14045 (SFD)� P.O. BOX 1504'
No. 14045 a
Building:'. -78-105CALLEESTADO -
Adtlress .9+-2fl3 VIs3ta De 1.gopa1 LA QUINTA, CALIFORNIA 92253
r, Owner PAssocates
I'
Mailing BUILDING- TYPE CONST. • . r OCC: GRP.•
ta
Address a5�s-*€95 Pebble SeaCh 64,6., 310-`076 -
I A.P. Number �-
,City Zip A. i9
Tel. Tract T�Gt 20052-1
eta,;1A 92253 (619)777-7767 Legal Description
Contractor ": r � c �F£3 Pia fl 2
1 ^pifte p Project Description a
Adiiress =� - ee - a.
i a na3 Ve a,,:Paz
i City r Zip Tel.: }
1: � t•
State LIc ;t,� �4 City
Q�.�23 & Classlf. '1858
Sq. Ft. 1950,
1' _
Size. t 'Stories
!r^De hSnergr , Ca.rlos Blias — FsS�cyin0-'e'r
a u` 25 �.Zharlesworth Dr. Tel 328-x12.73
Cit' Zip State
5hthedra1 � Cit5 .s, CA 12234 Lic_ #
I'
r --LICENSED CONTRACTORS DECLARATION
I hereby afhrrmthat I am licensed under provisions hapter 9 (commencing with Section
7000) of Divirsiio�n*3 of the Business'aannb Professions, a add my license is in full force and ^'
i„effect f-�, -..� = '31�1h'�``+#4.'/
DATE
OWNER -BUILDER DECLARAfbN
` �11 hereby affirm that I am exempt -from the Contractor's License Law for the following
y' reason.r(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,(henapplicant-for such permit to file a signed statement that he is licensed pursuant to
theE provisions o/ the, Contractor's License'Law, Chapter 9, (commencing with Section 7000). of -
Division 3 o/'the Business and 'Professions Code, or that. he is exempt therefrom, and the basis -
for Nthe alleged 'exemption: Any violation of,Section 7031.5 Dy '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
doithe work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Prolessions'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,
pro'vided that such improvements are not intended or offered for sale. I/, however, the building
or Improvement is sold' within one year o/ completion, the owner -builder will have the -burden
• ' o/ proving that he did not build or improve for lhe.purpose of sale.)
O Vii, 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
f does not apply, to an owner of property who builds or improves thereon, and who contracts for
such projects with a contmctor(s)ticensed pursuanuto. the Contractor's License•Law:) «^•' --^— -
I,
e; O 1 am exempt under Sec.~ B. & P.C. for this reason
Data Owner
1-
' WORKERS' COMPENSATION DECLARATION
'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. . ❑ 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
ortess:)
-J. 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 -
NOT
ICE. TO _APPLICANT., f, after making this -Certificate of -Exemption you, shouldbecome
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith ”
ly with such provisions or this permit shall be deemed revoked.
c ` p
CONSTRUCTION LENDING AGENCY
I I hereby affirm that there is a construction lending agency for the performance of the I"
work for which this permit isAssued.'(Sec. 3097, Civil Code.) J,
S Lender's Name '
Lenfder'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... -• hcertify that I have read this application and state that the above information is correct.,
t: I agree to comply with all city and county ordinances and state laws relating to building'
i construction, and hereby' authorize representatives -of this city to enter the above-.
ttl' mentioned property for inspection purposes.
31`'Signature of applicant Dale
+� Mailing Address '
City, State, Zip
lip
k.:..
New ❑ Add ❑ ' Alter 171
.t
Estimated -Valuation '$1.11, 39
PERMIT. , -
Plan Chk. Dep.'•^' .
Plan Chk' Bal.-
Const.
al.•Const. ' r
Mech.
Electrical,
Plumbing
S.M.I.
Grading
Driveway
Infrastruc
No. Dw
Units -
Repair ❑
5`
d
nn- l
.00. } : A'
L
AMOUNT`^ ;t '
575.52.'
681.50.,
62. W
140.35 '
.150.00-.-
_ .20.00
.28
TOTAL 4#152.64 T
REMARKS .
ZONE: BY:
Minimum Setback Distances: - !
Front Setback from Center Line `
Rear Setback from Reay 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 FE
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
r
2ND FL. SQ. FT. ®
-
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
GAS (ROUGH) Z 3 /
DRAINAGE PIPING
CAR P. SQ. FT. ®
OTHER APPJEQUIP.
REINF. STEEL
WALL SQ. FT. ®
TEMP. POLE
DRINKING FOUNTAIN.
SQ FT ®
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation .
WATER SYSTEM
FINAL INSP.
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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/ac
HOUSE SEWER
Q
INSULATIONISOUND� 7
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
SETBACK
GROUND PLUMBING 1.11
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) Z 3 /
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP.
.
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FRAMING C)
[ all
ROOFING I 7 -
r
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
Q
INSULATIONISOUND� 7
FINISH GRADING
FIN INSPECTION /
CERT . OCC
FECE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GA DEN WALL FINAL
;
I IIII ��,' it �
=� —7.
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OF0�+• les e
(Oil thlt
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it fl,b tht 11\ cl It j � cl f VIN iI
This Certificate' issued pursuant to the requirements of S6cction 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 48-203 Vista De :Nopal
Use Classification Single 'Family DwellingBlag. Permit No. 14045-
Group R3 �" Typo'Construction VN fire Zone s " Use Zone SR
Owner of BuildingSnellenberger & Associates ,address ' 41-865 Boardwalk A-2 -
City Palm, Desert, CA 92211
BY; Bruce Pelletier
Dote:January 13, 1995
Building Official
• P09T IM A CONeTICUOU! PLACE r
',_�, . - ..._.•3:' • _ -oma.