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12056 (SFD)
P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 54-565 Eisenhower LA QUINTA, CALIFORNIA 92253 Owner WES Development Company Mailing Address P.O. BOX 1657 City , Zip Tel. La Quinta, CA 92253 564--5154 Contractor - Stoek.MaA Horaes Address P.O. Sox 1657 0 CityZip Tela La Quinta, CA 92253 564-5154. State'Lic. City & Classit. 431 642338 Lic. # Arch., Engr., Designer S tmdio 4 Address Tel. 949 University (916)920-1159 City . Zip State Sacramento Lic. # 220.44 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section ,7000) of Division 3ppof the Business ah!g �Pfessions 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 or not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do )he'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 or 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 contractors) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B. & P.C. for this reason No. 11LDING: TYPE CONST. OCC: GRP.; P. Number 774-284-016 egal Description Lot 4 Block 303 roject Description }-SFD Plan 2 x.2©56 Sq. Ft. 1471 No. No. Dw. Size Stories Units New ET Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block walla or pool. Estimated Valuation $85.042..90 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. L�+ Grading (Driveway Enc. Date Owner r.%? Infrastructure r+lcrae^ i t; sz - far 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. 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.) 1 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. I 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. Signature of applicant -Date- Mailing ateMailing Address City, State, Zip TOTAL AMOUNT 494.63 576.50 62.00 123.71 144.00 8.60 20.00 -0-- 1,913.47 25.00 REMARKS FYI Ott r.,M4rl -L 101"L. r J•SG:.!I 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 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM 2ND FL. SO. FT. DUCT WORK ROCK STORAGE FOUND. REINF. MOBILEHOME SVC. BAR SINK POR. SO. FT. p REINF. STEEL GAS (FINAL) TEMP. POLE `�C 9 ? ` 7 GAR. SO. FT. ® POWER OUTLET ROOF DRAINS WATER HEATER SERVICE FINAL INSP. DRAINAGE PIPING CAR P. SO. FT. ® WATER SYSTEM GRADING cu. yd. $ -plus-x$-=$ WALL SO. FT. LUMBER GR. DRINKING FOUNTAIN SO. FT. ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation VENTILATION 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 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/a c SEWAGE DISPOSAL FINAL INSPECTION (� SO.FT.GAR ® 3/ac HOUSE SEWER CERT. OCC. 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 PLUM BING////O/%3 0 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMSJAY 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 `�C 9 ? ` 7 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -plus-x$-=$ LUMBER GR. FINAL INSP. ./(�! FRAMING �Z� / 3 FINAL INSP. ROOFING .5-113/%/' REMARKS: VENTILATION FIRE ZONE ROOFINGj17`E�S<QN FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION (� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date F4—/5—//9-3--1 Type of Permit No. 12128 Perm Vt Log Owner Name WES Development No. Street See Below City La Quinta Zip 92253 Study Area 111 APN # Tract # Lot #C] Square Footage 19244 Type of Development ISingle Family Residence No. of units Comments 54785 Avenida Tuarez, 51970 Avenida Rubio. 52445 Avenida Bermudas, 5244 Avenida Mendo n, .,54565 Fisenhowp„ t,, .5.,3660 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 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 Name on the check By James F. 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 / \ \\ �� ` _ Ii �� r,,,ll� �� fir. "� il.,l.1t �F'<• .I ii+ +li+�j" � � _ �..��� � j OF ij, of Uinta U t* b t* n alto. �$Ufe34thtrnan This Certificate issued pursuant to ther'equiremlents of Section 306 of the Uniform Bulldingi I Code certifying that at the time of issuance this structure was in compliance with the various. V ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 54-565 Eisenhower Drive I :I; .Q ilk+ : I., Use Classification Single Family Dwelling Bldg. Permit No. 12056 — Group R3 Type Construction VN Fire Zone use zone SR WES Development Co. P.O. Box 1657 Owner of Building Address La Quinta, CA 92253 City — Lonnie Day By; Date; March 24, 1994 fl ul Building Official - — -------- ---------