12059 (SFD)Building
Address 51-970 Rubio
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. 12459
WES Development
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 773-162-011
Legal Description Lot 14 Block 34
Project DescriptionaF'D Plan3
Mailing
Address P.O. BOY. 1657
City
La Qui.nta, CA
Zip
92253
Tel.
564-5154
Contractor
Stockman Homes
Address
P.O. Box 1657
City
La Quinta, CA
Zip
1 92253
Tel.
554--5154
State Lic.
& Classif. Bl 642235
City
Lic. #Sq.
Ft. No. No. Dw.
Size 1680 Stories Units
Arch., Engr.,
Designer Studio 4
�1
New L7' Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address
949 University
Tel.
(916}920-1159
Permit does not include block walls or
City
Sacramento
Zip
State
Lic. # 22444
pool.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full tforce Iaund„
effect. . w�rtt.---- t—f
SIGNATURE" 7 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 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).
❑ 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.)
❑ I am exempt under Sec. B. & P.C. for this reason
Estimated Valuation
g
$99,664.00
PERMIT AMOUNT
Plan Chk. Dep. '
s� - • 4
Plan Chk. Bal.
COf1St.%� •
Mech. •
Electrical .151, TU
Plumbing 109* bu
S.M.I. 10 • UU
;
Grading 4 . U
Driveway Enc. _U_
Date Owner
Infrastructure 2,20 .
t c^lziG Pima
WORKERS' COMPENSATION DECLARATION
1 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.
TOTAL s -141 • ��
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(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 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.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
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.)
Side Street Setback from Center Line
Side Setback from Property Line
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
FINAL DATE INSPECTOR
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.
Issued by: Date Permit
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
000, ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM •
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
j/
TEMP. POLE N / G 3L
666 ` 7
DRAINAGE PIPING
CAR P. SQ. FT.
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN
SQ. FT. ®
WATER SYSTEM
FINAL INSP. 23 -IF
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
ROOFING Yom/
FLOOR DRAIN
MECHANICAL FEES
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
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
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
SETBACKOUNO
PLUMBING [
-UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
000, 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./EQUIP.
REINF. STEEL
GAS (FINAL)
j/
TEMP. POLE N / G 3L
666 ` 7
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP. 23 -IF
INSP. �2Z
GRADING
cu. yd.
$ -plus-x$-=$
LUMBER GR,FINAL
FRAMING �—Z_1 pp 7 Z-0
ROOFING Yom/
S
'
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING
MESH
INSULATIONISOUND!O/ .may
FINISH GRADING
FINAL INSPECTION S—1Z)
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
D a I c 4✓5✓93 Type of Permit
s ' 121 a �� Perm
Log
Owner Name WES Development
No. Street See Below
City La Quinta Zip 92253 Study Area 111
APN # I Tract # I J Lot # L -I
Type of De,
Comments
Square Footage 19244
No. of units 0
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:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.58 X 9 244 or $ 14,605.52 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 Stockman Homes/Cashier's Check Telephone 564-5154
Name on the check
By James E. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie j.. Durrett
Payment Received
Signature Check No. 053666
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
a `2f M lv
w OF -p-M
OF
V
CLtt .0u t
ut
An
This Certificate, issued pursuant the req dirernents of Section 306ofthe Unifotrn Building!
"ACode certifying that at the-,timeof issuance this structure was in- compliance with the'varpos.
ordinances.of 'th'e" Cityregjldting building' const I r . u , ction. or u I se. -For. the, f6itow'in'
g:
4r '.IBUILDING ADDRESS 51-970'. Avenida Rtibio�
Use Cldssffication Single Family 'Dwelling r
Bldg. Permit No. 12059
G�roup • R3 Type. Construction VN Hie Zone Use Zone, SR
Owner of Buildfing
F. J-. StAddress
urner Homes- 77-885Montezuma Ste. B
-
dliy La- Quint,a, CA '52253. Lonnie Day
By' —
Date; July =22,- 19'9'3
Building Official.'
I
- I,F POST IN A CONSPICUOUS PLACE
Is
CA
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