SFD (08273)54395 Avenida Martinez
08273
„
4
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 54-195 AvinidA Wrttwwt9 LA QUINTA, CALIFORNIA 92253
Owner
Mailing I
Address
City n_ *_ no!Zal Tel.
Con
Address
Tela
& Classif. 291728 I Lic. #
Arch., Engr.,
Designer Rtur >
Address I Tel.
City (Zip (State
W-—&—_ Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
7V- 01 , $
_SIGNATURE 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).
O 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.)
Policy No. Company
O 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
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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemptionyou 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.
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 if 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 state 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
ateMailing Address
City, State, Zip
No. 08273
BUILDING: TYPE CONST. 9JE OCC: GRP.;
A.P. Number
Legal Description Lai 8 — Bak 30D
Project Description S4-nj%i^ Fpmlly Armes
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:
Sq. Ft.
Size IA&A
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
A.
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
474. 73
Const.
576.50
Mech.
109.89
Electrical
159.50
Plumbing
156.00
S.M.I.
6.002
Grading
20.00
Driveway Enc.
20.00
Infrastructure
1.,852.05
Precut Plea
25.€10
TOTAL
3,349.69
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
IST FL. SO. FT. ® $
2ND FL. SO. FT. @
POR. SO, FT. ®
GAR. SQ, FT. ®
CARP. SQ. FT.
WALL SQ. FT. ®
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
a
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
STORAGE TANK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROCK STORAGE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
METER LOOP
LAUNDRY TRAY
AIR HANDLING UNIT CFM
OTHER APPJEOUIP.
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
WATER SYSTEM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
FINAL INSP.
SQ.FT.GAR ® 34c
HOUSE SEWER
ao /4
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 O / L
GROUND PLUMBING ;/7.20 OAWNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE O
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
IV
FORMS
SEWER
ROUGH WIRING
DUCTWORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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 Q 8 p
FINAL INSP.
ao /4
/o/.REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHI NG - OJJ/N
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES(INITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 7/19/90 Type of Permit I La Quinta
No. 10042 Permit #
Log #
Owner Name Roger Snellenberger
No. street See Below
city La Quinta Zip 92253 study Area 110
APN # I Tract # I Lot # Square Footage 14398
Type of Development Single Family Residence I No. of units
Comments 54-395 Avenida Martinez' 54-415 Avenida Martinez and 54-169 Rubin
Each home = 1466 sq-ft-
At
n ft
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 11.58 X ®or $ 6,948.84 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 Sun Crown Corporation
Name on the check
Telephone 564977
By John D. Brooks" t '
Associate Superintendent, Business Services
ted b `
Fee collected /exempted
p y Shelley D. Bennett ,£.,. x
PayxriE.nt Rece1v d Q
Signature
r
r-,,.,h&c1 No. 1186
Collector: Attach a copy of County or City plan check application form to,Di.s.tHot;i
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt CopySx py.
. " 1 \1M1 4tw
-. AcY1counting
'Y
3 9S
COACHELLA VALLEY WATER DISTRICT
N2 *
CASH RECEIPT DETAIL
-4a-ri
er //—.57w? 6_d6'J,'J
7119;7
• Received Fro 1:clar
Address:
Account No.
LoI(s)%
Tract
Service Address
G.A. Code
Meter(s) Yq
$
4) D
---FI Service(s) JI,
0 Backflow(s)
0 House Lateral(s)
-0 Detector Check(s)
0 Meter Surcharge
---91 Sanitation Capacity Charge
0 L) 0
0 W.S.B.F.C.
0 Temporary Construction Meter
0 Turn on Charge
0 Uncollected Account - Nam
0 Inspection Fee-Tract-
ee-Tract-Fee
Fee-
0 Plan Check Fees Water I Sewer -
Tract -
• 0 Bond Payment - A.D. - Bond
Assmt.
0 Customer Deposit
0 Other
TOTAL s
Remarks:
0 COPY to:
Cash
h
Check 0
Money
Order
Water Service "E,
Cashier b
CVWD-439(11/89)
71,
or off,
JAMES O. WALLACE
Agrkvftol CommIsibmer
Dbocfw of welghb & mealmes
4
o
OFFICE OF
AGRICULTURAL COMMISSIONER
AND
WEIGHTS & MEASURES CALVIN C. KAMINSKAS
4080 LEMON STREET. ROOM 19 AssislanI Commisslonm .
RIVERSIDE. CALIFORNIA 925011 CLEMENT BENVENISIE.
(7114) 767.2561 Sealer
49613 Highway 86, Suite 812
Coacliella, Ca. 92236
DATE
(619) 342-8291
CASE W. V 6- G-) CS --I
DE'VEWPER'S NAME 1 (7)
ADDRESS$ eT go t-1
TELEPIUIEv_((2219) 4177
( D 5 - t_ o R,,6- 5– 3 7 S— 2-k -L4
Dear Developer:
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine -laws governing the Coachella Valley. If substitutions
do occur and they differ fran plant material listed, this office must be notified'.
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment..
I,-
0 f
Agricultural Ca5Us_sioner+Off ice
cas Indio and Riverside office
., fir... ..r ..-,.. , . .. .,z .. .r'r :. ra.;r _ .f7r. ?.':.3 " , , ..twt }: sY .. r....ti t _ •.,KL , .-
"r
I I I
EWA
C t of 'a Wuinta
This Certificate issued pursuant 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.
ordinances of the City regulating building ;construction or use. For the following:
BUILDING ADDRESS 54-395 Avenida Martinez
Use Classification SFD Bldg. Permit No. 08273
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building Roger Snellenberger ,address P.O. Box 804
City La Quinta, CA, 92253 By: Mark Harold
.
Date: 2/25/91
Building Official ,
477 POST IN A CONSPICUOUS PLACE