11117 (SFD)4 4v Q%'
P.O. BOX 1504
Building53-`660 Cortez z LA DUINTA CAL CALIFORNIA 92253
Address
Owner
Roger Snellerberger z Ansae me
No. 11117
Mailing
• ' J- BUILDING: TYPE CONST.. -0CC: GRP.
Address P • 0 • Box 184-1
A.P, Number
City
La Q�a112253
Telnt.a. 5.54-0793 ]Legal Description Lot 17 Block 194
Contractor of
Address
State Lic. ; A - City -
& Classif. ' / � �16A-
Lic. #
Arch., Engr.,
Designer
Address Tel.
Zip State
Lic. #
LICENSED COIiTRACTOWS DECLARATION'
�yy a-fNrin- ,that I am licensed undel�Drovisions;of,C�a'�ter 9 (commencing with Section
D it 3 of the BusinesblaWrofessione'itodi and' my. license: Is in:fdll force and
i•1`-2
" / OWNER -BUILDER DECLARATION
I h9fSec. affign that I am exempt from the Contractors License Law for the following
reason 7031.5.8us hese and Professions Code: Any" city or county which requires a
permit to oanstrurt alter, brprove, deux", or repair any structure, prior to !ts Issuance also
requires Me appI for such permit to rile a signed statement that he Is deensed pursuant to
Me proviJons of Me Cort6adors License Law, Chapter g (commencing with Section 7000) of
Divlelon 3 of,do Business and hoesshms Code, or that. he m exempt therehern, and the Lasts
for the alteped eaaenptlon. Any rd mono" of Sexton 7031:5 by 'any applicant for a pend#
sueocls the 11cald fo •cult perrefty�o1 not dors than Rhe hundred dalfers-($500).
❑ 1, as owner of the property, ormy.,employees with wage9 as their'sole-compensation, will
re
do the worm, and the structuis not Intended or offered for sale. (Sec. 7044, Bulsness and
Ph fessons Code The Conbadors License Law does not apply to an ,owner of property who
bultds or= thereon and.who does such work h msef/ or throhgh, his. own employees,
w
prfded that such brpsovernainfs are not Intended or offered for safe: H, however, the badiding .
or mprovanam Is said w ane year of completion.. Me owner -budder wr8 have the burden
of porby that he did not build or &wave for Me purpose of sale.)
1, as owrner of the property, am exclusively contracting with licensed contractors to con•
struot the project (Sec. 7044, Bustrhess and professions Code: The Contractor's License Law
does not apply to an owner of"prWarty-who buQds or improves: thereon, end who contracts.for
such projects with a conbacor(s) Bcensed pursuant to the, Contractor's License Law.)
❑ 1 am exempt under Sec .a• g• P.G. for this reason
Data owner
wORKERli COMPENSATION DECLARATION
I hwaby affirm that I have a certificate of consent to self -insure, or a certificate of
workePs Compensation Insurance, or a certified.copy.thersof.,(Sec. 3900, Labor Code:)
POII a Company
Copy,is filedmith the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This sectim meed not be completed H the pend# Is for one hundred dollars ($1 00) valuation
or
less.)
I certify that
In the performance of thF work for which this permit is Issued, I shall not
Laws of C`allfamia in any manner so as to become subf act to the Workers' Compensation
Date pwrnrr .
MOTIICE TO APPLICANT.• H,- after making this certificate of Exernpaon you should become
spLyect bi the Nbrkers' Cor pe nation provivinns of: the Labor Code, you must forthwfgh
Dumpy with such povl bm or Hca pemdt dW1 be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hetebjr aHtrm that there is a construction lending agency for the performance of the
work for which Uris permit is issued..(Sec. 3087, CM Code.),
Lender's Name
Lenders Address
This is a building permit when properly filled out, signed and. validated, and Is subiect'to
expiration if workthereutder is suspended for 180 days.
I car* that 1 have reed this application and state that the above Information is correct
I. some to comp�pI�y with all -city and county ordinances and state laws relating to building
oonstruction, end hereby authorize representatives .of this city to enter the above-.
mentioned propeAy for inspection purposes.
Signature of applicant Date
Mailing, Address
City, State, Zin
ject Description SFD
Sq. Ft: 1614 No. No:,D.w.;
Size Stories Units
New ❑ Add ❑ Alter ❑' Repair ❑ -Demolition ❑
Perrait does not include block wall
or poral
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
stimated Valuation
INSPECTOR
Issued by:
-PERMIT
Validated by:
AMOUNT
Plan dhk. Dep. ;
250. 0 0
Plan Chk. Bal..
288.32
Const.
635 .00
'Meeh.
9.3
Electrical
130.49
Plumbing
157.50
S.M.I.
9.90
Grading
20;00
Driveway Enc.
, 00
Infrastructure
2006.39
TOTAL
.ts�a ;` i r PI.
I-" •33T6.160"'
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
1ST FL. SO. FT. ® S
UNITS
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SO. F7.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO..FT. 0
POWER OUTLET
ROOF DRAINS
GAS (ROUGH) METER LOOP
DRAINAGE PIPING
CAR P. I SO. FT. ®
REINF. STEEL
WALL SO. FT.
DRINKING FOUNTAIN.
SO FT ®
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION i
WATER PIPING
NOTE: Not to be used as property tax valuation
BOND BEAM
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP. 3 flame
GARBAGE DISPOSAL
FURNACE UNIT` WALL FLOOR SUSPENDED
-
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE.PERMIT SVC
WATER CLOSET`
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEA'IINGSYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
SPARK ARRESTOR
SO. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1Y. c
SEWAGE DISPOSAL
LAT G ?P(� p2 L10
SO.FT.GAR @ 31Ac
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 42 W UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.I
IV
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.
i plus xs
=S
LUMBER GR.
FINAL INSP. (.(i/
FRAMING 2 �L�
FINAL INSP. 3 flame
ROOFING
A /1 GO
11/�
7� , _ � /V P2 1 '-A,4-0
�I� ivv"-r tt
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LAT G ?P(� p2 L10
MESH
INSULATIONISOUND 1/a
FINISH GRADING
FINAL INSPECTION, 3
CERT. OCC.
FENCE FINAL
INSPECTOR'S 81GNATURESIINITIALS.
GARDEN WALL FINAL
Building
Address
Ow
t
I ,
P.O. BOX 1504 --APPLICATION ONLY
Q� 78.105 CALLE_ESTADO
QUINTA, CALIPORNIA-92253
,I Yv I
JILDING: TYPE CONST. OCC. GRP.
P Number
Cit
Zip �
Tel,
l�Zl�
Legal Descripti'o`n
Project Description
.
Contractor /�0 �
P Q"7"(
Address
t
Const.
City
Zip
Tel.
Electrical
State Lic.f
& Classif.
City /!
Lic. N C 1g
Sq. Ft. No. No: Dw. r.
Size Stories Units
Arch., Engr.,
Designer
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
Driveway Enc.
CityZip
State _
Lic. #
U --%
N
LICEN RACTO Dr3h-9
I hereby affi hat I am liven oder rovi ocommencing;with Section
7000)of Ivl on usiness a le I liven `Is In full force and
Mo.
+
SIQN BATE
niuura.swr ore mini •
-kms. affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Busiiiess and Professions Code: Any city or county which requires a
permit to caristnrct. ,alter. improve. demolish, or repair anv structure. odor to its Issuance alas
Division 3 of the Business and Professions Code. or Mat.,he /a exempt therefrom, and'the .basis
for• the alleged' exemption. Any iota of Section- 7031:5 by 'any applicant for a permit
subjects the appkcant to a civil more. of not more. than,flve hundred dollars (5500).
17 I,.aS owner of theproperty, 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 Contractors. License Law does' not apply to an owner of property who
builds or Inproves thereon and who does such work himself or through his own employees;
provxfed that such Improvements' are not intended or offered for sale. h, however, the building
or improvement is sold within one year of comp/etkui,. the owner -builder "I have the burden
of proving that he didnot build or knprove for the purpose of sale.)
I l I, as owner,of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and ProfessionsCode: The Contractor's License Law
does not appty to .an owner of property who builds or Improves thereon; and who contracts for
such projects with a contractors) licensed pursuant to the, Contractor's License Law.)
1*1 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 selVinsure, or a certificate of
Workers Compensation ,Insurance, or a certified copy thereof. (Sec, 3800, •Labor Code.)
Policy,t4o..Company
Copy is filed with the city. ❑ Certified'copy'is hereby fumished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if rhe 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
=any parson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT. lf, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you ,must forthwith -
comply with suchprovisions or this,permk 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
Lenders Address
This Is a building permit when properlylilled out, signed and -validated, and, issubject-to
expliition,if'"work thereunder ia'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 oity 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
MailinAddress
City,,. ti.te, Zip
BUILDING DIVISION
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infras ucture
U --%
TOTAL
a
�' SI PW i '27s.
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. t& $
UNITS
SLAB GRADE
ROUGH PLUMB,
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT, �
FORMS
SEWER OR SEPTIC TANK
POR. SQ. FT.
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT.
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. 0
OTHER APPJEQUIP.
DRAINAGE PIPING
WALL SO. FT.
TEMP. POLE
DRINKING FOUNTAIN
SQ. FT. ®
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL,INSP.
WATER PIPING
NOTE: Not lobe used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
c3
WATER SOFTENER
VENT SYSTEM FAN EVARCOOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
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.
SO. FT. @ c
BATH TUB
SPARK ARRESTOR
SO, F7. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID rd 1V. c
SEWAGE DISPOSAL
LATHING
SQ.FT.GAR @ ?4c
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
INSULATIONI'SOUND
PERMIT FEE
PERMIT FEE
OBL
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
UNDERGROUND
A.C. UNIT
COLL AREA
SLAB GRADE
ROUGH PLUMB,
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL,INSP.
BOND BEAM
WATER SYSTEM
GRADING
Cu. yd.
$ plUe x$
c3
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP:
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONI'SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATUREWINiTIALS
GARDEN WALL FINAL 71
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 7/2(92 Type of Permit I.La Quinta
No. 11x542 Permit N
'
Owner Name Roger Snellenberger Logs
No. street See Below
city La Quinta zip 92253 study Area Q
APN # I I Tract # Lot # square Footage 14,8U
Type of Development I Single Family Residence I No. of units
Comments A--R-Agn OnrtP7 (Avon 111) IMAM; Villa (Arran 119) _J;1_Q1(1 Tnara.7 (Area 11-1
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 53050
in the amount of 1.65 .X 842 or $ 7,650.36 have been paid to D.S.U.S.D. for
the property listed above and that'building permits and/or Cetrtificates of Occupancy for
this square footage in this pruposedproject may now be issued.
Fees Paid By Roger Snellenberger & Assoc., Inc. Telephone
Name on the check
Hy James E. Lively -
Assistant superintendent, Business services `
Fee collected /exempted by Shelley D., Bennett
Payment -Received.,
Signature Check; tvo. "1408
Collector. Attach a copy of county or city plan check application form to distric`c copy Yo -r ell waivers.
Embossed Original- Building DeptJApplicant Copy - Applicant/Receipt Copy - Accounting
'J
je� �-1 �kf
14a
of
t vA
Tit�r of Ka (Wouinttt
INMuOin4 anb $afet�r 34iiiiiion
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 53-660 Cortez
0
! ' use Classification Single Family Dwelling - Bldg. Permit No. 11117
4
� I
i Group R3 Type Construction VN Fre Zone Use Zone GR
Owner of BuildingExpeetation. Construction Address 54-295 Diaz
Wy La QuintaF CABy; Lonnie Day
r1
mots • ecemDber 30, 1992
Building -Official
_._` POST IN A OONS91000US PLACIE