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04333 (SFD)4 P.O. BOX 1504 Building S3-0-1.5 Carranza 78-105 CALLE ESTADO Adriracc LA QUINTA, CALIFORNIA 92253 Owner Coachella Valley Land Company BUILDING: TYPE CONST. OCC. GRP. A.P. Number 774-043-'015 Legal Description Project Description • E • p • Mailing Address247 E. '"alliquitz 'duty, #2 City Palm Springs Zip 1 92262 Tel. 322-1020 Contractor Starr Con4tructi.on Address Satires City Zip Tel. State Lic. & Cla sif. 387^34 Cit Licy# 8951410 Sq. Ft. Size No. No. Dw. Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 1701 61 woad fence 4281 GarBQe City Zip State Lic. # 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. a. t .s r,' >�[ r -�� r �'• �% A/Z70 1 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,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 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). ❑ 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 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 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.) ❑ 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.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Estimated ValuationG f[AC 75 r 5O5 PERMIT AMOUNT Plan Chk. Dep. $250 • 00 Plan Chk. Bal. 39.14 Const. 364 0 i Mech. •y, Q� •7 Electrical 74 .17 Plumbing 105 .00 S.M.I. -5 .36 Grading 20 • (){� Driveway Enc. 20.00 Date Owner Infrastructure 11698.85 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 theregf?):, a 3800, Labor Code.) Policy No. Company V frt..6 ❑ Copy is filed with the city. O Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation Of less.) I certify that in the performance of the 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. 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 properly for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip REMARKS 9a -R *v ino �-{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 jINPEC OR 9122) Oki; Issued by: Date Permit Validated by: Validation: 1 WHITE - FINANCE, PINK - APPLICANT GREEN - BUILDING, GOLDENROD - ASSESSORS OFFICE HARD COPY - FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO F1 p $ UNITS COLL. AREA SLAB GRADE ROUGH PLUMB YARD SPKLR SYSTEM 2ND FL SO FT. a HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR SO FT. at ROCK STORAGE FOUND. REINF. GAR SO. FT. tG POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APP.IEOUIP. DRAINAGE PIPING CAR P. SO FT. 6 EMP. POLE WALL SO FT. @ DRINKING FOUNTAIN SO. FT. a URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES =$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTONDISH) 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 SPARK ARRESTOR SO. FT. c WATER HEATER MAX. HEATER OUTPUT. B.T.U. SO. FT. RESID 14. c SEWAGE DISPOSAL hJLTHING SO.FT.GAR rg 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 8 AIR COND. SOLAR SETBACK ROUND PLUM BIN a�- 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.IEOUIP. REINF. STEEL GAS (FINAL) EMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus xE =$ LUMBER GR. FINAL INSP. FRAMING/6— FINAL INSP. b/�DOFING% —�^�Y �` /< -T-6���� V ! `�—!(—�� / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL hJLTHING MESH NSULATIONISOUN G� -PI FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESJINITIALS , GARDEN WALL FINAL 2 Z O H U LU 0 To Z O 1— U LL] U) Y Q W RIVERSIDE, HEALTH SERVICES COUNTYPERMIT DSYSTEM '77V- Y� Q %1 PLICATION TION FOR A SUNMENTAL APF BSURFACE FACE SEWAGE DISPOSAL 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. Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) / Mailing Address City LM � PR/vas Slate e.4 Zip Code Y2G Z 1 Telephone ,3a Z-i0zo 'Job Property Address �'CIyNor,'Golunity. 'Legal Description of Property. (Lot, PM, TR)-- R; S3 © I/ Jr Ga`4A0.4Az.4 1rvrA- 4or.�,3 3tA-1 Z2 1 u,uir Assessor's Parcel No.- Water'Aglency r -Weil J4 7-e 4, / / �"Y Use of PermPI /I �?l��w 1, -1 Case # Lot Size 7 -7 — Dor— Q / t 1 �� rw �� �,.. tc. SFD, MH Site Preparation Etc.- Signature of Applicant Date Signature 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date %- Certification of Existing S.D. System required. ❑ Yes ©`No/ 1 %�i!/�( WQCB Clearance required. El Yes "IN r Soils feasibility report required. ❑ Yes ©N off, Detailed boring report required. E) Yes ©ANO Detailed contour plot plans required. ❑ Yes 0 No/ t Staff Specialist approval required. ❑ Yes Ellklo Lot Inspection Date Soils/boring report byProject # Date !� Soils Map Pagel/t-/1 I Soil Type (f Approved by L! -f Date Type of System: ('New ❑ ❑ No. of Bedrooms -y (1) Septic TankSoil /W%als. Rate Required y El Existing Additional Replacement J Gy;. (2) Leach line sq. ft. Sidewall allowance Install_..- _ Line(s) Ft. Long, Leach bed Sq. (Sotto tr�n ench area) ft. rock/ Sq. Ft. Ft ith..rpin. inches Ft of•bottom \\ per running ft. C •t A rock below drain lines `�"� area ""- Leach lines/bed-special design for slope: Applicable !K (3) Pit Diameter/ No. Pits �,� Pit BI Seepage Pit total depth N/A_ •Overburden factor a , 0�5 y- �[ ! T Max. allowable depth ,��� //©6 This application is a� ro ed/ enied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section B above. 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 ry - +� 7 -tZ.47 (2) Leach lines must be 100' min. from any wells including expansion area (3" Seepage pits must be 150' min. from any wells including expansionLarea .it/ ���.rr� %.,r% ..+ lig � s-�i %-�� ,�'.ii � � • -: - �� --� � ;�! r Signature of Health Official r, Date RECEIPT NO. 3 9' -3, 6 Issued by Date �" n District: ❑ Riverside O'Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE -Office file YELLOW -Applicant PINK -Bldg. Dept. GOLDENROD -Pending File DOH -SAN -122 (Rev. 6/86) fy� 7— o t R Oitlf_E Of E. LEON SPAUGY AGRICUU1 URAL COMMISSIONER )AMS O WALLACE AN ASSISIAM CIP-IMMIONER ' '" CASURES CLE>1ENi EiE`VE:SISIE WE�GI ITS b t -( V � � � Y ►.) SL�E[R 49-613 Ilwy 86, Suite II -12 ' °�...�.•'' 'Conchelln, CA 92236 eq 619-342-8291 DALE tom. 20 LI '? CASE DEVELOPER'S MiE: f /� Vt� IV 5��� C-� `��J ADDRESS t o�--[ % 1f� �" ^�' ' L Z '1'ELEPI IONEt ((P(j) Dear Developers After reviewing your landscaping platls, all plait material listed is ltot i_n violation of quarantine laws goverl big the Coachella Valley. ' If substitutiolts do occur and they differ frun plant mterial listed, tills office must be notified inttediately. . Thank you for protectiltg and preserving ttte Coachella Valley's pest -free envirolvttent. Agr ul'tural Commissioner's OLEice cc: Indio and Riverside office