11910 (SFD)P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 48-557 Via Amistad LA QUINTA, CALIFORNIA 92253
Owner
llenberger & Assoc.
Mailing
Address 48_117 Via Hermosa
City Zip Tel.
La Qninta, CA 192253 1 5€4-6136
Address
48-117 Via Hermosa
City Zip Tela
La Qiinta, CA 1 92253 564--6136
State Lic. / City
& Classif. - / l�� 2�(_/ Lic. #
Arcn., tngr.,
Designer
Address Tel.
CityI Zip I State I
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 ,Btisiriess and Professions Code, and my license is in full force and
effect. `J .,.=,,� r'
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 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 thealleged 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 of sale.)
O 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
1 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'COMPENSATIONINSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 11910
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 617-672-006
Legal Description Lot 6 Tract 20052-3
Project Description SFD Plan 2
Sq. Ft. 1950 No. No. Dw.
Size Stories Units
New EN Add ❑ Alter ❑ Repair ❑
Demolition G
Estimated Valuation
5113x396.00
PERMIT
AMOUNT
Plan Chk. Dep. 250$.00
Plan Chk. Bal.
325.512
Const.
681.50
Mech.
62.00
Electrical
140.95
Plumbing
150.001
S.M.I.
11.20
Grading
20.00
Driveway Enc.
Infrastructure
2,4M99
Arts in PUDILC Places
28.118
TOTAL 4,152.64
3,902.64 �.
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 Perm
Validated by:
Validation:
a
` CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. p $
UNITS
COLL. AREA
I t w
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
FOUND. REINF.
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
DRAINAGE PIPING
CARP. SO. FT. ®
WALL SO. FT.
WATER HEATER
DRINKING FOUNTAIN.
FINAL INSP.
URINAL
SO FT ®
WATER SYSTEM
ESTIMATED CONSTRUCTION VALUATION $
GRADING
cu. yd.
$ plus x$
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REMARKS:
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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
MESH
SO.FT.GAR ® 3/ac
HOUSE SEWER
INSULATIONISOUND
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 I 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 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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
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CITY OF LA OUINTA
1 gUll�i�
°+o.
TMENT OF PLANNING.& DEVELOPMENT
MAR U 9 ) Q BUILDING
DIVISION'564-2246
.
24-HOUR NOTICE FOR INSPECTIONS
1F1ie1�6� �'�bbl�Nb�6
Owner Roger Snellenberger & Associates
Contractor The Trider Corp.
Permit Number 11910
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 48-557 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
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
„ •r,, :•,.c...;...,. ROUGH PLUMBING
ROUGH GAS & GAS TEST (j
HEATING & VENT - A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4!88
U:� Y9 93 13:57 6 J75 33.43 1). S.1 S. 1). ( ►
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 La Quints
No. 12111 Permit' #
owner Name . Laguna De La Paz
Log
No. Street See Below
City La Quinta Zip 92253 Study Area 24
APN # Tract # Lot # Square Footage 124
Type of Development Single Family Residence No. of units 24
Comments Grandfather Clause Tract #20052-3 previouslyact no 13640-4 Total square
H.56(L 362 - 564. 567,565-
563.
67, 6r561 SS4 N-57- YiS q5A q91 q4A547 ri4; Via Amictati
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
M
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 E. Lively
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 ►
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This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
►
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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:
j
- BUILDING ADDRESS 48-557 Via Amistad
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Use Classification Single Family Dwelling Bldg. Permit No. 11910
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Group R3 Type Construction VNFre Zone Use Zone SR
Owner of Building Sne1 1'enhergt-r F. Assoc -i atesAddress 48=117 Via Hermosa
City La Ouinta, CA 92253 Richard Kirkland
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Dote June., 16, 1993
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Building Official-
P0ST IN A CONSPI000US PLACE