SFD (08271)54415 Avenida Martinez
08271
4.4 Q".
P.O. BOX 1504 No. 08271
Building 78-105 CALLE ESTADO
Address 54-415 AveaU. Msrtimz LA QUINTA, CALIFORNIA 92253
Owner
ROMW Sb63Itti1 BUILDING: TYPE CONST. SIF OCC. GRP.
Mailing
Address A.P. Number 775-353-01A
City Zip Tel
1_ Legal Description TAt 8 — ` lIt _W
Contrac or Project Description 9J 21fR Fst ily Dmelvallt"ar
V. B. Rf3 rs
Address
city Zip Tela
7A QuInta 42233 so
State Lic. City
& Classif. ,,,,.• .A„ Lic. #
P,rcn., Lngr.,
Designer
Address Tel.
City P Zi State
TUftA1 A I I 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.
!% _
SIGNATU - DATE
` OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 703 1.5,
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 rile a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
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 or not more than rive hundred dollars ($500).
❑ 1, 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.)
O 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
0 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 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 Exemption you 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 sof this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
Sq. Ft.
Size
New ❑
No.
Stories
No. Dw.
Units
Add ❑ Alter ❑ f Repair ❑ Demolition ❑
Valuation
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
AMOUNT
{6602
20-0-0
20.00
25.40
ZONE: BY: --n-, — 9-1—
Minimum Setback Distances lt—'` ASW z Ji3iAf `
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
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
S ' UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL .
WATER PIPING
NOTE: Not to be used as property tax valuation
O
FLOOR DRAIN
.. MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT ' WALL FLOOR SUSPENDED
4f
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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.
SO. FT. ®c
BATH TUB
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11% c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® V4c
HOUSE SEWER
VAA!
-
tL�%
rD
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 1
GROUND PLUMBIN
/ �� UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
O
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPT
ROUGH WIRING
DUCT WORK
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
FINAL INSP.
FINAL INSP.
GRADING
cu. yd.
$ plus x$
_ $
LUMBER GR.
FRAMING j? A)w
l/�O
ROOFING
VAA!
-
tL�%
rD
` Lam/
%%�'//2%� / /491f,a
i
1A
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING VCtooV O
MESH
INSULATION/SOUND Medal6
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
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 1 Type of Permit I La Quinta
No. 110042 Permit #i
Owner Name Roger Snellenberger Log N
No. street See Below
city La Quinta Zip 92253 Study Area 110
APN #i I Tract #1 Lot #i Square Footage 14398
Mr
Type of Development ISingle Family Residence No. of units
Comments .rid-RUfi AvPnirin MnrtinP7 Nd_d1.1; Avan;dn Mnv4;na,7 anri
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 Fl.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
John D. Brooks
Associate Superintendent, Business Services
Fee collected /exempted by Shelley D. Bennett
Signs"
Telephone 5644.977
Payxraent Rceived
Check No. 1186
Collector: Attach a copy of County or City plan check application form to b"I' trict copy.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt . Copy - Accounting
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL O 9
Received From: ! )! U / ./C
%
/ -SIC/ clvJnJ.[ Vl 077
Dater
Address: II i . O x
Account No. J / — S
-
Lots) / Tract S L
Service Address y' 3 /
G.A. Code
off] Meter(s) ? - /y%t
L , 17J
$
---E) Service(s) ? - / ' t= '
u J. J . J
/ 7 D D J
❑ Backflow(s)
J
❑ House Lateral(s)
❑ Detector Check(s)
❑ Meter Surcharge
---fl Sanitation Capacity Charge
T t,
1[ 1 5 `-
.3k. _O • 00
❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account - Name
❑ Inspection Fee - Tract -
Fee -
❑ Plan Check Fees Water / Sewer -
Tract -
❑ Bond Payment - A.D. - Bond
Assmt.
❑ Customer Deposit
❑ Other
TOTAL $
.? 3SD• D D
Remarks:
/
❑Copy to:
Cash
Check p
Money
Order
Water Service
Cashier
1189)
</- d
e e'• OFFICE OF
e AGRICULTURAL COMMISSIONER
AND
WEIG14TS & MEASURES
CALVIN C. KAMINSKAS
JAMES O. WALLACE 40Ef0 LEMON SIREEf, ROOM 19 Ae+l+lonl Commltflonw
AWkvftotCommgtloner RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISIE.
Oheohx of WelahIs d Meviuel (714) 781.2561 Seoler
49613 Highway 86, Suite 812
Coachella, Ca. 92236
DATE ' - 1 _y (619) 342-8291
DATE
DEVELOPER'S NAME s
ADDRESS r G1uc-4j cam,
a
TELEPII(=i_( Q) fiP"7^ `7 ,V% 7
0 S'St / C o R" -t, O- Y— 375— 7-k
av4.,—
Dear Developer
After reviewing your landscaping plays, 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'
bmiediately.
Thank you for protecting and preserving the Coachella Valley's pest -free envirorment..
jA
Agricultural Coinmiss ioner Offf ice
cce Indio and Riverside Office
0
11 . Jc;sk /
of
Tit r of 14.a Quinta
uil in r nb `Safet 34thMijan
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 54-415 Avenida Martinez
Use Classification SFD Bldg. Permit No. 08271
Group R3 Type Construction VN Are Zone Use Zone SR
Owner of Building Roger Snellenburger Address P.O. Box 804
City La Quinta, CA 92253
By: Mark Harold.
Dote: Fdbruary 25, 19 91
Building Official
PONT IN A CONt!MCUOU3 PLACt