13009 (SFD)T 6
IM
P.O. BOX 1504
Build,V9 78-105 CALLE ESTADO
Addrtiss 48-535 Via Amistad LA QUINTA, CALIFORNIA 92253
Snellenberger & Associates
Address 48-117 Via Hermosa
City -
Zip
Tel.
.La Quivitar CAI
92253
1 564-6136
Contractor
The grider Corporation
Address
48-300 Vista Do Nopal
City
137.04
Tel:
La Quinta, CAIzi�2253
S.M.I.
5 4-6136
State Lic.
& Classif.* 585519
City
Lic. # 2866
Arch., Engr.,
Designer Robert Earl & Associates
Address
I Tel.
City Zip State
I Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby �ffi�m that I am licensed under provision�;666apter 9 (commencing with Section
7000) of Division 3 of the Business and Professioffs 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, after, 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 civilpenafty ofnot more than five hundreddollars ($500).
0 1, 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.)
0 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.)
0 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. om pany
0 Copy is filed with the city. 0 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 thp 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, 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 Addre
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 car tify 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-.
men�_'oned property for inspection purposes.
Sigriature of applicant -Date-
Mailing Address
city, State, Zi
No. 13009
BUILDING: TYPE CONST.—OCC. GRP.:
A.P. Number 617-672-017
Legal Description. Lot 17 Tract 20052-3
Project Description SFD Plan 1
Sq- Ft. 1950 No. No. Dw.
Size Stories Units
New 07, Add 0 Alter 0 Repair 0 Demolition 0
Estimated Valuation $107,272.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
5 6 6 - 16
Const.
. S Q
Mech.
68. Sill
Electrical
137.04
Plumbing
150.00
S.M.I.
1-0.80
Grading
ft 0
%#
Driveway Enc.
—0—
Infrastructure
2,35-9.3-4
Arts in PUbMa Plac.es
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Lin
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:
ON CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. @ $
UNITS
SLAB GRADE
C,
BONDING
YARD SPKLR SYSTEM
2kD FL. SO. FT. @
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BARGINK
POR. SO. FT. @
GAS(ROUGH)
METER LOOP
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CARP. SO. FT. @
GROUT
WATER HEATER
WALL SO. FT. @
FINAL INSP.
DRINKING FOUNTAIN.
BOND BEAM
WATER SYSTEM
URINAL
SO. 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:
LAUNDRY.TRAY
AIR HANDLING UNIT CFM
FIREPLACE
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
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/4c
HOUSE SEWER
GAS PIPING
FEE
PERMIT FEE
PERMIT FEE
EPERMIT
D BL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT.FEE
SMIFEE 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 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
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CER�l' OCC.
FENq FINAL
INSPECTOR'S SIGNATURES11NITIALS
GARDEN WALL FINAL
I
CITY OF LA OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
CITY U� L
A WINTA 564-2246
24-HOUR NOTICE FOR INSPECTIONS
MY bij
HNANGE WMIN"
Owner Roger Snellenberger & Associates
Contractor The Trider Corp.
Permit Number 13009
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 48-535 Via Amistad
SFD
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTINIG STEEL -2
4 A�;
MAIN GROUND SYSTEM
GROUND PLUMBING '577-7
PRE-GUNIYE-
DO NOT POUR CONCRETE UNTIL ALL ABOVE I:(A--S BEEN SIGNED'
CONCRETE SLAB
JOISTS& GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST —,72 q5 -
HEATING& VENT- A/C
FIREPLACE
ROOF
BOND BEAM t
O.K. TO WR . AP -7-21 9.1
GROUT 0 4' 0 8'
FRAMING,
INSULATION 2 Of - IT
PRE -ROOF'
COVER NO WORK UNTIL ABOVE HAS BEEN SI ED
DRYWALL INTERIOR F14�,:IZAU-
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
ELECTRICAL
Di I lualkir-I
FINAL GAS TEST
FINALS
4!88
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
I
ESERT SANDS UNIFIED SCHOC
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) W-9611
DISTRICT
Date 5/20/93 Type of Permit I La Quinta
No. 12222 Permit #1
Log.
owner Name Roger Snellenberger & Associates
N o. Street See Below
city, La Quinta
Zip '92253 Study Area
APN # Tract #I Lot # Square Fo O*tage 13
Typeof Development ISingle Family Residence No. of units.
Comments Laguna De La Paz;78--535 Via Amistad, 48-505 Via Amistad, 48 �507 Via Amistad
lotal Squarp*FontajE�so
At the present time, the Desert Sands Unified School Dis trict do'es'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 .* . I
.This certif ies that school, facility fees imposed pursuant to Mitigation Agreement -
.in the amount of or $ 1,884.00 have been paid to D.S.U.S.D. for
the property listed above and that building permits and/or Certificates of Occupancy f r
this square footage in this proposed project may now be issued.
Fees Paid By RojZer Snellenberger & Assoc., Inc. Telephone 777-7767
Name on the check
By James F_ l,i*el)z
Assistant Superintendent, Business Services'
Fee collected /exe . mptod by Tomi Doebereiner
I 'Payment Received
Signature u. C�-� buk,Q �.,KJ A,--- k. .
Check No. 1235
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
I
Ad
I
Tit� of 14a Ouinta
jluftbiu�. anb -Safet� 34thaieiijan
I
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 48-535 Via Amistad
Use Classification Single Family Dwelling Bldg. Permit No. 13009
Group R Type Construction IM —Fire Zone Use Zone SR
Owner of Building Roger Snellenberger Address 48-300 Vista De Napal
City La Quinta n 4 'k A TZ 4 11 1 A
BY.
Date: 9-2-93
Building Official
—Z POST IN A CONSIPICUOUS PLACIE