11923 (SFD)bf 4
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 48-545 Via .Amistad LA QUINTA, CALIFORNIA 92253
Owner
Snellenberger & Assoc.
Mailing
Address 48-117 Via Hermosa
City Zip JTel.
La- Quint a,- CA 92253 564-S136
Contractor,,
Address I
48~117 Via Hermosa
La Quinta, CA 9225.3 564-6136
State Lic: / City
& Classif. /� —�(%Ti ( / Sic`
Arch., Engr.,
Designer
Address Tel.
City ( Zip ( State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affiFm 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.iri full'force and
effect.
_SIGNATURE _ DATE
OWNER -BUILDER DECLARATION
thereby 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 or the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or thathe 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 or sale.)
❑ 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. Company
❑ Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WO R KERS' 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, 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, sta,-s, Zip
No. 11923
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 617-672-012
Legal Description Lot 12 Tract 20052-3
Project Description SPD flan 2
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:
Sq. Ft1950
Size
No.
Stories
No. Dw.
Units
New Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$111,39.2.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
325.52
Const.
bul .5.a
Mech.
62 0,UO
Electrical
'"
140- 95
Plumbing
150.00
S.M.I.
1. Z0
Grading
20 , 00
Driveway Eno.
Infrastructure
2, `kQ.99
AXts in P551
G Places
TOTAL
4, 151.64
.3, q#i1.64 � ,-
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:
r CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE
f n r r
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
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SQ. FT. ®
FINAL INSP.
WALL SQ. FT. p
WATER SYSTEM
DRINKING FOUNTAIN.
GRADING
cu. yd.
$ plus x$
=$
URINAL -
SQ. FT. ®
FINAL INSP.
FRAMING
ESTIMATED CONSTRUCTION VALUATION $
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
FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM g.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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSPECTION
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
G OUND PLUMBING3//V
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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
03. 2q_r 93 15:57 ^n6Y T75 3.543 I).S.I .S.1). ,
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347 8631
W
Date 3/29/93 Type'ofPermit ILa Quinta
No. 12111 Permit #
Owner Name Laguna De La Paz Log
-
No. Street See Below
City La Quinta Zip 92253 Study Area 24
APN # Tract #I
Lot # Square Footage 24
Type of Development Single Family Residence No. of units 24
Comments Grandfather CIause Tract #20052-3yreviously tract no 136404Total square
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 24 or $ 15,072.00 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 & Assoc. Telephone . 777-7766
Name on the check
BY lamps R. ;ively
Assistant Superintendent, Business Services
Fee collected /exempted by . Vickie J. Durrett
Signature
Payment Received
Check No. 1005
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
Post -It' brand fax transmittal memo 7671 # of pages ►
ELECTRICAL J ��(
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT.TO
TURN ON UTILITIES OR OCCUPY 3UILDING
4!88
CITY OF LA QUINTA
OF `S OF PLANNING" & DEVELOPMENT
APARTMENT
BUILDING DIVISION
564-2246
•VOQ'24-HOUR NOTICE FOR INSPECTIONS
Ow r .Roger Snellenberger & Assoc.
Contractor The Trider Corp.
Permit Number- 1192.3
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 48-545 Via Amistad
.a,...
SFD
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL G
MAIN GROUND SYSTEM
GROUND PLUMBING �/ G
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS 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 4—,77, CrP
HEATING & VENT- A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP — 2,3
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH - Lt
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK -�
FINALS
ELECTRICAL J ��(
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT.TO
TURN ON UTILITIES OR OCCUPY 3UILDING
4!88
of' 14a tnta
(QU
is
� is
ltt.� tl� �i P �t t I V n
I
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
issuance in the
Code certifying that at the ,time of this structure was compliance with various
I
ordinances of the :City regulating building construction or use. For the following:
BUILDING ADDRESS 48-545 Via Amistad
Use Classification Single Family Dwellink Bldg. Permit No. 11921
Group R3 x Type Construction VN Fre Zone Use Zone SR
I j
I;
owner of Building, Snellenberger & Associatesgddress 48-117 Via Hermosa
City La Ouinta, CA 92253 Richard Kirkland
By;
l
li
I,
!
Date: -Juri'e `16`, 1993` _
I
Building Official
POST IN A CONSPICuouS PLACE
—