12000 (SFD)i/
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 48--.558 Via Amistad LA QUINTA, CALIFORNIA 92253
Owner
Roger Snellenberijer & Associates
Mailing
48-117Address 4—�% Via Hermosa
City Zip
Tel.
La Quinta, C4 92253
564--6136
Contractor
The 'rider Corporation
Address
48-300 Vista De Nopal
Cit
a Quinta, C,
Zip
92253
Tela
564-6136
State Lic.
City
& Classif. 585519
Lic. # 2€366
Arch., Engr., -
Designer
Address
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) of Division 3 of the.Business and•Pfofession's ,Code, and my license is in full force and
effect
SIGNATURE �/' Y 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).
O 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 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
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 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 it 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. 32400
11LDING: TYPE CONST. OCC. GRP.;
P. Number 617-672-038
Legal Description Lot 38
Project Description S"
Tract 20052-3 Phase I
Plan 4R
.RTY'��iYl,A P+.Lri 9Y ��M� �^��lhi�i �•,�t .l W
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:
s
Validation:
� z
Sq. Ft.
Size 1562
No. No. Dw.
Stories Units
x
New Lr' Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$90,137.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
513.10
Const.
599.00
Mech.
62.00
Electrical
127..25
Plumbing
150.00
.S.M.I.
9.10
Grading
20..00
Driveway Enc.
I __0_
Infrastructure
2,028.08
TOTAL
REMARKS
.RTY'��iYl,A P+.Lri 9Y ��M� �^��lhi�i �•,�t .l W
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:
s
Validation:
� z
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING GEES
1ST FL!
2ND FL.
POR.
GAR.
CAR P.
WALL
1
ESTIMATED CONSTRUCTION
SO. FT. ® $
UNITS
ROUGH PLUMB.
SQ. FT.
YARD SPKLR SYSTEM
SD. FT. ® MOBILEHOME SVC.
BAR SINK
SO. FT. ® POWER OUTLET
ROOF DRAINS
SQ. FT. ®
DRAINAGE PIPING
SQ. FT.
DRINKING FOUNTAIN.
• SQ. FT.
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
TEMP. POLE
FLOOR DRAIN
MECHANICAL FEES
GROUT
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
_$
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
SPARK ARRESTOR
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 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./EQUIP.
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
a
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCEoFINAL
INSPECTOR'S SIGNATURESIINITIALS
r�
GARDEN WALL FINAL
f
CITY OF LA OUINTA
uE�Eg'ARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
J rlg(� •; 564-2246
MAR��rr24-HOUR NOTICE FOR INSPECTIONS
I•fiZFl�leb Qi�Ci��lrtd!Ft
Owner Roger Snellenberger & Associates
Contractor The Trider Corporation
Permit Number 12000
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 48-558 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 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
z- ? v
HEATING & VENT- A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
S
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
?TE
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
LL
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
1
,r ABOVE APPROVALS DO NOT INCLUDE RIGHT TO t
l TURN ON UTILITIES OR OCCUPY BUILDING
0:1 19: (m 15 51 V6 775 3543 1). 5. 1 . S. 1). ( 1 j 0(.I
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 Qt&ta
No. 12111 Permit #
Owner Name Laguna De La Paz
Log
No. Street See Below
City La Quinta Zip92253_ Study Area 24
APN # Tract # Lot # Square Footage 124
Type of Development Single Family Residence No. of units 24
Comments Grandfather Clause Tract #2(1(152-R nrovin„chr frne4 nn 12CAl1 A rr..L..1
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:
EXENII'TION 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 . 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
Post4t' brand fax transmittal memo 7671 a ofpages P.
IT. ! i . . iron . ` . .. -.
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MEN--
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tit
of utn�
lau toin anb a f e t, D f* t* z
ton =
! ' ' 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 48-558 Via Amistad
i
Use Classification Single Family Dwelling Bldg. Permit No. 12000
Group R3 Type Construction VN Fre Zone Use Zone SR
Owner of Building Snellenberger & A oc, i a J- t- sAddress 55-695 Pebble Beach
City La Ouinta; `CA 92253
! By.. Richard Kirkland
i
77& 94A���
Dote; July 12, 1993
Building Official
piNB
P09T IN A OOTICUOU3 PLACE
'