14052 (SFD)~ 4.4 "
P.O. BOX 1504 N o .
BuildinAddrress 48-21'4 Vista Do Hopal LA QUINOTA CALIFORNIA 92253
Ownrr g�E,. Saes lenber�er & AsSCJC].2!@S
14452
Mail "g BUILDING: TYPE CONST. VN. OCCGRP.. R3
Address 55»695 Pebble Beach A.P. Number 6(46 »110-029
City Zip Tel. Lot -17 'Traci 20052--7
L (�L�3IYt, C&J12253(619) 777-7767 Legal Description
Cant-actorSrD Plan 4
Same Project Description
Ad'drass Laguna De La ?az
i
City Zip
t
State Lic. City
& Classif. $ 488234 Lic. # 1658
Arch-, Engr.; Carbo t1ias -a t ineer
Designer �
AGypass25 Charlesworth Dr. T11619 )328-727,1
Ci Zip State
tithe al Cite?r CA 92234 Lic.#
I he eby affirm that I am licensetdeunclerfp ovisiog of Chapter 9 (commencing with St
7000}of Divisiont3 ofthe Business and,Professions Code land my Iii erase is in full fort
eflec. % /�i 3 �.'. _- , `Isr 1�� -mac R^3 .1.
OWNER -BUILDER DECLARATION
I -ier(by'affirm that I am exempt from the Contractor's License Law for the following
reason: rSee! 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
sub)eCs 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 pro Ping 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.)
Oil am exempt under Sec. B. & P.C. for this reason
I
Date Owner
IWORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of
WorlIer's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
C, 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 lets.)
i 1 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
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
sub)sct to the Workers' Compensation 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.)
Lencbr's Name
Lencmr's Address
T-iis is a building permit when properly filled out, signed and validated, and is subject to
ezpication if work thereunder is suspended for 180 days.
I c.artify that I have read this application and state that the above information is correct.
I ,agave 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,
men.ioned property for inspection purposes.
Signature of applicant Date
Nlaiing Address
City, State, Zip
I
Sq. Ft.
Size 1562
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$90#137.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
513.14
Const.
599.00
Mech.
62.00
Electrical
127.25
Plumbing
150.00
S.M.I.
9.10
Grading
20.00
Driveway Enc.
.00
Infrastructure
2,028.08
TOTAL
3 t 50a . 53
REMARKS
ZONE: 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
UNDERGROUND
A.C. UNIT I ,
t
IST FL. SO. FT. ® $
UNITS
ROUGH PLUMB.
( r n r
BONDING
Y
ARD SPKLR SYSTEM
2ND FL. SQ. FT. p
STORAGE TANK
FORMS
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
DRAINAGE PIPING
CARP. SO. FT.
METER LOOP
WALL SQ. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SQ FT ®
GAS (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
_
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
FRAMING/rlf
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+A c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3Yac
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
SETBACK
Iff
GROUND PLUMBIN
UNDERGROUND
A.C. UNIT I ,
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH) r �y
/
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.
14
FINAL INSP. ,
FRAMING/rlf
FINAL INSP.
ROOFING g"y
VENTILATION
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION /
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
.............
0
F
ON hita.
f v ts'' v it
t t
This Certificate, issued pursua't 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.
jordinances of the City regulating building construction or use. For the following:
' t ti i . < i2
BUILDING ADDRESS 48-214 Vista De Nopal
Use Classificaiion Single Fam'ily Dwelling Bldg. Permit No. 14052
R3 Type Construction . . VN SR
Group -Fire Zone Use Zone
Owner of Building
"Snellenberger & AssociatesAddress 41-865 Boardwalk A-2
,
City, PalmDesert,'CA'92211 By. Bruce
Pelletier
Date; January 13, 1995
Building Official/ POST IN A CONSPICUOUS PLACE
L
.AIS
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II
I.
.............
0
F
ON hita.
f v ts'' v it
t t
This Certificate, issued pursua't 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.
jordinances of the City regulating building construction or use. For the following:
' t ti i . < i2
BUILDING ADDRESS 48-214 Vista De Nopal
Use Classificaiion Single Fam'ily Dwelling Bldg. Permit No. 14052
R3 Type Construction . . VN SR
Group -Fire Zone Use Zone
Owner of Building
"Snellenberger & AssociatesAddress 41-865 Boardwalk A-2
,
City, PalmDesert,'CA'92211 By. Bruce
Pelletier
Date; January 13, 1995
Building Official/ POST IN A CONSPICUOUS PLACE
L
.AIS
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