Loading...
002622 (SFD)4 4 QUM& n P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 2--705 AVWdd 3• 0bregm LA QUINTA, CALIFORNIA 92253 Owner Mailing Address 52-810 Avenida %tea City Zip Tel. . ,.. 92253 564-�� 425. Contractor ... Address No. 002622 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 773-28,41-023 Legal Description Efl 10 Project Description, Sim' '" = U&Millil City Zip Tel.' Front Setback .from Center Line --- _.� --T - Rear Setback from Rear Prop. Line Side Street Setback from Center.Line Side Setback from Property Line w mAj ` 0 T State Lic. City 1331 DatePermit & Classif. • Lic. # Sq. Ft.No. -0 44A Size No. Dw. Stories. Units Arch., Engr., . Designer f iTt:�� New Q Add ❑ Alter O' Repair 0 Demolition.❑ Address Tel. City Zip State 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 five hundred dollars ($500). 0 I, as owner of the. property, or my employees with wages as their sole compensation, will Estimated Valuation 13��u4�lV '• PERMIT . - AMOUNT - - - Plan Chk..Dep.. ' Plan Chk. Bal. �► _?� COr1St._} do the work, and the structure is not interided or offered.for sale. (Sec. -7044, Buisness and w 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 proying that.he did not build or. improve, for the purpose of sale.) . .. ' Mech. `y'R„110 'ElcctrlCal - `?��,( Plumbing Tall tai)' 0 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. -6.ti. P.C. for this reason S.M.I. 4 _A7 Grading 2`1_M Driveway Enc..♦ i3 Date Owner k- -- fA ~- %7 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. 3800, Labor Code.) " Policy No. Company 0 Copy is filed with the city. 0 Certified copy is hereby furnished. TOTAL 1.�9d_1% 1692. REMARKS CERTIFICATE OF EXEMPTION FROM .. WORKERS' COMPENSATION INSURANCE • - • (This section need not be completed if.the permit is for one hundred dollars ($100) valuation -orless.) ' I certify that in the performance of tho work for which this permit is issued; I shall not - • employ any person in any manner so as to become subject to the Workers" Com pensation 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 inspect ion,purposes. f 1 Signature of applicant { ! - % " "7� Date Mailing Address #' City, State, zip 1" HARD COPY 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: DatePermit Validated by: Validation: A 6 5 0 5 1U 13 i69Z11 5 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT, ® CARP. SO. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET r YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation SLAB GRADE _ FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK LAUNDRY TRAY AIR HANDLING UNIT CFM AS (ROUGH) 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 WATER HEATER SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/4 c SEWAGE DISPOSAL BOND BEAM SO.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 ai(SETBACK GROUND PL BINGE �® UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE _ ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK tt4 FORMS J/ ��_ j� / v J� WER10 ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF.. AS (ROUGH) METER LOOP HEATING (FINAL) 'OTHER APP./EOUIP. 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. R MING r /6 'I FINAL INSP. OOFING Z�� (�. a le"'e� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH rI CATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL rnsrtc i Un -a 0R9nA I Untsnni I iAw. GARDEN WALL FINAL _1q 7 78-105 CACLE ESTADO LA.. QP1NtA1-1,PAL-1FQRN1 . A' 25 -J, (6 19) . 9) 564-2246 February 24, 1987 County Assessor's Office County of River'side 46-209 Oasis Street Indio, CA 92201 SUBJECT: Notification of Voided Build -4b '-.P_dxmi1? Dear Sir: Please be.advised, that. Building, Permit: No, Issu e d• by, the C#y of La Quinta*.to MkRay Berney.h.asbeenV- d6d'-"by this ' department -,qi ­.,z'is­. taken No construction hen as t k place "'pert' . y,., Th& Assessor c permit is at .'sub" t attached. Parcel No. is,773-28-4-023. A copy of i -h-,.. Should you have any questions -,or need, f.,ul'k-t-h'e'r'"cla'rif%idAtion, please do not hesitatet'o'contact meat this office Very truly yours, MURREL CRUMP PLANNING DIRECTOR Thomas Hartung Building official TH: dmv Atch: Copy of Bldg. Permit No. 002.,622, cc: File, 52-70.5 Avenida Obregon Plot Plan No. 86-353 ASSESSOA mow= ; _� • ' ,t P.O. BOX 1504 .Building 78-105,CALLE ESTADO Address `J,;—J LAAUINTA, CALIFORNIA 92253 Owner ' Mailing Address - wt .1. �• '• ^ 7 ; t ...1 -moi. City Zip Tel. 1A _-jimi Contractor ress Y No. j0r.281 r BUILDING: TYPE CONST. OCC. GRP. A.P. Number �73"?rt:2 1231 Legal Description Lot 10 s Project -Description Si!"T�'~ r =Tt11V �'•sC'11 -' • ry F i r CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one 'hundred dollars ($100) valuation or less.) I. certify that in the performance of the work for which this permit is issued, 1 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. Signature of applicant Date Mailing Address i city, State, zip REMARKS, i City Zip Tel. r State Lic. & Classif. City Lic. N _'� r 1331 Sq. Ft. , 'd Size • u 44 - . No. No. Dw: Stories' Units - Arch.,, Engr., Designer New.:, AM M Alter ❑'. Repair ❑ Demolition ❑ Address Tel. Side Setback from Property Line City Zip State Lic: #i Date II J -3--lb Permit Validated by: t Validation: 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. A6`. 1'U 13 ) 6%211 Ll S fiNATURE . -DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness and Professions Code: Any city.; or county which requires a permit to construct, atter, improve, demolish, or repair any'structure, .prior to its issuance also requires the applicant for such permit to file a signed statement-thatne 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• end the basis for the alleged exemption. Any violation of Section 703 i.5. by. any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS 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., d, 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 Lew.) ❑ 1 am exempt under Sec. B. 8 P.C. for this reason Estimated Valuation - PERMIT - AMOUNT . Plan Chk. Dep. - Plan Chk. Bal.. -47.36 Const. 34.3.10 Mech., Electrical -7 Plumbing ) ri - S.M.L. - , 4 R7 Grading k 2 ,. 'Driveway Enc. S �, Date Owner , r - Infrastructure 1 24.9 .44 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. 7 TOTAL- 1 x117 .71 1 -rG) 17 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one 'hundred dollars ($100) valuation or less.) I. certify that in the performance of the work for which this permit is issued, 1 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. Signature of applicant Date Mailing Address i city, State, zip REMARKS, i ZONE: BY: - t Minimum Setback Distances: ' `Front Setback from Center Line Rear Setback from Rear Prop. Line A Side Street Setback from Center Line Side Setback from Property Line FINAL DATE ' INSPECTOR Issued. by: Date II J -3--lb Permit Validated by: t Validation: (t. A6`. 1'U 13 ) 6%211 Ll Z O F— U W C0 W Z O F_ U W U) X Z O U W CO COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant:. Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County specifications required on the attached check list. A non-refundable filing fee of $37 is required when the application is submitted. Check must be made payable to the County of Riverside. I Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) _ _ �'�c'1.l`f�19m'..,J�yt Mailing Address i�r�.�.Yle`i'�`�-'A�',,,���- •.��' ��.�f%S� !"3'tlet �;���'ics� City / State�F Zip Code Telephone Job Prope4'Address o•j`�'El e '-- Ciity &Koramun`ity-,_��. 'Legal Description of Property. (Lot, PM, TR){/ `i �. � ' C� 6. 4t: (til t,,: t_. <. a .=/""fly f �!a' f , , 'Assessor's Parcel No. t/ Water Agency-or*Welh �(� p� �� �j / yrr ; iJ Use of Permi;A [E:�'" Y i 'w ��Planning Case # t Lot Size I 02^� SFD, MH Site Preparation Etc.�� ®°$ WN h Signature%f Applicant ` - f Date ,( 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date Certification of Existing S.D. System required. ❑ Yes O N WQCB Clearance required. ❑ Yes ❑x No,- 1 { Soils feasibility report required. ❑ YesNo Detailed boring report required. ❑ Yes ❑ No E No r Detailed contour plot plans required. ❑ Yes Staff Specialist approval required. ❑ Yes © No Lot Inspection Date Soils/boring report by r Project # Date. Soils MaPage-1-11", �4 � p Soil Type NK Approved by f "' • ;�� Date – 01 Type of System: No. of Bedrooms :3 h,1 ez-Gals. (1) Septic Tank Soil Rate Required ❑ Existing ®s'N w ❑ Additional ❑ Replacement Y J ­f (2) Leach line sq. ft. Sidewall allowance Install Lines) Ft. Long, ��Ft�wwideewwith Leach bed Sq. (B ttomMtrench area) "^� ft. rock/ Sq. Ft. ®rN%A min. inches Ft. o bottom •- per running ft. rock below drain lines*–.. area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth Applicable-- N/A Ls�''0verburden factor ]re5'' � /LZ' Max. allowable depth �!ia • �? ( ��•(c�.� r'a�fa ;;'�^-''�� �' .fti'�';!"..,y'i- "�i �i� • ..f y,A'�yq .as^.�.x'-Zt,.A..sc4.t This application �is 66r� oovve�d�/den e0 for the design of a subsurface disposal systemas indicated on the accompanied plot plan using the requirements set forth in Section B above. A building permit is necessary for the installation of the above -designed system Septic tank and sewer lines must be 50' from any wells 4� any (2)_�Leach lines must be 100' min. from wells including expansion �. C".� (j' �],.a � 1��!'i ! f -M f>�fl '� �i f. SAA ✓ � F ) Seepage pits must be 150I min. from any wells including expansion area ��- •=� / s ' Signature of Health Official _ y,.r r. [ , y�� ,�� f" �( -y-� ,I" Date RECEIPT NO. /Y -`tr )se Issued by District: ❑ Riverside ®"Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. Distribution: WHITE—Office file YELLOW—Applicant PINK -Bldg. Dept. DOH -SAN -122 (Rev. 6/86) - Date 9 X6 ❑ Blythe GOLDENROD—Pending File t/7