12004 (SFD),R Y4
P.O. BOX 1504
Building
Arlrlracc 48-514 Via Amistad LA QUINTA, CALIFORNIA 92253
Owner y
v.°►� ger & AS-_ Ztv`a.tALa'9. a
Mailing
Address 48 -117 Via Hermosa
City Zip Tel.
La Quinta, CA 92253 564-'-6136
Contractor
The Trider Corporation -
Address
48-300. nista Do Norval
CityZip Tela
La Quinta, CA 92253 554-6136
State Lic. City
& Classif: 585519 Lic. # 2866
Arch., Engr.,
Designer
Address Tel.
City I Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under proVfsions ofrGhapter 9 (commencing with Section
7000) of Division 3 of the Business'and,ProfessionsCode,,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 rile 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 rive hundred dollars (8500).
❑ 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 or 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.)
O I 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 if the permit Is for one hundred dollars (8100) valuation
or less.)
I certify that in the performance of thg 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 or 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
No.
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 617-672-052
r, r,
5
12004
Legal Description Lot 52 Trace 20052.3 Phase 1
Project, Description SPD Plan 5
Sq. Ft. 2001 No.
Size Stories
No. Dw.
Units
New Q Add ❑ Alter ❑ Repair ❑ Demolition 0
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:
r
Estimated Valuation $115,331.20
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
585.92
Const.
695.50
Mech.
62.00
Electrical
142.52
Plumbing
150.00
S.M.I.
11.60
Grading
20.00
Driveway Enc.
—0—
Infrastructure
2,452.58
Arts in 'Public Places
38.32
TOTAL
4,158.44
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:
v CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. p $
UNITS
SLAB GRADE
OKI
BONDING
YARD SPKLR SYSTEM
2ND Ft SO. FT. p
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. Sp. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CARP. 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.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
LAUNDRY TRAY
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
I
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
AMECH.FEEPL.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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
-
GARDEN WALL FINAL
a ` CITY OF LA OUINTA !
DEPARTMENT OF,.PLANNING & DEVELOPMENT
,00 BUILDING DIVISION
24 -H%564 -2246
4-H aR NOTISCE OR INSPECTIONS
I ;J
\��.!'.,• apse -
�`r
Owner Roc1ei4, nellenberger & Associates
Contractor The Trider Corporation
Permit Number 12004
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 48-514 Via Amistad
SFD
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL 7
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
Rrl11r.W FI Fr:TQl
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR eq � —
EXTERIOR LATH -
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
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 k
U3. 29-, 93 1 5: 57 'a6V' 775 3543 1). S.1 . S.1).
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 Laguna De La Paz
Log
No. Street See Below.
City La Quinta Zip 92253 Study Area 24v
APN # Tract #I Lot #= Square Footage 24
Type of Development Single Family Residence,No. of units 24
Comments Grandfather Clause Tract #20052-3 Dreviously tract no 13640-4 Total square
fnnfarrc A1%ZCZQ AP-r%n I CZnQ Z1 n er.11) f C -I A %Gc'f CCA rr r rr-n F- .
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:
EXENIPTION NOT APPLICABLE
M
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 lamps F. Livplv
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
Payment Received
Signature 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
►
4.
..Wj
1.1 V7 t
of k Oututa
11utIbtxt � af e, t = ioirm*on
y.
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 foll6tying:
BUILDING ADDRESS 48-514 via Amistad
Use Classification Single Family Dwelling • Bldg. Permit No 12004
Group R3 Type Construction VN Fire Zone Use Zone, SR
Owner of Building SnellenbqrgeF & Ac;-,n!j at-e_sAddress 5S-695 P,,hh1"P Rparh
City La Quinta,-CA" 92253
BY; Richard Kirkland
Date. 111
7 v 12 1993
Building Official
on
7, 4" ),E g POST IN A 00119"CUOUS PLACE