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001675 (SFD)Building 53-644 ,� t3a ObTegCm Address Owner P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Art Andersm Mailing Address 4-5-7010 RMICho Fa"+S A « City Zip Tel. iA-- M1161 92200 1 340-6935 Contractor ty jZip _ Tela swin I State Lic. y " Arch.; Engr., Designer Address No. 001675 BUILDING: TYPE CONST. NT OCC: GRP. R 3 A.P. Number 774-1001 Legal Description lot 6 Project Description 44i > elp fxMiliv 1 .lifts City = 1594 Lic. # Sq. Ft. No. No. Dw. Size E�- Stories Units 1 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 (vision 3 ofthee BBhsiness-and•Prdfessions •Code, and my license is in full force and effect. SIGNATUREIC ..�" 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) ❑ 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 doesnotapply 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 contractingwith 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' COMPENSATIONDECLARATION 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'COMPENSATIONINSURANCE (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. New d Add ❑ Alter ❑ Repair ❑ Demolition ❑ a Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith I Minimum Setback Distances: 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 it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize.represeotatives of this city to enter the above- mentioned property for inspection purposes. Signature of applicant ��_�. r te' Date---,, Mailing Address 1 City, State, Zip ° HARD COPY 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 815-85Permit Validated by: Validation: A2315 8 15 i42666. CC 60 24 Estimated Valuation $ 81r422.00 PERMIT AMOUNT Plan Chk. Dep.: 250.00 Plan Chk. Bal.,., Const.. 1 Mech. 31.00 Electrical W.17 Plumbing 815.00 S.M.I. �a Grading Driveway Enc. 20.00 Infrastructure 1.221.33. r 2gl76.60 1,926.60 TOTAL REMARKS Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith I Minimum Setback Distances: 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 it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize.represeotatives of this city to enter the above- mentioned property for inspection purposes. Signature of applicant ��_�. r te' Date---,, Mailing Address 1 City, State, Zip ° HARD COPY 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 815-85Permit Validated by: Validation: A2315 8 15 i42666. CC 60 24 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. ® POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM' BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED r LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1Ya c SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR ® 3/ac HOUSE SEWER FRAMING fr FINAL INSP. 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 f%S UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTI K�-S ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF.� ' r GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. 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 fr FINAL INSP. /}ROOFING d r �rC / 0-10/ REMARKS: fi VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH i INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL I NSYtIa UN'S WUNA 1 UKUWIN111ALS. GARDEN WALL FINAL Building Address Owner T4&f P.O. BOX 1504 APPLICATION ONLY 78-105 CALLS LA QUINTA, CALIFORNIAORNIA 92253 (--) r A- \ A rl P r s b Y --- Mailing 1 n (� Address 1—f /,5O City Zip Tel51�`0a is Contractor ress Zip . Tel.. State Lic. - I City & Classif. Lic. # Arch., Engr., Designer Address City (Zip (State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that.l-am licensed under pfpvJsions of Chapter 9 (commencing with Section 7000) of Divii ' 3 of iiia Busi as��� Professions my license is in full force and effect. ,/J A SIGNATURE L/•� 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, atter, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to We 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 or Improvement Is sold within one year of.completion, the owner -builder will have the burden or proving that he did not build or improve for the purpose of sale.) b 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 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 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, alter 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 inspec Joripu oses. Signature of applicant Date�y Mailing Address__ City, State, Zip BUILDING DIVISION BUILDING: TYPE CO-NyST.y'/ OC/C'. /GRP. A.P. Number Legal Description h lei �D Project Description Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. d Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS h 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: A2171. 8 2 25800 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. ® BONDING YARD SPKLR SYSTEM " POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO, FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. OTHER APP.IEQUIP. DRINKING FOUNTAIN SO. FT. ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAR. FIREWALL SQ.FT.GAR ® lAc HOUSE SEWER LATHING 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 APP.IEQUIP. 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 INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL d . 1. . M '06%f If 0 S 2 10 Desert Sands Uni&ed School: District N BERMu0A:DUNES r R RANCHO MIRAGE 82-879 HIGHWAY 111 0 IND10. CALIFORNIA 92 201-56 78 (619) 347.8631 INDIAN WELLS . ti PALM DESERT a -P LA OUINTA `'gyp IN0IO �? a - 1 Aug. 1, 1985 City of La Quinta ' Department -of Community Development 78-1O5`Cal le -Estado La 'Quinta, CA '92253 Re: LairQuinta. CoVe'-...Lots 3, 411 s 6 Gentlemen.: The developer of the above referenced La Quinta Cove Lots 3, '4, -,&"6 has-mitiq ted..fts impacts on.our overcroWde.d'schools-by payment of the 'amount of $628 Per unit to'be applied to-th.e.cost-of district ;:educational facial i:ties made necessary by such new development. sin'cerely, } John Brooks r Asslstant Superintendent -., Business Services'' .JDB/crm 4 • 1 Z O U W to m Z O H U W N U Z O U W COUNTY OF RIVERSIDE, DEPARTMENT OF HEALTH PERMIT APPLICATION FOR A SUBSURFACE DISPOSAL SYSTEM Applicant: Submit this form with three copies of a scaled plot plan drawn to county specifications required on the attached check list. A non refundable filing fee of $15 is required when the application is submitted. Check must be made payable to County of Riverside. Name Mailing Address ,4 7 e) ✓ City ' ' State Zip Code Phone , - 'moo �y�?s, 'Property Address t Coity oOCommunity `x Lee/gal Description of Property (Lot, Parcel Map, Tract) .t, r • l;,i�i r �C f, r ' , r1 /,pg - l ,Yee '-y'- "Assessors Parcel No. / Water Serving Prroopertyt From / Lot size Signature of Applicant Date . "The above information must be verified from Building Application Staff Use — Do Not Write Below This Line Initial Date (' WQCB Clearance required Yes ❑ No Soils feasibility report required Yes ElNo EDt Detailed boring report required . Yes ❑ No Ij i Detailed contour plot required Yes ❑ No C Comments: Soils or boring report by Date Approved byit C; e Soils Map Page Soil Type c Tract File No. Q Other Number of Bedrooms Septic Tank Size (gallons) Rate Required j��� ���� Type of System Ne❑w��. Addition Replacement �� �C� Leach line sq. ft. of bottom area trench Leach bed (sqAt tof bottom area bed) Seepage Pit Diameter ASO 6r O -"- Number of Pits Seepage Pit Depth B.I. Total Depth of Pit Location of System, f C�—'V A ,-/ q '-6- , Additional Requirements J'-0 j !/ r .G ,rr' ,.�.�� ,�... /,� ',.•• . 1 1� � r'r-, �r -. Y � �✓y''> . / f j�it.ac�; `x'� t r • „/ �a� r? . , -4- rl ✓ f;_ .f , f c c. Dom. R_�.�-t.-� l< r nti�, /8 / -a. , A permit is,a,ppro� ved/denied for the design of a subsurface disposal system as 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. A -j Signature of Health Official / Date Receipt No. 14 tf/ Issued By f yr District: Riverside ❑ Indio ❑ " Hemet ❑ Date DISTRIBUTION: WHITE - Office File YELLOW = Applicant PINK - Building Dept. GOLDENROD - Pending File DOH SAN 122 (Rev 10/84)