13224 (SFD)P.O. BOX 1504
Building�8 s Via A13t 8�8a 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Roger Sneallenberger & Associates
Mailin
Address 55-695 Pebble Search
1'a Quinta, CA ZIp92253 T777-7767
Contractor.
Same
Address
Tela
State Lic.City
& Classif. B 585519 1 Lic. # 2866
Designer Carlos zrllias — Engineer
Address Tel.
39825 Charleswork Drive 328-7271
CityZip State
Cathedral City, CA 9223 Lic. # 16839
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
-q- OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason's'(Sec. 70.3 1.5, Business and Professions Code: Any city or county which requires a
permitItoonstruct, alter, improve, demolish, or repair any structure, prior to its issuance also
,permit
��cequires'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).
❑ 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.)
❑ I, asowner 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'
ate OwnerWORKERS' COMPENSATION DECLARATION
Ihereby 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
❑ 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 person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT. If, alter 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 it 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. 13224
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 617-672`030
Legal Description Lot 30 Tract 20852-3
Project Description SFD Plan l.-'
Sq. Ft. 1850 No. No. Dw.
Size Stories Units
New 4 Add ❑ Alter ❑ Repair ❑ Demolition C
Estimated Valuation
107,272.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
566.16
Const.
661.50
Mech.
68.50.
Electrical
137.04
Plumbing
150.00
S.M.I.
10..19fl
Grading
20.00
Driveway Enc.
.00
Infrastructure
2,369.34
Arts in PUBI e Fiaces
Z56ou
TOTAL
4 , 014.
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. SQ. FT. ® $
UNITS
SLAB GRADE
Ky �'
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SQ. FT. ®
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN.
BOND BEAM
WATER SYSTEM
URINAL
SQ FT .@_
=$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIRE ZONE ROOFING
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIREPLACE
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
SO.FT.GAR ® 3/ac
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
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.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIAIS
GARDEN Wr1LL FINAL
{ T r•
ort 3 (7 Ft �► ( (A ecle e cl-t
3 0
621 -25 Vf&(( Foot,19�s 4/(-
F Ile
:
-41
a CITY OF u 0047kr'
or ^ DEPARTMENT OF PLANNING °&'DVBL�OP�VIEIVT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner Roger Snellenberger & Associates
Contractor Same
Permit Number 13224
POST ON JOB IN CONSPICUOUS, PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 48-509 Via Amistad
SFD
TYPE OF INSPECTION DATE INS?.
FOUNDATION & SETBACK
.FOOTING STEEL cL.
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE,
DO NOT POUR CONCRETE UNTIL ALL ABOVE'HAS BEEN SI3NED
CONCRETE SLAB a�
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
Db NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT- A/C
FIREPLACE ; r
ROOF e" I; ✓ ti �, ;,,r
BOND BEAM,
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING GACY
INSULATION -S
PRE -ROOF - G -
COVER NO WORK UNTIL AB VE HAS-BEEN SI N D
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING Ile
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
a,88 ..
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201 •
Document Cannot Be -Duplicated 619-775-3500 '
Date 8/2/93 1 Type of Permit La Quinta
No. 112355 Permit #1'
Log
owner Name Roger Snellenberger & Associates
No. Street See Below
city La Quinta Zip 92253 Study Area 1109
APN # Tract # Lot # 0 Square Footage 15
Type of Development Single Family Residence No. of units 5�
Comments 48-517,48-515,48-513;48-511,48=509 Via.Amistad - Total 9,480 sq ft
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 Mitigation Agreement
in the amount of 628.00 x 0 or $ 3,140.00 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 Cashier's Check/Roger Snellenberger Telephone 777-7767
Name on the check
By James E. Livply
Assistant Superintendent, Business Services
Fee collected /exempted by Tomi Doebereiner
Payment Received
Signature jj��i'ii ,. �,i. �� check No. 055336
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