12155 (SFD)P.O. BOX 1504
No. 12155
Building 78-105 CALLE ESTADO
Address 48-528 Via Amistad LA QUINTA, CALIFORNIA 92253
Owner
Roger Snellenberger ASSOCiates BUILDING: TYPE CONST. OCC: GRP.
Mailin
Address 55-695 Pebble Beach
A.P. Number 617-672-050
ciZi Lot 50 Tract 20052-3
La Tel. Quinta, CA 92253 777-767 Legal Description
V=Ctor Project Description SPD Attached Plan 4
Address
City Zip Tela
State Lic. City
& Classif. D 5.85519 Lic. # 2866 Sq. Ft. 1562 No. No. Dw.
Arch., Engr.,
Size Stories Units
Designer Carlos Elias Engineer New iX Add Or Alter ❑ Repair ❑ Demolition ❑
Address Tel.
38825 Chariesworth Drive 323-727I
City Zip State
Cathedral Cit- 92234 Lic. # 36839
, LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that [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 LJy
OWNER -BUILDER DECLARATION Estimated Valuation [�AA 1 nY�
I hereby affirm that 1 am exempt from the Contractor's License Law for the following $9v * 137.00
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a r'r_.
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also AMOUNT
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT
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 Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal.513.10
❑ 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 Const. 599.00
Professions Code: The Contractor's License Law does not apply to an owner or property who 62.00 �y.
builds or improves thereon and who does such work himself or through his own employees, Mech. VZ y V
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 Electrical
,2�.,25
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- Plumbing 150.00
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law • 41 V A
does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I..
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading 20.00
❑ I am exempt under Sec. B. 8 P.C. for this reason
Driveway Enc. 44
Date owner Infrastructure 21028.08 -
WORKERS'
tX328.iiia-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
❑ Copy is filed with the city. 0 Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM REMARKS
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 ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
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.) Side Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECTOR
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. Issued by: Date Permit
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. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State__Zip
v
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1Si' FL. i SQ. FT. ® $
UNITS
SLAB GRADE
h i1 pb
BONDING
YARD SPKLR SYSTEM a
2ND FL. SQ. FT. @
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SQ. FT. ®
FINAL INSP.
WALL SQ. FT.
WATER SYSTEM
DRINKING FOUNTAIN.
GRADING
cu. yd.
$ plus X$
=$
URINAL
SQ FT ®
FINAL INSP.
FRAMING
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIRE ZONE ROOFING '
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
LAUNDRYTRAY
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
"
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSPECTION
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.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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESHNITIALS
GARDEN WALL FINAL
v�
Sao, CITY, OF LA OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
owner Roger Snellenberger & Associates
Contractor Same
Permit Number 1 21 5 -9
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 48-992 Via Ami -it -ad
SFD - Attached.
TYPE OF INSPECTION DATE INSP.
FOUNDATION &SETBACK
FOOTING STEEL Z 7
MAIN GROUND SYSTEM
GROUND PLUMBING _ZK:--f x1le/C
MY�VpoNi-CONCRETE UNTIL ALL ABOVE HAS SEEN SIGNED
CONCRETE SLAB v
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
60 NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST 7 7, li 7 7 --
HEATING &VENT -A/C
FIREPLACE
ROOF -3—L2= -
BOND BEAM
O.K. TO WRAP.
GROUT 0 4' 0 8'
FRAMING
PRE -ROOF I
COVER NO WORK UNTIL ABOVE AS 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 POW -ERR
ABOVE APPROVALS DO'NOT INCLUDE RIGHT
TURN ON UTILITIES OR OCCUPY BUILDING.
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 8/9/93 Type of Permit LaQuinta
No. 12368 Permit #
Log
Owner Name Laguna De La Paz
No. Street See Below
City La Quinta Zip 92253 Study Area 109
APN # Tract #I Lot # 0 Square Footage 17
Type of Development. I Single Family Residence No. of units 7�
Comments 48533 Via Amistad 1980 sq. feet, 48536 Amistad 2001 sq. feet, 48534 Via Amistad,
48532 Via Amistad, 49.530 Via Amistad;, 49529-Via-Ami4ad 1562 sq_ Pt, 48526
Via Amictad ?oni cn faPt
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
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 628.00 x 0 or $ 4,396.00 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.
r
Fees Paid By Roger Snellenberger & Associates Telephone 777-7767
Name on the' check
By James F. Lively.
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
� Payment Received
Signature.E,-. c -,C V /c (-L L ZC--�,t Check No. 15725
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