Loading...
SFD (11035)Building 51-960 Navarro gigOwner rres P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 mailing Address 44071 W. Sundown Crest City Zip Tel. La ¢uinta ' 92253 360-3337 Contractor A.o. Torres same City State Lic. City & Classif. 3 550498 1 Lic. # 1451 Designer Address Tel. CityI Zip I State 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 . f j SENATURE DATE / OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Lawfor the following reason: (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 rile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 or 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 penalty of not more than rive hundred dollars ($500). O 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 Law 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. If, however, the building or improvement is sold within one year of completion, the 'owner -builder will 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 or property, who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ' O 1 am exempt under Sec. B. & P.C.-for this reason Date Owner WORKERS' COMPENSATION DECLARATION I 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.J.40. Company O`eopy is filed with the city. O Certified copy is hereby furnished.. .CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed i1 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, alter making 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.) Lender's Name Lender's 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. 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 No. 110,35 ;k BUILDING: TYPE CONST. OCC: GRP. A.P. Number 773-134-011 Legal Description Lot 14 Block Project Description SFD I1; 121 Sq. Ft-1474No. Size Stories No. Dw. Units New ❑ Add ❑ Alter O Repair ❑ Demolition ❑ Permit does not include block walls or pool Estimated Valuation 88 414.80 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 257.85 Const. 590.00 Mech.. 55.50 Electrical 1255. 01 Plumbing 163.50 S.M.I. 8.90 Grading ; 20.40 Driveway Enc. _0,s Infrastructure 1942,11 f TOTAL 3422.87 31 62.87 REMARKS Af -A -iArIA 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 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ. FT. ® CAR P. 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 ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) GAS (FINAL) LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 LUMBER GR. SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR ® 3/4c HOUSE SEWER 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 PLUMBING4/ GOl1NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS W 8effER-OR SEPTIC TAN 3?1.1ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) GAS (FINAL) 5,MER LOOP TEMP. POLE HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM Qp FINAL INSP.%%� I : G FINAL I P. / DING 3 J Cu. yd. $ plus x$ =$ LUMBER GR. FRAMING 7l( ROOFING N i' 1 L y Y vv OI /D REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND 70 S q FINIS FINAL INSPECTION C . FENCE FINAL INSPECTOR'S SIGNATURESIINITU\LS GARDEN WALL FINAL Building+ Address 7 . 4...- - - ---- - . Malting Address � "City L� Coctor Co. s Address,,. Sfif'7 E 0 IV-4V49)2o e S Su viavwou cfeE54 Zio Tel. I '::i2 2-S3 1 36 e 3 State Lic. & Classif. U -Arch.; Engr., Designer Address p Tel.. Lic. # Tel. 4 4-,Qa4 P.O. BOX 1504 APPLICATION ONLY t 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253, -- BUILDING: TYPE CONST. -F OCC. GRP: "• , u vV A.P. Number_ 3,57 Legal Description Project Description SI D clty I Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under rovi ;Ions of Chapter 9 (commencing with Section 7000) of Division f he Business and Pr fessions Code, and my license is in full force and effect. f� D S GNATU DATE s - • O r R•BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's 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 file a signed statement that he Is licensed pursuant to 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 exemptlon.. 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, Buisness and 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, provided that such improvements are not intended or offered for sale. If, however, the building orImprovement is sold within one year of completion, the owner -builder will 'have the burden _ 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- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property,who builds of 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 Worker's Compensationtn"surance, 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 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 peon in any manner so as to become subject to the Workers' Compensation Laws of Cal ifornirsa. Date Owner NOTICE TO APPLICANT: If, alter making this Certificate of 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 - Ihereby 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 Lender's 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. 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-. i mentioned property for Inspection purposes. f Signature of applicant Date Mailing Address City, State, Zip BUILDING DIVISION ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Sq. Ft. _Size % No.No. Stories t Dw. Units Ne1M Add ❑ Alter ❑ _ Repair-❑ _ Demolition ❑ INSPECTOR Issued by: Date Permit r Validated by: Validation: - Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. a b Plan Chk. Bal. Const.«, Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. nfrastructur a � � f -) 27-99 13, TOTAL fT 5,00 REMARKS f 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 Permit r Validated by: Validation: - CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ, FT. ® CARP. SO. 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 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 APP.IEQUIP. LAUNDRYTRAY 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U." SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER REMARKS: GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE IIPL.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 ROCKSTORAGE FOUND. REINF. 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. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 6/18/92 Type of Permit I La Quinta No. 11489 Permit # 111035 Owner Name Robert Hernandez Log # No. 51960 street Navarro d city La Quinta zip 92253 study Area 115 APN # 773-184-011 Tract # Lot # Square Footage 11474 Type of Development Single Family Residence No. of units Comments At the present time., the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the. following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 11.58 1 X 11.474 Jor$2,328.92 have been paid to D.S.0 S.D, for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By Andrea Richards Name on the check By James E. Lively Assistant Superintendent, Business Services Telephone 346 6992 Fee collected /egem ed by a e Arthur Payments Re Signature ,ij� Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting AS t h r/� % F ,ij� Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting t'7a••k•.��i'4r4i��j�`����+r* " - COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY IM Assessors/Parcel No. DEPARTMENT OF ENVIRONMENTAL HEALTH 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 thW attached checklist. A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Rive rside. ()(A�piDvaf Aof th'ls..�pplicattion shall remain valid for a period not to exceed one year from date of approval. - tir jLOG #"' VERIFY ITEMS IN SECTION A FROM. A NON -FEE BUILDING & SAFETY (goldenrod) .APPLICATION Agent, Contractolr',t Contact 06'rtl rS Phone Address City State Zip rvd�lrr 3... CoNS�'' 40. 3.33 efq--o71 G�' ��-C.c.�S�'— L� QUIN ,a Owner '" "Y - Phone Address City State. Zip r� 1225 ; Job Property Add res ,� City State A ZipLegal Description Prop. (PM, Tract, Lot) � 51 — F60 Z_'A e 9 2 z5g 4.4 14, . Oq -'k !2— I Lot Size Water Agency/Well Use of Permit P/P, CU, etc. Other C� �D u O o l C Ve, w P "I E V �/� Dwelling, MH Site Prep, etc. (�h4zt -C r Sin r of Applicant Date CATEGORY REV CODE FEE CATEGORY REV CODE FEE —/ E SUBSURFACE DISPOSAL`(per system) 1238 $153.00 ❑ SITE EVALUATION UPON REQUEST 7349 $120.00 (NO PLOT PLAN) ❑ MULTIPLE PARCELS WITHIN SAME LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7346 $ 58.00 a. 1st 4 Parcels (Each) 1238 $153.00 ❑ PRELIMINARY ELECTIVE EVALUATION b. Each Parcel after 4 7344 $ 55.00 (Attach DOH -SAN -53) 7352 $ 69.00 ❑ REREVIEW (2nd review same parcel) 7344 $ 55.00 ❑ HOLDING TANK 7351 $119.00 ❑ SITE EVALUATION in Conjuction with Critical Area 7346 $197.00 ❑ ALTERNATIVE EXPERIMENTAL SYSTEM 7345 $656.00 ❑ GRADING PLAN REVIEW DETAILED 1238 $104.00 ❑ SITE EVALUATION Lot Less than 10,000 Sq. Ft. 7347 $172.00 ❑GRADING PLAN REVIEW CURSORY 1238 $ 55.00 ❑ SECOND FIELD VISIT (SITE EVALUATION) 7346 $ 85.00 ❑ COPIES (LAND USE) 7786-81 $ .50 INITIAL DATE Holding Tank Agreements Completed ❑ Yes _... --No Certification of Existing S.D. System Required ❑ Yes No WQCB Clearance Required ❑ Yes -No (Attach Form DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required ❑ Yes No Special Feasibility Boring Report Required ❑ Yes No Detailed Contour Plot Pians Required (1 to 5 ft. interval) ❑ Yes No Grading Handout Provided ❑ Yes No Staff Specialist Lot Inspection Required ❑ Yes Nd Maintenance Booklet Provided ❑ Yes ❑ No Lot Inspection Date Initials r' 4 C/42 / Soils Percolation Boring Report by Lic/Project # Date Soils Map Page Soil Type Approved By Date. No. of Systems Type of System(s) ❑ Holding Tank ❑ Replacement N w Fling Units TGreaselntep/LintTrap (1) Septic Tank Soil Rate Grease/Sand ( CEew ❑Addition '3 r ,, y. �o�° Gal. 2 J Gal. ❑Existing I Sq. Ft. Total Linear Sidewall Allowance r Leach Bed sq. ft. Bottom Area Ft. ft: rock/ sq. ft. per running ft. Install Line(s) ft. long ft. wide with .•- of Bottom Area Inlet Tested Dep ih ❑ NA min. inches rock below drainlines or / Proposed Bottom Tested Depth 4 Leachlines/bed speciar'design for slope: / (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth ^ / g• Other: Inlet (BI) (TD) Applicable ❑ 5 � o ,u / V , Max. P Ilowable Depth N/A Overburden Factor Well Review Approved: Signature Date Well Drilling Permit # Grading Plan Approved: Signature Date REMARKS: C �"r�/<< i. U. �✓i� — N6 S h.., fja/ �or✓ 1 This application is P-P_ROV.ED ©ENIED for the category checked in SECTION B`above, regarding the design of a subsurface disposal system as indicated on the accompanied plot plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above -designed system. permitted in the required reserved 100% expansion area_ (1� Septic tank must.be 100' minimum from any wells (2) Leach lines must be 100' minimum from•any wells, including expansion area 1 Seepage pits must be 1550' minimum from any wells, incl ding expansion area s 2C y 2 Signature of Health10fficialDate ❑ CASH C] CHECK-NO./2Z RECEIPT NO. ✓lP� Issued By /�w� Date DISTRICT: ❑ Riverside BI--, W4066 ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH-SAN-122(Rev1/92) t DISTRIBUTION: WHITE—Office file YELLOW -Applicant PINK—Bldg. Dept. GOLDENROD-Plans/Records