11116 (SFD)T4ht
"
P.O. BOX 1504 N o . 11116
Building 51-910 Juarez 7&105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Roger Snellenberger & Assoc., Inc. BUILDING: TYPE CONST. OCC. GRP. -
Mailing
Address P. 0. Box 1847
A.P. Number
City Zip 7�564-0793
La Quints 92253 Legal Description Lot 17 Block 32
Contractor
Project Description SP
Address
City Zip ' ` Tel
State Lic.City
& Classif. t�7v� Lic. #1?6 Sq. Ft. 1$14 No. No. Dw.
Arch., Engr., - Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel. pest does not include block wall
City Zip State or pool
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Divisiinn 3 of the Busines -and Proffe/ssiioonns.Code,,and my license 1s in full force and
effect.
SIGNATURE I - DATE
OWNER -BUILDER DEC' Y16N Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following 981555.00
8 �5� ��
reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a t •
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 PERMIT AMOUNT
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 Plan Chk. Dep. 250.00
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 288.32
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 635 00
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, Mech. ,fig 00
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 Electrical 1 �Q [�
of proving that he did not build or improve for the purpose of sale.) 9
0 I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 157.54
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 S.M.I. 9.90
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec. B. ti P.C. for this reason
Grading 20.00
Driveway Enc. .00
Date Owner Infrastructure 2036.39
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 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. -,
o. Company
Copy is filed with the city. 0 Certified copy is hereby furnished. t1' !
TOTAL ` 3626.60'
CERTIFICATE OF EXEMPTION FROM REMARKS
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 parson 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 ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shah be deemed revoked. Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
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.) Side Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECTOR
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. Issued by: Date Permit
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. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL, SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SO. FT. ®
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
IPOWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SLAB GRADE
FLOOR DRAIN
MECHANICAL FEES
BONDING
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
EPTIC TANK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
DUCT WORK
LAUNDRYTRAY
AIR HANDLING UNIT CFM
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
BOND BEAM
SO.FT.GAR ® 3Ac
HOUSE SEWER
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
GROUND PLUMBING
RGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
EPTIC TANK
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. C1
17[
FRAMING C 1 L1�1
FINAL INSP.
ROOFING
VENTILATION
U
� (,,/� /per //�
19
f
ld
REMARKS:
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION- C�
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 7/2192 Type of Permit I La Quinta
No. 111542 Permit #
Owner Name Roger Snellenberger Log #
No. street See Below
City La Quinta Zip 92253 Study Area 0
APN # J Tract # Lot # Square Footage 14,842
Type of Development Single Family Residence No. of units 0
Comments 11;R_990 Vnrt07 (Aran 111Villa (Arca 112) R1_Q171 _T„arco (A,na 11Q1
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 1.58 X ® or $ 7,650.36 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 Roger Snellenberger .& Assoc., Inc. Telephone 564-0793
Name on the check
g� James E. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Shelley D. Bennett
Signature
IV
Payment Received
Check No. 1408
Collector: Attach a copy of county or city plan check application form to distiict'vopy iar° All waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
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of
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of 14a (Quinta
^:ylli��ilt� �lt� �StI�P��i �IbT�SiIIri
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 51-910 Juarez
Use Classification SED Bldg. Permit No. 4 11116
VN
Group R3 Type Construction Fre Zone Use Zone SR
Owner of Building Roger Snellburger & Assoc -Address P.O. Box 1847
City .La Quinta By; . Lonnie Day
Dote
October 19, 1992
d �
Building Official d'
POST IN A CONSPICUOUS PLACE