003089 (BLCK)i
P.O. BOX 1504 No. 003489
Building 78-105 CALLE ESTADO
Address 53-2651 Avenida Harrana8 LA QUINTA, CALIFORNIA 92253
Owner
Coachella. Valley Land Co.# Ltd,.
Mailing BUILDING: TYPE CONST. OCC. GRP.
Address 732 WilliaMs Road A.P. Number 774-075-013
City Zip Tel.
92262 322-1020 Legal Description
Contractor Project Description Plan •C"
Address
732 Williams Road
City Zip Tel.
Palm Sorinas 92262 322.1020
State Lic. City
& Classif.Lic. # Sq. Ft. 1535 DWGNo. No. Dw.
A--iR 71
Arch., Engr., Size dll� �IRStories Units
� -
Designer New 14 Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
_ LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
�f 7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE _ DATE .
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following $79,889.00
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, after, 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 PERMIT AMOUNT
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. Dep.
subjects the applicant to a civil penalty of not more than five hundred dollars ($500). - !M9.74
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 373.00
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, Mech. MAO
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 Electrical 7'� a1�
of proving that he did not build or improve for the purpose of sale.)
O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
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. Sj'7
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading 2n„(}n
O 1 am exempt under Sec. B. & P.C. for this reason
�. Driveway Enc. 20.00
Date owner Infrastructure 21$4.36
'WORKERS' COMPENSATION DECLARATION
1 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. ❑ Certified copy is hereby furnished. 4'2135.08
TOTAL fly
CERTIFICATE OF EXEMPTION FROM REMARKS
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 ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
—
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 Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECTOR
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. Issued by: Date 411±1A -
agree Permit
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. Validated by:
Signature of applicant —Date—
Mailing
ateMailing Address Validation:
City, State, Zip
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. p $
UNITS
-- _
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
OTHER APPJEOUIP.
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
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.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
?46uTBACK 6 —L1 '465ROUND
PLUMBIN �
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE G /_
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
�'/e/KDRMS .- C/ — I
WER OR SEPTIC L
O
ROUGH WIRING
DUCT WORK
ROCK STORAGE
���OUND. REINF. �7��1 _g )
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$
_$
LUMBER GR.
FINAL INSP.
RAMING7 N,
FINAL INSP.
OFING 6/'2
r vv,,
Oey LV(/a(G /VAi �G.� 1000'
)1'
�vt
�
e �
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 27 r
MESH
J
INSULATION/SOUND ( , V,-;
- FINISH GRADING
FINAL INSPECTION
CERT. OCC.
..FENCE FINAL
' .
INSPECTOR'S SIGNATURESIINITIALS,
_
GARDEN WALL FINAL
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
SCHOOL FACILITY FEES
TO: City of La Quinta DATE: s��IP7
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
i
This is to certify that
which is
developer of
within
located at Cox
this District, has paid school facility fees imposed pursuant to the
authority generate by Government Code Section 53080 n the amount of
covering total of // Si/ square feet of ( ��res>dent>al or
( ) industrial/commercial development and that building permits for
this footage in this development may now be ied by your jurisdiction.
o for DESERT SANDS•UNIFIED SC OOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
# taw- 7/p, /3ab (10)-37
STEWART TITLE
COMPANY OF RIVERSIDE COUNTY
700 E. TAHQUITZ-McCALLUM, SUITE H • PALM SPRINGS, CALIFORNIA 92262
(619) 320.1101
April 21, 1987
City of La Quinta '
P.O. Box 1504
La Quinta, California 92253
ATTENTION: Jerry Herman
Dear Jerry,
As per our conversation this date, please be advised
that a search of the records reveals that none of the adjoining
lots included on the attached. Exhibit "A" have ever been merged
and there should be no problem issuing building permits on each
lot.
Very Tru Yours,
//.R. "Sy" DANIELS
President -
Desert Division
r
�l
EXHIisIT "A"
PARCEL A:
Lots 11 and 12, Block 207 of SANTA CARMELITA AT VALE LA QUINTA UNIT
N0. 20, as shown by Map on file in Book 19 page 38, of Maps, Records of
Riverside County, California.
PARCEL B:
Lots 1 and 2, Block 223 of SANTA CARMELITA AT VALE LA QUINTA UNIT .
N0. 21, as shown by Map on file in Book 20 page 22, of Maps, Records of
Riverside County, California.
PARCEL C:
Lots 1 and 2, Block 254 of SANTA CARMELITA AT VALE LA QUINTA UNIT
N0. 24, as -shown by Map on file :gin Book 19 page 44 and 45; of Maps,
Records of.Riverside County, Caliornia.
PARCEL D:
Lots 1 and 2, Block 308 of SANTA CARMELITA AT VALE LA QUINTA UNIT
N0. 28, as'shown by Map on file in Book 19 page 59 and 60, of Maps,
Records of Riverside County, California.
PARCEL E: ,
Lots 23 and 24, Block 261 of SANT:'_ CARMELITA AT VALE LA QUINTA UNIT
N0. 24, as shown by Map on file in Book 19 page 44 and 45, of Maps,
Records of Riverside County, California.
PARCEL F:
Lots 17 and 18, Block 312 of SANTA CARMELITA AT VALE LA QUINTA UNIT
N0. 28, as shown by Map on file in Book 19 page 59 and 60, of Maps,
Records of Riverside County, California.
PARCEL G :
Lots 4 and 5, Block 190 of SANTA CARMELITA AT VALE LA QUINTA UNIT
N0. 19, as shown by Map on file i:: Book 19 page 33 and 34, of Maps,
Records of Riverside County, California.
PARCEL H:
Lots 5 and 6, Block 157 of SANTA CARMELITA AT VALE LA QUINTA UNIT
N0. 16, as shown by Map on file it Book 18 page 99, of Maps, Records of
Riverside County, California.
0
Z
O
H
U
LU
rn
W
Z
O
1—
U
W
CO
Y
cr
Q
2
W
M
U
Z
O
I-
U
W
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.
Building Department Application Log #
Name (Owner, Agent, Contractor, Etc.)
STA.Q,� C0A,, �O.
Mailing Address
73Z �1J/LL/ASS �cAD
City
State
Zip Code
Telephone
IPA 4-^.,.
32Z-�o7o
'Job Property Address
F
'City or Community
/
v/rvT4
Legal Description of Property. (Lot, PM, TR)
c�Z, 'Z/
r�
,4e'l
.ZV
Assessor's Parcel No.
Water Agency or Well
s�O
Lot Size
e0.44 G N E'Z_LA-
Use of Permit Planning Case #
-774 - ops- 0i3
�
l/�}(� ,�V/y
SFD, MH Site Preparation Etc.
x
X
/L O
Sig ure-of Applicant Date
'The above information must be verified from Building Application
STAFF USE — DO NOT WRITE BELOW THIS LINE
`nitial \ Date
Certification of Existing S.D. System required. ❑ Yes ❑1 No L l •' ^ l� r'' `
WQCB Clearance required. ❑ Yes No i
Soils feasibility report required. ❑ Yes No
Detailed boring report required. ❑ Yes No
Detailed contour plot plans required. ❑ Yes No
Staff Specialist approval required. ❑ Yes No Lot Inspection Date
Soils/boring report by ti I -R Project # Date
Soils Map Page Soil Type Approved by Date
Type of System:
No. of Bedrooms
(1) Septic Tank
Soil Rate Required
❑ Existing ZNew ❑ Additional ❑ Replacement
t��1x
t -� Gals.
(2) Leach line sq. ft.
Sidewall allowance
Install Line(s) Ft. Long,
Leach bed Sq.
(Bottom trench•area)
ft. rock/ _ Sq. Ft.
Ft. wide with min. inches
Ft. of bottom
per running ft. ❑ N/A
rock below drain lines
area
Leach lines/bed-special design for slope:
(3) Pit Diameter
No. Pits
Pit BI
Seepage Pit total depth
Applicable
❑ 5' 13 6'
'
Max. allowable depth L( O ,
N/A Overburden factor
1 '
{SCI�,ASI 1 '( ,AX C1
This application is'approved/denied 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
(2) Leach lines must be 100' min. from any wells including expansion area41
(3), Seepage pits must be 150' min. from any wells including expansion area K�
Signature of Health Official Date
RECEIPT NO. L U Issued by—
District:
y District: ❑ Riverside B'Indio ❑ Hemet ❑ Perris ❑ Rancho Calif.
Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept.
DOH -SAN -122 (Rev. 6/86)
Date 7
❑ Blythe
GOLDENROD—Pending File
G�