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07117 (SFD)Building Address 53-340 Obreg Owner Belair €3eve1 Ti't,,, 4 4 4" P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailin Address 34-115 Da$e Palo or. #6 City ZipTel. Cathedral (ity 92234 324-7767 Contractor Saiz Address City Zip Tel.: State Lic. City & Classif. 82 555181 Lic. # . Arch., Engr., Designer Design for Living Address Tel. Same 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. 7031.5,131usiness and Professions Code: Any city or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rile 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 civilpenally of not more than rive hundred dollars ($500). ❑ 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 builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intendeA or offered for sale. If, however, the building or improvement -is sold wifirb one year of completion, the owner -builder will have the burden of proving that he did not build or onprove for the purpose of sale.) ❑ 1, 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.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 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 O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff the permit is for one hundred dollars (S 100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not =any Person in any manner so as to become subject to the Workers' Compensation Laws of California. tate Owner NOTICE TO APPLICANT: ff, 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. 1 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 No. BUILDING: TYPE CONST. - OCC: GRP. Number 774-075•-005 jai Description List 5, Bi k 187 )ject Description S.F.D. 07117 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 2/9/90_ Permit Validated by: Validation: . Sq. Ft. 1348 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. ?bu. LIU Plan Chk. Bal. ZU9.11 Const. "J-1. -"-` Mech. 53..0 Electrical 105. 55 "~Plumbing W .D S.M.I.• Grading eu * UU Driveway Enc. ZU 4 UU Infrastructure Ilk 3ekiou • aU 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 2/9/90_ Permit Validated by: Validation: . CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEM IST FL. SO. FT. ® $ UNITS SLAB GRADE 7 !� Q ROUGH PLUMB. BONDING YARD SPKLR SYSTEM' 2ND FL SQ. FT. FORMS SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® TEMP. POLE I GROUT DRAINAGE PIPING CAR P. SO. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL SQ. FT. LUMBER GR. FINAL INSP. URINAL SQ. FT. ROOFING49/o,e U ESTIMATED CONSTRUCTION VALUATION $ J ❑ Lj.►1 f o 0 a' 1 O �I WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIREPLACE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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 WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ic 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 V11 21ep �j(� y/fFtWAUMBINGOeW UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 7 !� Q ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF.znlO�y� '�7 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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 6/r% 90 FINAL INSP. ROOFING49/o,e U PZe J ❑ Lj.►1 f o 0 a' 1 O �I REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL _ LATHINGf-a6'VAI 1 //%0 MESH INSULATIONISOUND 7� Q FINISH GRADING Y FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 1 �=Sejsti{%+'�.�- -w. �'-�.}.�I'�^�°''�'-��.�Y�"�,;,��'-�'f`=�.�avy�G✓�.s�=�-r,'--`---+^�.r-l'"::-��.=�C��-'"`x✓-=-� � .f m Z: O. U W W. W Z O U W 1n C COUNTY OF RIVERSIDE ENVIRONMENTAL Asse"_O"_ftfam N'' <2 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 speculations as indicated on the attached check lief A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # Tactor, Contact Pe rso �` � ���i ne Address & Fi m -T� ..� //� D� 6 CC - Owner Prone Mailing Address city State Zip Job Property Address Prop. (PM, T Lot) /4 v CD-esccription Lot Size Water Age ell Use of Permit P/P, CU, etc. Other Lli �''v ih "w U U ailing, H Site Prep, etc. I Zq0 _ nature of App cant.- Date CA ORY: REV CODE FEE CATEGORY: REV CODE FEE DC -SUBSURFACE DISPOSAL 1238 $ 57.00 ❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $ 17.00 a. 1 at 4 Parcels (Each) 1238 $ 57.00 (Less than 1 year) b. Each Parcel after 4 7344 $ 24.00 ❑ PRELIMINARY ELECTIVE 7352 $ 23.00 ❑ Rereview (2nd review same parcel) 7344 $ 24.00 EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $ 47.00 Critical Area 7346 $111.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $ 87.00 INITIAL DATE r Holding Tank Agreements Completed ❑ Yes C No 1 • T• Certification of Existing S.D. System Required ❑ Yes No WQCB Clearance required. (Attach Form ❑ Yes No ;DOH SAN 007, Santa Ana Region Only) Solis Percolation Report Required. ❑ Yes No Special Feasibility Boring Report Required. ❑ Yes No Detailed Contour Pkn Plans Required (1 to 5 ft. interval) ❑ Yes No Other ❑ Yes No Staff Specialist Lot Inspection Required ❑ Yes No Lot Inspection Date Soils bioring report by (/� Project Date Soils Map Page Sol. Type Approved by C ( Date No. of Systems Type of System(s)No. Dwelling Unite (1) Septic Tank Soil Rate Grease/Send ❑ Holding Tank ❑ Existing Bedrooms, Fixture Unita s o 2 Grease I ° R 3h�v/ti. zVia , IvooGa, 007 G� (2) Laech Line Sq. Ft Sidewall allowance r>stall Lines) n long a wide with Bottom trench area _ It. roG sq. n min. inches rock below draintines o of bottom area nrri ❑ NA Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit TPtal Depth Other. Applicable Inlet (BI) (TD) 16 Max. AI, lois Depth N/A -?—<-Overburden factor ❑ 5 6 f ► No. 2 System REMARKS: This application istROVE/DENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanlo Ian, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above -designed system. No construction is permittgd in the required reserved 100% expansion area. (1) Septic tank and sewer lines must be SA:. minimum from any wells Leach lines must be 100' minimum from any wells, including expansion area 3) Seepage pits must be 150' minimum from any wells, including expansion area I A0 ate —Signature of Health Official Date— RECEIPT NO. /+ / t Issued By_� Date L�o DISTRICT: ❑ Riverside, - ❑ Indio ❑ Hemel q Perris ❑ Rancho alit. ❑ Blythe DOH -SAN -1.22 (Rev. 7/89) DISTRIBUTION: WHITE - Office file YELLOW . Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records s �4 o • r� u +..OFFICE OF l: e AGRICULTURAL "COMMISSIQNER_.- r. ANDF WEIGHTS &� MEASURES • ��►�,•• CALVIN C. KAMINSKAS •" JAMMO. WALLACE 4060 -LEMON STREET, ROOM `19 Assistant commissioner Agricultural Commissioner RIVERSIDE, CALIFORNIA.92504. CLEMENT BENVENISTE Director of Welphts & MeasuresSeater (714); 787-2564 4.9613 Highway 86, Suite B12 "Coachella, Ca. 92236 (619)'342-.8291 DATE 1— 1 - oto CASE NO. C- DEVELOPER'S NAMES Q ( /'1-�� �' yak ti�, P cti�4 v II ADDRESS: '3 I ��o- 0.:� ►^4".1 �i y . G 22,3" y TELEPHONE � ,�1� Z 6,-91 �. A` CIL Dear Developer: e to i 0 V P( 0 !.� After reviewing your landscaping plans, .all plant material listed..is not in violation of quarantine laws governing the Coachella Valley ' jf substitutions do occur -and they differ.from•plant material "listed, "`this'office must.be notified {': immediately. Thank you for -protecting and preserving.the Coachella Valley's pest,_ -free environment.: T t j'L. _ AMERICAN ENGINEERING LABORATORIES 42240 Green Wey, Suite C Palm Desert, CA 92260. Telephone (619).;341=5790 Taz {619) 341,5794 Yucca Valley • Apple Valley; San Diego Corona ' Moaesto`i`Pa1m: Desert *.- Watertown'* Hammonton April 17, 1990 Account No. 81015 Belair Development 34-116 Date Palm Dr, Su-ite `6 Cathedral City, CA. 92234 ATTN: Brent'Lovett Subject: In -Place Density Testing Single Family Resider'tce 53=340'Avenida:Obregon La Qu inta, California On April 16,, 1990 a,>representative'of this company visited the above' referenced p-roject..and performed in place density tests. The results. -of .our. testing. indicate tha.,t the embankment. placed 'as compa,c.ted fill w.as, oropact-e&.,to at least 90 percent of maximum density at the lacation:s: tested. The maximum density was de;te,rmined per ASTM Test Method D1557 and the, f ield.. density tests,'-we�re,' performed in"accordance with ASTM D2922: Please cal:d this office if.you have any questions regarding the above ref.eren`c.ed p.roj ect ,. Sincerely, AM ICAN Er INEERING LABORAT.O„RIES, . INC. Pau Hoers g .Vice ide.n T. 'sert Division cc: Brent Love'tt 2) PRH/kc AMERICAN ENGINEERiN:G LABORATORIES, INC. P ❑ 7940 Arions Dr., Suite A ❑ 350 S. Maple SL, Unit K O 515'Galaxy Way ❑ 58945 Business Center Dr., Unit A San Diego, CA 92126 Corona. CA 91720 Modesto, CA 95356 Yucca Valley, CA 92284 (619)695-3730— (714)272-4230 (209)576-0813' (619) 228-1754 CLIENT: Jn7 PROJECT: tJ3''.'34O DATE: / x/14 w _ V v 1 y , U �Q.�(�•� N I.D. NO.: PROJECT NO.: REPORT OF 'FIEL=D COMPAC,TIO:N TEST TEST I LOCATION OF TEST ' -�' - - ` •�� J FIELD MOISTURE % OPTIMUM MOISTURE % "FIELD • ORY.DENSITY P.C.F..'. MAXIMUM • DRY DENSITY PERCENT; 'RELATIVE° COMPACTION "PERCENT; REL- COMP.. • REQUIRED' .REMARKS: - I FIELD MOISTURE OPTIMUM MOISTURE FIELD DAY DENSITY; TEST 0 LOCATION OF TEST CEN'�6� or CJ • FIELD '. MOISTURE % OPTIMUM MOISTURE % FIELD DRY DENSITY P.C.F. MAXIMUM DRY DENSITY - PERCENT RELATIVE COMPACTIONS PERCENT •- CI° rRE.COMP. - REOUiRED REMARKS: ' I FIELD MOISTURE OPTIMUM MOISTURE FIELD DAY DENSITY; TEST I LOCATION OF TEST CEN'�6� or aJ FIELD MOISTURE %% OPTIMUM MOISTURE FIELD ORY DENSITY P.C.F -. MAXIMUM,. .,DRY DENSITY PERCENT' RELATIVE.I COMPACTION " REMARKS: ,/'' ' Y1� R' I FIELD MOISTURE OPTIMUM MOISTURE FIELD DAY DENSITY; _ MAXIMUM DRY DENSITY - _ PERCENT RELATIVE:. - REL"}COMV. /fi� 7� l~ % % P.C.F. COMPACTION' • REQUIRED... ' /2� TEST I LOCATION OF TEST CEN'�6� or aJ FIELD MOISTURE %% OPTIMUM MOISTURE FIELD ORY DENSITY P.C.F -. MAXIMUM,. .,DRY DENSITY PERCENT' RELATIVE.I COMPACTION PERCENT. - REL;COMP. ` .AEOUIRED-. REMARKS: ,/'' ' Y1� R' o. . 4 TEST I LOCATION OF TEST• t FIELD OPTIMUM FIELD MAXIMUM. •PERCENT PERCENT REMARKS: MOISTURE MOISTURE DRY DENSITY DRY DENSITY. RELATIVE. ,REL]`COMP. % % P.C. i. ^' 'COMPACTION ' REQUIRED.