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9512-0111 (PATIO)
79120 Arbola Circle I I IIIIIII VIII III VIII IIII 56 IE No. x.5832 - - P.O.BOX 1504 Building 78-495 CALLE TAMPICO Address 79-120 AZ'3 olio Circle LA OUINTA,CALIFORNIA 92253 Owner Snellenibe,rger & AUSOCiates BUILDING TYPE CONST.MailinOCC.GRP. Address 41-.865 Boardwalk, Ste. 212 604--271-001 A.P.Number City Zip Tel Palm Desert, C 92211 (619 7777-7766 Legal Description Contractor Project Description `$cute bedroom extension Same Supplemental to permit $15684 Address City Zip Tel.: State Lic. City &Classif. 8 48$234 Lic.# 1858 Sq.Ft. No. No.Dw. Arch., Engr., Size 109 Stories Units Designer New ❑ Add ❑ Alter❑ Repair❑ Demolition ❑ Address Tel. City Zip State Lic.# LICENSED CONTRACTOR'S DECLARATION I I hereby affirm that I am licensed under Drovisions of Chap er 9`(pommenc'tig with Section 7.000)of a,'I'Ion/3 of the BGsiness and /P rrofessi dns Code, n /, nylicen.,se ii in full force and effect. l :. `+.•C `taa.._ SIGNATURE 'y./' DATE OWNER-BUILDER DECLARATION icense Law for the following Estimated Valuation J,919•aQ I hereby affirm that I am exempt from the Contractors L reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance also I requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. or Nat.he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by'any applicant for a permit Plan Chk. Dep. ' subjects the applicant to a civil penalty of not more than rive hundred dollars(5500). Bal. G ❑I,as owner of the property,or my employees with wages as their sole compensation,will Plan Chk. 5 2.6 5 do the work,and the structure Is not Intended or offered for sale.(Sec. 7044,Buisness and Const. g3 C 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, Mech. , provided that such Improvements are not intended or offered for sale. If, however, the building A or improvement Is sold within one year of completion• the owner-builder will have the burden Electrical 3.OZ of proving that he did not build or improve for the purpose of sale.) ❑1,as owner of the property,am exclusively contracting with licensed contractors to con- Plumbing .00 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 S.M.L. 059 such projects with a contractor(s)jicensed pursuant to the Contractor's License Law.) Grading .00 ❑ 1 am exempt under Sec B.&P.C.for this reason Driveway Enc. 40 Date owner Infrastructure 1133.18 Arts in Public Places 34.80 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,.No. Company 41Copy Is filed with the city. O Certified copy is hereby furnished. TOTAL . 286.04 _ CERTIFICATE OF EXEMPTION FROM REMARKS 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 thg work for which this permit is issued,I shall not employ any parson in any manner so as to become subject to the Workers'Compensation Laws of California Date - Owner NOTICE TO APPLICANT: H, after making this Certificate of Exemption you should become ONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Cen er Line Rear.Setback from R op. Line WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND Side Street SetbaC Cente ine 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, • Side Setback fro party DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ss ATTORNEY'S FEES. FINAL DATE NSPEC1 i This is a building permit when properly filled out,signed and validated,and is subject to y expiration If work thereunder is suspended for 180 days. V I certify that I have read this application and state that the above information is correct. Issued by: Date Ougmjt I agree to comply with all city and county ordinances and state laws relating to building J construction, and hereby authorize representatives -of. this city to enter the above-. V n mentioned property for inspection purposes. Validated by: 19 Signature of applicant -Date- Mailing ate Mailing Address Validation: City, State, Zip - i CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES 1ST FL. SQ.FT.® $ UNITS 2ND FL. SQ.FT. YARD SPKLR SYSTEM POR. SQ.FT.® MOBILEHOME SVC. BAR SINK GAR. SO.FT.0 POWER OUTLET ROOF DRAINS CAR P. I SQ.FT. DRAINAGE PIPING WALL SQ.FT. DRINKING FOUNTAIN SQ.FT.® 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 WASH ER(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,TEMIPERM 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®1114 c SEWAGE DISPOSAL SO.FT.GAR®?4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES —F---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 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) METER LOOP HEATING(FINAL) OTHER APPJEQUIP. REINF.STEEL GAS(FINAL) TEMP.POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING LUMBER GR. FINAL INSP. cu.yd. FRAMING FINAL INSP. $ plus x$ =$ ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL _r_ IIIIIIIIIIIIIIIIIIIIIIIII IE 57 1 �. • _ .. ' �al P.O.BOX 1504 N o. 15684 78-495 CALLE TAMPICO Address 79-'220 Arbola Circle LA QUINTA,CALIFORNIA 92253 Owner Snellenberger a Associates Mailing BUILDING: TYPE CONST. VN OCC.GRP. R-3 Address 41--365 Boardwalk, Ste. 212 A.P.Number 604-271-001 City Zip Tel. Lot •70 Tract 23913 Phase X Palm'Desert, 922 .3 F619)777-7768 Legal Description Contractor Project Description SPA Plan 4 Same Address r �. te�Sc� City Zip Tel.: State Lic. City &Classif. 2 480234 Lic.# 1858 Sq.Ft. No. No. Dw. Size 2.593 Stories Units Arch., Engr., Charles D. Garland Designer New ❑ Add ❑ Alter❑ Repair❑ Demolition ❑ A 3r�sI63 Cathedral Cyn Dr. T(o19) 770-7025 Ci3t Zip State 3t3 eCtlx�31 Cit , CA 92234 Lic.# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed unde0provisions,of=Chapter 9(commencing with Section ; 7000)of Divis/ion'3 of th Bu-si'n'es-s a d'Pro�f�e^ssiof`6'Code!and my license is in full force and effect. 1 _•s"��+ ,;rte r�,r' SIGNATURE K.Ai' DATE OWNER BUILDER DECLARATION fl hefeby affirm that I am exempt from•6e Contractors License Law for the followingEstimated Valuation $15-30'652.00 reason•.`(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 I requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT 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 Plan Chk. Dep. o subjects the applicant to a civil penafty of not more than five hundred dollars($500). Plan Chk. BBI. ©2 8 ❑I,as owner of the property,or my employees with wages as their sole compensation,will 8n do the work,and the structure is not intended or offered for sale.(Sec. 7044,Buisness and Const. 81+8.S V Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, Mech- AA.Cir,so provided that such improvements are not intended or offered for sale. If, however, the building 89 or improvement is sold within one year of completion, the owner-builder will have the burden Electrical 166 1$ 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- Plumbing 180.00 struct the project. (Sec. 7044, Business and-Professions Code: The Contractor's License Law 1 does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. 15..37 •) such projects with a contractors)P.censed pursuant to the Contractor's License Law.) ElI am exempt under Sec. B.&P.C.for this reason Grading 20.00 Driveway Enc. .00 Date owner Infrastructure 3,430.83 Arts in Public Places. 1314.13 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 ereof.'(Sec.3800,Labor Code.) Policy No. Company ❑Copy is filed with the city, ❑Certified thereby furnished. /// TOTAL 5.567.39 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'COMPENSATIONINSURANCE (This section need not be completed H 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 anyperson in any manner.so as to become subject to the Workers'Compensation Laws of California Date- NOTICE TO APPLICOANT:r H, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Ce r Line Rear Setback from R Line WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND Side Street Setbac Cen Line 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, Side Setback fro pert DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND \ ATTORNEY'S FEES. -AA__ This is a buildingFINAL DATE INSP !:R - •s permit when properly filled out,signed and validated,and is subject to expiration if work thereunder is suspended for 180 days. O I certify that 1 have read this application and state that the above information is correct. Issued by: Dat P-armit I agree to comply with all city and county ordinances and state laws relating to building L19 construction, and hereby authorize representatives -of this city to enter the'above-.mentioned property for inspection purposes. Validated by: r Signature of applicant -Date- Mailing ate Mailing Address Validation: City, State, Zip - r• ��\``� , u, CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES IST FL. SO.FT.® $ UNITS 2ND FL. SQ.FT.0 YARD SPKLR SYSTEM POR. SO.FT.® MOBILEHOME SVC. BAR SINK GAR. SQ.FT.® POWER OUTLET ROOF DRAINS CAR P. SQ.FT.® DRAINAGE PIPING WALL SQ.FT.® DRINKING FOUNTAIN SQ.FT.® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE:Not to be used as property tax valuation - - FLOORDRAIN 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. SQ.FT.®c BATH TUB SO.FT.®c WATER HEATER MAX.HEATER OUTPUT,B.T.U. SO.FT.RESID®1%c SEWAGE DISPOSAL SO.FT.GAR®35c 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 ECTRICAL HEATING&AIR COND. SOLAR SETBACK GROUND PLUMBI UNDERGROUND A.C.UNIT COLL.AREA SLAB GRADE , ROUGH PLUMB. BONDING HEATING(ROUGH) STORAGE TANK FORMS SEWER OR SEPTIA111 I It, ROUGH WIRING DUCT WORK ROCK STORAGE or FOUND.REINF. GAS(ROUGH) METER LOOP HEATING(FINAL) OTHER APPJEOUIP. REINF.STEEL GAS(FI ) TEMP.POLE GROUT WATER HEATER V SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING LUMBER GR. FINAL INSP. cu.yd. FRAMING /2 /S/J FINAL INSP. $ plus x$ _$ ROOFING 1// REMARKS: VENTILATION t FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND 1 FINISH GRADING FINAL INSPECTION vV' CERT. OCC. FENCE FINAL < INSPECTOR'S SIONATURESIINITIALS GARDEN WALL FINAL _C _ __ _ ' IIIIIIIIIIIIIIIIIII 1111 58 1E DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 9/22/95 1 Type of Permit I La Quinta No. 113700 Permit # Log Owner Name Snellenberger & Associates No. x79:120,.....- street Arbola Cir l City La-Quinta Zip 92253 Study Area 233 APN# 1604-271-001-7 Tract# 123913 Lot# 70 Square Footage 1109 Type of Development I Residential Addition I No.of units 0 Comments Addition to new construction, master bedroom extension. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.72 x 109 or $ 187.48 have been paid to D.S.U.S.D. for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Roger Snellenberger & Accosiates Telephone- 777-7766 Name on the check By Dolores A. Ballesteros Superintendent " w Fee collected/exempted by Pauline Pearson Payment Received Signature � ��A 4e �0 VU_AA A/L-,- $187.48 Check No. 9367 Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original-Building Dept./Applicant Copy-Applicant/Receipt Copy-Accounting