11913 (SFD)P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 48-551 Via Amisstad LA QUINTA, CALIFORNIA 92253
Owner
Roger nellenberger & ASSOC.
Mailing
Address 48-117 Via Hermosa
City Zip Tel.
La Quints, CA 1 92253 564-6136
tra
Conctor
eta
Contractor
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"�a_.,i .. ,.. .
rtaaress
,
48-117 Via
Hermosa
Sq. Ft. No.
Size 1950 Stories
CityF12253
La Quinta,
CA.
Tela
564-6136
State Ljc.I/O
& Classif.
City
Lic. #
Arch., Engr., i
Estimated Valuation
$111,39.2.00
Designer
PERMIT
AMOUNT
Address
Tel.
City I Zip I 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 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) 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 or 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 or 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.)
❑ 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.)
❑ 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
O 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 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
'A Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
explratipn,lf 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
No. 11913
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number. 617.672-009
Legal Description Lot 9 Tract 20052-3
(Project Description SFD ,Plan 2
Sq. Ft. No.
Size 1950 Stories
No. Dw.
Units
New E;K Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$111,39.2.00
PERMIT
AMOUNT
Plan Chk. Dep. 250.00
Plan Chk. Bal.
325.52
Const.
681.50
Mech.
62.00
Electrical
1 A0. 95
Plumbing
3.50, 00
S.M.I.
11.20
Grading
20_30
Driveway Enc.
Infrastructure
2.482.99
Arts in Public Places
28.48
TOTAL 4.152.64
3.902.6 4
REMARKS
1.%f %,"4Y4 IN i v r Y7k.. A
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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FESS
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
^
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT. ®
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
e►
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT. ®
GAS (FINAL)
TEMP. POLE
WALL SQ. FT.
DRINKING FOUNTAIN.
GROUT
WATER HEATER
URINAL
SQ. FT. ®
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
GRADING
cu. yd.
$ -Plus-X$-=$
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
REMARKS:
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
SQ.FT.GAR @ 3/ac
HOUSE SEWER
MESH
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 v 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
e►
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 SIGNATURES/INITIALS
GARDEN WALL FINAL
N.
CA
o°+CITY OF LA OUINTA
owns %;wcOF PLANNING & DEVELOPMENT
1A U UU� ''d�lll�BLlILD1SION
R 564-2246
24"H NOTICE FOR INSPECTIONS
Owner_ Roger Snellenberger & Assoc.
Contractor Dd2Cj . The Tri der
Permit Number ' 11913 Corp
. POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 48-551 Via Amistad
SFD
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING /Q
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
ROUGH ELECTRIC
,:, .::•;,...; .:.......:.:.:.:.:..:.....:: : ...:..::... ROUGH PLUMBING
ROUGH GAS & GAS TEST .'
HEATING & VENT -A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4'. ❑ 8'
FRAMING 77
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
HAS BEEN SIGNED
BEEN SI
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
0.3.19%93 15:5 7 V6Y !75 :3543 1). S.1 .S. l). , - Zoo]
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: -Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date3/29/93 Type of Permit La Quinta
No. 12111 Permit #
Owner Name Laguna De La Paz
Log
No. Street See Below
City La Quinta Zip92253 Study Area 24
APN # r Tract # Lot #= Square Footage 24
Type of Development Single Family Residence No. of units 24
Comments Grandfather Clause Tract #20052-3yreviously tract no 13640-4 Total square
fmtage 43858 4P,-501,508 51,4, 512.5. 55LS54 `�`�$
. .S60 562,564-567,565-
� S(,
561 SSA 5S79;59; 554 c;49A 547 54S Vin -Amistagi ��
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:
EXENIPTION 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 James E. .iv 1�_
Assistant Superintendent, Business Services
Fee collected /exempted by-- Vickie J. Durrett
Signature
Payment Received
Check No. 1005
Collector. Attach a copy of countyor city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy= Accounting
Post -!t' brand fax transmittal memo 7671 x of pages ►
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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:
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BUILDING ADDRESS• 48-551 Via Amistad'
�I;'
I•
!' II
I;
Use Clossificotion Single Family Dwelling Bldg. Permit No. 11913
Group R3 Type Construction VN Fre Zone Use Zone SR
Owner -of Building Snel 1 enber r & AGGo _i a esAddress 4R-1 17 Via Hermosa
City T.;; cA `-g-99S'1
i
' iI
Oil ni-A Richard Kirkland
Date; June `16, 1993
—
Building Official
POST IN A CONSPICUOUS PLACE
_
- ,-