003075 (SFD)4 44
hf Q914a '
P.O. BOX 1504 No.. 003075
Building 78-105 CALLE ESTADO
Address 53--295 Avenida Carranzs LA QUINTA, CALIFORNIA 92253
Mailing
Address 119
City Zip
Palm Springs 92262
Contractor
. . Starr Construction
Address
732 Williams Road
Pal. Springs zip 32252
BUILDING: TYPE -CONST. OCC. GRP.
A.P. Number 774-075-014
Tel. t 2. Block 222t Unit 21
322-1.020 Legal Description
Project Description Plan "A"
Tel. .322-1020
State Lic. I City
& Classif. A-387934 Lic. # 751
Arch:, Engr.,
Designer
I Sq. Ft.' 1430 DWG No.
—{Size 428. GAR Stories
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
rI 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.
SIGNATURE '-' DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
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 fife 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 thathe 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 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.)
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
Date Owner
WORKERS' COMPENSATION DECLARATION
1 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. ❑ 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 thg work for which this permit is issued, I shall not
I 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 sof this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
HARD COPY
No. Dw.
Units -
New Eft Add ❑ Alter ❑ Repair ❑ Demolition ❑
Fence 1501
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep:
Plan Chk. Bal.
$306,24
Const.
358.00
Mech.
raft.; i O'l 4r. 4CWz h Al .40-P30-00 4 n
Electrical
t:Y taNalt x .t:i i4fr 2 O/ll2'
Plumbing
99.00
S.M.I.
5.22
Grading
20..00
Driveway Eno.
20.00
Infrastructure
1093.82
TOTAL
$2006.46
REMARKS
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 4/2.7/A ermit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
A.C. UNIT
2ND FL. SO. FT.
&WILAB GRADE - —
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. Q. FT.
EWER OR SEPTI &?
DRAINAGE PIPING
WALL SO. FT.
DRINKING FOUNTAIN
SO. FT. ®
FOUND. REINF.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
METER LOOP
WATER PIPING
NOTE: Not to be used as property tax valuation
HEATING (FINAL)
FLOOR DRAIN
MECHANICAL FEES
GAS (FINAL)
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
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, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ®c
BATH TUB
FRAMING TJ ®�
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
VENTILATION
GAS PIPING
PERMIT FEE
FIRE ZONE ROOFING
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
j' STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK 6_�..
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
&WILAB GRADE - —
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
ff*&FORMS6-1-72
EWER OR SEPTI &?
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
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 TJ ®�
FINAL INSP.
�- �J
ROOFING � _ / - �{ Jr
"11"I
d�l
1
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
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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
EXHIi:IT "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, California.
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 in. 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 in Book 18 page 99, of Maps, Records of
Riverside County, California.
Desert Sands Unified School District
CERTIFICATION'OF PAYMENT
OF
SCHOOL FACILITY FEES kA,
/
TO.: City of La Quinta DATE: P7
Department
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
This is to certify that ,
developer ofwhich is
located at C within
this District, has paid school facility fees imposed pursuant to the
authority generate by Government Code Section 53080 n the amount of
covering a total of //_ $"i� square feet of (-&;1—residential or
( ) industrial/commererrc al development and that building permits for
this footage in this development may now be i.�� ed by your jurisdiction.
��
-73 -2,2 1'- r -a
,1SS (/may/d/X 3��s�v �vKJ
for DESERT SANDS•UNIFIED SC OOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
0.740 /3ab (10)-37
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AL
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.)
Mailing Address
-737— I✓'v I LL
City
R.p�� 5���..r c -,s
State
CA.
Zip CodeTelephone
9,rzGZ.
3Z2 -/07v
Job Property Address
/,`' '"
'City or Community
LA Oui.vT
Legal Description of Property. (Lot, PM, TR)
Lvr-#Z, Facc,cC 2zzL/���rZ/
Aor—
'Assessor's Parcel No.
Water Agency or Well
�rF 1�
GJ
Lot Size
CO�iC 14 E
Use of Permit Planning Case f7
S0
,A/
7+%7�%� ��¢
vA� E>
SFD, MH Site Preparation Etc.
x
19%;z , 41141b7
- Date
w�ureplicant
'The information be from Building Application
above must verified
STAFF USE — DO NOT WRITE BELOW THIS LINE
InitialDate
(4
Certification of Existing S.D. System required. El Yes ED No
WQCB Clearance required. ❑ Yes ED No r
Soils feasibility report required. ❑ Yes No 1
Detailed boring report required. ❑ Yes El No 1
Detailed contour plot plans required. ❑ Yes No
Staff Specialist approval required. ❑ Yes El No Lot Inspection Date
Soils/boring report by Project # Date
Soils Map Page Soil Type Approved by Date
Type of System:
No. of Bedrooms
(1) Septic Tank
Soil Rate Required -i
❑ Existing ❑ New ❑ Additional ❑ Replacement
Tl\ \,Qjc
i Ude Gals.
(2) Leach line sq. ft./
Sidewall allowance
Install Lines) 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
.r
Leach lines/bed-special design for slope:
(3) Pit Diameter
No. Pits
Pit BI
I
Seepage Pit total depth
�
Applicable
❑ 5' 6'
Max. allowable depth �1D
N/A Overburden factor
W" a k a G ll \'1 k v 6 r^ c X_ 6 ,,J t L, R IP G.
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.
L (#) Septic tank and sewer lines must be 50' from any wells
(2) Leach lines must be 100' min. from any wells including expansion area
:(3)) Seepage pifs••must be 150' min. frofn any wells including expansion area . �� t �`` `y j
t?( I
Signature of Health Official Date
RECEIPT NO. Issued by Date
District: ❑ Riverside El'Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File
DOH -SAN -122 (Rev. 6186)