11726 (SFD)CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. ' PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT, ®
CAR P. SO. FT.
WALL f SO. FT. ®
SO. FT ®
ESTIMATED CONSTRUCTION VALUATION $ .
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN. -
URINAL.
WATER PIPING
NOTE: Not to be used as property tax valuation'
BONDING
FLOOR DRAIN-.
MECHANICAL FEES
FORMS •
WATER SOFTENER
VENT SYSTEM. FAN EVAP.000LHOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL'
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRY TRAY..
AIR HANDLING UNIT CFM
TEMP. POLE.
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U..
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR j HP
POLE, TEMIPERM
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/. c %
SEWAGE DISPOSAL -
SO.FT.GAR ® V4c
HOUSE SEWER. -
REMARKS:
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 PLUMBIN3
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 APPJEQUIP.
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-
IREPLACESPARK
SPARKARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FkNCE FINAL
INSPECTOR'S SIG NATURESIINITIALS,
4
GARDEN WALL FINAL
4 4 QUM&
1504
Building
' 43--565 Via Anistad 78-1050CALOLE ESTADO
Address 'tract 20052--3 LA QUINTA, CALIFORNIA 92253
vwnc[ r I
Roqer SmAlenberger & Associates
Address ISC-117 Via Hermosa
City
Zip
Tel.
La Quint&, CA
92253
1 564-6136
Contractor
•
�•.+a Yr v 4Y. iY
Address
48-117 Via Hsrmosa
City
Zip
Tela
La Quinta, CA
92253
564-6136
State Lic.
City
& Classif. 23 _ g 3
Lic. #
Arch., Engr.,
Designer Robert Earl & Associates
Address I Tel
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) t.of Division 3 of the Business and Professions Code, and my license is in full force and
effec
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 or 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 or Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than rive hundred dollars (5500).
❑ 1, 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. It, 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 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 or 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.. O 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.)
1 certify that in the performance of thg work for which this permit is issued, I shall not
employ anyparson 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 or 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
Ihereby 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 araicant __ Date
MailiQq Address
City, State, Zip
No. 11726
11LDING: TYPE CONST. OCC. GRP.;
P. Number 617-672-002
Legal Description Lot 2
Project Description sm Pian 2
Sq. Ft. 1950 No. No. Dw.
Size Stories Units
New IN Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $111,392.00
PERMIT
AMOUNT
Plan Chk. Dep.
250. U0
Plan Chk. Bal.
3x5.5
Const.
ut31. 50
Mech.
b 1.. 00
Electrical
i tu. `J5
Plumbing
150.00
S.M.I.
11.20
Grading
;60. 00
Driveway Enc.
Infrastructure
d U 4Z • 99
A i.L fru Lli k1liAL)II
C
TOTAL
C5, jl • uC .S, `! ,!.'i
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:_
a CITY OF LA QUINT/ 'T
�vOF RTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
P y 044 -HOUR NOTICE FOR INSPECTIONS
Owner Roger Snellenberger & Assoc.
Contractor The Trider Corp.
Permit Number 11726
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 48-565 Via Amistad
SFD
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
.FOOTING STEEL -�
MAIN GROUND SYSTEM
GROUND PLUMBING G11
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
no NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT -A/C
r FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
PRE -ROOF 11 I
COVER NO WORK UNTIL A 0jg HAS BEEN SIGNED
DRYWALL INTERIOR �- -
EXTERIOR LATH L
POOL PRE PLASTER :
POOL FENCE & GATE
ELECTRICAL
PLUMBING
HEATING - A/C
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO �+
TURN ON UTILITIES OR OCCUPY BUILDING
03. 29 9;3 l 5:57 ^V 6f 775 3543 1). S. ('_s. 1).
1 000--l-
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 Quinta
No. 12111 Permit #
Owner Name Lagunaog
gone De La Paz
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 previously tract no 13640-4 Total square
footage 43858_4R-501, `08_51.0, 512.5 140,9,52. 1i,941 5�960_55$, r�..562,,.4_5iZrci&�
1► Via Amidate
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 Jamps R= T.iy l
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 ►
r.. From
of
um
Ed (QU* inta,
Uabt����t11R
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:
BUILDING ADDRESS 48-565 Via Amistad
Use Classification Single Family Dwelling Bldg. Permit No. 11726
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building !kddress 48-117 Via Hermosa-
.
ermosa y
City La Quinta, CA 92253 Richard Kirkland s
By:
note: June 16, —1993
Building Official -
POST
IN A CONSPICUOUS PLACE