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04691 (SFD)Building Address Owner P.O. BOX 1504 53195 Carranxa 78-105 CALLS LA QUINTA, CALIFORNIAORNIA 92253 Coachella Valley Land BUILDING: TYPE CONST. OCC. GRP. Address 247 E. Tahquitx War 02 A.P. Number 774-045-021 City Zip Tel. ?alta sur1,nan 92262 322-1020 Legal Description Project Description S . F • D • Contractor Starr Construction Address S City Zip Tel. State Lic. 387934 & Classif. City 895 Lic. # - Sq: Ft. 1404 No. No. Dw. Size Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 430' Gnrave 1701 61 wood fenca 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 u.....iti.:;/44/7 ! ,�A SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following (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 rile 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). O 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 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 or sale.) 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.) O 1 am exempt under Sec. B. & P.C. for this reason Estimated Valuation $75, 505reason: PERMIT AMOUNT Plan Chk. Dep. +i� • Plan Chk. Bal. 4 • Const. 364 U5 Mech. JJ.vU Electrical Plumbing ws • AJU S.M.1. 5 • .� Grading 1rJ • VU Driveway Enc. ::i1 • t)U Date Owner Infrastructure I I ONO • b6 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. O Certified copy is hereby furnished. TOTAL j 61UV • 7D 1 REMARKS CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE .:.'.w i ti. i -A.. 't :.-11 4.. 4 .-211...... ., •.i (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 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. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line 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.) Side Street Setback from Center Line Side Setback from Property Line Lender's Name FINAL DATE I1 SP!�CTO / Ilsd 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. Issued by: Validated by: Date Permit Signature of applicant Date Mailing Address Validation: City, State, Zip 1 WHITE - FINANCE, PINK - APPLICANT, GREEN : BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE - __� .a..,P._-..:...:1-..i:.i..:,(s+sia_..-..u�itLa.:-i-:!�::.aL---�,—�—.�:_.��,•=''-sb�:a-�x—''ib^.:.Slin..�...�.r,._.:..,..e�,1.5efo._'..i1i .s�:..r_�.. .. _.,.. _... ......... CONSTRUCTION ESTIMATL NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO FT y S UNITS COLL. AREA 2ND FL SO FT. sg ROUGH PLUMB Y ARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POR SO FT 0 SEWER OR SEP000"` ROUGH WIRING GAR SO. FT. a POWER OUTLET ROOF DRAINS FOUND. REINF. GAS (ROUGH) DRAINAGE PIPING CAR P. SO FT. 6 HEATING (FINAL) OTHER APP.IEOUIP. WALL SO F7. (d GAS (FINAL) DRINKING FOUNTAIN SO. FT. d URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER HEATER WATER PIPING NOTE' Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOKDISHI APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRYTRAY AIR HANDLING UNIT CFM O` � � 0 � � � .!J / �., r— / �� 1; p 1KITCHEN 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 (p 114 c SEWAGE DISPOSAL GAR. FIREWALL SO.FT.GAR 3/� c HOUSE SEWER GAS PIPING PERMIT FEE MESH 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 GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEP000"` ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. 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. FRAMINGz -y- FINAL INSP. ROOFING O` � � 0 � � � .!J / �., r— / �� 1; p � ,� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE 'SPARK ARRESTOR GAR. FIREWALL MESH ( 4glNSULATIONISOUND FINISH GRADING _ FINAL INSPECTION ' CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS , GARDEN WALL FINAL �Uf R\ A Off ICE of E. LEON SPAUGY �COV�tlS ? , , s AGRICULTURAL CO1AMISSIONLH ilO`Eq a �I 1ANIES o WALLACE �o ASSIStANt rhN�tISSWAP. � AND " 'r' rl WEIGHTS & MEASURES S CLEMEV1 BENVEhISTE � SUtEq il' 49-613 IlwY 86• suite 8-12 ,�°�.•„ •,,,e••'7 'Coachella, CA 92236 4 ► v, 1 6q 619-342-8291 .t Na - DAIS 1 l I gl�� CASE M. Y�-`e�t�LG.,10 I)ML PER' S HAMS t S T R R R G ©..1 s-r-lezx c r, sa AJ ADDRESS t T".,d/,/Q u r T z W'a`r 2 P A LM S ,P 12 / .c1 & S dl cJ 7- 2 4, 2, TE1 1'1(ortE, t /g1 32 2- .- in 2,o Z / Dear Developer,? 7 74 .- e � ��- o 'x - After After reviewing your landscapitng plans, all plant material listed is not in violation of quarantinne laws govembig the Coachella Valley: If substitutions do occur and they differ frun plant'nuterial listed, this office must be notified Imnediately. Thank you for protecting and pteserviutg the Coachella Valley's pest -free environment. Aq#cultural CamEissioner's office cce Indio and Riverside office D I Ci z O U w M z O P U LU W Cl) ]e CC Q Z> W �P O Gt,;Cn COUNTY OF RIVERSIDE, DEPARTMENT OF HEALTH -7 7 0 110 r 0 a. _ ENVIRONMENTAL HEALTH SERVICES DIVISION i 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 $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.) 7-4 Ae °�D.rJS r19- ZL t� J to Mailing Address y7 C l AgQ" /7 e- Ltd q Z/ City PA a /tJilss state d4 1 Zip Code lam'Z z,. fir. Telephone Z 7 - 'Job Properly Address- 'Job Ale,V ; ty o 6omrapnrtyv-. 'Legal Description of Properly (Lot. PM. TR)T z et a .��� Z. ,ct X a Qu.. v r a icy ,Q �' 2 z r ur v 'Assessor's Parcel No dNate�Agency well^' 4Ci rem X11 I �Z� / Use of Perm(/ (,�/ Ian ng ase M Lot Size f l,y 7744 aVS_ 02 / M. 1'—' SFD. MH Site Preparation Etc � G.4 J� / Signature of Applicant Date 'The above information must be verffied from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date ef Certification of Existing S.D. System required. ❑ Yes IJ N t� la ' �' WOCB Clearance required. ❑ Yes [2 I Xz Soils feasibilit Y P q re ort required. ❑ Yes Special feasibility boring report required. ❑Yes _ �,% Detailed contour plot plans required. El Yes l� o Staff Specialist approval required. ElYes Lot Ins<ection Date Soils/boring report by Project N Date Soils Map Page F Soil Type Od/ Approved by Date Type of System: (I No. of Bedrooms (1) Septic Tank 'Soil Rate Required r ❑Existing CJ'New ❑Additional ❑ Replacement f:'"�T• Gals. (2)each line sq. ft. Sidewall allowance Install____'!!! _ ine(s) Ft. Long, ` Leach bed Sq. ( trench area) ft. rock/ � Sq. Ft. Ft. widewith i _nches Ft. of bo'tto per running ft. N/A rock below drain lines area Leach lines/bed-special design for slope: p g p (3) Pit Diameter No. Pits Pit BI / .w Seepage Pit total depth Applicable -- * e / Max. allowable depth N/A Overburden factor 11� / '�'�--'�� ✓� f3 . . ,/rte r �.. rj. /.: �.- .��a� � TYu �/� ?- �.,-. � c.�-c.�.,� This application i pproved/d ,hied.for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set fort in Section B above. A building permit is necessary for.the installation of the above -designed s stem. L -*7a f �'► '� S� ..4.7" S (1) Septic tank and sewer lines must be 50' from any wells -00 � _ � Gi •� / f 2. Leach lines must be 100' min. from any wells including expUnsio/area (3) Seepage �pits must be 150' min. from any wells including expansion area � "7 1,10a a / Signature of Health, official Date • ��� RECEIPT NO. T dl Issued by /&(/A— Date /a District: ❑ Riverside ❑Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 4/88) N rp/ Of Building Address Owner T&t " P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO a LA QUINTA, CALIFORNIA 92253 Mailing tt Address oZ y!7 �' Tim/�4 t,i z W.4 Z City Zip Tel. 91414f SP/z/vc,.s z i 4, z 3 z z- i o Contractor 'T-24 & A�1, t!' Address ILDING: TYPE CONST. OCC. GRP. P. Number X741- O 4/ sem— 4OZ. / gal Description Rek Z D 46 A"1-1 / oject Description ,- 5, AJ u/— City Zip Tel.. State Lic. City & Classif. 39 I,-? 4,!':- Lic. # 8SS— Sq. Ft./�O Stories / Units Arch., Engr., Size Designer New,K, Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 1/91-7 AV City Zip State o'70 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of dapter 9 (commencing with Section 7000) of Division 3 of the Bdsiness and Profession CoQe, and my license is in full force and effect. �i/ /../n. 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 Estimated Valuation `� S PERMIT AMOUNT Plan Chk. Dep. tip 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 Plan Chk. Bal. Const. p 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. 9 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 Electrical y . t7 Plumbing O� S.M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O I am exempt under Sec. B. t: P.C. for this reason Grading Driveway Enc. 4!)p Date Owner Infrastructure WORKERS' COMPENSATION DECLAR 710N 1 hereby affirm that I have a certificate of consent to Ilf-in;ure, q a certificate of Worker's Compensation Insurance, or a certified copy there. (Sa'd�3�00VLabor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ 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 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 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 REMARKS 005182 id 2220 10-rS-int is 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 FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SO. -FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. OTHER APP.IEOUIP. DRINKING FOUNTAIN SO. FT. ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. 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 GAR. FIREWALL SO.FT.GAR ® 3/ac HOUSE SEWER LATHING 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 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HE (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) 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