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PLBG (3689)�+ ," '� • P.O. BOX 1504 No.- 003689 . Building' 78-105 CALLE ESTADO • Address 78'990 Wiles Aviw;;r`ue 03`a LA QUINTA, CALIFORNIA 92253 " •. Owner _ ista Dimes' Moults Park BUIL'DING'•TYPE CONST."' • OCC: GRP.• ' 'Mailing. Address A.P. Number 613-400-006L City Zip Tel. ., +" 9 Des ription .. - t ' Le al .Desc Contractor w ' P,roject. Description A$3u ~ � ��� a seem ae nits . •. Datalr'3nd .. . -2---Dist. `boxe8 � Address Ewy ill ,.. City Zip Telc Coachella 9223 . _�. State Lic. City & Classif. :� Llc # Sq. Ft. No. No. Dw. Size •Stories Units • Arch., Engr., Designer New ❑ ! Add p Alter ❑ Repair ❑ -Demolition ❑ Address Tel. City State ]Zip .. .... _ ._ , . Lic. # LICENSED CONTRACTOR'S,DECLARATION _ s 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.. r .t f rII s .., .;may✓', . .�' -+'�+ ,n' j7 .a i- J .. ... ... ,...-. ... .. .. .. .. ., SIGNATURE.�€ DATE ' !f OWNER -BUILDER DECLARATION Estimated Valuation ' I hereby affirm thatTam 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, atter, 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 Any Section 7031:5 by 'any for • . - , ' Plan Chk. Dep.- .the alleged exemption. violation of applicant apermit ' 'subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). Plan Chk. Bal.. _ �.• :.. : ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Const. .., 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... 'Electrical.' 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.) .. _ 4 -• Plumbing. '. $1SO .00 '^ ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- • slruct the project. (Sec. 7044, Business and Professions Code: -The Contractor's License Law - S.M.I. • '- 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.) - Grading ❑.I am exempt under Sec- B. & P.C. for, this reason -- Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that.l'tfave'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 No. " Company - - :...D.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 isf3•t".3t. �•'i'1.lif#L-s' V. to ..{JV„„•..vV... .. - • employ any person in any manner sous 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 -lo 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 Center Line • Rear Setback from Rear. Prop. Line corfsTRucnoN LENDING AGENCY Side Street Setback,from Center Line ' 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.) n Side Setback from .Property•Line Lender's Name Lender's Address ti 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:{ -to • Issued by Date 'a>� /8813ermit I agree 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- ate Mailing Address Mailing Validation: - City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ, FT. ® CARP. SQ. 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. 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 FINAL INSP. SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER VENTILATION GAS PIPING PERMIT FEE FIRE ZONE ROOFING 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 PTIC TANF i/ 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 INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 4("3 —' %'4& PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM r. 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 $40 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.)� ��y i 1 N ( d Log �� FU 2 - 'Pt..c�1:P" l,►y,1 / Mailing Address - 6( c1 L, f l 1 I kf `a City Slate c Zip Code �1���� Telephone �u5- 3 331 • Job Property Address )'' j1 r� 'Giy o /. unrt�% �C? I 'rl/Description of Prop9eny. (Lot. PM. TR) � / �fa �� t "f 1 r t 1 Zi ti)'9 Nr O t ' / . r 'Assessor's Parcel No NVaI . •gyicy or Well R/_j .. r / Use of Perm anning Case # Lot Sae -E f t PQ JR WF tL ation F,,tc. Stgrialure of'ApplicaI ° _ Date L 'The from Application above information must be verified Building STAFF USE — DO NOT WRITE BELOW THIS LINE ` Initial Date ,4 " f �G ? Certification of Existing S.D. System required. Yes ❑l'No 1 v WOCB Clearance required. ❑ Yes ❑O No I ill /'No Soils feasibility report required. ❑ Yes Special feasibi(ty boring report required. - ❑ Yes ©No r 10 No 1 Detailed contour plot plans required. ❑ Yes Staff Specialist approval required. i Yes ❑ No Lot Inspection Date Soils/boring report by Project # Date Soils Map Page Soil Type Approved by Date Type of System: S�C,yy,s ❑ ❑Replacement I—N, �of;Redroofns (1) Septic Tank Soil Rate Required ❑ Existing New Additional Frrf �,�Fr 2) Gals. (2) Leach line sq. ft. Sidewall allowance Ft. InstallLine(s) Ft. Long, .Leach bed Sq. ottom,-., (§0 om trench area) ft. rock/ Sq. Ft. d with min. inches Ft. of bow per running ft. R"N/A rock below drain lines area Leach lines/bed-special design for slope: Applicable (3) Pit Diametert�o.,Pits 1 /6�' © "S c Pit, BI u 6y��U( Seepage Pit total depth Max. allowable depth ta i 0 N/A Overburden factor what �. J�,ul r J�q Cot 'ufs , o C/�/�.4+ .e4�'�•)r� _n p_�... ..�..._ ® ,.<,/�ipef�i��� /�.`..( j ��K.�'CfQ/ `+ .V�YGf -'Y'N .A•l..Jp ./� � - � �iw,X ./�+I � 6 iT./wlf.� /1..�.�.! J `�..ari�.. ..fr�./fPR� , ��',�•;;cr,�` �, �..��ir4�-;•..� a•r��,.a,P.� �-..�C,, ",,,u<.�ar.,�y>1� �•,a t • .�::�...�:a.�, .�e: _.<� �,. ;,,{n.r. �� nz^ y....� j' This application is rove denied.for the design Ota subsurface disposal syste as indicated on the accompanied plod an using the requirements set forth in Section B a ove. 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 , f Seepage pits must be 150' min. from any wells including expansion area it U � 84 f % A'•a � �. '., /� .�'- � -�i� l,a�ui•��'�':4P--r � .r:��� . _ ra �� / Signalure of Health Official Dale r, ' :' RECEIPT NO. 3.2VI I Issued by S Date District: ❑ Riverside N Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH SAN 122 (Rev 8/87) r— P90z J ksL ,r [SAAR 14 1988 CITY OF LA .QUINTA PLANNING it DEVELOPMENT DEPT. Dateland Construction Co. 50-305 Highway 111 Coachella, CA 92236 March 11, 1988 e Tom Hartung Building Department " City of La Quinta -_ 78-105 Calle Estado ` La Quinta; CA Dear Mr. Hartung, 'This letter is to•certify that Dateland did install 4 each. 6'x 20' leach pits at Vista Dunes Mobile -Park and that they were installed in accordance with Riverside County Health Department standards and that each included, approximately. 15 tons of gravel. Please contact us if these are any further questions concerning these installations. Very truly you s, e 'Mac" McNeil CC: Vist Dunes Mobile Park 78-990 Miles, Apt.31 La Quinta, CA 92253 _r IVILI-4 DIVISION' OF ENVIRONMENTAL j*ALTk .5YS71EEM #'( Y Food Establishment —� • - L Sewa-geDispoaal i. —,L Trailer Park rXIfr. nt / SPA«f i Ex/Lr-Gal. Septic Tank h' Motel, Apt., Hotel Sq t. pf Leach Linc �D o -Dwelling , °�!� •,, .... _' /Z x Seepage Pits'(B2�Yt Commercial Building ti';' ,� •. Connection to SewerGc�,N.aN/?l-�V.4 Swimming Pool • No on-site regenerating,' 1 water devices may be discharged into the individual sewage dispos: system herewith approved without clearance from the Water Quality Cont'ol Board. ++I Water supply serv:�}g >hhiiss f illation must be 'from an approved.source.P121 14TE GdEcL 5"'17 �'1• All sewage' dispo insta ation-must conform with requirements of current Uniform Plumbing ode. l Any cutting, grad ni g, or filling in excess of four (4) feet will nullify sewage disposal approval. Approval has:.been' obtained, -from the Regional -Water Quality Control -Board for installation of the sew j age disposal system. J This is to' certify'that'the Riverside County Department Public Health approves for construction. or installationthe item(s) checked above.~ j -DIVISION OF ENVIRONMENTAL HEALTH. rood'Establishment'- Jr- �K Sewage Disposal' ' Trailer. Park �X �ST.*M <% SP/aCEf FX/ /f Gal. Septic Tar)k I Motel, Apt. Hotel /'. , • a -0ec, Sq. Ft. of ,each link , /V/it/ DcD� �tict r` ?i Dwelling a ate -Seepage PiU(r�e-Qac Commercial Building' ADD Connection to Sewer '�'�'�' Swimming Pool _ No on-site regenerating water softening devices may :be discharged into the individual sewage disposal � system herewith approved without clearance from the Water Quality Control Board.- ' k" r; Water supply serv,)r�g ,this ins&ation must.be from an approved source. p/Z!(%'iL� GtiELL All sewage disposaf i istaQYt4 A must conform with requirements of current Uniform Plumbing Code. � / Any cutting, gradi4 or filling in exlCigs of four (4) feet will nullify sewage disposal approval. / Approval has been obtained .from the Regional Water Quality Control Board for installation of .the.: sew. � I age disposal system. i L chis is to certify that - the Riverside County Department Public Health approves fora 2P4=W*, constr)rgtlor, . l or installation the item(s) checked above. s i By_ I bWNTAIN 100% EXPANSION AREA. MIN. 150• FROM ANY WELL -.-b •� °'l"`" ^x .'-,` ` _RK 10' FROM ANY NOW TREE OR WATER MAIN* ��z ATE: NOHAZAR�US MATERIA! CANRE STORED (A BWN E DM WE Y, ,^ -�; �,r�' rr�t�.a�''�"`v�^�y.: ��'•' 1/✓zr.�_ ,��.�iue .��J�// � i . Xu is * �P 't � !i'[/lv �/V �� t�`,,,'_• � n' , �� ''k•L ' 100 , C• . THIS APPROVAL GRANTED BY THE ~b. t: h ? 1us : f+i �gl�IYOVPlI of taese pmns b the Alep'mient O= Y11t11b ;1 DEPARTMENT OF PUBLIC- HEALTH ..Health of Riverside County doss not relieve tete IS VALID FOR .ONE: '(1) YEAR eau' or Architect of the responsibility 2or®Ra� "... � ,r a.j Mir or Arehitentural de.girm;,, FROM DATE' OF APPROVAL'.,, K f}r'Rw.0i++s7.j'Y.,.,`'�+.r"y.'4''+:•.. 42/!'09 /�'Zi=�`"' !/ri7� ,LL.Let-G?+.� (////J•� ��; 1 ' , Y�. :t =,