13488 (SFD)4
P.O. BOX 1504
No. 1 `3s1 R
Building 58-712 B3:it;el DrjVv 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner (Dwight Stuart
Mailing - r< BUILDING: TYPE CONST_ V OCC. GRP.
Address 1.k, Ste. 784
A.P. Number
City Zip Tel.
j-1 Legal Description Tract �7?28
Contractor Sr FD
�� _Z`,•s Project Description
Address
City Zip Tel.
l v
State Lic. City
& Classif. u 519 Lic. # �'J Sq. Ft. 12 -> 6, No. No. Dw.
Arch., Engr., C: Lpn Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
i�U17i 't!c>.Il & ^�3 11X ��•11irw4'�tr
Address Tel.
12�:h strr•st 91-0 440TOR' ' .rh"t 4 "Gilded cabala' "tfl"-3d ;3''.(` 1:
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION L5 :iikL: pool,p''iI1t8 tn brY
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and PrgTesslons Code, and my license is in full force and
effect.
SfGNAi:L1Afi DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation 7 6 4 r 7 2 6 . 0 0
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 PERMIT AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or Thal. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit Plan Chk. Dep.. `
subjects the applicant to a civil penalty of not more than five hundred dollars (S500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 30
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Bussness and COf1St.
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, Mech.
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 Electrical
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- Plumbing
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 S•M•I,
such projects with a contractor(s) licensed pursuant to the Contractor's License Law;)
Grading
❑ I am exempt under Sec. B, & P.C. for this reason
Driveway Enc.
Date Owner Infrastructure
WORKERS' COMPENSATION DECLARATION
I 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. 3600, Labor Code.)
Policy No campgpy
Cr Copy is filed with the city. ❑ Certified copy is hereby furnished,
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(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: N, after making this Conidicale of Exemption you should become
subject to the Workers' Compensaffbn 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 applicalion and state that the above inferMaflon is correct.
1 agree to comply with all city and county brdinances and stale laws relating to building
constructon, and hereby authorize representmlves of this city to enter the above -
mentioned property for Inspection purposes.
Signature of applicant Date
Mailing Address`
City, State, Zip
TOTAL
REMARKS
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line.
FINAL DATE
INSPECTOR
Issued by;
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL SQ. FT, @
2ND FL SQ. FT, @
POR. SQ. FT. C
GAR. SO. FT. 0
CARP SQ. FT. @
WALL SQ. FT. ®
SO. FT.
ESTIMATED CONSTRUCTION VALUATION
$
UNITS
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
WATER PIPING
NOTE: Not to be used as property tax valuation
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, TEMIPERM
LAVATORY
HEATING SYS I FM FUHCEU GRAVITY
AMPERE3 3ERV ENT
DIIOWCn
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/4c
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 APP.IEQUIP.
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 SIGNATURESA NiTfALS
GARDEN WALL FINAL 71
REGISTERED INSPECTOR'S WEEKLY REPORT
JON TANDY
3580 Condalia Ave.
Yucca Valley, CA 92284
(619) 365-5045
TYPE OF
INSPECTION
PERFORMED
❑ REINFORCED CONCRETE STRUCT. STEEL ASSEMBLY ❑
❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER
❑ REINFORCED MASONRY ❑ FIRE PROOFING
JOB LO T _ A N L0 Q` LA Q v ?% w'm
REPORT SEQUENCE NO.
TYP OF STRUCTURE ��
. o. (-u RA21 bees �de,•..c�
PERMIT NO
%
DATE
- 0 • .
DAY OF WEEK
MATE AL DESCRIPTION
4,5�
ARCHITECT
INSPECTOR
TTA
HRS. CHARGEO
--_ � `_ � 0 t �,/
1/
ENGINEER � �
ASSISTANTS I
HRS CHARGED
INSPECTION GENERALL-•CS•7(r-� ` SUB S
DATE CONTRACTOR � . `- `"7'�` o G CONTRACTOR S AJ A I'e J o ct,�- UXL01149
g, 9- 3t
S 6-P-OF0 eww uL--N- 9 &D To v-^- 'P�La t4 -o- w ra 4
o
i -►e
(2141C A i bad cf--c&,a ; N Cope✓tecd
14 CJ j 2 dv� - P• tJ fZ ¢�tti S o t -J
�'� XS� 1 S• C. s �eCIO iN
iA ZuJ Co0 tJ . 14>A 1 s,til
Tb l t"Ll— 0�-��`---
u. s o v e co U) a( 6
10 e U I " P} 3'A S- H - S . IS o c--715 T-0 L2 -� t
goLTS 73SS -:
Rq-woe'i�—u'L kTo-6 ToC-V - D �,I�ecCS
LA C L -:G
COPY SENT TO CLIEN
CONTINUED ON NEXT PAGE ❑
PAGE OF
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY
KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED
PLANS. SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS.
SIGNATURE OF REGISTERED SPECT DR
DATE OF REPORT REGIST R NUMBER
--------------------------------------------------
08/05/1994 13:59 6193466107 J.T. HAYHOE, INC. PAGE 06
�� �- ��� •� + v " n ryLri uc5enii • 1 619 341 3652 P.06
t�
U. G,
STRUCTURAL
ENGINEERING
ADD SECTION OF TS COL. AS REO. -
SEE PLAN
WIDE FLANGE BEAN SEE PLAN
1/2' STIFF. PLATE EA SIDE
--- TS COL. - 5EE PLAN
W/.1' END PLATE X 10' X WIDTH
d USE 2 - 1DIA. N.S.B.
TYP,
1/4•
F. P.
CONDITION Q LIVING ROOM www"
AUO-05-1994 12:02 569S6A1 P.As
08/05/1994 13:59 6193466107 J.T. HAVHOE, INC. PAGE 05
- •� •_ rr n rrlL'I U�JCKI o 619 341 3652 P.35
R.C. STRUCTURAL
Iffy ENGINEERING 0AI`N«�
W14 X 53 fC-101 - 5EE PLAN
/46V N ..
NEW 1' STIFF PLATE
of
W21 X 68 BEAM - SEE PLAN
ADD 1/2' oI W/6 - I' DIA. M.S.
PLATE 1 CUT WEB AROUND EXISTING 1-
o STIFF, PLATE
NEW I' 5T I FF PLATE
I/j' TrP.
CONDITION 9 L I v I NC ROOM
Auo—e5-1580 12:81 5685681 P.04
`9 16 A�oVEE) AE:-^ rn
Ig00 60
19
'Z>LAe>
�� i
N Il
64E:Z\ YVn 7A 'Z PU\C-CS
77
ye OTTb ff).
-03/166 11
ll�
-Tc>e OF- SLAB
44,
J
im
(Y)
To
1rop Or SLI.\B,
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 5/24/94 1 Type of Permit I La Quinta
No. 112847 Permit #
Owner Name J. T. Hayhoe, Inc. Log
No. 58712 Street Banfield Drive
City La Quinta Zip 92253 Study Area 108
APN # I Tract # 127728 Lot # 0 Square Footage 19286
Type of Development Single Family Residence I No. of units 0
Comments
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 1.65 x 9 286 or $ 15,321.90 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 T• T. Hayhoe, Inc. Telephone 340-0850
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Vickie J. Durrett
. Payment Received
Signature Check No.3616
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