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BLCK (003071)P.O.-.BOX 1504 N o . � ! . Building "78-105 CALLE ESTADO Address 53-225 AVe=idat i ilindcm _ LA QUINTA, CALIFORNIA 92253 Owner J williamr, Road City Zip '8 Sprin+ :,Is ... 92262. Contractor Sir Construction Co Address., 732 Williams Rand City Zip " State Lic. & Classif. A-387934 --Arch., Engr., Designer . ca " . Z`td BUILDING: -TYPE CONST,. OCC: GRP. ... A.P. Number 774 -06x2 -021-'2i Tel. 322-1020 d ,....,. Legal Description toy 11„ ninee' 2W.Unit 20 Project Description - Fe 1 escriptionTel.'- 32 ul>y Lic. # 751 , .. . Sq: Ft.14 10 i2E1No. No.Dw: Size, . .X123 • GNStories Units • - New. ❑. Add ❑ , Alter ❑ Repair ❑ Demolit•ion ❑ Address Tel. Face 1501 City . Zip State Lic. # LICENSED.CONTRACTOR'S DECLARATION..; �f hereby affirm that I am licensed under provisions -of Chapter 9 (commencing with Section 7000), of Division 3 of the Business and Prof�essisions Code; and my license is in full force and .effecl�%..".r«ti�rw?,-.'r`/rrr ' e•'^fr.. SIGNATURE - DATE... - DATE ' .. .. `.. .. , ..... ... ... - • . ' OWNER -BUILDER DECLARATION .. ... Estimated Valuation ' I hereby affirm that I am exempt from the Contractor's License Law for the following 7031.5,Buslness Code; Any _ - - ' S74 A97 n reason: (Sec. and Professions 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 --,^PERMIT. . 'AMOUNT the provisions of the Contractor's License Law, Chapter• 9. (commencing with. Section 7000) of •a' - Division '3 of the Business'and Professions Code, or that. he is exempt "therefrom, and the basis for the Any Section 7031..5 'any �a - .. ... Plan Chk. Dep..: - alleged exemption. violation of by applicant -for permit ' subjects the applicant to a civil penalty of not more than live hundred dollars.($500): -' .. . Plan Chk. Bal.f� • O I, as owner of the property; or my employees with wages as their sole compensation, will " , 2 do the work, and the structure is not intended or offered for sale. (Sec. 7044,- Buisness and ' CDnst. . "Professions Code: The Contractor's License Law does, not, apply .to an owner of property who 3CA .00 • 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 sold within one year of completion, the owner -builder will have the burden g Electrical' '• -'� +'�^� of proving. that he did not build or improve for the purpose of sale.) ,• O I, as owner of the property, am exclusively contracting with licensed contractors -to con. Plumbing • Shutt 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, wy. • - such projects with a contractor(s) licensed pursuant to the Contractor's License raw.) - Grading ❑ 1 Am exempt under Sec..B. B. & P.C. for this reason 61 Driveway Enc. 2G dF;. Dale owner Infrastructure 109 i 82 WORKERS' COMPENSATION DECLARATION A 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.) - 111,Policy No. Company " O Copy is filed with the city --O Certified copy.is hereby furnished. TOTAL° i3 a CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ..REMARKS •. - - (This section need not be completed if the permit is for one 'hundred dollars (S 100) valuation�•bh. .,p.r,;,••y"'#.^s.�;„.,,, ,.,,,• or less:) .— .. ._ .. .. _. _. ...,�.. ,• .... ' I certify that in the performance of the work for which this permit is issued, I shall not _ a ,� . • employ any person -in any -manner so as -to become subject to the Workers' Compensation Laws of California. , Date 'Owner ° •this NOTICE TO APPLICANT: 11, faller making Certificate of Exemption -you. should, become ZONE: - BY: subject to the Workers' Compensation provisions of the' Labor Code;. you must forthwith comply with such provisions -or this permit shall be deemed revoked. _ .Minimum Setback Distances: • ' - - Front Setback from Line ,Center Rear Setback from4Reeir`Prop11 neI s4.22 IV CONSTRUCTION LENDING AGENCY.. r 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 PfOperty: Line Lender's Name Lender's Address FINALDATE 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.) have read this application and state that the above information is.correct. Issued by: Date .4/2719PQrmit 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. Validated by: Signature of applicant Date ' ,Mailing Address Validation: City, State, Zip HARD COPY . CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. Qa POR. SO. FT. ® GAR. SO. FT. ® CARP. 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 SLAB GRADE FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER kSEWER OR SEPTIC GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK 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. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL BOND BEAM SO.FT.GAR ® 3/ac HOUSE SEWER GRADING cu. $ plus x$ 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 ROUND PLUMBING6—'S-J UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS kSEWER OR SEPTIC ROUGH WIRING DUCT WORK ROCK STORAGE 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. $ plus x$ _$ LUMBER GR. ✓ FINAL INSP. �� 5 Jyd FRAMING /� NAL INSP. ROOFING 7 0/SCD w �t / L� /�t�l c� 1L/�� REMARKS: VENTILATION FIRE ZONE ROOFING . FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING ( ^f/ MESH /INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF ILA SCHOOL FACILITY FEES &A TO: City of La Quinta DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to certify that developer of which is located at a� within this District, has paid school facility fees imposed pursuant to the authority generates by Government Code Section 53080Zn��th amount of $17,-14,6.40 covering a total,:of ,: „:`://_ �—i/ square feet of (H—residential or ( ) industrial/com'rtie'r&-ial development,and that building permits for this footage in this development may now be ids ed by your jurisdiction. 53 -aa '6' ( r a /,//,a x( x3/ 7e S�- X35, ��,s,• sa'��s, .tss -�� for DESERT SANDS•UNIFIED SC OOL DISTRICT White - Building Department • Yellow- Facilities Planning • Pink - Accounting-* Gold - Developer -* 6W. 74, /3 -;10 (10)-37 -I Z O F- C) UJ U) Ti Z O O LU U) U) Y Cr Q 2 W rr N Z O F_ U W rn r__1 COUNTY OF RIVERSIDE, ENVIRONMENTAL 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 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.) STA 2 2 4::,N s'r- cc--:. . Mailing Address -732 Z C --A, �3 City P.��,.., s�,z ,,.I �, S State nq . Zip Code s� � � Z. Telephone 3 2 2 - / r--)7 Job Property Address City or Community iN7 14 -'LUT /Legal Description of Property. (Lot, PM, TR) #II ✓c-CG/C %07 (-(At iT ZO 'Assessor's Parcel No. Wa1er Agency or Well - 5 �- Lot Size .A Ctv6_: C.-4.4 Use of Permit Planning Case N S O 774' - C4,Z- I, f/ /m,Z-1 fEF- SFD, MH Site Preparation Etc. x L� 4, 7 Signature W pplicantDate / The above information must be verified from Building Application . STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date Certification of Existing S.D. System required. ❑ Yes ❑ No WQCB Clearance required. ❑ Yes © No I I Soils feasibility report required. ❑ Yes No j Detailed boring report required. ❑ Yes Q. No Detailed contour plot plans required. ❑ Yes IND / Staff Specialist approval required. ❑ Yes ❑ No Lot Inspection Date 1 n Soils/boring report byy t `x Project # Date Soils Map Page Soil Type Approved by Date Type of System: No. of Bedrooms. (1) Septic Tank Soil Rate ❑ Existing ❑,New ❑ Additional ❑ Replacement �`� fL1� ! C�C� Gals. `Required 5u I / (2) Leach line sq. ft. Sidewall allowance Install Line(s) % Ft. Long, Leach bed Sq.' (Bottom trench area) ft. rock/ Sq. Ft. Ft. wide with -,in. min. inches Ft. of bottom* per running ft. ❑ N/A rock below drain lines area . I Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI{ Seepage Pit total depth Applicable N/A Overburdenifactor E!5' ® 6' f y Max. allowable depth �+ )\A A 10007, �E v-614S1G W a\ktct w This application is approved/denied for the design of a subsurface disposa` 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 50' from any wells (2) Leach lines must be 100' min. from any wells including expansion area (3) Seepage pits must be 150' man. from'any wells including expansion area 'r k 11ti�v Signature of Health Official Date RECEIPT NO. C) Issued by Date F 7 District: ❑ Riverside ID Indio ❑• Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/66) . - r STEWART TITLE COMPANY OF RIVERSIDE COUNTY 700 E. TAHQUITZ-McCALLUM, SUITE H -' PALM SPRINGS, CALIFORNIA 92262 (619) 320.1101. April 21, 1987 City of La Quinta P.O. Box 1504 La Quinta, California 92.253 r ATTENTION: Jerry Herman Dear Jerry, As per our conversation this date, please be advised that a search of the records reveals that none of the adjoining lots included on the attached Exhibit "A" have ever been merged and there should be no'problem issuing building"permits on each lot. Very Truy Yours, .R. "Sy" DANIELS President - Desert Division EXHIisIT "A" PARCEL A: . Lots 11 and 12, Block 207 of SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 20, as shown by Map on file in Book 19' page 38, of Maps, Records of Riverside County, California. PARCEL B: Lots l and 2, Block 2.23 of SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 21., as shown by Map on file in Book 20 page -22,' of Maps, Records of Riverside County, California. PARCEL C: Lots 1 and 2, Block 254 of SANTA'CARMELITA AT, VALE LA QUINTA UNIT NO.. 24, .as.. shown by .Map on file i:n Book 19 page 44 and 45, of Maps, Records of Riverside County, California. PARCEL D Lots 1 and 2, Block 308 of SANTA CARMELITA AT -VALE LA QUINTA UNIT N0. 28, as shown by-Map*.on file in Book 19 page 59 and 60' of Maps, Records of Riverside County, California. PARCEL E:' Lots 23 -and 24, Block 261: of SANT:`_ CARMELITA AT VALE LA QUINTA UNIT NO. 24, as shown by Map on file in Book 19 -page 44 and 45,.of Maps, Records 'of Riverside County, California. PARCEL F: Lots 17 and 18, Block 312 of SANTA CARMELITA AT VALE LA QUINTA UNIT. NO. 28, as shown by Map on file in Book 19 page 59 -and 60, of Maps, Records of Riverside.County, California.. PARCEL G : -' Lots 4 and 5, Block 190 of SANTA CARMELITA AT.VALE LA QUINTA UNIT NO. 19,;as shown by Map on file in -,Book 19 page 33 and 34, of Maps, Records of Riverside County, California: . PARCEL H: Lots 5 and 6, Block 157 of SANTA'CARMELITA.AT VALE LA QUINTA UNIT NO. 16, as shown by Map on file ir. Book 18 page 99, of Maps, Records of Riverside County, California. REMARKS: Signature /n -` .d✓r Signature /n -`