12963 (SFD)• 1,
t
4
P.O. BOX 1504
Building
s48a-503 '4 is ,Amistad LA QUINTA
Address 78-105 CCALIFORNIA 92253
Addr's
Owner '
& Associates
maning
Address 48-117 Hermosa
City Zip Tel.
ouinta. CA 92253 564-6136
Contractor
The'Tr#de= Corporation
,,_Address
---48--300 Vista De Nopa3
City Zip - Tela
La Quinta, CA 32253 564-6136
State Lia58SSI9 City 266
' & Classif. Lic. #
Arch., Engr.,
'Designer
'Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licbnsedQunder 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.
-•ter
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 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 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. I 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 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, alter 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
ateMailing Address
City, State, Zip
/r y
No. 12963
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description Lot 33 Tract 20052-"3
Project Description SFD plan 1
'-1
Sq. Ft. 18SO No. No. Duv.
Size Stories Units z
New 1�5 Add ❑ Alter ❑ Repair ❑ • • ' .,eDemolitilm ❑
Estimated Valuation $107 a 272.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
56
Const.
667.150
Mech.
6 S . —50
Electrical
137.0
Plumbing
150.00
.S.M.I.
_'• 30.80
Grading
20.00
Driveway Enc.
—()—
Infrastructure
2l369—.34
Arts i—n--Fu-b-TIM
Places .Vo
TOTAL
34
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: __
Y CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST lZZ SO. FT. @ $
UNITS
SLAB GRADE
a t� n
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT.
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT.
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN.
SO. FT. @
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $'-
WATER PIPING '
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN.
MECHANICAL FEES _
- -
WATER SOFTENER
VENT SYSTEM. FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT .CFM
FIRE ZONE ROOFING
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.
SO. FT. @ c
BATH TUB
LATHING
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/ac
HOUSE SEWER
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
i
STRUCTURE PLUMBING ELECTRICAL 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 APP.JEOUIP.
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.
((NCE FINAL
INSPECTOR'S SIGNATURES11NITIALS
~ GARDEN WALL FINAL
''�
�C3 v 3_
CITY OF LA OUINTA
;tl. �''C�PARTMENT OF PLANNING &DEVELOPMENT
BUILDING DIVISION
5642246
`y24 -HOUR NOTICE FOR INSPECTIONS
Owner Roger.Snellenberger & Assoc.
Contractor The Trider Corp. .
Permit Numt»r 12963
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES'
JOBADDRESS 48-503 Via Amistad `
SFD
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
�. MAINGROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE _
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS.@EEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
1 tI� ELECTRICAL GROUND WORK
J DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT A/C
FIREPLACE
ROOF G
BOND BEAM
O.K. TO WRAP `
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION i
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- DRYWALL INTERIOR i ,-,.• ,lj ; '
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE "
SEWER SEPTIC TANK- i `.S
FI
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 p
vee '
ESERT SANDS UNIFIED SCHOC 'DISTRICT, .
82-879 Highway 111
NOTICE: Indio; .CA 92201
Document Cannot Be Duplicated (619) 347-8631 /
Date 5/12/93 1 Type of Permit La Quinta
No. 112207 Permit #
Log
Owner Name Laguna De La Paz
No. Street See Below
City La Quinta Zip 92253 Study Area
APN # "Tract #1 Lot #0 Square Footage.1 2
Type of Development Single Family Residence .. No. of units 0
Comments f48-503 Via Amistad,1852 square feet 48-537 Via Amistad and 1980 square feet
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:
Under Mitigation Agreement
EXEMPTION NOT APPLICABLE
.This certifies •that school facility fees imposed pursuant to MitigationAgreement
in the amount of 628.00 x20 or $ 1,256.00 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 : 777-7767
Name on the check
r By lames F. ,iy lv
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie. J. Durrett
Payment Received
Signature L ic,LL, Jai �:Z. to t Check No. 1185
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 .
11