12053 (SFD)• 4,4 "
P.O. BOX 1504 N o . 12053
Building 78-105 CALLE ESTADO
Address54"785 Juarez _LA QUINTA, CALIFORNIA 92253
Owner WES Development Company
Mailing
BUILDING: TYPE CONST."" ' OCC. GRP.
Address P.O. Box 1657 774-265-032
A.P. Number
CityZip
AMOUNT
Tel.
La .QUinta, CA
92253
564-5'154
Contractor
—Stockman Hoytos 1,
Address
P.O, Box 2657
City � -
La Quinta, CA
Zip
32253
Tela
564--5154
State-Lic.'
&'Classif. B1 622238
City
Lic. # 1534
Arch.,•Engr.,
Designer Studio 4
Address. Tel.
949 Un vercity (9161920-1159
City' Zip State
S�tCYs3f1l3eiltf3 Lic. # 22044
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed,under provisions of Chapter 9 (commencing with Section
7000) of Division 3.yyof�the B�ineesss.anted'.Professioonns„COde,,and,my license is in full force and
-, 1//"
effect. rt 'I I ! �..+:+�n C..;...
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, I 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.)
O 1 am 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 se insure, or a certificate of
Worker's Compensation Insurance, or a certif ed copy theT `(Sa 00pke ode.
Policy No. Company Y/' (j!_.
opy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section rived 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
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.
Signature of applicant Date
Mailing Address
City, State, Zip
Legal Description Lot 3 11Z1;.of 2 Block 275
Project Description - ' SPD Plan 3
Sq. Ft.
Size
New "
3600 Stories
No. Dw.
Units
Add ❑' Alter ❑ Repair ❑
Demolition ❑
Permit'does not include blackya116 or
L pool.
IEstimated Valuation $99$664.00
PERMIT
AMOUNT
Plan Chk. Dep.- "
Plan Chk. Bal.
528.45
Const.
-639.50
Mech.
60.00
Electrical
1I.S. 30
Plumbing
109 . 50
S.M.I.
H . O
Grading
20.00
Driveway Enc.
—0—
Infrastructure
2,204.10
recise .tan
15.00 ..
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. SO. FT. ® $
UNITS
SLAB GRADE 3
r i r
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
'METER LOOP
GAR. SO. FT. ®
POWER OUTLET
I ROOF DRAINS
GAS,(FINAL)
yTEMP. POLE
DRAINAGE PIPING
CARP. SO. FT. ®
GROUT
WATER HEATER SERVICE
WALL SO. FT.
DRINKING FOUNTAIN.
SO. FT. ®
FINAL INSP.s�7
URINAL
ESTIMATED CONSTRUCTION VALUATION $
LUMBER GR.
WATER PIPING
NOTE: Not to be used as property tax valuation
ci 3 C,%
/!1 �
EyTFYVS(O/�% v -"'Q �`, -7—o
a
;
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L ;FIOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER'
FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
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
I WATER HEATER
MAX. HEATER OUTPUT, B.T.U. t
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
yrr ^
FINAL INSPECTIONPi--(—gC
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
NDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 3
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./EOUIP.
REINF. STEEL
GAS,(FINAL)
yTEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.(4,0
FINAL INSP.s�7
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING , y
ROOFING�•
ci 3 C,%
/!1 �
EyTFYVS(O/�% v -"'Q �`, -7—o
a
;
REMARKS:L
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
MESH
INSULATION/SOUND Z
FINISH GRADING
FINAL INSPECTIONPi--(—gC
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
- z ,
:. "• _
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 4/5/93 1 Type of Permit ILa Quinta
No. 112128 Permit #
Owner Name WES Development Log
No. Street See Below
\` city La Quinta Z I p 92253 Study Area 111
APN # I Tract # Lot #0 Square Footage 19244
Type of Development I Single Family Residence JNo. of units
Comments 54785 Avenida Tuarez, 51970 Avenida Rubio, 52445 Avenida Bermudas, 52440
Avenida Mendn7.a, 54565 Eisenhower, 53660 Avenida Rubio,
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 ofF1._58__J 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 thisproposed project may now be issued.
Fees Paid By Stockman Homes /Cashier's Check Telephone 564-5154
Name on the check
By James F. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
Payment Received
Signature `
, Ch6vk Ago. 05..3666
Collector. Attach a copy of county or city plan check application form to district copv for all waiveis.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy' -Accounting
,.� - � .,..r• a ems.. • e.I.Y.T_�•�..^-.F"�_.M.n "r.yiFOF.4. s . � � i w .•yM r..+ . � ..
I WMEA 11 ;; ,,I i
MW
:(t of ,14Ea Ouinta
This Certificate issued pursuant to the requirements of. Section 306 of the Uniform Building!
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 54-785 Avenida Juarez
Use Classification Single Family Dwelling Bldg. Permit No. 12053
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building Wep-q nPuelcipmPnt cn Address R-0- Sox 1657
C• La Qu'nta
��BY: Lonnie Dam
We; August 1, 19 9.4
Building Official
POST IN A CON9114000U! PLACC