12537 (SFD)Q9 Mora
P.O. BOX 1504
Building 48-617 Vista Tierrg i$-105 CALLE ESTADO
Aririracc - - LA QUINTA, CALIFORNIA 92253
OwnerRogerSnellenberger a Associates
Mailin
Address 48-117 Via Rermtosa
City Zip Tel.
La Quinta, Cid 92263 1(619)777-7767
Contractor
Zip
State Lic. B 585519( City 2866
& Classif. Lic. #
Designer gt'Carlos Elias — Engineer I
U6128S Charlesworth Drive I(T9a119) 328-7271
CityState
Cathedra".. Citi Zip 92234 Lic. # 6839
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am.licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 cf ifi6 Vusiness and Professions Code, and my license is in full force and
effect.
&1GNATUR O f 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) or
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
- for the alleged exemption. Any violation or Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than rive 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
ofproving that he did not build or improve for the purpose of sale.)
0, 1, 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.)
❑ Ilam 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 oompensatilon Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Polic P Company
❑ Copy is filed with the city. O 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 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
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. * N
Signature of applicant— Date
Mailing Address
City, State, Zip
BUILDING: TYPE CONST
No. 12537
OCC: GRP.
A.P. Number 617-661-009
Legal Description Lot 9 Tract 28052-6
Project Description SSD Plan 1
Sq. Ft. No. No. Dw.
Size 1850 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
1
Estimated Valuation $107,272.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
316.16
Const.
667.50
Mech.
68.50
Electrical
137.04
Plumbing
150.00
S.M.I.
10.80
Grading
20.00
Driveway Enc.
f00
Infrastructure
2,369.34-
,369.31[arts
Artsin Public Places
25.00
TOTAL
4,014.34
`"
3,764.34
REMARKS
.:tma
ZONE:
Minimum Setback
'
FINAL DATE—
Issued tiy:
Validated by:
Validation:
BY/,
I tan
tont Setback from Cent r
ear`S8tbaNk'rom%R: ar r
Side Street Setback"Iro'a
Side Setback from Property
By
-INS
Date
i s
ne c
. Line
ter Line
ine.
Permit
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. @ $
UNITS ,
SLAB GRADE
ROUGH PLUMB.
BONDING
Y
ARD SPKLR SYSTEM
2ND FL. SQ. FT. @
FORMS
SEWER OR SEPTIC TANK
POR. SO. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEQUIP.
DRAINAGE PIPING
CAR P. SO. FT. @
TEMP. POLE
WALL SQ. FT. @
GROUT
DRINKING FOUNTAIN,
SO FT @
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
=$
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
VENTILATION
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.
SO. FT. @ c
BATH TUB
GAR. FIREWALL
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 11/a c
SEWAGE DISPOSAL
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 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 SIGNATURES/INITIALS
GARDEN WALL FINAL
t � ,
MAR -4 1'94 15:14 FROM SCHMID LA-POMONA PAGE.006
mmamcal CERTIFICATE _
This is ..to Certify that insulation has been. installed in conformance With.
the current energy regulation, California Administrative.Cookie, Title 24, �
State, of California, in the building located at.'
Lot t_.9 LAGUNA DR LA PAZ
LA QUINTA, CA
IL.II�TGS :
TYPR: Fiberglass Blown MA1VfUFACTURER: Owens/Corning THICENESS: 12",' R-38
TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning. THICKNESS 3 5/8" R-13
GENERAL COFACTOR: Roger Snellenberger LICENSE:
BY: -TITLE: DATE:
SCHMID • IRSYiL&TION CONTRACTORS INC. LICENSE #221511 C-2
BY: TITLE: PRODUCTION MANAGER DATE: 3-02-94
This'ig td -certify that insulation bas.been installed in conformance with
the current energy regulation, California Aftinistrativa Code, Title 24, ,
State of 'Cal•ifornia, in the building located ,at:
Lot # Laguna HBe. La Fan
La Qui.nta, CA
TYP�E: F1berg1as$ Blown MANUFACTURER: Owens/Corning THIC=MESS: 12" R-38
WALLS: 2.
TYPE: `abergla s Batts MANUFACTURER: i8w+ans/Cornang THI ESS: 3 5/8" R-13
G . ,COW RACTOR:` Rogiar Snellenbergelr LICENSE:
:_ TITLE; DATE:
SCHMID •INSULATION' 00WRACTORS INC. LICENSE, 0 221519 C-2
By.. TITLIS PRODUCTION MMAGM DATE: 3-01-94
a
CITY Of LA QUINTA
a - DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
24-HQUF3. NOTICE FOR INSPECTIONS
U777-7153
Owner Snellenberger & Associates
Contractor Same
Permit Number 12537
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOSADDRESS 48-617 Vista Tierra
SFD
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN -GROUND SYSTEM
GROUND PLUMBING IM- G
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
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT -A/C
FIREPLACE
ROOF -� -
BOND BEAM
O.K. TO WRAP /0•6
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION��; u;
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK --ice G%v/
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO