Loading...
04751 (BLCK)..'_,0 417 l P.O. BOX 1504 Building 78-105 CALLE ESTADO — Address S4- 560 Car -r :ntm LA QUINTA, CALIFORNIA192253 Owner Mailing Alco Development 06 ' BUILDING: TYPE CONST. OCC. GRP. + _ Address 11 A.P. Number 774-275003 City Zip Tel. s t'� nay 1t4 frrr�a?if1 ,'�.•. Legal Description Contractor Project Description *50'-X If rat+a'ining wail Address City Zip Tel. State Lic. �� City & Classif. Lic. # - Sq. Ft. No. No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby;affirm,111al`I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisidh, 3.of the Business and Professions Code, and my license is in full force and effect.., r SIGNATURE - DATE e... DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Buslness 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 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). ❑ 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 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 Lew 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. ti. P.C. for this reason Date Owner 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 '-..�F _1__<1______ O 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 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 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 a_ pplication 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 imated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. �iZf,1J Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 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 Permit Validated by: Validation: WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO FT Qr $ UNITS SLAB GRADE I&OUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT. a FORMS SEWER OR SEPTIC TANK OUGH WIRING/-/,F— MOBILEHOME SVC. BAR SINK POR SO FT a GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR SO. FT. 0 TEMP. POLE ' GROUT. DRAINAGE PIPING CAR P. SO FT. 0 FINAL INSP. ND BEAM L �� WATER SYSTEM DRINKING FOUNTAIN WALL SO. FT. /d x $ .GR. FINAL INSP. URINAL SO. FT. (& R..00FING ESTIMATED CONSTRUCTION VALUATION S WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTONDISH) APPLIANCE DRYER FIREPLACE 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 SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT. B.T.U. SO. FT. RESID a 1 V. c SEWAGE DISPOSAL SO.FT.GAR (g 3/.c HOUSE SEWER CERT. OCC. GAS PIPING PERMIT FEE PERMIT FEE I i 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 I&OUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK OUGH WIRING/-/,F— DUCT WORK ROCK STORAGE FOUND. REINF. LL GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. LOREINF. STEEL/— �—OU GAS (FINAL) TEMP. POLE ' GROUT. WATER HEATER SERVICE FINAL INSP. ND BEAM L �� WATER SYSTEM GRADING cu. yd. $ plus x$ x $ .GR. FINAL INSP. // ��LLUMBER A l//FRAMING / ��� FINAL INSP. R..00FING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR, GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES 0TIC2: a HIt 8 O'D'_'I '6&1 r: -"-f TO: City of La Quanta DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to c rtify that �L'J_a tri r� developer of which is located at ithin this Distric , has p id school facility fees imposed pursua to the authority enerated by Gov rnment C d Sect'olt 5 080 in the amount o /� s 1:3LA covering a total of quare feet of ( residentf or ( ) industrial/commerciai development and that building permits for this footage in this development may now be issued by your jurisdiction. mow0 &offY,v=q8�0 �/0.� ---. zifa'-f 0, Ea. 15!4JP_ �QO� .✓ ��� � 00,b for SERT SANDt UNIF ED SCHOOL DISTRICT NL'� �hite - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 W COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES 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 checklist. 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. VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # Agent, Contractor, Contact Person Lco ULWYOEX Gcq s Phone 39$8$to Address & Phone LS -150 11\A III Owner Phone Mailing Address 5/,y✓I L City-? 1 _n State Zip Job Property Ad ress Qa/9r,,U ALegal Description Prop. (PM, Tract, Lot) SJ}'t ij 1,4 �,. La�F. KFt✓1ct�<, Y� 4 �,��� ��.t�vSL�.��c. 2 61�k 307 Lot 2.2- Lot Lot Size , afar Ag Use of Permft P/P, CU,eta L nll `" ^r' A Other SDK Q fDw� eI,)MH Site Prep, e c. 0J . v Signature of Applicant Date CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE /SUBSURFACE DISPOSAL 1238 (2�00-> ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 a. 1 st 4 Parcels (Each) 1238 $45.00 (Less than 1 year) b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $45.00 Critical Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $132.00 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $86.00 INITIAL / DATE XNo Holding Tank Agreements Completed ❑ Yes Certification of Existing S.D. System Required ❑ YesT�I 1 WQCB Clearance required. (Attach Form ❑ Yes ❑" No DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes o' Special Feasibility Boring Report Required. ❑ Yes ❑ No Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes ❑'No' r ❑ Yes Other U<0 Staff Specialist Lot Inspection Required ❑ Yes ©No " Lot Inspection Date Soils boring report by ProjectDate t# / Soils Map Page �1 I l Sal Type ) Approved by Date No. of Systems Type of System(s) ❑ Tank ❑ Existing No. Dwelling Units/) Bedrooms,-Fixtare-Units (1) Septic Tank Soil Rate Grease/Sand �f3r Intcp Folding tJNew ❑Replacement a al (2) Leach Line Sq. Ft. Sidewall allowance Insta7-Line(s) ft long ft wide with Leach Bed sq. ft Bottom trench area 8 rock/ sq. fL min.inc c bebw drainlines or of ttom area perrunning ft. C3i1VA Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth Other. Applicable -' N/A' Overburden factor �� [D/6� Inlet (BI) u 17 1 liv' ti 1 Max. Allowable Depth No. 2 System SLIM REMARKS: ✓ , i') Q -4 ✓s :....�. r..! . :�`r,d-%-c.� This application is APPR V D/DfiN1ED•for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompani pan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above -designed system. No construction is permitted in the required reserved 100% expansion area. r�1) Septic tank and sewer lines must be 50' minimum from any wellsy./,D �� v e*'� •' : f ' ' ` `' �S XI -z (2) Leach lines must be 100' minimum from any wells, including expansion area Seepage be 150' from including a pits must minimum any wells, Y, / moi S �expiansi(o��DatU f �Si nature of Health Official RECEIPT NO. -Y/67 Issued By ck dz1 du. 7.7a, Date DISTRICT: ❑ Riverside, 10 Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records UNFE /Q - s- - g Fs DEVELOPER'S IME, • >\uul�Ess: 'TELLUI 1014E r Dear Developer: 0111(;E OF AGRICUL1UICAI_ COMMISSIONER AND WI_IGI IIS b. 1ACASUIIES 49-613 Ilwy 06, Uulte 11-12 Cunchelln, CA 92236 619-342-0291 E. LEON SIIAUGY co••navauy.[r1 )WAIS o WALLAU ASSISIA`t rl1•r•ucqu�E� CLEMEv1 C4F.IWENISIE Suman CASE IID. - a o o L.. - 0 After After reviewing your landsc7pi.nq plans, 111 P11:111t nyterial listed is 'lot III violation of yuauralltine laws cicrveLni.ng the Coachella Valley. if substitutions do occur and they differ [rc.111 plant material listed, tills office must be notified blundiately. '1•I1a11k you Lor protecti:lg and pLeserving the Coachella Valley's test -free elivirolellent. n —irgrq cultural Cal:nis x Ner1 s ULE ice CCI Indio a11d Riverside office b\�