08270 (SFD)Building
Address
C&t�t 4 4
"
P.O. BOX 1504 N o .
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing - - -
Address p. 0. 13= 864
City Zip ITel.
Contractor
ress
City lZip
State Lic.I City
& Classif. Lic. #
Arch., Engr.,
Designer R"8
Address I Tel.
CityI Zip I State 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.
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.)
O 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 11-2ZI kLowner t r n r+107 tA1 LTi - r<.s
WORKERS' COMPENSATION DECLARATION
I hereby affirm thit 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
❑ 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 thg 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 Cali fornirsa.
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 slate 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
BUILDING: TYPE CONST: S•F• OCC. GRP.:
P. Number
Legal Description Lot tb " SIC 75+
Project Description Sit?3ahs gnM127 Rom
Sq. Ft.
Size
New ❑
No.
08270
No. Dw.
Units
Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$ 85,463.00
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
f=ln— ]Ri w�
TOTAL
REMARKS .,..,i . `' IF
Y. 'L.sw.r rY x Q_,41.1411
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
1ST FL. SQ. FT. ® $
2ND Fl. SQ. FT.
POR. SO. FT. ®
GAR. SQ, FT, ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
r
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
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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
FRAMING FINAL INSP.
v�
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOT<L FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK ¢!j
GROUND PLUM BING% 2y
/ DERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE /
ROUGH PLUMB.
0 41
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
or
SEW
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.
v�
ROOFING
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING %%I9 #
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC. CCCJJI
FENCE FINAL
REMARKS:
INSPECTOR'S 51GNATURE511NITIAL5
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
No. 10042
Type of Permit
Owner Name Roger Snellenberger
No. street See Below
city La Quints zip 92253
La Quinta
Permit #
Log #
Study Area 110
APN # I Tract # I Lot # Square Footage 14398
Type of Development Single Family Residence No. of units 0
Comments .r4_R9B AvPnirin MnrhnP7._ ri4-41ri AvPnirla MnrtinP7. nnrd .9;4-1 R(1 R.»hin
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 1.55 X R�3% 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
By John D. Brooks
Associate Superintendent, Business Services
Fee collected /exempted by Shelley D. Bennett
Signature
Telephone 5644977
Pa' 'n Raceiwid
jhdcic No. 1186
Collector: Attach a copy of County or City plan check application form to Disttiot wpy.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt . Copy - Accounting
% — i h 0
s
�.. OFFICE OF
AGRICULTURAL COMMISSIONER
a
AND
WEIGHTS & MEASURES CALVIN C. I(AMINsi(AS
JAMES•O. WALLACE 4080 LEMON STREET. ROOM 19 Attwontcommbtionw .
AakWhRot COmmlotlo"ef RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISIE.
meatm o1 wetphb a Meotuel (114) 781.2561 Seoler
49613 Highway 86, Suite 812
Coachella, Ca. 92236
DATE - I �-y (619) 342-8291
DATE (Z t_S —1 1 a O
DEVEWPER' S t` AME: ..� U_�1w✓ - C�4v! Y
ADDRESS s B a N 8D 1-1 -7-1
U
1BLEPI IO= s ((z2/ q 54- 41— `' T% Z
7.
S'S� / si o O SY- 3 7 S— m
a.4
Dear DevelopEirs
After reviewing your latn3scaping platys, all plant naterial listed is not in
violation of quarantine laws governing the Coachella Valley. If substitutions
do occur and they differ frau plant material listed, this office must be notified.`:
immediately.
Thank you for protecting attd preserving the Coachella Valley's pest -free environment..
Agricultural Camnissioner Of=ff cam— �lola�MVS
ccs Indio and Riverside Office
I
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