SFD (9602-034)44715 Los Manos Dr
9602-034
ALC #
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with DATE
Section 7000) of Division 3 of the Business and Professionals Code, and my
License is in full force and effect. 48&234 13 5 — ->211 0- JOB Sm
License # Lia Class—.E:xp.(Date_ y OWNER
Date Signatureof Contractor /„fi ,_J.,,,r /-7 ,,., _Ow
I hereby affirm that I am exempt horn 0 Contractor's License Law for the.
following reason: '1_
( ) 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, Business & Professionals Code).
() I, as owner of the property, am exclusively c6ntracting with licensed
contractors to construct the project (Sec. 70444, Business & Professionals Code).
( ) I am exempt under Section B&P.C. for this reason
Date Signature of Owner
F •' WORKER'S COMPENSATION DECLARATION
I hereby.affirm under penalty of perjury one of the following declarations:
have'and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
( ) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier Policy No.
(This secttao d Jai completed if the permit valuatio+n ;i sy4rIl00.00 or less).
() 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, and agree that if I should become
subject to the workers' compensation p ovisions of
ectio 3700 of the Labor
Code, I shall forthwith comply with v!i`ns. / / 7
.Date: —Applicant -7/25 "
Warning: Failure to secure I er Compensation coverage is unlawful and shall
subject an employer to cnm n penalties, and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of Is p plica on agrees to, & shall, indemnify
& hold harmless the City of I 1ie'jLs, rl officars, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives -o this City to enter upon the
above-mentioned property for inspection purposes - j
BUILDII
,Si.a ai.1Kl LOT
44-715 LOS MANOS DRIVE
ROGER STNELLDMITHERGER tit ASSOC
.41$65 'BOARDIVALK 6212
PALM UE5E RT CA 922.11
(6119)777-7766
USE OF
QUINt'.ERRA
PLAN 1w
FEE
PERMIT PERMIT 0602-034
APN 6604.265 -005
ROGER SN1y'L ENBERGER &'. ASSOC
41865 BOARDWALK #212
P:ALiv[ DESERT CA 922.11
(619)777,-7766 CB1.9 1858
DESIGNER/ENG[NEER
CHARLES 1D. GARLAND
33-163> CA1I1WRAL CANYON DR.
TRACT CONSTRUCTION 2,015,00 5F
GARAO&CARPORT 625.00 SF
ESTIMATED COST OF CONSTRUCTION
ERAfff FELE SUNVI"Rv
Pi AN C31BC9 'FFE
101-1300-439-318
$597
CONS'i RQTMON FE6
101-000-41 s-000
$716
'64ECHWCAL PPE
101-000-421-000
$53
E1YR.-VRICAT.F1-7
101-000-420-000
$131
PTFt;IM BIGHT.
1014W-419-00.0
$154
S IPOING MOTION FEE - .RE` M
101-000-241-000
$12.
GRAD1'NO FIRE
101.-000-423-000
$20
tW1Z`t1S!'RUCi'UR1 FFA
.225-0(30-443-342
$2,137
,
ART 1N PUBLIC; PLACI±S - R1,5I1a 701-000-255-000
$54
06
50
io
55
M
00
89
2>
1Z9,s 'a.it7
SUB -TOTAL CONST'RUCi ONAND PLAN CHECK $4.476.88
,LESS PRE—PAID FESS $0.00
TOTAL P ERNOT F.E .S DUE NOW $4,476 S
,.Signature (Owner/Agent) Date I RECEIPT I DATE IBY (DATE FINALED I INSPECTOR
INSPECTION RECORD -` "
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs I
Underground Ducts
Forms & Footings
Ducts
Slab Grade Z ZOO IVA
Return Air
Steel H
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap .
F.A.U.
Framing L7 A
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL A ROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APP OVAL
Gas Test
Electric Final
Waste Lines if
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Poo! Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
Notice:
Document Cannot Be Duplicated
Date 2/2/96
No. 14112
Desert Sands Unified School District
82-879 Highway 111
Indio, CA 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
Owner Name Roger Snellenberger & Associates
No. 44715 Street Los Manos Dr.
Cit, La Quinta
Tract # 23913 Lot # 111
Type of Development Single Family Residence
Comments
APN # 604-265-005
Jurisdiction La Quinta
zip 92253
Permit #
Log #
Study Area 233
Square Footage 2015
No. of Units 1
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 2,015 or $ 3,465.80
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. . \ , :: ►z'
Fees Paid By Roger Snellenberger & Associates Teleplione `,7.77-7756,
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Pauline Pearson Payment Received
Signature a A , Q ani o P.M A 11.6XYZ —
Check No.
NI
$3,465.80
11027
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