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07118 (SFD)Buildin Address 53-760 Qbt e Owner �� Belai r Aeve Address 34.116 Date Palm 0r. #6 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 City Zip Tel Cathedral (i tat 92234 1 324»3767 Contractor 58.m Tela State Lic. City & Classif. B2 558181 1 Lic. # Arch., Engr., .Designer Design for Living Address Tel. Sam City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION 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. ,- �GNATUfiE"-" DATE OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following reaSOtK (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 Contractors License Law, Chapter 9 (commencing with Section 7000) of OivLsfon 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any vilolagon of Section 7031.5 by 'any applicant for a permit subjects the applicant to a chd penally of not more than five 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 bur72s of improves thereon and who does such work himself or through his own employees, provided that such improvements are not' intended or offered for sale. ff, however, the building or improvement is sold within one year of completion, the owner -budder 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 comractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B, 1£ P.C. for this reason Date owner WORKERS' COMPENSATION DECLARATION hereby affirm that 1 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' COMPENSATION INSURANCE (This section need not be completed if Ne permit is for one hundred dollars (8100) valuation or fess.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ arty person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT., ff, after making this Certificate of Exemption you should become subject to the workers' Corrpensation provisions of the Labor Code, you must forthwith oompy wilh such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 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.) Lendees Name Lenders Address This is t =permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 1 certify that 1 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 Add City, State, ITP No. 07118 BUILDING: TYPE CONST. OCC: GRP.- A.P. Number. 374-155-032 Legal Description Lot 2, Bl k 203 Project Description S.F.D. Sq. Ft. 1348 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $75,855 PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. Lu • i Const. 1. U Mech. 53.50 Electrical 4015.36 - Plumbing 0 S. M.I. 5.32 : Grading Z10. M Driveway Enc. Cu. rxu Infrastructure TOTAL i /, �s . 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: Dater' 90 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE fI/17/w �,f 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. ® GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. ® OTHER APPJEOUIP. DRINKING FOUNTAIN SQ 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.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FRAMING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM REMARKS: 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. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR @ Vic HOUSE SEWER MESH 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 Yl;? 7 -4 ` y/I mw UMBIVOOi UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE fI/17/w �,f 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 APPJEOUIP. REINF. STEEL% 7 GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. GRADING cu. yd. 10 $ Plus -x$-=$ LUMBER GR. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND O FINISH GRADING FINAL INSPECTION / CERT. OCC. FENCE FINAL INSPECTOR'S SiGNATURES11NtT1ALS GARDEN WALL FINAL Q Z O U W U) Him Z O H U W fn' U W Z O U W U) COUNTY OF RIVERSIDE ENVIRONMENTAL ANO' 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 list. 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 # Ag Pe ddor,%Phone I de� —M:2. dr s Firm � Owner Phone Mailing Address City State Zip Job Property Address / 06114 .'V Legal Description op. (PM, Traci Zo-T o' 194/,� Z6 3 Lot Size Water A ell use of Permit P/P, CU, etc. Other_ v Dwellin H Site Prep, etc. A -9 49 / t 1 / /� ! O _ Signature of Applicant Date CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE ❑ 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 O ALTERNATIVE/EXPERIMENTAL 7345 $222.00 ❑ She Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $ 87.00 f INITIAL DATE Holding Tank Agreements Completed ❑ Yes - No TO /. S Certification of Existing S.D. System Required ❑ Yes No WQCB Clearance required. (Attach Form ❑ Yes No DOH SAN 007, Santa Ana Region Only) Sills Percolation Report Required. ❑ Yes No Special Feasibilhy Boring Report Required. ❑ Yes No Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes 11 No Other ❑ Yes I I No Staff Specialist Lot Inspection Required ❑ Yes No Lot Inspection Date Sills boring report by T" / Project if Date Soils Map Page Sort Type Approved . by %/ !, Date No. of Systems Type of System(s) No. Dwelling Units (1) Septic Tank Soil Rate Grease ❑ Ing Tank ❑ Existing New ❑ Replaoerrwnt Bedrooms Flxture Units �/� M 2 44#J /,O Z6 Grease Gal (2) Leech Line Sq. FL Side rglLet Install Line(s) ft long wide with Leach Bed sq. it Bottom trench area R rock/ sq. 1L per running ft min. inches rods be nlines or of bolt ❑ NA — Leachlines/bed special design for slope: Applicable N/A _X Overburden factor (3) Pit Diameter ❑ 5 �6 No. Pits Pit Belo`" Inlet (BI) � 14 (TD) SeePa9elry Depth Other: AI Max.� Depth No. 2 System REMARKS: This application isPPROVE /DENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompan lot n, 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 permit)ed in the required reserved 100% expansion area. /(� Septic tank and sewer lines must be &.minimum from any wells Leach lines must be 100' minimum from any wells, including expansion area 3)page pits must be 150' m' 'mum from any wells, including ex nsion area Signature of Health Official Date RECEIPT NO. A I H Issued By Date O DISTRICT: ❑ Riverside, ❑ Indio ❑ Hemet 4 Perris ❑ Rancho lif. ❑ Blythe ' DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. DepL GOLDENROD - Plans/Records oo OFFICE OF AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES CALVIN C. KAMINSKAS . JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 Assistant commissioner AgrWhnot Commissioner RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISTE :' . Olrnctor of Welghts a Measures Seater . (714) 787-2561 r, 49613 Highway 86, Suite B12 Coachella, Ca. 92236 (619) 342-8291 C DATE j- I D CASE W. ` C, � S DEVELOPER'S NAME: Q, A,; Ca, 1 ADDRESS: Q2Z3� TELEPHONE s ((v k j) 45-:)—f -% 7 (o :� L_oc. ; Lo }- �� k 103C O%re�v�) �--0. Qu I `^�a Dear Developers After reviewing yourjandscaping plans, all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ fran plant material listed, this office must be notified''' immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. ;. ;.71 rl:. American Engineering Laboratories, Inc. 58945 Business Center Dr., Unit A Yucca Valley, CA 92284 Telephone (619) 228-1754 Fax '(619) 365-6908 San Diego o Modesto • Corona • Yucca Valley • Apple Valley • Palm Desert April 24, 1990 Account No. 81015A Belai-r Development 34-116 Date Palm Dr, Suite 6 Cathedral City,'CA 92234 ATTN: Brent.Lovett Subject: In Place Density Testing Single Family Residence 53-760 Avenida Obregon La Quinta, California On April 23, 1990 a representative of this company.visited the above referenced project and performed in place density tests. The results of our testing indicate that the embankment Placed as compacted fill was compacted to at least 90 percent of maximum density at the locations tested. The maximum density was determined per ASTM Test Method D1557 and the field density tests were performed in accordance with ASTM D29.22. Please -call this.office if you have.any:questions regarding the above referenced project.. Sincerely, AM J CAN EN INEERING LABORATORIES, INC. Q Pau oersti ViceP �-ident; e ert Division cc: Brent ovett 2). PRH/kc AMERICAN ENGINEERING LABORATORIES, INC. ❑ 7940 Arjons Drive, Suite A ❑ 1490 Rincon Street, Unit Z ❑ 515 Galaxy Way 58945 Business Center Dr., Unit A San Diego, CA 92126 Corona, CA 91720 Modesto, CA 95356 X Yucca Valley, CA 92284 (619)695-3730 (714)272-4230 (209)576-0813 (619)228-1754 CLIENT: _ PROJECT: 53 _ -� DATE: I.D. NO.: NU tw PROJECT NO.: REPORT OF FIELD COMPACTION TEST TEST N LOCATION OF TEST �— O G \, OPTIMUM MOISTURE % FIELD DRY DENSITY P.C.F. MAXIMUM DRY DENSITY FIELD MOISTURE % OPTIMUM MOISTURE % FIELD DRY DENSITY P.C.F. MAXIMUM DRY DENSITY PERCENT RELATIVE COMPACTION PERCENT REL COMP. REQUIRED FIELD MOISTURE OPTIMUM MOISTURE FIELD DRY DENSITY MAXIMUM --DRY DENSITY PERCENT RELATIVE PERCENT REL COMP. REMARKS: Prt —'% % P.C.F. COMPACTION REOUIRED COMPACTION REOUIRED � a.5 ��v•5 �5 TEST p LOCATION OF TEST �— O G \, FIELD MOISTURE % OPTIMUM MOISTURE % FIELD DRY DENSITY P.C.F. MAXIMUM DRY DENSITY FIELD MOISTURE % OPTIMUM MOISTURE % FIELD DRY DENSITY P.C.F. MAXIMUM DRY DENSITY PERCENT RELATIVE COMPACTION PERCENT REL COMP. REQUIRED REMARKS: e l/.tl FIELD MOISTURE OPTIMUM MOISTURE FIELD DRY DENSITY MAXIMUM DRY DENSITY PERCENT RELATIVE PERCENT REL COMP. REMARKS: /0/� �iy1Pv' %% P.C.F. COMPACTION REOUIRED � a.5 ��v•5 �5 �' TEST r LocAnow of TEST FIELD MOISTURE % OPTIMUM MOISTURE % FIELD DRY DENSITY P.C.F. MAXIMUM DRY DENSITY FIELD MOISTURE % OPTIMUM MOISTURE % FIELD DRY DENSITY P.C.F. MAXIMUM DRY DENSITY PERCENT RELATIVE COMPACTION PERCENT REL COMP. REQUIRED REMARKS: e l/.tl 8 51c� 9 g -5 9 a TEST p LOCATION OF TEST FIELD MOISTURE % OPTIMUM MOISTURE % FIELD DRY DENSITY P.C.F. MAXIMUM DRY DENSITY FIELD MOISTURE OPTIMUM MOISTURE FIELD MAXIMUM DRY DENSITY DRY DENSITY P.C.F. I PERCENT RELATIVE COMPACTION PERCENT REL COMP. REOUIRED REMARKS: ✓'�7, ,!" \ !l, b 5OZ511 I.3.5 9 g is TEST S LOCATION OF TEST FIELD MOISTURE % OPTIMUM MOISTURE % FIELD DRY DENSITY P.C.F. MAXIMUM DRY DENSITY PERCENT RELATIVE COMPACTION PERCENT REL COMP. REOUIREO REMARKS: �a