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12166 (SFD)1 44 P.O. BOX 1504 ' Building 78-105 CALLE ESTADO Address 48-521. Via Amistad LA QUINTA, CALIFORNIA 92253 Roger Snellenberger & Associates Mailing Address 55-595 Pebble Beach City Zip Tel. La Quinta, CA 92253 777-7767 Contractor Same Address ity Jzip Tel.. State Lic. g 58551;9 I City# 2866 & Classif. Arch., Engr., Designer Carlos Elias - Engineer A. 9VIS5 Charlesworth Drive T128-7271 Cathedral City, z1p92234 � uta 16839 LICENSED CON.T.RACTOWS 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 rile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or Division 3 or 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 (8500). ❑ 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 orimprovement 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, 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 or 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' 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. O 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 (8100) 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, 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 state laws relating to building construction, and hereby authorize representatives sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing 'Address City, State; Zip I No. 12166 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 617,672-024 Legal Description Lot 24 Tract 20052--3 Project Description SFD Flan t ZONE: BY: lJ d eti\ Minimum Setback Distances: Me Front Setback from Ce er Li Rear Setback from Re Prop. Line Side Street Setback fro Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date - Permit Validated by: I Validation: 4 v Sq. Ft. 1850 Size No. Stories No. Dw. Units New o1 Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $107t272-00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 566-..16 Const. 667,50 Mech. 68.50 Electrical 137.04 Plumbing 150.00 S.M.I. 10.80 Grading 20.10 Driveway Enc. .00 Infrastructure 2#369.34 Arts in Pub lc Places l ♦�� TOTAL t 0 4. 4 REMARKS r ZONE: BY: lJ d eti\ Minimum Setback Distances: Me Front Setback from Ce er Li Rear Setback from Re Prop. Line Side Street Setback fro Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date - Permit Validated by: I Validation: 4 v CONSTRUCTION ESTIMATE NO: ELECTRICAL FEES NO. PLUMBING FEES 1ST -EL. SQ. FT. ® $ UNITS - `� BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® TEMP. POLE GROUT DRAINAGE PIPING S CAR P. O. FT. FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL SQ. FT. =$ LUMBER GR. FINAL INSP. URINAL SQ. FT. ROOFING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE " DRYER FIREPLACE 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. 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 CERT. OCC. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL i 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 APP.IEQUIP. 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 SIGNATURESIINITIALS r GARDEN WALL FINAL y i CITY OF u OUINTA DEPARTMENT -OF PLANNING,& E"yE 'P EN`f BUILDING DIVISI 564-2246 24-HOUR NOTICE FOR INS &d.N$ 51 " jWARj" Owner Roger Snellenberger & Associate; Contractor Same Permit Number 12166 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOBADDRESS 48-521 Via Amistad SFD TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK FOOTING STEEL MAIN GROUND SYSTEM GROUND PLUMBING PRE-GUNITE _ DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN_SIC 31NED CONCRETE SLAB JOISTS & GIRDERS ELECTRICAL GROUND WORK fin) l [—OAT DO NOT POUR CON METE UNTIL ALL ABOVE HAS BEfE14 SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST - HEATING & VENT -A/C FIREPLACE ROOF BOND BEAM O.K. TO WRAP 'L GROUT ❑ 4' ❑ 8' FRAMING O' - INSULATION - J -Y < PRE -ROOF COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DPJOdlA.4L INTE.ElOR 1��—� .� ' 4.41 POLL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK /7 �i ELECTRICAL PLUMBING HOUSE NUMBERS wv wmra.0 w I 1 . % V - f ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4!88 � DESERT SANDS UNIFIED SCHOOL DISTRICT ' 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 8/11/93 Type of Permit La Quinta No. 12370 Permit # Owner Name Laguna De La Paz Log. .No. Street See Below city La Quinta -Zip 92253 Study Area 109 APN It I Tract # Lot #[ Square Footage 17 Type of Development Single Family Residence No. of units Comments 48-531 Via Amistad 1,980 sq. feet, 48-529 Via Amistad 1,852 sq. feet, 48-527 Via 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: Under Mitigation Agreement This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 628.00 x 70 or $ 4,396.00. 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 Roger Snellenberger Telephone 777-7767, Name on the check By . James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Vickie J. Durrett Payment Received Signature Checic No. 055467 r Collector: Attach a copy of county or city plan check application form to district cony for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt . , Copy - Accounting