Loading...
SFD (07387)T4ht 4 4 Q" Building 51-616111ava Address Mailing Address 79-66() Bogueron Way City I Zip JTel. . . Ber=da Contractor Address P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 92201 1 346-4236 State Lic. I City & Classif. 317390 Lic. # Arch.; Engr., Designer Address Tel. City (Zip (State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am,licensed under provisions,of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin�e+ss and Professions,Code, and my license is in full force and effect. If f•;'.J i,�j ls', , r,. 3 SIGNATURE i .'' r e DATE OWNER -BUILDER DECLARATION I hereby affirin_•that�I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,6usiness 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 the provisions or 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 penally 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 taw does not apply to an owner or 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. fi, however, the building or improvement is sold within one year of completion, the owner -builder wig have the burden of proving that he did not build or improve 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 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.) ❑ 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 Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is filed with the city. ❑ Certified copy is hereby fumished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff the permit is for one hundred dollars ($100) valuation or less.) 1 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., fi, after makhg this Certificate or 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 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.) Lenders Name Lenders 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. 1 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 inspection purposes. Signature of applicant— Date Mailing Address City,. State, Zip No. 11LDING: TYPE CONST: OCC: GRP. P. Number 773-144-018 ?7387 Description Lot 6 t Description Single Family Dwelling FINAL DATE INSPECTOR Issued by: Date 3/21/90 Permit Validated by: Validation: Sq. Ft. 15,50 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $65,360 PERMIT AMOUNT Plan Chk. Dep. 250400 Plan Chk. Bal. Const. Mech. Electrical Plumbing 154.50 S.M.I. 12AU Grading 20.00 Driveway Enc. 20.00 Infrastructure ,096.30 i TOTAL.3.3 . Z,3 REMARKS t40 J r Y i) Sh"Tbf t i. neaa 7_ 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 3/21/90 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE 3 �7 !� ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS qR E C ANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH)OTHER METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WATER HEATER WALL SQ. FT. ® FINAL INSP. DRINKING FOUNTAIN SQ FT ® WATER SYSTEM FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ -$ WATER PIPING NOTE: Not to be used as property tax valuation ROOFINGtid 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 LAUNDRYTRAY 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR GOND. SOLAR SETBACK 2A O / I -I GROUND PLUMBING Y27 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 3 �7 !� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS qR E C ANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF.3 �� /0 GAS (ROUGH)OTHER METER LOOP HEATING (FINAL) APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. GRADING cu. yd. $ plus x$ -$ LUMBER GR. FRAMING 511O ROOFINGtid Ip 0 r l70 ^ �Q REMARKS. VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING A9&4 9 �D MESH INSULATIONISOUND DO JJJ FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL ` e i P.O. BOX 1504 APPLICATION ONLY Building1 q _.: 7&105 CALLE ESTADO.. , Address . #i 6/"3 �Ivr/�/,JRI /� ,rv� LA QUINTA, CALIFORNIA 92253 f Owner- �JEi2/lti Lt Go B Mailing Address . i1 G �v a u i,x va von. 7 A. City lZip ITel. 0 UILDING: TYPE CONST. k OCC. GRP. P. Number -r%73 /I -/moi- ois� .gal Description f + li0 / oject Description Wes v Address City Zip`- Tel.. State Lic. City & Classif. J Lic. # Sq. Ft. / r No. No. Dw. Arch., Engr., Size / > S Stories Units / Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop: Line City Zip State Side Setback from Property Line FINAL DATE Lic?,,# _ ' LICENSED CONTRACTOR'S DECLARATION Validated by: 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisio/n 3��of the Business Professions Code, nd and my license is in full force and effect / I 3/3 ,PO r 1 SIGNATURE % / /I DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby aff,m that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Busfness 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 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 Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Sectior`7031t.5'by''any applicant for a permit Plan Chk. Dep. subjeUs the applicant to a cNil penalty of not more than frve•hundred dollars ($500). Plan Chk. Bal. ❑ I, as owner of the property; or -my employees withmages as their.sole-compensation,. will _ do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 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. O, however, the building or improvement is said within one year of completion, the owner -budder will have the burden Electrical - of proving that he did not -build or improve for the purpose -of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- 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.) Grading 13I am exempt under Sec B. 8 P.C. for this reason Driveway Enc. Date Owner WORKERS' COMPENSATION DECLARATION',, I hereby. affirm that .l•have a certificate, of consent: to self-insure,or a certificate of Worker's Compensation Insurance, or a certified copy thereof. /Seer. 3800, Labor Code.). Polivar No Company <, " r� > u Copy is filed with the city: ❑ Certified copy is hereby furnished: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thi section need'not be completed'ff the permit is for one hundred dollars ($100) valuation or less.) . % I certify that in the performance of the work for which thi permit is issued, 1 shall not employ any person in any manner sous to become subject t' the Workers' Compensation Laws of California. Date 5 2111 Owner _ NOTICE T APPLICANT: O, after maJong this r if a o1 Exe tion you should become subject to the Workers' Compensa`8�dnnr provisions of the Labor Code, you must forthwith compy with such provisions or this permit shall beudeemed revoked. i t 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 lenders 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. 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 Address City, State, Zip BUILDING DIVISION Infrastructure TOTAL. —Z� _ ci REMARKS SUS L qiU ;rtf•rUIS-A 1c A-7 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 s INSPECTOR Issued by: Date Permit Validated by: I Validation: - CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR., SQ. FT. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SQ. FT. ® FINAL INSP. WALL- SQ. FT. ® WATER SYSTEM DRINKING FOUNTAIN GRADING cu. yd. $ plus x$ =$ URINAL SQ. FT. FINAL INSP. FRAMING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WA SHER(AUTO)(DISH) APPLIANCE DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE LAUNDRYTRAY 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER FINAL INSPECTION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE 7NST. 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 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. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACII,I, ES TO: Ci o La tubi t l���EID, DATE: Dg �rementpg! ��r�iufiiiity Development 78-105 Cal% Estado La Quinta, CA 92253 q.A Q a1 This is to cIti_fy hat developer of '^J Ll Q ,0which is I located at / ,� _ within this District, has paid school facility fees imposed pursuant to the a• ha�r�i genera d by G er ment Co e ectiott 53080 • 4eval�nnnrtt of covering a total of s are feet of (l).resi ntial or / ( ) industrial/commercial development and that buildn permits for this footage in this development may now be issued by your jurisdiction. z% for DESER `§ANM UNIFIED SCHOOL DISTRICT White -Building Department • Yellow -Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 COUNTY OF RIVERSIDE ENVIRONMENTAL HEALTH SERVICES DIVISION y,3( —0/9 PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM, Applica16 form with four copies of a scaled plot plan (1 -20 scale) drawn to County speculations as Indicated on the attached check IIsL A non-r9firhdable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Cgiftiverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. A1 VERIFY ITEMS INSECTI3ON0 A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG Agent Contractor, Contact Person 01 Phone Address & Firm -2 43042 Owner Phone. Mailing Address 'City State Zip Job Property I Legal Description Prop. �Addrqss (PM, Tract, Lot) 60 10�115? &OZ Ig '7� Lot Size Water Agen_c_yb.�l Use ofPermitP/P,CU, etc. -4,0 Other VSh'. Dwe:lllin Prep, etc. Signature of Applicant Date CATEGORY: REV CODE ,, -RIF '< _ FT SUBSURFACE DISPOSAL 1238 ;$ �97. �.00 �OO CATEGORY: REV CODE FEE 0 SITE EVALUATION UPON REQUEST 7349 $ 43.00 0 MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LANb DMS46N 0 SEWER/SEPTIC VERIFICATION 7348 $ 17.00 a. 1st 4.Parcels (Each) 1238 $ 57.00 .(Less than 1 year) b. Ea ch Parcel after 4 7344 $ 24.00 0 PRELIMINARY ELECTIVE 7352 $ 23.00 0. Rereview (2nd review same parcel) 7344 $ 24.00 EVALUATION (Attach DOH SAN 53) 0 Site Evaluation in Conjunction with 0 HOLDING TANK 7351 $ 47.00 Crtticall Area 7346 $111.00 0 ALTERNATIVE/EXPERIMENTAL 7345 $222.00 -0. Site Evalu4on1ot Less than SYSTEM i 0,bOD Sq. Ft. 7347 $ 87.00 • IN7rr DAV— Holding- Tank Agreements Completed 0 Yes P"No,' ' Certification of Existing S.D. System Required 0 Yes N W0CB Clearance required. (Attach Form C] Yes 0 0 DOH SAN 007, Santa Ana Region Only) 00001�' Soils Percolation Report Required. 0 Yes Special FeaqIbUtty Boring' Report Required. 0 Yes Detailed Contour Plot Plans Required (1 to 5 ft. interval) 0 Yes N Other 0 Yes No Staff Specialist Lot Inspection Required 0 Yes 03/No Lot Inspection Date Soils boring report by 3ct g Date Soils Map Page - J16 &A Type Approved by Date 3-1�-96 No., of Systems Typechys'ta_rlle) No. Dwelling Unita!! /) (1)Septic Tank Soff Rate Grease/Sand 0 HqldIWTsnk 0 Existing 0 Replamnord Bedrooms. FixturwWritte* 99A,%. ztax -Gal MLleach Une Sq. Ft Sklerwall allowance I Line(s) fL " _-L-41wide wfth Leach Bed aq fl. h area ft rock/ sq: ft. per running ft. min. drainlinse or to arae Le6chlines/bed special design for slope: (3) Ph Diameter No. Pits 'Ph Below Seepage PhTOtal Depth Applic:able, Lofo� froe"34 (TD) Max. Al"Ie Depth N/A Overburden factor No. 2 System REMARKS:W_Z4� V This applicat• is APPROVED 10( is �E:D: NIE&4or the category checked in SECTION B abov6*. regarding the design of a subsurface disposal system as indicated ting on the acoompin�,Zdpt;. n, plaa the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above -designed system. No construction is permitted in the required reserved 100% expansion area. el)) Septic tank and sewer lines must be 50' minimum from any wells n ,32,h Leach lines, must be 100' minimum from any wells, including expansion rea 'Seepage pits must be 150' minimum from an wells, including expansi I n ar /0 U3) k- a-4 Signature of Health Official ,A Date 3, 90 RECEIPT NO. 10117 - Issued By_A/ Date 3— DISTRICT: - 0 Riverside, 9-4 AF 4 rtdie, 0 Hemet ' C7 - Perris 0 Rancho Calif. 0 Blythe DOH -SAN -122 (Rev. 7/89). DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - PI.4macord. LW11 Of OFFICE OF ` AGRICULTURAL COMMISSIONER AND WEIGHTS .& MEASURES ' CALVIN C. KAMINSKAS JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 Assistant Commissloner Agricultural Commissioner RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISTE Director of Weights d Measures • - Sealer (714) 787.2561 49613 Highway 86, Suite B12 Coachella, Ca. 92236 (.619)`342-8291 DATE �j S p CASE NO. 2C- S 3 U S �7 DEVELOPER'S NAME: .� 2� Je ADDRESS: 79 0 0 J ev- o vv V VA J 3XG TELEPHONE: Dear Developer: After reviewing your landscaping plans, all plant material'listed isnot in violation of quarantine laws governing the Coachella Valley. If.substitutions do occur and they differ from plant material listed, this office,must be notified:. immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. AL— Z�L,6� Agr tural Commissioner's Office ` cc: Indio and Riverside Office i