11921 (SFD)Building
Owner
48-549 Via Amistad
ger Snellenberaer
1 � �Q�r«aw
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
& Assoc.
Mailing
Address 48--117 Via Hermosa
City Zip Tel.
La Quinta, CA 92253 568-6136
Contractor c-
48-117 Via Hermosa
Lai Quinta, CA 1- 32253 564.6136
State Lic.C City
& Classif. rQ Lic..#
Arch., Engr.,
Designer
Address Tel.
City ( Zip ( State
Lic. #
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.Bsiness and,,,fofe�ssions Code, and my license is in full force and
effect: y f
SIGNATURE -> r 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 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
orimprovement is sold within one year or 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
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. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the 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
N o . 11.921
11LDING: TYPE CONST. OCC. GRP.:
P. Number 617-672--010
Legal Description Lot 10
Project Description SPD
Tract 20052-3
191an 1
Sq. Ft. 185( No. No. Dw.
Size Stories Units
New IF), Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $107.272,00
PERMIT
BY -
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
316.161
Const.
Side Setback from Property Line
667.50
Mech.
INSPECTOR
68,50
Electrical
Validated by:
137.04
Plumbing
Validation:
1,5ci..4Q
S.M.I.
Cy. _
10.80
Grading
20.00
Driveway Enc.
Infrastructure
2,369.34
Atts in Public
Places
25.00
L
'a
TOTAL
4014.34
3t764.3 -.
REMARKS
i
�+�A'�+kk��:yTR.
1i .,�Si �1•..��
y+}'.
gP'''��yL"gt'�f,p
1
, 's -f-614 4 44 ..
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:
Cy. _
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
P r
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
FOR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. p
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SQ. 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.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIREPLACE
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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
CERT. OCC.
GAS PIPING
PERMIT FEE
MIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE FPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
G60UND PLUMBING/Q_
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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
a,.
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
9•
a .
s CITY OF LA OUINTA
DEPARTM OF PLANNING & DEVELOPMENT
Y UV OF
DIVISION
5642246
2bFd� v�
TICEFOR INSPECTIONS
Owner RoAr Snellenberger & Assoc.
Contractor - TW&XNXWdMX7dWX, The Trider
Permit Number 11921 Corp.
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 48-549 Via Amistad
SFD
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
.FOOTING STEEL -G '
MAIN GROUND SYSTEM
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
HEATING & VENT- A/C
ROOF j' ilia
BOND BEAM
O.K. TO WRAP `
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION i
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR r
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK C7 -- IT
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
4igg
i v^�
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING , , I.
0:3. 29%93 1 5::i7
MY 175 :3543 U.S.C. S.U. � � 001 �
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date* 3/29/93 Type of Permit I La Quinta
No.. 12111 Per #
Owner Name Laguna De La Paz
Log
No. Street See Below .
City La Quinta: Zip 92253 Study Area 24
APN` # Tract #[ Lot It Square Footage 24
Type of Development Sin le Family Residence. No. Iof units' 24 ,
Comments Grandfather Clause Tract #20052-3 previously tract no 13640-4 Total square
A20C4. AQ CM MnO r -In CIn CIA Cr% rr♦
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 &28.00 X 24 or $ 15,072.00 have been paid to D:S`.0 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 James .E. Lively
Assistant Superintendent, Business Services.
Fee collected /exempted by' Vickie J. Durrett ,
Payment Received
Signature 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/ReceiptCopy - Accounting
Post -It- brand fax transmittal memo 7671 #of pages ►
tt
.1
.;A
OF I F[E�� ♦
i i I I I
Ttq .�.0 1stV utnta
This Certificate issued pursuant to the requirements of Section 306 of-the Uniform Building .
I' I
:I i
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:
I, I.
`
BUILDING ADDRESS - 48-549 Via Amistad`
I�
I;
'(
Use Classification Single Family Dwelling Bldg. Permit No. 11921
F
Group R3 Type Construction VN Fre Zone Use Zone SR
I Jill
Owner of Building Snellenberger & AssociateAddress 48-117 Via_ Hermosa
city r.a Qi,i nt-a, •cA 92253Richard Kirkland
B y•
t j
.��/(
Dote_ - Jurie 16, 1993
f
Building Official
POST IN A CONSPICUOUS PLACIE
-- _
---
_ --
_MW rr