12536 (SFD)_r
' P.O. BOX 1504 N0. 125-36
Building 78-105 CALLE ESTADO
Address 46-615 Vista Tierra LA QUINTA, CALIFORNIA 92253
Owner Roger. Snellen9berger & Associates
Mailing
Address 48-1.17 Via Hermosa
City Zip
La Quinta, CA 92253
Contractor -
Same
Address
BUILDING: TYPE CONST. OCC: GRP.-
A.P. Number 61?-661-a8II
el. Lot 8 Tract 20052-6
(619)777--;7767 Legal Description
Project Description SFD Plan 3
City lZip I Tel.:
State Lic.D 585519 (city 2$66
& Classif. Lic. #
Arch.,
' gr Carlos Eras - Engineer
Ad3dres 5. Charlesworth Drive T(619)328-7271�
City Zip State
Cathedral Cit; , • 92634 Lic. # 6639
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
000)
)of Division 3 D-nhe.Business and Professions Code, and my license is in full force and
ftect• t��
SIGNATURE— - —' ! f DATE
OWNER -BUILDER DECLARATION
I h0eby 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 five hundred dollars ($500).
❑ 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 C pensalion Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy;J?7 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 ($100) 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 or 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
Ihereby 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
REMARKS
ZONE: BY
Minimum?Setbactan
Jront Setback from Cen Il�ine
Rear&tbackifrom,�i,ea op. Line
ide reef'Setback fro f nter Line
_Side Setback from Prop y�Line
CS
FINAL DATE O
f
Issued by: Date Permit
Validated by: Y�
Validation:
Sq. Ft.
Size 1980
No.
Stories
Nb. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
y
�,ti 1S 2 l /y 9 9 e 0 \T i70
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
332.92
Const.
685.00
Mech.
68.50
Electrical
142.04
Plumbing
162.x'00
.s. M.l.
13.3 0
Grading
20.00
Driveway Enc.
.00
Infrastructure
2,523.31
Arts in
3tc Paces
2.00
t
TOTAL
4,227.0-1
3,9 7.0
REMARKS
ZONE: BY
Minimum?Setbactan
Jront Setback from Cen Il�ine
Rear&tbackifrom,�i,ea op. Line
ide reef'Setback fro f nter Line
_Side Setback from Prop y�Line
CS
FINAL DATE O
f
Issued by: Date Permit
Validated by: Y�
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK '
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. FT. ®
OTHER APPJEQUIP.
DRAINAGE PIPING
WALL SQ. FT.
TEMP. POLE
DRINKING FOUNTAIN
SQ. 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.000L HOOD
SIGN
WASHER(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.
SQ. FT. ®c
BATH TUB
SPARK ARRESTOR
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LATHING
SQ.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 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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL 7d
,6TIVIENT r
ITY Rg gUIRA E OLDI GNDIVISION EVELOPMENT
' p-��,'� 22.��A NOTICE FOR INSPECTIONS
1YN� 7 IJJJ.
x'77-7153'0*
Owner . Snellenbercer: & Associates
Contractor Same
Permit Number 12536
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 48-615 Vista Tierra
SFD
TYPE OFINSPECTKNJ DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GLINITE
DO NOT POUR CONCRETE'UNTIL ALL.ABOVE BAS -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
HEATING & VENT -A/C
FIREPLACE
ROOF
O.K. TO WRAP 'L L Lem
GROUT ❑ 4' ❑ 8'
FRAMING L
INSULATION _ v
PRE -ROOF _
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH / I
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK _ v
ELECTRICAL
ABOVE APPROVALS DO NOT INCLUDE RIGHTTO 6
TURN ON UTILI'1ES OR OCCUPY.BUILDING
4!88 �wQ ;
MAR 4 '' 94, 1:5.- 14} F'ROM� SCHM I D LA-POMONA
• �, - , . PAGE .005
-
r 'tis, is -to certify $heat nsulation has been i>nstallea i cohf6rmarace �vi�h
the'aurrent energy regulation,,, californi.a Administrative Code,. Title, a4 " '
State of.. California, . in- the .building' -located. at: QUINTA'.
Lot LAam 'DE -LA PAZ
' CAt
' _sir ___-- '.; ..y � F+�7' • • , ^ , `. .` r _ ! �
TYPE:.Fi&>-rglass BID wn NAITFAGTURER: Owens/Corning THICXKESS:• 12" ' 1t -3B'
T.M: Fiberglass Satts '3�Ci'MMi: , setts%coriai>ng 'TMCE,aS:. 3 +-
, 1' i _ 4:. - ♦ - 1. _
(; 4 ° CON'MCTOR: Roger. Sae 1lenb6_rger .
{ 1
1Ns"� Txom CONTRACMDRS INC.. � . f , LI. SE #2215I7 'C-2 r
Zgej_ TITLW PR DTJC'1'ION•• DATE:.3-02r94„
This is to "o+srtir'y that insula'�ion has -,been' instuled in ,ctatafo tance':ifxt
the cu>rr6at energy regulation,, •California° Administr-ative,,bode, Title 24;
Stat' Of- Califrnia, in e!Pataild�Cnc located. at:.,
• ry T., t .,
• �/ •{ • • ,.3i y . Lot #Laguna �t•1CCd' �a 4,.
' YLa LAi34, 6'rA - n
f
TYPE,." Fibaitglas-Ic)jm MANUFACTURER; Vi ER; ns/CoY.ningTHZ _ S':1Z" R�38
• r v � _ .r ¢., � t, . - _ - 4 t -'y rte.
"PE-.. Ab6tgJaiss Bstts , PACTtMM—. Owens/Corning TH:EcimS13
s • 3 , /an •g t
-• •
G . C bMTRAC3�OR: Roger ,Snellenbesger LIC SE: e
MATE:
6C MUD' INSWATION CONTRACTORS INC. `
a.1cR�SR # �2i517 'C-2 � .
BY• hG �' y..
TITLE PRODUCTION MANAGER DATE 3=01-9i