13423 (SFD)T4tyl 4 4 a"
Building 79-145 Big horn Trail
Address r '
Owner Patric and Gayla 14cGarry
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Adydress P.O. Box 11018
city*
Zip Tel.
Palin. Desert, A 92255
Contractor
1ynQf�nffcr'xr��ir�nFe�9-r'>azr��reri �)>'3it�=e'�t
Bax 3371 Pala Ddsert, CA
OLdian_We' l.ls,. JEk 922fl3 Tela 5 *4 3673
State i. B 451035 LicCit.
& Classit.
# 1463
Arch; Engr.,
Designer 'Gorden Stein
AV#,Wa58 San Juan Ave Tel. 771 1832
Cit Zi State
Pyaim Desart, tip 9224 Lic. #
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 force and
effect. -
SIGNATURE 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 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
f or improvement is sold within one year of completion, the owner -builder will have the burden
1
of proving that he did not build or improve for the purpose of sale.)
t V111 as owner of the property, am exclusively contracting with licensed contractors to con-
,` str Zs
the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
e'�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 Licensw.)
O 1 am exempt under Sec. B!8 P.C. for this
/reason
f�f
Date �7 � Owner � �� •� +'t � u
r
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. 3800, Labor Code.)
Policy No. 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 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
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 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.
No.
BUILDING: TYPE CONST. OCC. GRP...
A.P. Number 769-550--012
I Description
Project Description
13423
.Lot 19 Tract 25429
SFB
TOTAL I 6, 8 IV.27 , 68.2
REMARKS Arts in Public Places credited
to Miry strell.i account per agreement
with Planning Department.
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 Propery LLine----
FINAL DATE INSPI
Issued by: Date
:(
Validated by: %11
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
Sq. Ft. 3464 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑
Demolition ❑
PERMIT INCLUDES BLOCK GARDEN
WALLS'
Estimated Valuation $208,006.00
PERMIT
AMOUNT
Plan Chk. Dep. 250.00
Plan Chk. Bal.
613.25
Const.
Mech.
96.0U
Electrical
Plumbing
229.50
S.M.I.
20.80
Grading
20A.0
Driveway Enc.
.00
Infrastructure
4,360.32
Arts in Yubld c Places
270.U2
,arts in Publ Ic Places credit
(270.02)
TOTAL I 6, 8 IV.27 , 68.2
REMARKS Arts in Public Places credited
to Miry strell.i account per agreement
with Planning Department.
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 Propery LLine----
FINAL DATE INSPI
Issued by: Date
:(
Validated by: %11
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
F ' r
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
FOR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CARP! SQ. FT.
GROUT
WATER HEATER
WALL SQ. FT. @
FINAL INSP.
DRINKING FOUNTAIN.
SQ FT ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=$
WATER PIPING
- NOTE: Not to be used as property tax valuation . _ _
FINAL INSP.
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
VENTILATION
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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
LATHING
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1Ya 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
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 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
T4'yl 4
P.O. BOX 1504
Building 79-145 Big Horn Trail 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Patric and Gayla McGarry I
Mailing
Address P.O. Box 11018
City lZip Tel.
Palm Desert, CIA 92255
Gustafson Construction
Address
Ifidian Wells, r -A 92201 1
State Lic. City.
& Classif. I Lic. #
Gorden Stein
AWIT1958 San Juan Ave Tel. 7711831
City p State
Palm Desert, (V 92260 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7=,tof Division 3 of the Business and Professions Code, and my license is in full force and
a .
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affiryn that I am exempt from the Contractor's License Law for the following
reason: (Sec. 703 1.5,8usiness arid Professions Code: Any city Or county which requires a
Permit to construct, ater, Improve. demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to ft 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 rive hundred dollars ($500).
0 1, 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
bulds or Improves thereon and who does such work himself or through his own employees,
provided thal such Improvements are not Intended or offered for sale. ff, however, the building
Or kriprovement 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.)
0 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sac. 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.)
0 1 am exempt under Sec. . & 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
Workers Compensation Insurance, or 6 certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
0 Copy is filed with the city. 0 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 thV work for which this permit is issued, I shall not
employ any.rr�on in any manner so as to become subject to the Workers' Compensation
Laws of Cali ornia.
Date -Owner
NOTICE TO APPLICANT., ff, after making this Certificate of Exemption you should become
su4ect to the Wbrkers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shaft be deemed revoked.
CONSTRUCTION LENDING AGENCY
I = affirm that !here is a construction lending agency for the performance of the
work ch this permit is issued. (Si)c. 3097. Civil Code.)
Lender's Name
Lender's Address
This is a buildin subject I
I � permit when property filled out, signed and validated, and is 0
expiration I work ereunder is suspended for 180 days.
I cerlity 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
No. - 13423
BUILDING: TYPE CONST.—OCC. GRP
A.P. Number 769-550-012
Legal Description Lot 19 Tract 25429
Project Description SFD
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:
Sq- Ft- 3460
Size
No. No. Dw.
Stories Units
New El Add 0
Alter 0 Repair 0
Demolition 0
Estimalfld Valuation
$208,006.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
613.25
Const.
1,021.00
Mech.
96.00
Electrical
207.40
Plumbing
229.50
S.M.I.
20.80
Grading
20.00
Driveway Eric.
.00
Infrastructure
4,360.
32
Arts n Public
Places
2 0.02
Art.-, in Piihl
In Planpq nroilif (27171-02)
TOTAL
6,818.27 6,568.27
REMARKS Arts;
in Pilhilir Plar-ps; r-rp-ditc-cl
fn Minigfrelli
anlrnunt- ppr aqrP_PmPnt-
with Planning
nimpartmPnt-
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:
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 4/28/94 Type of Permit I La Quinta
No. 112797 Permit #
Log
Owner Name Patric & Gayla McGarry
No. 79-145 Street Big Horn Trail
City La Quinta Zip 92253 Study Area 125
APN # 759* -550-012 1 Tract # 125429 Lot # 19 Square Footage 1
Type of Development Single Family Residence No. of units 0
Comments Mitigation Agreement - 3460 s.f. _
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 Mitigation Agreement
in the amount of 628.00 x or $ 628.00 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 Patrick H McGarry Telephone 408 268-5000
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Peggy Reyes
Payment Received
Signature PCheck No.3843
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
..J