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003425 (SFD)fJllu Building Address 51- 44 P.O. BOX 1504 78-105 CALLE ESTADO nee LA QUINTA, CALIFORNIA 92253 Mailing Address _ City Zip Tel. Contractor Address ty lZip State Lic. & Classif. rvcn., r-nyr., Designer Address No. 003425 UILDING: TYPE CONST. _ OCC. GRP. .P. Number 773-081-012-013 egal Description roject Description Sinale Faril.iy Dwelling '112 'Infras4t unture Fee Plan' Lic. # Sq. F t. Size New❑ Tel. at , City JZip State Lic. # w LICENSED CONTRACTOR'S DECLADATION No. 1 Stories No. DIN. Units Add ❑ Alter ❑ • Repair ❑ 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 I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation 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 applicantfor such permit to file a signed statement that. he is licensed pursuant to PERMIT 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. Deer subjects the applicant to a civil penalty or not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk• Bal. 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 Mech. 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 sa,'e.) , Plumbing 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 'or improves thereon, and who contracts for S.M.I. ' such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. 8 P.C. for this reason Grading Driveway Enc. Date -Ownerr `I` ��+ �J J Infrastructure 00dt-,:T WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, ora certificate of Worker's Compensation Insurance, 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 (5100) valuation or less.) - I 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: If, after 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 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 Cade.) 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 TOTAL REMARKS Demolition ❑ AMOUNT i SS �n q" -i-4122 54 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: Datet Al gypermit Validated by: ,rpt Validation: HARD COPY r CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES', - 1ST FL. SO. FT $ UNITS ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM 2ND FL. SO. FT. ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. %�j v MOBILEHOME SVC. BAR SINK POR. SO. FT. ® REIN F. STEEL p GAS (FINAL) 6 �'�. GAR. SO. FT. ® POWER OUTLET ROOF DRAINS WATER HEATER SERVICE FINAL INSP. DRAINAGE PIPING CARP. SO. FT. WATER SYSTEM FINAL INSP. GRADING FINAL INSP. cu. yd. $ plus x$ WALL SO. FT. @ LUMBER GR. DRINKING FOUNTAIN SO. FT. ® 01C (Q (,t//CG9�J URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES FIRE ZONE ROOFING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(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, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/a c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER FENCE FINAL 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 PLU UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE / e!5-�- ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTI / ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. %�j v OAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REIN F. STEEL p GAS (FINAL) 6 �'�. TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. GRADING FINAL INSP. cu. yd. $ plus x$ _$ LUMBER GR. FRAMING / ROOFING3 01C (Q (,t//CG9�J 3 _ � REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUNDa7 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF �QA SCHOOL FACILITY FEES CS.n TO: City of La Quinta DATE: /�2- L '% --4 Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 m 10E:THIS D®CU NT CANN® ®� This is to certify that ��Q/ )BMP ���� �• developer of -.J which is located at �r/- �� _� n / 3 within this District, has paid school facility fees imposed pursuant to the authority generated by Government Code Section 53080 in the.amoun S0 covering a total of Lsquare feet of ( esidential or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. for DESERT SANDS UNIFIED kHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink -Accounting • Gold - Developer ( A. / b 3� (10)-37 _I �• Q } OFFICE OF ° •�-'�y-== °, AGRICULTURAL COMMISSIONER 4080 LEMON STREET, ROOM 19 i-�- RIVERSIDE. CALIFORNIA 92501 (714) 787.2561 -4),9, lbq 46-209 Oasis Street, Room 14 Indio, CA .92201 (619) 342-8291 ' Dear Developer/Landscaper: E. LEON SPAUGY' COMMISSIONER JAME5 0. WALLACE ASSISTANT COMMISSIONER Thank you for inquiring with the Agricultural Commissioner's Office regarding local quarantine laws. Any diseases or insects associated with the plants/landscaping material presented on your landscaping plans do not pose a threat to the Coachella Valley Citrus, Date, Grape, Vegetable, or Field Crop industry. We therefore approve your landscaping plans. If however, any substitutions of plants/landscaping materials within your plans occurs between now and the actual planting date, you must contact this office within 48 hours before delivery into the Coachella Valley. Also, the substituted plants/landscaping material must be held for inspection upon arrival. Any sub- stituted landscaping material found infected/infested with quarantine pests will be immediately treated or shipped out of the Coachella Valley at the discretion of the Agricultural Co=issioner's Office. Under 'penalty of perjury, I.the undersigned will comply with the above. Authorized Agent: Name k S +,3 Date 3/ 3/,�r7 Signature - Permit Number(s) 7 /e 5 D 3 ZS',4 471-� Developer (_Q, Address 3 -F - 815 - AG RIcnTLT,_AL •S' AGRICULTLT�AL C0:•^SISSIO`:DR' S APPROVAL �✓ Date' Authority cited: Agricultural Code; Sections 6301, 6461, 6462, 6464, 6501) 6521- 6524 cc: 2 Plan Clhecl:, Indio Office, Riverside Office 0 a,1D E C APPROVED 't BY: DATE: S HAL G Pt DS �e fiA f..aww i bko- �' s I �k,a w t&. [iktLis S40;64.4 - A4 ddtK4d �L1�3.1t-V�l�Y 32a-T�92� ON Z O_ U w cn Z O U LU U) U) Y Q X Z O U Lu U) 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. S SA- dii Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) Mailing Address ,,� Job Propert Address ' 1LL90CUmmunily Legal Description of Property. (Lot, PM, TR) .. A Q v t Af.tE A 66 'Assessor's Parcel No. WPterAgenc or V II ,L il/l .�1- _ _/1,7 / ¢�P Use of Permit�C.tJPX�t"tc/ ��Prann'af`g Case q Lot Size �� e- � SFD, MH Site Preparation Etc. D Signature of Applicant Date -The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial �1 Date ZN01'-_'! p Certification of Existing S.D. System required. ❑ Yes WOCB Clearance required. El Yes Ll Soils feasibility report required. ❑ Yes ///- ,12 _,%�� Detailed boring report required. El Yes L��-- Detailed contour plot plans required. E] Yes V6 Staff Specialist ap1:1proval required. Yes No Lot Inspection Date Soils/boring report by d224 Ate Project # Date !, C �p Soils Map Page Soil Type Approved by i C.._ Date Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing 0911 ew ❑ Additional ❑ Replacement Gals. (2) ILRach line sq. ft., Sidewall allowance InstalLine(s) Ft. Long, Leach bed Sq. (Bottom t ch area) . ft. rock/ Sq. Ft. Ft. wi�e�wt m_in. inches Ft. of'b'otto per running ft. rock below drain lines area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI/ Seepage Pit total depth Applicab�le� N/A_� ��Overburden factor [Fjt� Max. allowable depth T ct0 / /y 14 G/All,� / 7 This application i "p roved rnedrfcr the design of a subsurface disposal system as indi•ated on the accompanied plot plan using the r rements setfo in Section B above. A building permit is necessary for the installation o the above -designed system. 1r Septic tank and sewer lines must tie 50' from any wells 0 2 Leach lines must be 100' min. from any wells including expansion tirea t✓ ��`-�i `tea 3 J Seepage pits muse 150' min. from any swells including expansion area. /0 7 elf""iQ��G !✓ te�oti�' Signature of Health Official RECEIPT NO. ��/� Issued by // / Date District: El� Riverside * Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) 40 01 TV