Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
BLCK (05352) + SFD (05322)
54600 Avenida Madero 05352 05322 T4ht " P.O. BOX 1504 No. 05352 Building 78-105 CALLE ESTADO Address SA_O HADIZR 3 LA QUINTA, CALIFORNIA 92253 Owner Mailing BUILDING: TYPE CONST. • OCC: GRP. Address 247 /Z. ` AHQUITZ #2 A.P. Number 77h_9A9,111n5 City Zip Tel. PALM SE n ' 922162 322-1020 Legal Description I^r 9A U11r 777 omit 75 Contractor Project Description A=AT32=_ sontr ARIL CONSTRUC Address SAS City Zip Tel. State Lic. City & Classif. 387934 Lic. # 893 Sq. Ft. No. No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ 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 Estimated Valuation I hereby affirm that I am exempt from the Contractors License Law for the following , • reason: (Sec. 7031.5,Business 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 PERMIT AMOUNT 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 Plan Chk. Dep. subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). ❑ 1, 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 Const. 54-00 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, Mech. Provided that such improvements are not intended or offered for sale. If, however, the building or Improvement is said within one year of completion, the owner -builder wig have the burden Electrical of proving that he did not bum or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to torr Plumbing 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 S.M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec B. S P.C. for this reason Grading Driveway Enc. Date owner Infrastructure WORKERS' COMPENSATION DECLARATION 1 I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec' 800, Labor Code.) Policy No Company -a ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS 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 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. 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 comply with such provsions or this permit shall be 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 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.) Side Setback from Property Line Lenders Name Lenders Address FINAL DATE INSPECTOR 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. 1 r f I certify that I have read this application and state that the above information is correct. Issued by: Date 114/9 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 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS COLL. AREA 2ND FL. SQ. FT. YARD SPKLR SYSTEM BONDING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® SEWER OR SEPTIC TANK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GLOUND. REINF. - DRAINAGE PIPING CAR P. I SQ. FT. HEATING (FINAL) OTHER APPJEQUIP. WALL SQ. FT. ® DRINKING FOUNTAIN SQ FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRYTRAY AIR HANDLING UNIT CFM 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ic HOUSE SEWER LATHING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE NST. FEE ELECT. FEE T 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 GLOUND. REINF. - GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) MP. LE GROUT WATER HEATER SERVICE FINAL INSP. B D BEAM — WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING /jt�j� `\, J n! �� O /�( REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL t 4 P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 54-600 MADERO LA QUINTA, CALIFORNIA 92253 Owner MACHHLLA VALLEY TAM Mailing Address 247 E. TARQUITZ 12 City Zip Tel. pAUI SPR NGS 92262 1 322-1020 Contractor STARR C014STRUCTZCRI Smm City State Lic. City & Classif. 367934 1 Lic. # 895 Designer Address Tel. City IZip ISt to LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commenci with Section 7000) of bivision 3 of the business and Professions Code, and my license is in full force and ffecL SIGNATURE + DATE OWNEIUMILI ER DECLARATION 1 hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,13rsiness and Professions Code: Any city or comfy which requires a permit to constructager. reprovedemoFsh. or hepar any structure , prior to Is ssuace also requires the applicant for such permit to tie a signed staternerd that he is licensed pursuant to the provisions of the Contractors License Law, ChWter 9 (commenvg with Section 7000) of Division 3 of the Business and RWessiors Cade, or that. hes 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 civi penalty 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, &dsness and Professions Code: The Contractors License Law dos 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. 9, however, the budding orimprovement is sold withn ane year of completion, the owner -bullar will have the burden of proving that he did not bold or reprove 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 Professors Code. The Contractors License Law does not apply to an owner of property who bolds or improves thereon, and who contracts for such projects with a contractors) lioesed pursuant to the Contractors License Law.) ❑ 1 am exempt under Sec. R & P -C_ for this reason Date owner WORKERS' COMPENMTION DECLARATION ' 1 hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy IMrfrr .,3800. Labor Code.) Policy No m Copany - it/ ❑ Copy is filed with the city. . ❑ Certified copy is hereby tumished CERTIFICATE OF EX9/PTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed Or the permits far one h ride d dollars ($100) valuation or less.) I certify that in the performance of ft work for which this permit is issued, 1 shall not employ e any person in any manner so as to become, subject to the Workers' Compensation laws of California. Elate owner NOTICE TO APPLICANT: lf, after making this cwtijcate of Exemption you sho,& become subject to the Workers' Carpasabon provisions of the Labor Codeyou must lodhwith comply with such provisions or this permr sha/ be downed revoked - CONSTRUCTION LENDING AGENCY I hereby affirm that there is a constructim lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code-) Lenders Name Lenders Address This is a ou building permit when property filled t, signed and validated, and is subject to expiration it work thereunder is suspended for 188 days - I certify that I have read this application and state that the above inforrnation is correct. I agree to comply with all city and county ordinates 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. 05322 BUILDING: TYPE CONST. a OCC: GRP.; A.P. Number 774-262-005 Legal Description MIT 20 BLR 272 UMT 25 Project Description SrD Sq. Ft. Size 1409 No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 76,360 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. Z 12 • Const. y •Q Mech. 3. Electrical t Plumbing 157.5U S.M.I. 3—.39 Grading 20.00 Driveway Enc. 20400 Infrastructure s • TOTAL REMARKS {T. 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 2/7/89 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES < NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS COLL. AREA 2ND FL. SQ. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ, FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. DUCT WORK DRAINAGE PIPING WALL SQ. FT. GAS (ROUGH) DRINKING FOUNTAIN. SQ FT ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. —Plus—x$—=$ 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER SPARK ARRESTOR 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 q -j- GROUND PLUMt 60 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE C ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. 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 FINAL INSP. ROOFINGREMARKS: p To w-12 VENTILATION FIRE ZONE ROOFING= FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING kFINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL "Ir ^) }'i , '%n,. 'fyi. °e':*i= ".1`•'%"t'':^i '{►"i Y 4•e ily'r'E> rwC,w}' r'y'''' ' . 3 yfi ^. g ." 'w t •t y '- ' ` ` r"r Y +,:'" :;, yt:.#v^iY € ' 6`ti3PJ%i {. ,'4fir" v+:t t if 1 RECEIPT NO. Issued By Date DISTRICT: ❑ Riverside, 0, Indio ❑ Hemet , q Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) . DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg.,Dept GOLDENROD - Plans/Records COUNTY OF RIVERSIDE DEPARTMENT OF HEALTHAssessors Parcel No. ENVIRONMENTAL HEALTH SERVICES 1 %741_ 2e,L —© 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. Q VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'* Z 0 Agent, Contractor, Contact Person Phone Address & Phone U 'srwk-1 )e T.Q r "r A 1)o 3`-2- z® Owner Phone . Mailing Address 2 Y7 if TAN 44 i 7'Z W,4 Z city State Zip a G Job Property Addressee S~ 441® - .qQFA9 a Legal Description Prop. (PM, Tract Lot) .tai r m. L?a 9 Z Z&.;,l Lot Size ter A j J)Nge ll Use of Permit P/P, CU, etc. "s 'rzN 49 Zi f/ vl fl C(hvellg, H e Prep, etc. Signature of Applicant bate CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE 13 SUBSURFACE DISPOSAL 1238 $45.00Yh ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 ❑` MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) m Z LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 0 a 1 at 4 Parcels (Each) 1238 $45.00 (Less than 1 year) U b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 Uj ❑ Rereview (2nd review same pared) 7344 $16.00 EVALUATION (Attach DOH SAN 53) to ❑ Site Evaluation In Conjunction with ❑ HOLDING TANK 7351 $45.00 Critical Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $13200 ❑ Site Evaluation Lot Less than SYSTEM t 10,000 Sq. Ft. 7347 $86.00 ! /INITIAL. DATE Holding Tank Agreements Completed ❑ Yes No f1 f ri'j- ' - J3, «7 Certification of Existing S.D. System Required ❑ Yes eN Nro-,'-' WOCB Clearance required. (Attach Form ❑ Yes 1215"No DOH SAN 007, Santa Ana Region Only) Sills Percolation Report Required. ❑ Yes rg+ 1 Special Feasibility Boring Report Required. ❑ Yes 4_dO i Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes yob Other ❑ Yes © No Staff Specialist Lot Inspection Required ❑ Yes G/No Lot Inspection Date Sills boring report by 'Ricie'c,'tt Date ( c Solis Map Page r % Soh Type t ' O( = Approved by +- ✓r4---- 12- U f Date / ` U No. of Systema Tjpe of Systems) O Holding Tank ❑Existing Na Dwelling Units Bedrooms^fvid'u_►e" )wfta. (1) Septl Tank Soil Rate Grease/Sand 0 JsNew ❑ ReplaoerrrenttJ 'J J / k/ Intcp 1°' Gal Y Gal W V t U)' (2),Leach Line Sq. Ft Sidewali allowance Install une(s) R long r► wide with Leach Bed eq, ry Bolt it rock/ sq. R min. below dreinlir>es or irX rodt 'of`bottom area per running it J Leachlines/bed special design for slope: Applicable r (3) Pit Diameter 'Inlet No. Pits Pit Below (BI) Seepage Pit 'Total Depth Other. f % 10 ! N/A Overlwrden factor " /z/ Max. Allowable Depth r +' l } No. 2 System f V %F t - - N/4 `q f r` e R/+EMARKS:'• i( c.."±s `3 - c` L /-Q/ .rir- '`tZ' .•-../ 7 1 u 7 ,( 'L'P-,.r' ..-. ..Cf_f•' // r /' ,n ..C.." ... /`--C /f F+C S'f" . s !I •A -.f l ii-^/ i1 /. a 61, This application is AP ROVE NIED-for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanre d pp o plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the 0 above -designed system. No construction is permitted in the required reserved 100% expansion area. , F (1 Septic tank and sewer lines must be 50' minimum from any wells C /11. Leach lines must be 100' minimum from any wells, including expansion areaf rj` A c t i ! 3tzz Seepage be 150' from pits must minimum any wells, including •,expansion ar •t.x. ' , % ,/ N Si nature of Health Official Yi /3 - C L(i +C+ Date n I / J 7 RECEIPT NO. Issued By Date DISTRICT: ❑ Riverside, 0, Indio ❑ Hemet , q Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) . DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg.,Dept GOLDENROD - Plans/Records