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9790 (SFD)S I - T4hf 4 4 a" Building Address 580 Carranza P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Owner Roger Snellenberger Mailing Address City Zip Tel. Contractor Expectation Construction Address sesta City Zip Tel.: State Lic. City & Classif. B 613406 Lic. # 1858 Arch., Engr., Designer Address Tel. { City Zip State f I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section �7000) of%Division 33 of)rt1he BusinessAnadfPro fas ions /Code, (and my liycense i�JinVfull force and "-teffec\l ( iJ \�_.� x ljl t�)J.. l.)1' J ;,SIGNATURE- / A DATE OWNER -BUILDER DECLARATION t.r 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Buslnes6 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 .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 penally of not more than five hundred dollars (8500). ❑ 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.) ❑ 1, 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 7Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 11 the permit Is for one hundred dollars ?$100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any peon in any manner so as to become subject to the Workers' Compensation Laws of Cal ifornirsa Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor. Code, you must forthwith. comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives .of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 9790 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description lot 20 Block 354 Project Description Sq. Ft -No. Size No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation '95,619.50 PERMIT AMOUNT Plan Chk. Dep. 250.00 " Plan Chk. Bal. 2'x'$.88 Const. 621.50 Mech. 49.00 Electrical ..-128.50 Plumbing 160.50 S.M.I. 9.60 Grading 20.00 Driveway Enc. 20.00 Infrastructure _ 2020.34 TOTAL 3550.32 3300.32 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: 4 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIWG FEES 1ST FL. SO. FT. ® $ UNITS o 2ND FL SO. FT. SLAB GRADE YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. 2 r A -6i1 S PTI T N DRAINAGE PIPING WALL SO. FT. DUCT WORK DRINKING FOUNTAIN. SO FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation REINF. STEEL FLOOR DRAIN MECHANICAL FEES TEMP. POLE WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER HEATER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRY TRAY AIR HANDLING UNIT CFM 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 /�/ l SO. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1r/. c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE IPLCK.FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING? 'P DERGROUND A.C. UNIT COLL. AREA SLAB GRADE 9/ ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 2 r A -6i1 S PTI T N 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 GRADING cu. yd. $ plus x$ -$ LUMBER GR. FINAL INSP. /_ �/ FRAMING �� FINAL INSP. ROOFING VENTILATION 8 9 �� P ®� � " � /J i �✓ t � � / /�/ l REMARKS: FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING ihO%✓I� �� MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESnNITIALS GARDEN WALL FINAL I IV, DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 6/23/93 1 Type of Permit La Quinta No. 112286 Permit # Log Owner Name La Quinta Cove Home, Inc. No. Street See Below city La Quinta Zip 92253 Study Area 113 APN # Tract # Lot # 0 Square Footage 115246 Type of Development I Single Family Residence No. of units 0 Comments 53-683 Avenida Alvardo, 52-415 Avenida Mendoza, 52-140 Avenida Velasco, 52-675 Avenida Rubin, .92-375 Avenida Navarro, 52-790 Avenida C'arra 7a, r► -3-R1 n Villa q9 -171i Avnnirin HPrrPrg rI-77ri AvPnirin Marfina7 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 1.65 x 15 246 or $ 25,155.90 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 La Quinta Cove Home, Inc. Telephone 564-5540 Name on the check By Tames E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Vickie J. Durrett _ Payment Received Signature rChQck" Mo. 054138 Collector. Attach a copy of county or city plan check application form to district ropy for.all waivers.' Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy ~Accounting y(y L , ent Cannot 7/11/91 No. 10725 Owner Name ---.p 6� 0 DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 Be Duplicated Indo, CA 92201 (619) 347-8631 Type of Permit JLa Quinta Permit li Log # No. 53580 street Carranza city La Quinta zip 92253 study Area 112 APN N I Tract N Lot # Square Footage 11557 Type of Development Single Family Residence No. of unite 1Q Comments 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—.5-8--1 X 11.557 1 or $ 2,460.06 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 Expectations Construction Telephone 564.0793 Name on the check guy James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Shelley D. Bennett f� Payment Received Signature / Check No. 1011- Collector: 011-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 CALVIN C. KAMINSKAS Assistant Commissioner (714) 275-3000 OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612 Avenue 45 Suite 7 Indio, CA. 92201 (619) 342-8291 DAN RILEY Sealer, Weights & Measures (714) 275.3030 . DATE QIfME o2�. %9q I CASE No. �C,QL5�a�9[ DEVELOPER'S NAME: ADDRESS: TELEPHONE: ({/9 ) .StSc-/, O Lo7{ 9 �oc1c S! Qcc[aD Ld / 7 B eke Gling Ljol.21 BPWfc sa 9u&eZ . CotZ a&IL41 Ma,&l Loflk B/oz1c3/ M&AW 7 ffuauz Dear Developer: (of -3 &cklS7 ea"tP/ua 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 from plant material listed, this office must be notified inTnediately. `Thank you for protecting and preserving the Coachella Valley's pest -free environment. Agricultural Commissio is Office cc: Indio and Riverside 4980 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012 4 P.O. sox ISOs 76105 CALLE ESTADO LA OUINTA. CALIFORNIA 92253 Contractor owner Address s- V-36 d Job Address La Quinta City License No.: Expires: J--1?/ Bldg. Permit No.: S0 This form shall be posted on the job with the Building Inspection Card and it shall be the duty of the General Contractor or if Owner -Builder Permit, the owner to see that all sub -contractors sign this card, giving his City of La Quinta Business License Number, Contractors License Number and a current certificate of Workman's Compensation Insurance Certificate when he starts the job. Failure to comply may cause Building Inspectors to stop work, or complaints to be filed against such contractors or owners. CITY CONT. SUB -CONTRACTORS NAME LIC. NO. EXPIRES LIC. NO. EXPIRES 1. 2. 3. 4. 5. 6. 7. B. 9. 10. Li. L2. l3. l�L l6: L7. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. Grade i Excavate Pipelines Cement -Foundations Cement Walks i Drives Asphalt Paving Framing Steel Structural Masonry Plumbing Lathing Drywall Plastering Flectrical v J,L ,2 9 7dV [ �(112 - 9 / -2ypes ssazing Insulation/Weatherstrip Sewage Disposal Painting/Decorating Tile Cabinets -Installations Ornamental Metal Fences/Blockwalls Landscaping Others DO NOT REMOVE TH I S CARD „ Before Final Building Inspection Will Be Made This Form Must Be Completed and Filed With Title 24 Calcs and Plans Buena Engineers, Inc., 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 a Client Name Client Client Phone DATE I TEST LOCATION `4 S JOB NO. PROJECT �+ p S d 7 O C./t 14414-- ?1 LOCATION CONTRACTOR x OWNER WEATHER C . ,� �/ MAXIMUM DRY DENSITY ° TEMP. o at AM /U�j U at PM PRESENT AT SITE 9. TEST NUMBER TEST LOCATION `4 S LOT NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY Ibs./Cu. ft. MAXIMUM DRY DENSITY ° MAXIMUM DRY DENSITY Ibs./cu. it. OPTIMUM MOISTURE CONTENT % 9 � Jai "dd, > 9 � A _ •' fie. REMARKS:�v/ r A ,12 I CLIENT REPRESENTATIVE SIGNATURE FIELD REPORT tTECHNICIANS SIGNATURE 13702