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05612 (SFD)„r Building 51+-520 CARRARM Address Jacques lafebwe Mailing Address P.0- }Ian 273'5 City Palm Desert zip 92251 !_ No. 05612- - BUILDING: TYPE CONST. OCC: GRP.-' A.P. Number 775-125-082 Legal Descriptions 23 Project Description SPT? Sam _ City Zip Tel. - State Lic. City & Classif. 477507 Lic. # e Sq. Ft. 1503 No. No. Dw. Size Stories Units Arch., Engr., Designer Jacques Lefebvt:e .. _. - .. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address 34901 Hercia Rd. T same City Zip State Cathedral. City 32254 Lic. If LICENSED CONTRACTOR`$ DECLARATION r.. I hereby affirm that I am licensed under probisions.of-chapter 9 (commencing with Section 70001 of Division 3 of_the'Business and=PiWessioris Code, and my license is in full force and effect. c.-�_ �rwr►�” ' �..,._.,.,.y, � }f ., �, SIGNATURE"'-— .�`.%�•'- DATE ,� OWNER -BUILDER DECLARATION I Hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,13usiness and Professions Code: Any city or county which requires a permit to construct, after, Improve, dernaish, or repair any structwe, prior to itsissuance also requires the applicant for such permit to fie a signed statement that hes licensed pursuant to the provisions or the Contractor's License Law, Chapter 9 (commencing with Section 7000) or Dmsfon' 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 mil more than rive hundred dollars ($500). ❑ 1, 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 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. ff. however, the building or Improvement is sold within one year of completion, the owner -budder will have the burden of proving that he did not build or improve for the purpose of safe.) 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 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec_ w & P -C, for this reason Estimated Valuation 81 t023.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 223.81 Const. 558.50 Mech. �� Electrical 109.90 Plumbing 154.50 e� !� S.M.I. 12.30 Grading 24.00Driveway Enc. 20.00 Date Owner Infrastructure 1,784.76 WORKERS' COMPENSATION DECLARATION ^�^? I hereby affirm that I have a certificate of consent to self-insure,,ot a certificate of Worker's Compensation Insurance, or a certified, Copy thereof. (Sec.t3'80Q• Labor Code.) Policy No Go r"s=t mpany-zy ❑ Copy is filed with the city. p Certified copy -is hereby furnished. �,,•'^' TOTAL CERTIF1KERS' CTEOF SATION IN FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California REMARKS j?<{,tP_1f.i<'t��R `jr�r`a,)+f firm.• --til Yr__. -t:`% -t:: ..�:+ •Y '� Date Owner NOTICE TO APPLICANT' fl, after making this Certificate or Exemption you should become _ . sulvect to the Workers' Compensation provsions of the Labor Code, you must forthwith comply with such provisions or this permit shag be deemed revoked. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION 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.) Side Setback from Property Line Lenders Name FINAL DATE INSPECTOR 4/6189 Issued by: Date Permit Validated by: Lenders Address This is a building permit when property filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. 1 ceAify 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 Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. a $ UNITS SLAB GRADE 2ND FL. SO. FT. YARD SPKLR SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SO. FT. ® DUCT WORK ROCK STORAGE GAR. SO, FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CAR P. SO. FT. WALL SO. FT. ® GROUT DRINKING FOUNTAIN FINAL INSP. URINAL SO FT ® WATER SYSTEM $ ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be used as property tax valuation �� ING FLOOR DRAIN MECHANICAL FEES T �v�C T 6 Jy �� ' 67 I L j (�i�,./� myR� �l } WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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 ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/.c HOUSE SEWER 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 OUND PLUM a( /'// UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 00'z Lor SEWER OR S K{� ROUGH WIRING VV 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$ _$ LUMB R G �� C _ FINAL INSP. / �� ING FINAL INSP. "f0 �fl ROOFIN VENTILATION T �v�C T 6 Jy �� ' 67 I L j (�i�,./� myR� �l } REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING SL6 MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL r Ut t Ir,E U� /1GRICUL I URAL CU,MMISSIUNER AND t IKA 115 b. 1ALASU11E5 49-613 Iiwy 06, Hulte I1-12 Cvrrchelln, CA 92236 619-342-0291 E. LIM SPAUGY co•.t��t�;tn�,cn IAMB U WALLACE ASSIStA>r r.1'a•uSStu�tn CLEMEV1 U.NVENISIE SGutn DNIE A,Av,cam. cAsc 1u. U�v�Wv1'[:1l's Iw>�t J ✓�C' �ic,c t G. e fav r ADDRESS TELL1'1101JEq � Dear Uevelopert After reviewing your lc'ii oscolihitl plawn, itll 1)1mit nviterial listed is 1lvt 3.11 violation of quarantine lows cluvembig IIIn coachella Valley. 1E subsLlLutlons do ll 1r occur acid they ditter [call nc:clerlal llsled, this office must be noLlEled �tltllediately. • Thaldc you'l:or ptvtectL)g ami pieservirlg the Coachella Valley's pest -free envimisintit. Agr ultuxal CaI1r ssioiter s�Ul [ ice— M 111dio Hold Riverside Uf [ ice Building Address Owned 1 �( Mailing Address n Z City 1 ;0. o T4hf 4'K Y. P.O. Box 1504 APPLICATION ONLY 78-105 CALLE ESTADO CA /d /L +,u Z 4 LA QUINTA, CALIFORNIA 92253 i Zip Tel. c! 1_?_ (o r ..., ' C) C . � �, . sc S L—e �10./ + . I Address Zip Tel.. r� 9z - (_ I 1 y -/2 - State Lic.City & Classif. y 7 � j c_�, I 7 Lic. # MILM, r=nyr., / Designer Address Tel. �3vY0a .2. v cf City Zip State ' C S- _? "3 y Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under. provisions -,of Chapter 9 (commencing with Section t. 7000) of Division 3 of the Business -and Profession Code, -and my license is in full force and SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for the following reason: (Sec. 7031.5,Susiness 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 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 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 knproves 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.) O I, asowner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professiors 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 Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. O 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 parson 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 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 BUILDING DIVISION BUILDING: TYPE CONST. OCC. GRP._ A.P. Number . –;7;7 . — /7 Legal Description L O Project Description %` r Sq. Ft. Size New ❑ Add ❑ No. Stories No. Dw. Alter ❑ Repair ❑ 'Demolition ❑ ,timated Valuation O ©0 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. S Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. a . /Infrastructure TOTAL REMARKS - - - +.rv.raua to ��s..< S Il f`LPLJ f i'fITAI 4 .�- •, 7'75 rt(1 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 GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ r` UNITS BONDING HEATING (ROUGH) STORAGE TANK 2ND FL. SQ. FT. SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK YARD SPKLR SYS= EM FOUND. REINF. GAS (ROUGH) METER LOOP MOBILEHOME SVC. OTHER APP.IEQUIP. BAR SINK GAS (FINAL) POR. SO. FT. ® GROUT WATER HEATER SERVICE GAR. 1440 SO. FT. ® POWER OUTLET WATER SYSTEM ROOF DRAINS GRADING cu. yd. $ plus x$ CAR P. r SQ. FT. LUMBER GR. FINAL INSP. DRAINAGE PIPING FINAL INSP. WALL SQ. FT. ® © DRINKING FOUNTAIN REMARKS: SO. FT. ® VENTILATION URINAL ESTIMATED CONSTRUCTION VALUATION $ ° FIREPLACE WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN GAR. FIREWALL MECHANICAL FEES LATHING WATER SOFTENER MESH VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINISH GRADING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED CERT. OCC. LAUNDRYTRAY AIR HANDLING UNIT CFM INSPECTOR'S SIGNATURESIINITIALS KITCHEN SINK ABSORPTION SYSTEM. B.T.U. GARDEN WALL FINAL 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 , D35 SQ. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c DO SEWAGE DISPOSAL O547T.GAR ® V4 HOUSE SEWER 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 53570 4 s°I 169'20 lZ� 30 1S 50 STRUCTURE PLUMBING ELEA47/ v� _ / 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 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 �y���' -- i1. tg. �{�,.,_ ,�yy. ,���y .. �, .. ;�_yj a c -4r:'r '+�•� — �+;t w SSG;,( n� r `2_ ` , , y .. ,��o'_ F� Tyew�+Ji��(Y`Xi""C-�1'�K�d�Jr,+iYSgr�4MK�./b'�A'�F��..,��P'"" ,$ , ���"� ��•i' r.l��i �.i���'}fi,���• RF�•..y'.•Z=�i��'MY i'1�'a .C'r*TY"�E�.rNJ�•w�d "dy i s'i p�r RECEIPT NO. Issued By Date - DISTRICT: ❑ Riverside, 15 Indio ❑ Hemet q' Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office fileYELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Aifemm Parcel No. ENVIRONMENTAL HEALTH SERVICES 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 the attached check Iiat A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. Q VERIFY ITEMS IN SECTION A FROM BUILDING 8 SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'* Z or, Contact Person Phone Address 8 Pn , W Owner `y Phone . Mailing Address city State Zip pe q Ld�raw Legal Description Prop. (PM, Tract, Lot) /J I / 2 -R /94C -S Lot Size er Agency ll,- Use of Permit P/P, CU, etc Q G2Gt.�up�A Other 5 x/ O Q �H Oe eD�v'iii Prep, etc. Data Signature of Applicant CATEGORY: REV CODE CATEGORY: REV CODE FEE ©1' SUBSURFACE DISPOSAL 1238 $45.00 ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME r (NO PLOT PLAN) 100 Z LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 O a. 1 at 4 Parcels (Each) 1238 $45.00 (Less than 1 year) U b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 Uj ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) C0 ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $45.00 Crhk al Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $13200 ❑ She Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $88.00 r TE � -n � DA Holding Tank Agreements Completed ❑ Yes a No.,.,% o Certification of Existing S.D. System Required ❑ Yes rNoN WOCB Clearance required. (Attach Form ❑ Yes fa'N0 DOH SAN 007, Santa Ana Region Only) Solis Percolation Report Required. ❑ Yes Special Feasibility Boring Report Required. ❑ Yes j6 Detailed Contour Plot Plans Required (1 to 5 R interval) ❑ Yes ■ o - Odw_ ❑ Yes 131yo Staff Specialist Lot Inspection Required ❑ Yes No Lot Inspection Date Solis boring report by Project # Date c! Soils Map Page/ B� 9 Soil Type �C.� Approved by Data U No. of Systems Ty a of System(s) Na Dwelling Units 1 (1) Septic Tank Soil Rate Grease/Send O 0 F Iglding Tank ❑O Existing BedroomepFbQEuerUnits G . Intcp ^, U LU 2) Leach LJne Sq. Ft Sidewall allowance Install - rne(s) R long ft wide with Leach Bed sq. R trench area R rock/sq. R per running tt min. inches rod* bebw•d.N ems or - area Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth Applicable 1 �-6 Inlet (BI)� `� f7l N/A Overburden factor lam` / Max. Alloyrpb� Depth No. 2 System / REMARKS: An 006 This application •-AOPDg IED 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 Z above -designed system. No construction is permitted in the required reserved 100% expansion area. a r f (1 Septic tank and sewer lines must be 50' minimum from any wells_ fUL (2� leach lines must be 100' minimum from any wells, including expansion area I Seepage pits must be 50' minimum from ny wells, includ' g expan n ar - _ i l0 r d Gl��-"o7�y Signature of Has hh Official Date RECEIPT NO. Issued By Date - DISTRICT: ❑ Riverside, 15 Indio ❑ Hemet q' Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office fileYELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records 4. • 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 (619) 564-2246 July 29, 1992 TO WHOM IT MAY CONCERN: The structure located at 51 520 Ave.n-i-darCar nar za, is located in an "X" flood zone per the FIRM Panel number 060709 0005 B for La Quinta. If you have any questions, feel free.to contact me. Sincerely, BUILDING AND SAFETY DEPARTMENT Tom Hartung Director of Building and Safety /es LTRTHI2 MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253