12534 (SFD)1
011 TAtyl 4
P.O. BOX 1504
Building48-613 Vista Tierra LA QUINOTACCAL FORNALLE A
DO
Address IA 92253
Snellenberger a As
Mailing
Address 4$-117 'iia He ona
City Zip Tel.
Contractor
same
Address
ip
State Lic. D 585519 . I
City 2866
& Classif. Lic. #
Arch., Engr., 'Carlos Blias - Engineer
Designer g
A19"05 Charlesworth Drive T619)328-7271
CLyathedral Cid I CA 92234 Dict# 6839
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm, that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 oPthe 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, after, 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).
0 I, as owner of the properly, 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
orimprovement 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 CApensation Insurance, or a certified copy thereof. (Sec. 3800, Labor code.)
Polm
icy�o. .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 it 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 sof this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 12534
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 617`561-007
Legal Description Lot 7 Tract 20052-6
Project Description SFS? Plan 2 ' IF
Sq. Ft. 1950 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation���+�(��
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
G
• A F
Electrical
♦YV 5
a .+
Plumbing
i'' ee
.S.M.I.
11.20
Grading
20.00
Driveway Enc.
.00
Infrastructure
2 49.2. 099
ArtS in Public
Places
�3
�`Z
TOTAL
41152.64
JPkSIV2.64
REMARKS
ZONE-.
Minimum Setback Di
--
BY: /A\ --
Z
t ces:
t Setback from Center
arSet1.
)back.from Rear3r
de Street Setback from C-
iig%Setback from Property
4
i
ti
ine -
r Line
Lin
FINAL DATE INSPECTOR
Issued by: Date Permit
. fl�
Validated by: _ #+*r t ) '
Validation:
CONSTRUCTION ESTIMATE
.-J
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
UNITS
r
r
BONDING
HEATING (ROUGH)
2ND FL. SO. FT.
FORMS
YARD SPKLR SYSTEM
POR. SO. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
CARP. SO. FT. @
OTHER APPJEOUIP.
DRAINAGE PIPING
WALL SO. FT. @
TEMP. POLE
DRINKING FOUNTAIN
SO FT @
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
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,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
SPARK ARRESTOR
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
LATHING
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
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 APPJEOUIP.
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
MAR 4.194 15:13 FROM SCHMIn LA-POMONA
PAGE -004
lm=ATTQB Cm==m-
This is to.�!ertify that insulation has been installed in conformance with
the current energy r"ulation, California Administrative Code, Title 24,
State of California, in the building, located ait
4.
Lot 17 -LAGUNA DE LA Paz
1A QUINTA, CA
TYPE: Fiberglass Blown MANUFACTURER; Owens/Corning THICKNESS: 1211- R-38
VYPE' .. ftberglats Batts MANUFACTURER: 'Owens/Corning` THICKNESS: 3 5/8" 1-13
CONTRACTOR., Roger Snellenberge"r LICEKS
BY:' TITLE: DATE:
SCID -INSULATION CONTRACTORS INC. LICENSE;. #221517. C-2
BY: TITLE-.FWDUCWON 23ANAGSR DATE., 3-02-94
This'it tocortify that, insulation has been. installed -in conformance with
the 'Current energy regulation, California Administrative Code, Title 24,
State of. -California, in the building :Located at:
Lot 0 -7 -,Laguna De La PazT
La Quinti, CA
TYPE o Fiberglauss Blotm WANUFACT=R: Owens/Corning T11ICMMS.9 12- R-38
TYPE: Flberglas& Sates. XANWACrURER-. ovens/Corning- THICKMS: 3 5/8! R-13
GEMIRM.L. CON11tACTOR: Roger- Snellenberger LICENSE:
BY: TITLE: DATE:'
SCM316- INSUIATXON CONTRACTORS INC LICENSE # 221517'C-2
By: • TITLE: PRODUCTICM MANAGER DhTE: 3-01-94
a
CITY OF LA QUINTA
a DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
24-HOUR NOTICE FOR INSPECTIONS
SOV ' 1993 777-7153
Owner Snellenberger & Associates
Contractor Same
Permit Number 12534
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICAB-LE SPACES
"ADDRESS 48-613 Vista Tierra
SFD
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALLABOVE HA$@EEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
0^1 if-lu cl cl"TOI/^
HEATING & VENT- A/C I
FIREPLACE
BOND BEAM
GROUT ❑ 4' ❑ 8'
COVER NO WORK UNTIL ABOVE HAS BEEN SIG ED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK / -/;?/ _,.
NALS
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO