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BWFE2014-1083 + BLCK (003898) + SFD (003210)53480 Avenida Madero BWFE2014-1083 003898 003210 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BWFE2014-1083 Property Address: 53480 AVENIDA-MADERO APN: 774034012 Application Description: GARDEN WALL 135 LF X 5 FT Property Zoning: Application Valuation: $5,000.00 Applicant: HENRY'S MASONRY; INC. 80160 VISTA GRANDE LA QUINTA, CA 92253 SEP 18 2014 U CITY OF LA QUINTA I I Contractor: COMMUNITY DEVELOPMENT DEPARTMENT HENRY'S MASONRY, INC. 80160 VISTA GRANDE LA QUINTA, CA 92253 .(760)904-4140 Llc. No.: :LIC -0000038 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/18/2014 Owner: CAROL HARTSON . 53480 AVENIDA 2MADERO 253 LA QUINTA, CA 92253 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class:.— License No.: :LIC -0000038 Date: / J ^ 4 -2Q Contractor: ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance,.also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and Professions Code) or that he or she 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, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the 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 or she did not build or improve for the purpose of sale.). (' ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon; and who contracts for the.projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( I I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: — Policy Number: I certify that in the performance of the 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, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions: / Date: ^ U Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COV GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at, whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will.subject permit to cancellation. 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 upon the above- mentioned property for inspection purposes. Date: /' JAL Signature (Applicant or Agent)- _ 5 FINANCIAL •• • DESCRIPTION Y "n °'ACCOUNT =QTY Pi41D` jPAID DATE: 8y'AIVIOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/18/14 PAID BY, METHOD§ 3 ` _t F a RECEIPT CHECK # CLTD BY # .' HENRY'S MASONRY, INC. CHECK R1269 6728 MFA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 T Na4.i x {Z,tz 4' ,£. 'DESCRIPTION t a 4 a.. N ^z+i5+ 'y r ' S.`. ... '. 9 AMOUNTT`w. z '-•° _= e *. PAID DATE: fp H <A000UNT ;sQTY aPA1D a WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 $62.36 $62.36 9/18/14 '` s PAID:BY 1tF Kx s fF ° METHOD Mrs RECEIPT #-0,.# CHECK #., 4,4 :'3CLTD'BY; HENRY'S MASONRY, INC. CHECK R1269 6728 MFA (DESCRIPTION ' ; F s` ACCO QTY ;: AMOUNT F'AID' Y - tj PAID DATE: WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $47.86 9/18/14 » T", PAID Bl(" a METHOD 'RECEIPT4.: k CHECK # CLTD BY < HENRY'S MASONRY, INC. CHECK R1269 6728 MFA t14'," DESCRIPTION $> .: ¢' ry ;QTY AMOUNTyaPAID "PAID DATE; 'FACCOUNTyy XI WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $60.91 9/18/14 0. PAID BY f n Y 4:; METHOD RECEIPT #b ;y' CFIECK #A'. CLTD BY.'. ,R HENRY'S MASONRY, INC. CHECK R1269 6728 MFA Total Paid for FENCE OR FREESTANDING WALL $171.13 $171.13 -TOTALS: $172.13 $172.13 r Description: GARDEN WALL 135 LF X 5 FT Type: WALL/FENCE Subtype: Status: SUBMITTED Applied: 9/18/2014 MFA Approved: Parcel No: 774034012 Site Address: 53480 AVENIDA MADERO LA QUINTA,CA 92253 Subdivision: SANTA.CARMELITA VALE LA QUINTA Block: 182 Lot: 13 Issued: UNIT 18 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $5,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 135 LF X 5 FT [CITY AND ANGELUS SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2010 CALIFORNIA BUILDING CODES. CONDITIONS Printed: Thursday, September 18, 2014 8:16:50 AM 1 of 2 Printed: Thursday, September 18, 20148:16:50AM 2uf2' __ LINT GLINT, HENRY'S MASONRY, BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/18/14 R1269. 6728 CHECK MFA INC. Total Paid forBUILDING STANDARDS ADMINISTRATION WALL/FENCE - EA . HENRY'S MASONRY, 101-0000-42404 0 $62.36 $62.36 9/18/14 R1269 6728 CHE CK MFA ADDITIONAL 50 LF INC. WALL/FENCE - FIRST HENRY'S MASONRY, 101-0000-42404 0 $47.86 $47.86 9/18/14 R1269 6728 CHECK MFA 100 LF INC. WALL/FENCE - FIRST HENRY'S MASONRY, 101-0000-42600 0 $6 0*.91 $60.91 9/18/14 R1269 6728 CHECK MFA 100 LF PC INC. Total Paid for FENCE OR FREESTAN DINGWALL $171.13 $171.13 TOTALS: $172.13 Printed: Thursday, September 18, 20148:16:50AM 2uf2' __ Qin # Qty of La Quint Building Sr Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta,.,CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Name: O ` +S® k.) A. P. Number: Address: S 3 Q e- 177 4lf era Legal. Description: City, ST, Zip: o,` 4 Contractor: , j ' m 5•® Telephone: Address: D c"I a/ Project.Description: /j City, ST, Zip: Ck C (I I'V ' ` 4,, q, 5 / / " 9 -Stm) -eel Telephone: NO —9 9 8 Sdet i ti-qn/um '1 o w State Lic. # : a 7 City Lie. #.-.. Arch., Engr., Designer: ' / /.s ( v Q . ' 1A0,704 so K-j ie C.b/( % i lv Address: req o t City., ST, Zip: hone: 'Type: Occupancy: Construction Project type circle one): New Add'n Alter Repair Demo State Lie. #: ``l'~^ "="' =i '' ' ' "='- "'°' ^ Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Caics. Reviewed, ready for corrections Pian Check Deposit Truss Cala. Called Contact Person Plan Check Balance. Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- ''d Review, ready for corrections(ssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees r A BLOCK COy INC. Stnce 1 sU ANGELUS BLOCK MASONRY FENCE WALL SYSTEM )£SIGN CRITERIA: 1. DESIGN CRITERIA PER 2013 CBC 2. ALLOWABLE SOIL BEARING PRESSURE = 1500psf 3. ALLOWABLE SOIL PASSIVE PRESSURE = 150pcf 4. COEFFICIENT OF FRICTION = 0.25, COHESION = Opsf 5. CANTILEVER ACTIVE = 30pcf 3. MASONRY COMPRESSIVE STRENGTH, fm = 1500psi. SPECIAL INSPECTION NOT REQUIRED PER CBC SECTION 1704.2, EXCEPTION 2, 'U' OCCUPANCY. 7. USER TO VERIFY APPLICABILITY OF THE DEFINED DESIGN CRITERIA FOR THE PROJECT SPECIFIC SITE. gOTES: 1. REINFORCING STEEL SHALL BE DEFORMED AND CONFORM TO ASTM A615 GRADE 60. PROVIDE SPLICES (LAPS) OF 48 BAR DIAMETERS OR 24 INCHES, WHICHEVER IS GREATER. CENTER VERTICAL BARS IN CELLS. 2. JOINT REINFORCEMENT ("LADDER" TYPE) SHALL BE COLD -DRAWN STEEL WIRE CONFORMING TO ASTM A951. PROVIDE MINIMUM 6 INCH LAP' SPLICES. 3. STRENGTH OF CONCRETE FOR FOOTINGS = 2500psi 0 28 DAYS, UNLESS OTHERWISE REQUIRED BY SOILS REPORT. 4. CONCRETE MASONRY UNITS SHALL CONFORM TO ASTM C90. -ANGELUS. BLOCK PRECISION, SPLIT FACE, BURNISHED, OR SHOTBLAST, WITH OR WITHOUT MORTARLESS HEAD JOINTS (TONGUE. -AND -GROOVE), OR ANGELUS BLOCK SLUMPSTONE SHALL BE USED. 5. MORTAR SHALL BE SPEC MIX TYPE S PREBLENDED MASONRY MORTAR AS MANUFACTURED BY E -Z MIX. INC., CONFORMING -TO PROPORTIONS AND REQUIREMENTS OF ASTM C270, OR SPEC MIX IWR MASONRY MORTAR AS MANUFACTURED BY E -Z MIX INC., CONFORMING TO PROPERTY REQUIREMENTS OF ASTM C270. 5. GROUT SHALL CONFORM TO ASTM C476, WITH AN 8-11 INCH SLUMP, AND SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH AT 28 DAYS OF " 'OOpsi.:2000P5 I i i:' . ,r?ST COURSE MAY BE WET -SET 1 1/2 INCHES MAX. WHILE CONCRETE IS PLASTIC. 9. CONCRETE BLOCK SHALL BE LAID IN RUNNING BOND PATTERN WITH VERTICAL CONTINUITY OF THE CELLS. 3. VERTICAL CONTROL JOINTS SHALL BE SPACED AT A' MAXIMUM OF 40'-0"o.c. OR 20'-0"o.c. IF WALL IS TO BE.ST000O COATED OR. MORTAR' WASHED ). GROUT ALL CELLS WITH REINFORCEMENT. 1. INSPECTIONS: A. AFTER FOOTING IS READY FOR CONCRETE AND ALL FOOTING REINFORCING IS TIED IN PLACE. B. AFTER VERTICAL REINFORCEMENT IS IN PLACE AND CELLS ARE READY FOR' GROUT. 2. FOR TYPICAL FOOTING STEP AND DRAINAGE BLOCK-OUT' DETAILS SEE DETAIL SHEET S-5.1. 3. 00 NOT PLACE FOOTING WITHIN 5'-0" OF A SLOPE 6' to .8' High Site Wall Spread Footing o Property Line C o 100mph (ult.) Risk .Category i ...,6' Wide CMU OPTIONAL WALL CAP #6 STD. LADDER T (#5' STD FOR . SLUM JOINT REINF. AT T( COURSE, AT FIRST. COURSE,' AND 24"c 6" WIDE (NOM.) CMU GROUT CELLS w/ REINF. 'X' BARS PER SCHEDULE 09 CTR. OF WALL 'Y' BARS PER SCHEDULE LAP PER F.G. WET -SET FIRST COURSE 2-#4 CONT. CONT..CONC. FTG. - ANDERSON DESIGN GROUP Structural Engineering Building Design 4*wf , 228 East Badlllo Street • Covina - CA' • 91723-2115 (626)'938-1595 ' Facsimile (626) 938-0485 engineering excellence since 1957' it OF LA A MASONRY FENCE WALL SCHEDULE DEPT. I' MAX.'X' BARS REINF.WALL STEM 'Y' BARS 16' LONG CMU 18" LONG CMU TYPE PER S-2.0 16' LONG CMU 18" LONG CMU 'L' STEM 'B' MIN. 6'-0" #4®48"o.c. #40954"o.c. 'A B' 4®24"o.c. 4048"o.c. 40927"o.c. 40954"o.c. 2'-0" 2'-0' 3'-6" 2'-3" II' II II' I I 6'-8" #4®48"o.c. #40945"o.c. A' B' 4016"0.c. 4®48"0.c. 40918"o.c. 40954"o.c. . 2'-0" 2'-0" S-11" 2'-6" 7'-4" #4®48"o.c. #445"o. c. W. B' 4016"o.c. 4048"o.c.' 4@18"o.c. 045"o.c. 3'-0" 2'-0" 4'-2" 2'-9" " #4040"o.c. #4@36-o... A` A'' 4098"o.c. #4040"o.c. 4099"o.c.' 40936"o.c. S-4" 2'-0" 4'-8" 3'-0" ANDERSON DESIGN GROUP Structural Engineering Building Design 4*wf , 228 East Badlllo Street • Covina - CA' • 91723-2115 (626)'938-1595 ' Facsimile (626) 938-0485 engineering excellence since 1957' it 1 3" CLR. TYP. . 'B' MIN. PER SCHEDULE 7 DATE SIGNED 6-25-14 S-1L1LQ #6Z55 P t of x OF LA A DEPT. 11400,S I ; , ['liig i CONSTRUCTION !III ill I I III' Ill' II' II II' I I =11:=1I -a=11:-11:-11:-11=11= 1 3" CLR. TYP. . 'B' MIN. PER SCHEDULE 7 DATE SIGNED 6-25-14 S-1L1LQ #6Z55 P t of x d4yL ANGELUS BLOCK MASONRY FENCE WALL SYSTEM END OF WALL X O SxHF LCA X O \A Ee 8' High Max. Site Wall C ® 100mph Risk Category I 6" Wide CMU 5 {` ,_ DEPT. FOF ,(:) tS i- RUC ► ION - B A - Y x _ - X Ln 77777 RETURN TYP. • 5•x HF 5 x HF O 5 x HF TYPICAL REINFORCED WALL STEM TYPES PLAN WAIL TYPES O & O TOTAL WALL LENGTH 3Az3 5 x HF MIN. Ld a I Q Z J 0- 7C a' TYPICAL REINFORCED WALL STEM TYPES ELEVATION WALL TYPES 1 r .. ANDERSON DESIGN GROUP Structural Engineering Building Design 228 East Bad ilio Street • Covina • CA • 91723-2115 (626) 938-1595 • Facsimile (626) 938-0485 •- •^ ...,.^ -••' /....``^_'. engineering _e ceffen2e since 1957' 5 x HF MIN. A GNED 5-21-14 S-2.OLQ #6255 IM A r Y74-.. NOP 'V OYA w N0 ;;,X=7d 44 P.O. BOX 1504 -No.. 0-03898 Building78-105 CALLE ESTADO Address 53-480 Madero LA QUINTA,.CALIFORN,IA 92253 Owner flurray - Mailing - ' BUILDING: TYPE CONST... OCC: GRP. • Address A P..Number 774-0344-01-2 City I Zip Tel. Legal Description Contractor - Project Description 1201 Eat ratainina wall Address. City . Zip .. Tel..... S State Lic. City & Classif. Lic. # Sq. Ft. No. No. Dw. Arch;, • -Stories Engr.,. . Units ' Designer . New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Address Tel. - 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. SIGNATURE DATE OWNER-BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for -the following $.3,0 SY reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a - +q iO 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 thal.heis licensed pursuant to - PERMIT AMOUNT the provisions o/ the Contractor's License Law, Chapter 9 (commencing with .Section 7000): of _ Division 3 of the Business and Professions Code, or -that. he 7s exempt therefrom, and the basis for the. alleged exemption. Any violation o/ Section z7031.:5 by 'any applicant /or a' permit Plan Chk. Dep.. - subjects the applicant to a civilpenalty of not more than five hundred dollars ($500). - ❑ I, as owner of the property, or my employees with wages as; their sole compensation, will . Plan Chk. Bal... _ do the work, and the structure is not intended or offered for sale. (Sec? 7044, Buisness and COf1St. Professions Code: The Contractor's License Law does not apply to an owner. of property who s builds. or improves the and who does such work himself or through his. own employees, ' Mecfl: provided, that' such improvements are not intended or, offered. /or sale. If,, however, the building or improvement is sold within one year of completion, the owner-builder will havethe burden Electrical' o/ 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- Plumbing struct the project. (Sec. 7044, Business and Professions tCode:. The Contractor's License Law • -_ does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. such .projecis with a contractor(s) licensed pursuant to the. Contractor's' License Law.) Grading O Lam exempt under-Sec.B. & P.C. for this reason l3rr 1 Driveway Enc. Date Z,• "h Owner •• " " " ' • . : *'. °, i `fes i -Ai AV' Infrastructure WORKERS' COMPENSATION DECLARATION hereby"affirm-that I, have a certificate of consent to self•insure,'br 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. - - TOTAL CERTIFICATE OF EXEMPTION FROM - REMARKS WORKERS' COMPENSATION. IN SURANCE (This section need not be completed i/ 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 lo-the Workers' Compensation Laws of California. Date Owner "— NOTICE TO APPLICANT: If, after making this Certificate. o/ Exemption you should become ZONE:' BY:* subject to the Workers' Compensation provisions of the Labor Code, you musi-forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. - - - ' Front Set back.fTom. Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY. Side Street Setback from Center Line'' P hereby affirm that there is -a construction. lending agency for the performance of the lilt 1 UF f work for which this permit is issued. (Sec. 3097, Civil Code.) ' Side Setback from Property Line Lender's Name Lender's Address This is a building permit when properly filled out, signed and'validated,-and is subject to ..FINAL DATE INSPECTOR ' 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., ISSued.by: .:Date Permit 1 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. ® POR. SQ. FT. ® GAR. SO. FT. ® CARP. SO. FT. ® WALL SO. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac IHOUSE SEWER REMARKS: VENTILATION 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 APPJEOUIP. 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 INsrrcIVna WUNAiUneanNiI1Aw_ GARDEN WALL FINAL 7 :F,r < Lij , .v f ^_INN s< ' Building Address 5.1 Owner Address City Contractor P.O. BOX 1504 N O .'003210 78-105 CALLE ESTADO D- Madero LA QUINTA, CALIFORNIA 92253 R me Mummy BUILDING: TYPE CONST. OCC: GRPr• Air,. A.P. Number Zip Tel. 92260 341365 Legal Description Project Description 1'110c. .Address. City , _. ... - Zip Tel.' .. State Lic. City & Classif. Lic. # Sq. Ft. 12" No. No. Dw. Size Stories Units - Arch.;-Engr.,. Designer New ❑ Add ❑ Alter ❑• Repair ❑.. Demolitio.n ❑:' 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 k 7000) of Division 3 of the Business and Professions Code, and my license is -in full force and' .effect... SIGNATURE DATE _ •' - OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following L reason:, (Sec. 7031. S,Business and Professions Code: Any city or county whfch requires a 4 a A • - - ' permit. to construct, alter, improve, demolish, or repair any 'structure, prior-. to 'its issuance also - requires the applicant /or such permit to file a signed statement that.'he is licensedpursuant to' - PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of. .ti ' - Division 3 of the Business'and Professions Code, or that.he is exempt therefrom, and the basis for alleged exemption. Any violation o/ Section 703 1. 5 by 'any applicant for a permit .Plan Chk. Dep. :;(,. •, 82SO..Q10 subjects the applicant to a civil penalty of not more than five hundred dollars (5500): - ❑ I, the Plan Chk. Bal. - • -A 46 as owner of 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: Contractor's Cont. `91: ', _ The License Law does nota I to an owner o! property who PPY A P Y builds or improves thereon and who does such work himself or through - his own employees, that' Mech. Y ♦ ' provided 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 "Electrical -- f • of proving that he did not build or improve for the purpose of sale.) - 71 - 71 0 I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing slruct 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 S•M.I. - - --'' such projects with a contractors) licensed pursuant to the Contractor's License Law.) - - 0 I am exempt under Sec: B. t: P.C. for this reason. Grading Driveway Enc. Date ;owner Infrastructure is.h WORKERS' COMPENSATION DECLARATION I 'hereby 'affirm that I have' s 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. TOTAL lat _6ti is CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed i/ the permit is for 'one. hundred dollars ($100) valuation - - or less.) .. - .. .. _ I certify that in the performance of Ing work for which this permit is issued; I shall not + ... t?P5. x` j ;'} a,5 M -9$4.-P7 ., M._.' -air_ - employ any person in any manner so as to become subject to the Workers' Compensation ' Laws of California. r c.Yisa'7 X p1i i;t& L ggrJ - Date Owner NOTICE TO APPLICANT: If, after making this Certificate o/ Exemption you should become ZONE: BY: subject to rthe Workers' Compensation provisions or the Labor Code, you must -forthwith comply with such provisions or this permit shall he deemed revoked. Minimum Setback Distances: - Front Setback from Center Line ' Rear Setback from. Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR 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. Issued by: Date 717147 Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEE 1ST FL. SQ. FT. ® $ 2ND FL. SO. FT. ® POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SO. 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 _ BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ) GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 FINAL INSP. SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL REMARKS: SQ.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 SETBACK GROUND IN UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE //r/11 ROUGH PLUMB. _ BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR I l ROUGH WIRINGZ j DUCT WORK ROCK STORAGE FOUND. REINF./Q ) 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. ne [// ROOFING _ _ C, ( VENTILATION X CCC 0 j I _0v/ REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING4- 0 MESH !&//,INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Z O I— U W U) M Z O U UJ C0 C0 V Cr Q W Ir U Z O U W U) Alk Ah COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISIO 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. Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) ? Mailing Address -3 / t 1 % r7,C- t. a. n •iia . City State Zip Code Telephone Job Property Address or Community Legal Description of Property. (Lot, PM, Rt' Y, 'Assessor's Parcel No. C ' Water Agp_ or7We11 .... di r 1 . r .0 Use of Permit!e4V en - 1f('.A.G+ -/A,:-4Plan. •ning Case # Lot Size – ' _ SFD, MH Site PreparationEtc. Signature of Applicant Date The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date r- ❑ Certification of Existing S.D. System required. YesNo WQCB Clearance required. ❑ Yes ❑ eNo i Soils feasibility ❑ Yes No` report required. Detailed boring report required. ❑ Yes 12,No- b/o Detailed contour plot plans required. ❑ Yes i t Staff Specialist approval required. ❑ Yes DIN Lot Inspection Date Soils/boring report by Project # Date Soils Map Page //W/ Soil Type rV C Approved by r+! ✓f ' Date Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required El. Existing ❑•'New El Additional ❑ Replacement -3 ' if Gals. (2)%Leach line sq. ft. Sidewall allowance ft. Sq. Ft. InstallLines) Ft. Long, 111, Ft. e wit, inches r Leach bed Sq. Ft. of b'otto (Bo tt&h,%t enr, ch area) rock/ wig min. per running ft. 19SN A rock below drain lines area Leach lines/bed-special design for slope: Applicable (3) Pit .Diameter No. Pits Pit BI Seepage Pit total depth N/AP Overburden factor 6' .y ! Max. allowable depth 47. r•- r r r f<'_/ /2 = aT o i^..a yC r–_ //%r _ r- mat 2. c? ss'j . ^. k.r . f✓li tom,! 7 C 2 This application isca roved/deoiedtfor 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. (1) Septic tank and sewer lines must be 90' from any wells -00 4,&, Y ( A , ' ' --' 5 '`• e T: e (2) Leach lines must be 100 min. from any wells including expansion area Ct3 Seepage pits must be 150' min. from any wells including expansion area IS"—,r 7 Signature of Health Official, *. { f.. Date / 41, RECEIPT NO. // r/ 3/ District: El Riverside © Indio ❑ Hemet Distribution: WHITE—Office file YELLOW—App DOH -SAN -122 (Rev. 6186) Issued by 5111-1 Date ❑ Perris ❑ Rancho Calif. ❑ Blythe ;ant PINK—Bldg. Dept. GOLDENROD—Pending File DELITY NATIONAL TITLE INSURANCE COMPANY p ' ' •, - - Recording Requested By .. ' ANIi WHEN RECORDED MAIL THIS DEED AND TAX cc ... 8 o `ajU1L .: r' STATEMENT TO:cc J Joanne E' Murray . LL n in do z 43-055 Washington St No. 16 p ° a 3 CQ Palm Desert, Ca. 92260 a`, a a ¢ _ A r.j W rJ 3 i F " ASSESSOR'S PARCEL NO. 2240 - - - ESCROW NO. - TITLE ORDER NO. SPACE ABOVE THIS LINE FOR RECORDER'S USE . GRANT DEED" The undersigned grantor(s) declare(s): ' i Documentary transfer tax is $ 7. 70 ( ) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrancesremaining at time of sale. ' I ( ) Unincorporated area: ( ) City of .4 A 4r. , ..j? and By this instrument dated April 3, 1987, for a valuable consideration, ' Lawrence A. Colietti and Rachel J. Colletti, Husband and Wife as Joint Tenants Q hereby GRANTS to . ELAINE I n Joann H Murray A SINGLE WOMAN the following described real property in the State of California, County of 'Riverside Lot 13 of Block 182 of Santa Carmelita at Vale La Quinta Unit No. 18 as per map recorded.in Book 19 pages 30-31 of'maps in the office of the County Recorder of Said County. ,0 N1 o STATE OF IBALiF6RNIA,"Otx4, P ) 9S. COUNTY OF -Roc-vLb1a r ) • -.. On befoca me, 7,0 La I'enC2 undersigned. a Notary Public in and for said County and State. - personaltyappeared 1 a 2P ^ L A . CeLLei^ i .-eACHa+— T• Rachel J tolletti • - personally known to me (or proved to me on the basis of satisfactory .. evidence) to be the person(s) whose name(s) AXi subscribed to the within instrument and acknowledged that ec - executed the same. Signatu - T. Publ Rockdale County, Georgia cC( '- = ' M,, i.R E.D.res Seot. 26, 1989 . 21.9050 am . Desert Sands Unified School District r CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES , I _ (C:D• TO:' City of La Quinti DATE: Department of Community Development , 78-105 Calle Estado La Quinta, CA 92253 - NOTICE: THIS DOCUMENT CANNOT BE DUIPLf ATE®. This is to certify that developer of AJ a which is located at - within this District, has paid school facility fees imposed.pursuant to the authority genera d by Government Codg Section 5308q in,the amount of $ D ( td0 B co ring a total of 12 1 K square feet of (._r -residential or (, ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. a r for VSERT SANDS•UNI ED SCHOOL DISTRICT White Building Department •, YelloW - Facilities Planning • Pink ' -Accounting • Gold - Developer 1. 1.:. 1. -l. • ° (10)-37 •' tr5 1 I_ 1 M `'Yq 10`a } 11SS1O \[(Z E. LE0'1 Sc'..'ijG1 ST(,CCT, (:00'•1 17 c0..,. % 0•rn" (il4'Cfi51JF. CALIFORNIA 92501 1AMFS 0. kl.;,.LLl,CC (714) 767.2;x,1 ASSIS1AVT COMMISSiO,\EH 46-209 Oasis Street, Koom 14 Indio.,. CA :921.01 (619) 82-8291 Dear Developer/Landscaper Thank you for inquiring with the"Agricultural Commissioner's Office regarding local quarantine laws; g Any diseases or insects associated with the plants/lp-ndscaping material presFnted, Oil your landscaping plans do not. pose a threat to the Coachella. Valley Citrus, Date, Crape, Vegetable, or Field Crop industry, Vie therefore I approve your landscaping plans, If .however, any substitutions of plants/Iandscaping-materials within your plans. occurs between now and the actual planting date within 48 hours before. delivery into the Coachella o`'a1ley,coAlso, the ntact ssubstituted plants/landscaping material rust beheld:for inspection upon arrival. Any sub- stituted landscaping material found infected/infested with qu rantire pests till be i-LT ediately treated or shipped out o£ the Coachella Valley at,the discretion of the Acricultural Cec-issioner.',s Office, Under penalty of Perjury, ­ J. the undersigned gill comp"1} .with the above. luthorized Agent 1 t a l CL r r ignsture'`- FerMit Nu.,ber(s)^ i 057 2-o y Date 011revelcpzr Address S - 5' (moi, 1.f- UT Ci1L° ';I, l:P;Oi'r`:L lL'te S- 4 g-7 }.+ :ority cited. Ar_cu,ltural Code S ti ' c ons 630 ' /. 1, U-61, G 646 , "6501, 6521- 6524 cc. 2 rl..::_o Offi ce, Riverside O ::ice