12156 (SFD)4
P.O. BOX 1504 No. 12156
Building
Address 48 526 Via Amistad LA QUINTA, CALIFORNIA 92253
Owner
Roger Snellenb rger & Associates BUILDING: TYPE CONST. OCC: GRP.
Mailin
Address 55-695 Pebble 3eaCh
CityLa �vinta, CA Zi Tel.
Te1.777-9757
Contractor
Same
Address
City lZip
State Lic. City
& Classif. E 585519 Lic. # 2866
Arch., Engr.,
Designer Carlos Elias — Engineer
Address Tel.
38825 Charlesworth Drive 328-7291
'l'thedral Citi' "992234 Lict# 16839
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 Professions Code, and my license is in full force and
effect.
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 the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penally of not more than five hundred dollars ($500).
0 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.)
❑ 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
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i1 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
A.P. Number 617-672-051
Legal Description T-Ot 51 TrAt_t 2nnl;7—'4
Project Description S?D Plan 5
Sq. Ft. No. No. Dw.
Size ZEif3� - - Stories Units '
A
New CX Add ❑ Alter ❑ Repair ❑ 'Demolition ❑
(Estimated Valuation, +
$115,331.20
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
.S.M.I.
Grading
Driveway Enc.
Infrastructure
Arts in Publ
TOTAL
REMARKS
AMOUNT
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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
h h
BONDING
YARD SPKLR SYSTEM
2ND FL. t SQ. FT. p
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOB]LEHOME SVC.
BAR SINK
POR. Sq, FT. (off
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. Sq. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. Sq. FT. @
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN.
WALL SQ. FT.
_$
LUMBER GR.
FINAL INSP.
URINAL
Sq. FT. @
ROOFING
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
I
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIREPLACE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
CERT.; OCC.
GAS PIPING
PERMIT FEEPERMIT
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 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
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT.; OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
6��
a
y CITY OF u► CXUINTA
` anR s DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS.
�a t
O„rrw Roger Snellenberger & Associates
Contractor Same
Permit Number 12156
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 48-526 Via Amistad
SFD
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL ?
MAIN GROUND SYSTEM
GROUND PLUMBING -
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
O.K. TO WRAP
JOISTS & GIRDERS
GROUT ❑ 4' ❑ 8'
ELECTRICAL GROUND WORK
FRAMING
INSULATION
,rI12 12 4
!�_
DID NOT POUR CONCRETE UNTIL ALL
ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
Aj .
ROUGH PLUMBING
�-Z
ROUGH GAS & GAS TEST
- '
HEATING & VENT - A/C
FIREPLACE
o L 5
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
Aj .
EXTERIOR LATH
�-Z
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
o L 5
ELECTRICAL - '- _.
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
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 La Quinta
No. 12368 - Permit #
Log
Owner Name Laguna De La Paz
No. Street See Below
city La Quinta Zip 92253 Study Area 109
APN # r Tract # Lot # 0 Square Footage 17
Type of Development Single Family Residence No. of units
Comments 48533 Via Amistad 1980 sq. feet, 48536 Amistad 2001 sq. feet, 48534 Via Amistad,
46532 Via Amistad, 48530 Via Amistad - 48528 Via Amistad 156 cn fPPt,-48526 ---_
T.Via Amiatarl-2(1M-cn--fPPt -
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.
Fees Paid By Roger Snellenberger & Associates Telephone 777-7767
Name on the check
By. Mmes_ E. Lively.
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett r
c� �` Payment Received
Signature l L -•L zot Check No. 15725
Collector: Attach a copy of countyor city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting