL HEATING & AIR COND. SOLAR
SETBACKC
GROUND PLUMBING UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
L METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) /� TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-x$-=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING�frl�
VENTILATION
!i 4 Y
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING V `
MESH
INSULATIONISOUND�
FINISH GRADING
FINAL INSPECTION
CERT. OCC. 71 I
FENCE FINAL
INSPECTOR'SSIGNATURESIINITIALS
GARDEN WALL FINAL