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11746 (SFD)�a r P.O. BOX 1504 No. 1.1746 Building 78-105 CALL -E ESTADO Address 51--590 Carranza LA QUINTA, CALIFORNIA 92253 Owner - W.ES . OB ve lopment BUILDING: TYPE CONST.. OCC: GRP. Mailing Address P.O. Box 1657773-125--005 A.P. Number City Zip Tel. Lit. Quinta, CA 92253 564-5154 Legal Description Lot 20 Block 55 ContractorProject Description $P� Stockman Htimes Address. . P.O. Sox 1657 iy Quints, Cid rik253 Tel.:564--5 .54 State Lic. City & Classif. B'-1 642346 Lic. # 2534 Sq. Ft. 1680 No. No. Dw. Arch., Engr:, Size • Stories Units Designer Studio 4 New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Permit does, not indlude black .walls or City Zi State Zip pool. Lic. # /"r R LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under Provisions oof Chapter 9 (commencing with Section ' j 7000) of Division 3 of Business.and Professions Code, and my license is in full force and effect.. ♦ `� SIGNATURE -f'•- DATE OWNER -BUILDER DECLARATION' I hereby affirm that I am exempt from the Contractors License Law for the following Estimated Valuation $99,664.00 reason: (Sec. 7031.¢,8uslness. and Professions Code: Any city or county which -requires a permit to thconstruct, alter, improve, demolish, 'or repair any structure, prior to its issuance also AMOUNT requires e applicant for 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)'o/ Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, 'and the basis /or the alleged exemption. Any .violation of Section 7031.5 by 'any applicant for a permit Plan Chk.'Dep. y st subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. BBI. 528. 5 1:11, 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 Const639 • 50 Professions Code: The Contractor's License Law does not apply to .an owner o/ property who . - - t, builds or improves thereon and who does such work himself or through his own employees, Mech. `" 6V . 00provided 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 Electrical 1154 o/ proving that he did not build or improve for the purpose o/ sale.). - O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 109 . 50 struct the -•project. (Sec. 7044, Business and Professions Code: The Contractor's License Law • yy fl 0fl 0f� does not apply to an owner o/ property who builds or Improves *thereon, and who contracts for • S.M.I. 10 • such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - �i 0 • 0 0 Grading 6 L ❑ 1 am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure 2,204. 10 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 O Copy.is filed with the city. D Certified copji§ hereby furnished. % 1 TOTAL 3 ♦ i3 to • 5� CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the permit is for one hundred dollars ($100) valuation or less.) - I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subJect to the Workers"Compensation Laws of California. Date_' Owner NOTICE TO APPLICANT: If, after making this Certificate o/ Exemption you should become subject to the Woikers' Compensation provisions of the Labor Code,' you must forthwith comply with such provisions or this permit shall be deemed revoked. ' CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) ' Lender's Name Lender's Address This is a'building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city' to enter the above-. mentioned property for inspection purposes. - Signature of applicant Date Mailing Address City, State, Zip REMARKS 9— ' 1V '.,,•$YrfYY $ Y JiY'Y L. 2 v4�°�cr. :.. 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 FE E$ 1ST FL. SO. FT. ® $ UNITS ROUGH PLUMB. 2ND FL. SO. FT. STORAGE TANK YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. ® REINF. STEEL DRAINAGE PIPING WALL SO. FT. DRINKING FOUNTAIN. SO FT ® SERVICE FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation LUMBER GR. FLOOR DRAIN MECHANICAL FEES C isi ((( e�� Wag -Umtx$ ( � to I� 5lv c ,/ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING : LAUNDRYTRAY AIR HANDLING UNIT CFM FIREPLACE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMIPERM LAVATORY r 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 ® 1+/a c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac 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 GROUND PLUMBING �L �J UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 1 SEPTIC TANK t ROUGH WIRING, DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE tq 3 !! GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. GRADING FINAL INSP. /Z cu. yd. $ plus x$ =$ LUMBER GR. FRAMING Q ROOFING 4l(� J C isi ((( e�� Wag -Umtx$ ( � to I� 5lv c ,/ D / Q 19»Jq D I I( 'd REMARKS: VENTILATION FIRE ZONE ROOFING : FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND l8 3 FINISH GRADING FINAL INSPECTION 31 CERT: OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL ti i -of WA Tit�1 of Ila (Quinta jluitbini� dlib SafPt� 13Iit,i,�:4jiDri This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: HlliLDING ADDRESS 51-590 Carranza Use Classification Single Family Dw _1 1 i ng Bldg. Permit No. 11.7-46 Group R3 Type Construction j.jN Fire Zone Use Zone SR Owner of Building WES Deye lobmen Addressy _ n _ Rnx 1657 City a oui,g By; Mark Harold Dote: March 22, 1993 Building Official POST IN A CONBYICUOU! PLACE DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 1/19/93 No. 111968 Owner Name Type of Permit WES Development No. 51590 Street Avendia Carranza City La Quinta Zip 92253 La Quinta Permit # Log Study Area 111 APN # 773-125-005 Tract # I J Lot # 20 Square Footage 11680 Type of Development Single Tamily 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 bgen 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 1.58 x 1680 or $ 2,654.40 have been paid to D.S.U.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 Stockman Homes Telephone 564-5154 . Name on the check By James E. Lively i Assistant Superintendent, Business Services ; Fee collected /exempted by Vickie J. Durrett ; �3 Payment: Received V Signature 17' �- ".Check No. 132 Collector. Attach a copy of county or city plan check application form to distri.ct.copy for all'waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting tam rq Z O Ir - 00 W U) CD X Z O U W U) 0 Z LLJ� COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY 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 the attached check list. 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. /1 4kX �xl 1110_11-93 1-:29CO03 %t 6 LOG # +, 14 ✓4 VERIFY ITEMS IN SECTION A FROM A NON -FEE BUILDING & SAFETY (goldenrod)' APPLICATION Agent, Contrador, Contact Person Phone Address City State Zip Fkliz_-oE acv_ S64 Sk 0,6o,A 1G-57 " - n C.PW l Ownerj Phone Address City State Zip R t� ` i> gt'17 t I '` Z Job Property Address Aver Cifj'E/ro `lN State A Zip �i Legal Description Prop. (PM, Tract, Lot) -t _B a�.- �t•S�c7�iz�z-- Qv % wry C Zz53 Lo 2-0 (, o C_ K � S . Lot Size "Water Agency%Well Use of Permit PIP, CU, etc. T�Y� ►J C� Other 9.4Wr,4 4t-1 I wllingM rC UN45 /1 (,IA L CA CJCJrir/ -, AA-ac"s I . 1!(,, 3 Si' • lure of Applicant bale CATEGORY REV CODE FEE CATEGORY REV CODE FEE • SUBSURFACE DISPOSAL (per system) 1238 $153.00 ❑ SITE EVALUATION UPON REQUEST 7349 $120.00 ❑ MULTIPLE PARCELS WITHIN SAME LAND DIVISION (NO PLOT PLAN) ❑ SEWER/SEPTIC VERIFICATION 7348 $ 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 C3 ALTERNATIVE EXPERIMENTAL SYSTEM 7345 $656.00 ❑ GRADING PLAN REVIEW DETAILED 1238 $104.00 p 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 z Holding Tank Agreements Completed ❑ Yes '2o Certification of Existing S.D. System Required ❑ Yes j( WQCB Clearance Required ❑ Yes 0 -No t (Attach Form DOH SAN 007, Santa Ana Region Only) j o li Soils Percolation Report Required ❑ Yes ❑ No ' Special Feasibility Boring Report Required ❑ Yes Q, Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes 9 No Grading Handout Provided ❑ Yes ❑FNo tt� -No 1 Staff Specialist Lot Inspection Required ❑ Yes 121 Maintenance Booklet Provided ❑ Yes ❑ No Lot Inspection Date Initials C/42 / Soils Percolation Boring Report by Lic/Project # Date /�r, Soils Map Page 111,17/0 Soil Type eAIC Approved By /tZ, Date # No. of Systems Type of System(s) No. Dwelling Units(# j (1) Septic Tank Soil Rate Gres an ❑ Holding Tank ❑ Replacement ❑flew ❑Addition# Bedrooms, Fixture -Units r3i7�� % /� !t�•w Grent, /UntTrap ss et ( ❑Existing v Gal. GL7•.4ral.1�d{ Gal. , A , \Sq. Ft. Total Linear Ft. Sidewall Allowance Leach Bed sq. ft. B:Ka h. rock/ sq. ft. per running ft. Install +�-_ Line(s) ft. long ft. wide with min. "Inchesrock benes or -of.Bottom Area Inlet Tested Depth FNA Proposed Bottom Tested Depth �- Leachlineslbed special design for elope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth (TD) ^" F / 'Other: Applicable / Inlet (BI) ,� N/A—_Overburden Factor ,,,,pts p g � � / Max. Allowable Depth r Well Review Approved: Signature Date Well Drilling Permit # Grading Plan Approved: Signature Date REMARKS: This application is APPROVED/DENIED•for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated "oip'I on the accompanied-pting the requirements set forth in SECTION_C Aboye. A building permit is necessary for the installation of the above -designed system No construction is permitted in the required reserved 100a/o expansion area �(1) Septic tank must be 100' minimum from any wells / f rf°?- .�� (2I Leach lines must be 100' minimum from any wells, including expansion area Seepage pits must be 150' minimum from any wells, including expansion area v r (V / 11 ` 3- Signature of Health Official '9 Date RECEIPT NO. 365-0 DISTRICT: 0 Riverside ElCASH ©HECK NO. 162 b' Issued By / Date " Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH-SAN-122(Revt/92) DISTRIBUTION: WHITE—OHice file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Plans/Records oMer'•YRQ••••+: •MTM••t••Yq:MT•y.•✓�M1...•.ai..\.•ry.wlYi•fa+.b•OC...I•••✓Y 6G•rf•MNf•Vi•�•O'f'• • • f• � 1;Jgft(YI.[•4/.MV'.✓lJ•�••v.1.•>.r.iM✓.r\.. 1.•.P'�tLW 1s'M1.O•e••»�•• 43CF-P A 1�4 ��c• s'Epn� r�ic - PLOT PLAN tA DATE:SCA LS AJ 2.15.93 ' '� ewV�• ". area%..a�.�� ew.s•-,r+.. avr wrt••,•-r....an•..r.........-..•.♦.n..:. ..•n :.. .,_�: ..w...•n.••.:,.v.. .. -. .. •r••.• .•. c•.•..••: w.....•:.,: �c¢sa.r.-c-.•.vos.r.r�r..... .. .. •.r.••s.......-e-.. ,r... • i t 1�4 ��c• s'Epn� r�ic - PLOT PLAN tA DATE:SCA LS AJ 2.15.93 ' '� ewV�• ". area%..a�.�� ew.s•-,r+.. avr wrt••,•-r....an•..r.........-..•.♦.n..:. ..•n :.. .,_�: ..w...•n.••.:,.v.. .. -. .. •r••.• .•. c•.•..••: w.....•:.,: �c¢sa.r.-c-.•.vos.r.r�r..... .. .. •.r.••s.......-e-.. ,r... RW IDS COMW 0RPAffMWT OF i>rUBLX HEALIN IOD OF EWMWENTAL HEALTH Food Establishment �x - Sewaga Disposal Trailer park Bal. Salic Tank !hotel, Apt., hotel ..� Dwelling A44}c. Sq. Ft. 91 Lcj3ch Line / x ZI Z Com=it :'ii Building Cwncdian to wirer Smwirnraing lt'sl No on-site reganemtirig tva�3;r :r al. -IS clutica, irsy bv dirNsu w hi into tho lldivie;.ial sewage disposal V systeem herwith apxxr:zd Y4th-,g C's.',r� �u3 fro.zn Cfn °rat? iklard. J W-ateY : S I.v ,, �? u�oa i:. i, : '� P t' (�C[ �vt�.,w�.�.'O�, frig � tl:. �',':�::3 F".3 i; r,. � af'':"•.:i .s�,.eFSl.''. Ali wv2 di§' iii t n i` ti >ti ;P d Vitiii r'�F�F:Y<r:d..?i?W cf �a rcarit LII�I4lNlf1 crib (lode. Arty ouftimig �rFdii5tR {, Fer INA,i iy inC=�F'n s ,': P F m� Y (4) will nuliNy stu'c4pagn di s -si a�;�i�ryV&I. �— Appmval leas be& -i o' "airicd tram L%a (a„ wal Vrazz Luellbt1 i-;ratrcl to rd for insteila-ion of the sewage dispel syz!cw. This Is to certify th„t the Riverajo County D pa mens 91 P. .0 Hedth approdw for a9.Wp3nqj construction )r nstall>i ;on the ltemrs(s) :chechad above. �. 3 10 �C 4ete ✓� �� Q� By ice. W FROM ANY URefi � ��T�:Y: r / ! f J, ,t &V OC `vt. S�. A i+J�$7G7 rued be Ityp ft. iMai•lr.�i�?Y;� el �C4 :s4 7Lx i r. x ey 't e� L 6 k�"r,.5'vatrCd.�+;wlc� t'F°, QY(�A N^..a• 1'�,^S a1 �'T. `.�J �'u �i �:1 M. P�q,. p�j ! 10dApproval of these pians by the DepAtItMent of !'taW% Ukaife of Riverside Cotmty does not relieve the Engin. per •nr Ar¢hiteet by the ret:ponsibility for the Finginnb fts ex Archibe twal desiwW' ,