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14240 (AR)t z WM • I s•., __ is Building414 55-695 Pebble :Beach P.O. BOX 1504 NO. 1`f ® 78-105 CALLE ESTADO AddresLA QUINTA, CALIFORNIA 92253 Owner Roger Sne lleriberger Mailing BUILDING: TYPE CONST.,.-, OCC. GRP. Address Same A.P. Number City Zip Tel. La Quintan Ci 92253 777-7767 Legal Description Contractor Project.Description Addition Roger Snellenberger & Assoeiates Address Sante City 1ZiD Tel.: State Lic & Classif. 9'488234 Arch., Engr:, - Designer C. # B$ Sq. Ft Size .493 Stories New ❑ Add ❑ Alter ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I_am,licegsed under provisions of Chapter 9 (commencing with•Section 7000) of Divislon.3tof the.Business and Professions Code, and my license is in fulhforce and " "f'effect. �r s SIGNATURE r ! DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following E. 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 civilpenalty 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 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.) ❑ 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.) - . ❑ 1 am exempt under Sec. B. & P.C. for this reason No. DW, Units Repair ❑ stlmatea valuavon.. 438;454.00 a pp : ,gg pp ��tt{{�� ,!g38p45'Ss0V PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Date owner Infrastructure ` WORKERS' COMPENSATION DECLARATION , Ipereby 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.) Policy11 No. Company - - EiCopy is filed with the city. O Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation . r or less.) e 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. ll 1`1011 / A Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: sub'ect to the Workers' Cc m t' 'Demolition' ❑ ! AMOUNT. 343. UV 27y. 01J .' �. 2T. 00 3,85 1 pensa�on provisions o/ the Labor Code, you must forthwith Minimum Set �IDistances: comply with such provisions or this permit shall be deemed revoked. - ° • riYSef ac rom L' CONSTRUCTION LENDING AGENCY" 1 -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 en er Ine Rear Setback from Rear Prop.- Line Side Street Setback from Center Line Side Setback from Property Line t FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: s CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS f r 2ND FL. SO. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. S0. FT. ® GAS (ROUGH) DRAINAGE PIPING WALL SQ. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN SQ FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAR. FIREWALL SO.FT.GAR ® 3/ac HOUSE SEWER LATHING 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 ROCKSTORAGE 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 ARCHITECTURAL/LANDSCAPE VARIANCE APPLICATION PGA WEST RESIDENTIAL ASSOCIATION,_ INC. Please complete and include this request form, along with four (4)sets of your proposed home improvement plans to: PGA WEST RESIDENTIAL ASSOCIATION, INC. P.O. Box 1060 La Quinta, CA 92253 or, 55-940 PGA Boulevard La Quinta, CA 92253 Attn: Property Manager NAME: Roster Snellenberger DATE: 10/13/94 ADDRESS: 55695 Pebble Beach La Quinta, Ca ' ' 92253 PHONE: 771-4501 UNIT: 20 PROPOSED STARTING DATE: 10/17/94 AP$$QXINj C0fPLET,;ON/DATE: 12/17/94 Hom`eowncfr' s Signature 0 The following appropriate informati3 on should accompany your completed application: 1. Four (4) sets of complete plans to include: a. Improvements and/demolitions b. Plot plan c. All dimensions proposed d. Relationship to neighboring units e. Material and color scheme f. Planned modifications of all external systems (landscape, sprinklers, gas lines, electrical, etc.) 2. "Agreement and Covenant Running with the Land completed and notarized. Two (2) original. 3. Conditions of Approval and Disclaimer form (signed) 4. Facing and Adjacent Neighbor form (if applicable) 5. Construction Regulations form (signed) ELECTRICAL [ ] Approved [ ] Disapproved Signature LANDSCAPE Signature Date [ ] Approved [ ) Disapproved ARCHITECTURAL COMMITTEE.] Approved [ Signature`s ARCH/Rev :6/94 1 V Date ] Disapproved Date a CITY OF LA wiNTA DEPARTMENT OF PLANNING & DEVELOPMENT z. BUILDINg DIVISION 24-HOUR NO ICE 777OCT 21 W4 -7153 Ro ter Snellenber- er . Contmctw ; .Snellenteraer &Associates PWmit'IUi mbw 14240 8 :A >x POST CN JOD IM. C SPICU®US PLACE INSPECTOR MUST SIGN ALL. APPLICABLE,SPACES J66ADDRESS �� 5 6 9 S v -� bble Heaeh�++s'✓ 493 S' -f. addition 7YPEOF INSPEt,`71ON DATE INSP. FOUNDATION 8 SETBACK F007ING STEEL MAIN {aRO' ND SYSTEM ND PLUMBING WITE. : 0Q T POUR COW''' IlETE U IL ALh ABOVE IIAS SEEN StGGWID ODNCRVE SLAB _ JOISTS'8 GIi�DERS . ELECTRICAL GROUNDWORK ADOWE APPROVALS 0040T ENCLUDE RUM4: TO 11Ni1'l t3ca %3,viu croon occupy suu_ocf t 12/30/86 COACHELLA VALLEY UNIFIED SCHOOL DISTRICT CERTIFICATE OF camPLIANC E (Government Code §53080) Project Name: Project Address: 5569b Pebble beach, La--Quinta CA PGA WeSt Project Owners Name: M.b. town i e Phone No. Project Description: rest ence Building Type (circle one) Residential (Include No. Dwelling Units) Commercial Industrial Tract No. Lot No. (If Tract attach Schedule "A" of all lots by tract, square footage for each lot and total.) Assessor's Parcel No. (If Schedule "A" is used -show Assessor's Parcel No. for each lot if one exists or Assessor's Parcel No. for parcels before subdivided.) Total square feet of Building Area: Certification of Applicant/Owner. The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: Signature: City/County Certification: (signature)- OPTIONAL (title) (to be canpleted by school district) School district requirements for the: above project have been or will be satisfied in accordance with one of the following (circle one): Gov. Code Gov. Code. Agreement existing Not subject to 53080 65970prior to 1/1/87 fee requirements (AB 2926) (SB 201) Total number of sq. ft. AS PER AGREEMENT - $628.00 Amount per sq. ft. $ per Unit Amount collected $ 628.00 4 Assistant Superintendent School'District Official Title Business Service5�;",, Phone No. 6 9 = 399 - 5 37 ,Date September 30, 1987 Note: AB 2926 and SB 201 fees are ca 1' Peed at $1.50 per square foot for residential construction. AB 2926 is capped at $0.25 per square • foot f or commercial and industrial projects. • .: �, ...,tit MAIL TAX STATEMENTS TO Name SAME AS ABOVE "Y Street Address City & State L _j J 0s, 01 �k CAT. NO. NNO0586 4. TO 1925 CA (11 —83) X _j 4.- —SPACE ABOVE THIS LINE FOR R Partnership GranDeed THIS FORM FURNISHED BY TICOR TITLE INSURERS RECORDING REQUESTED BY USE g r�rORDIjr, REQiJES'rE0!I3'f INSURANCE AND WHEN RECORDED MAIL To r V, Michael- S. Brownfield Name Kathleen Sue Brownfield Street 848 No. Sunset Address Tacoma, WA 98406 Is,' City & State I _j MAIL TAX STATEMENTS TO Name SAME AS ABOVE "Y Street Address City & State L _j J 0s, 01 �k CAT. NO. NNO0586 4. TO 1925 CA (11 —83) X _j 4.- —SPACE ABOVE THIS LINE FOR R Partnership GranDeed THIS FORM FURNISHED BY TICOR TITLE INSURERS 41 —I The undersigned grantor(s) declare(s): 323.95 -T M %; Documentary transfer tax is X ) computed on full value of property conveyed or ) computed on full Value less value of liens and encumbrances re,-ailainirui kAfine6 05 C. " Unincorporated area: X Kity nt-a n ;,Of LR Q11 T4 FOR A VALUABLE CONSIDERATION, receipt of which is h jebIji'acknowl6dged 1 jJ4 SUNRISE DESERT PARTNERS a California P�.the Stat' of Ca Limited partnership, organized under the laws e T., lilorfii n: t,� hereby GRANTS to '16A Michael S. Brownfield and Kathleen ;Sue Br9m Z i -q!l d 'andt.--wif 6, is.,, joint tenants A 4�4 -N the following described real property in the City of La Quinta County of Riverside State of California. COMPLETE LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF AS EXHI I!All.-;%' A ? S NR SE DESERT-PARTNERSi,';,A Limited Partnership k Jh Bj: -SUNRISE CORPORATION' A.California corporation,' General Partner March 09,-1987 11K 1 / / "� Dated: BY: PHILLIP K. SMITH JR.' V V (Corporation as a Partner of,a Partnership). EXECUTIVE VICE PRESIDENT STATE OF CALIFORNIA :j COUNTY OF Riverside SteOn before me, the undersigned, a Notary Public in'antl for iZ M said State, personally appeared PHILLIP K; Slil�j`il JR.- personally known to me or proved to me on the basis of satisfactory evidence to be the person who executed EXECUTIVE VICE .4y the within instrument as the President, and personally known to me or proved to me on the basis of satisfactory evidence to be the person who executed the within instrument as the Secretary of S-�'NRISE CORPORATION the corporation, that executed the within instrument on behalf of SUNRISE DESERT PARTNERS, A— LITITTED OFFICIAL PARTNERSHTPthe partnership that executed ALSEAL the within instrument, and acknowledged, to me that such CONSTANCE GORSUCH corporation executed the same as such partner and that NOTARY PLICILIC—CALIFORNIA such partnership executed the same. NOTARY 0014D FILED IN 40.. T: WITNESS mynd and off tial seal. RIVERSIDE COUNTY My Commission Expires May 12, 1989 Signature (This arca for official notsda*l seal) Title Order No Escrow or Loan No. t USE g 41 —I The undersigned grantor(s) declare(s): 323.95 -T M %; Documentary transfer tax is X ) computed on full value of property conveyed or ) computed on full Value less value of liens and encumbrances re,-ailainirui kAfine6 05 C. " Unincorporated area: X Kity nt-a n ;,Of LR Q11 T4 FOR A VALUABLE CONSIDERATION, receipt of which is h jebIji'acknowl6dged 1 jJ4 SUNRISE DESERT PARTNERS a California P�.the Stat' of Ca Limited partnership, organized under the laws e T., lilorfii n: t,� hereby GRANTS to '16A Michael S. Brownfield and Kathleen ;Sue Br9m Z i -q!l d 'andt.--wif 6, is.,, joint tenants A 4�4 -N the following described real property in the City of La Quinta County of Riverside State of California. COMPLETE LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF AS EXHI I!All.-;%' A ? S NR SE DESERT-PARTNERSi,';,A Limited Partnership k Jh Bj: -SUNRISE CORPORATION' A.California corporation,' General Partner March 09,-1987 11K 1 / / "� Dated: BY: PHILLIP K. SMITH JR.' V V (Corporation as a Partner of,a Partnership). EXECUTIVE VICE PRESIDENT STATE OF CALIFORNIA :j COUNTY OF Riverside SteOn before me, the undersigned, a Notary Public in'antl for iZ M said State, personally appeared PHILLIP K; Slil�j`il JR.- personally known to me or proved to me on the basis of satisfactory evidence to be the person who executed EXECUTIVE VICE .4y the within instrument as the President, and personally known to me or proved to me on the basis of satisfactory evidence to be the person who executed the within instrument as the Secretary of S-�'NRISE CORPORATION the corporation, that executed the within instrument on behalf of SUNRISE DESERT PARTNERS, A— LITITTED OFFICIAL PARTNERSHTPthe partnership that executed ALSEAL the within instrument, and acknowledged, to me that such CONSTANCE GORSUCH corporation executed the same as such partner and that NOTARY PLICILIC—CALIFORNIA such partnership executed the same. NOTARY 0014D FILED IN 40.. T: WITNESS mynd and off tial seal. RIVERSIDE COUNTY My Commission Expires May 12, 1989 Signature (This arca for official notsda*l seal) Title Order No Escrow or Loan No. t