12161 (SFD)4
P.O. BOX 1504
Building78-105 CALLE ESTADO
Address 48-531 Via Ami stad LA QUINTA, CALIFORNIA 92253
Owner
Roger Snellenberger & Associates
Mailin
Address 55-695 Pebble Beach
City Qui,nta, CA zip92253 Tell 77-7767
Contractor
Same
Address
Zip
State Lic. City
& Classif. B 585519 Lic. # 2866
Arch., Engr.,
Designer Carlos Elias — Engineer
Address Tel.
38525 Charleworth .give 326-7271
CityZip State
Cathdid ral Cit. , 92234 Lic. # 16839
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under Urovisions of'Chapter 9 (commencing with Section
70 OO) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. -,
SIGNATURE DATE
OWNEFI-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 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 acivil 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, 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.)
❑ 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. ❑ 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 lhg 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 -of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 12161
BUILDING: TYPE CONST. OCC: GRP.;
A.P. Number 617-672-019
I Description
Project Description
Lot 39 Trac.- 20052--3
SFD Plan 1
Sq. Ft. 1 50 No. No. Dw.
Size Stories Units
New Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $107r272.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
66.16-
566.16-
Const.
COnst.
667.50
Mech.
68 v SQ '
Electrical
237.04
Plumbing
150.00
S.M.I.
10.80
Grading
20.€30
Driveway Enc.
.00
Infrastructure
2,369.34
Arts in Puollc Places
25.00
TOTAL
4,014.34
REMARKS --`
ZONE: BY:
Minimum Setback Distances: AUU
Front Setback from Tenter Line_
Rear Setback frome[R2ar Prop. Li
Side Street Setback f�Ow-Sea-tef
Side Setback from Property Line
FINAL DATE INSPECTOR_
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
A.C. UNIT
COLL. AREA
SLAB GRADE
$
UNITS
HEATING (ROUGH)
1ST FL. SO. FT. @
1ST
FORMS
SEWER OR SEPTIC TANK
r
DUCT WORK
YARD SPKLR SYSTEM
2ND FL. SQ FT ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
TEMP. POLE
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRAINAGE PIPING
CAR P. SQ. FT. ®
=$
LUMBER GR.
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN.
FINAL INSP.
URINAL
SQ. FT.
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
VENTILATION
FLOOR DRAIN
MECHANICAL FEES
FIRE ZONE ROOFING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
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
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/4c
HOUSE SEWER
FENCE FINAL
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 APP./EQUIP.
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,'. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
L 4.
CITY OF u OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DI.VISIjON�N IittNTA
564-246'
24-HOUR NOTICE FOR INSPECTIONS
rIn"j;t U&AWMEAT
Owner Roger Snellenberger & Associates
Contractor Same
Poo., it Number 121 61
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 48-531 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 ®EEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS'
ELECTRICAL GROUND WORK i
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST Cr
HEATING & VENT- A/C
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8' Q�
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR lj,y - '
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
JOB COMPLETED 1
i Ei..P* POWER i
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OA 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 ft
Log
Owner Name Laguna De La Paz
No. Street See Below
City La Quinta Zip 92253 Study Area 109
APN # Tract #I Lot # 0 Square Footage 17
Type of Development IrSingle Family Residence No. of units.
Comments X48-5- 3 Via Amistad 1,980 sa. feet. 48-529 Via Amistad 1.852 sa. 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 x70 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 Tames E. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
G Payment Received
Signature �� l C k �C�. /�,C,2 2 Check No. 055467
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