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002693 (SFD)
#Building • Address -820 4 -Owner • ',llr8:dc'�S Mailing Address P.o. n City j Contractor Il{ /bidet -Address T4ht 4 4a Qum P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No. 002693 " BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774-295-004 Zip Tel. 92253564- Legal Description Lot 21 Project Description SAwle family dM1.a .M State Lic. & Classif.. - Arch., Engr., Designer Address City Lic. # Tel. � Sq. Ft. MV 1405 Size G. .457 • . New AWO No. No. Dw. Stories Units Alter O Repair ❑ Demolition ❑ Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Corripensation provisions or the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby 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 it work thereunder is suspended for 180 days. Lcer Illy that I have read this application and state that the above information is correct. C I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives .-oflthis city to enter the above= mentioned property for inspection purposes. Signature of applicant 7 '1f414'4113ate Mailing Address z i City, State, Zip HARD COPY ZONE: BY: Minimum Setback Distances: -Front Setback from Center Line City Zip State ; Side Street Setback from Center Line Lic. # - FINAL DATE INSPECTOR _ _ LICENSED CONTRACTOR'S DECLARATION Date U 12-8rpermit Validated by: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section Validation: ' 7000) of Division 3 of the Business and Professions Code, and my license is in full force and A 6 6 9 9 11 12 X74857 U effect. SIGNATURE DATE .• - ' OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following S• 72,703.00 reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct; atter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement thatheis 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 lhaf.he is exempt therefrom, and the basis Section 'any Plan Chk. De p.P;1 for the alleged exemption. Any violation or 7031..5 by applicant for a permit • 'subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal. 53 O 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 . Const. 3rj2 t?0 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. - 30 00 provided that such Improvements are not intended or offered for sale. If, however, the building .fit! i#l7 . or improvement is sold within one year of completion, the owner -builder. will have the burden 74.41 { of proving that he did not, build or improve for the purpose of sale.) O 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing yy nElectrical p/� i�wt7fi struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law .. . does not apply to an owner or property who builds or improves thereon, and who contracts for S.M.I. c A 5 .00 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading 001 20.00 O.1 am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date' t 1/2 towner +�'� �' �' �'-)�'��"• Infrastructure I.090554 �0 i r - 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 1,748.57 _ 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 subject to the Workers' Corripensation provisions or the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby 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 it work thereunder is suspended for 180 days. Lcer Illy that I have read this application and state that the above information is correct. C I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives .-oflthis city to enter the above= mentioned property for inspection purposes. Signature of applicant 7 '1f414'4113ate Mailing Address z i City, State, Zip HARD COPY 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 U 12-8rpermit Validated by: Validation: ' A 6 6 9 9 11 12 X74857 U CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEED% 1ST FL. SO. FT. ® $ UNITS • ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. ® FORMS t/4EWER OR SEPTI�ANP- ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. I SO. FT. ® GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN - SQ. FT. ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ -$ WATER PIPING NOTE: Not to be used as property tax valuation gj!"FRAMING �-� FLOOR DRAIN MECHANICAL FEES 1Z,4A/TF,4 y/y/ ®EC WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRYTRAY AIR HANDLING UNIT CFM FIREPLACE 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. SQ. FT. ® c BATH TUB MESH SQ. FT. ®c I 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 SETBACK ROUND PLUMBING, UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS t/4EWER OR SEPTI�ANP- ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAU 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. gj!"FRAMING �-� FINAL INSP. ��,ROOFING L/ / - 1Z,4A/TF,4 y/y/ ®EC 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 OR Z OF_ U w C0 .e, U) Y Q w Cr X Z O U w U. COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION(� 4 %30 Y 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%Ziisstrequired when the application is submitted. Check must be made payable to the County of Riverside. -^ J L/ fBuilding Department Application Log # Name (Owner, Agent. Contractor, Etc.) %' Mailing Address ((jj%%}� � City St/ate Zip Code Telephone 'Job Property Address"''City ( ,1 1A l f'1 V V A IJ � �{ or - amity �� r .-� � 'Legal Description of Property. (Lot, PM, TR) -'AZ;,774, Yf�C 1.ia,4•.A0 � � � I P l k 3i� v f k � ►a � �, l 'Assessor's Parcel No. Water Agency 4V ft Pl „fir �7 �!• F•'� Lot Size •� L,.�/— (, '�/•- 7 / f ✓ / �"� y- �� Use of Permit /,l/I in t�� p)gn5i;ng Case a SFD. MH Site Preparation Etc._tiL:�i' Signature of Applicant Date The above information must be verified from Building Application -' STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date p Existing System ❑ © NNo /3 "0� Certification of S.D. required. Yes ❑ WQCB Clearance required. Yes l��l,, ff Soils ❑ Yes�L�,I�N//0 feasibility report required. 1:1 Detailed boring report required. Yes Ld"No ❑ Detailed contour plot plans required. Yes l" No Staff Specialist approval required. ❑ Yes �Ko Lotllnspection Date Soils/boring report .by/� S /> Project # Date Soils Map Page ttq7`Soil Type Approved by Date � `� _ Type of System: �, Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing ❑.New ❑ Additional ❑ Replacement T`Ngf Gals.�� (2) Leach line sq. ft. �(B Sidewall allowance Install Lines) Ft. Long, Leach bed Sq. „om trench area) ft. rock/ -Sq. Ft. t. wldb"witfl.mi�1._ inches ""'�-. Ft. of Mtopl,, �+•�`� per running ft. ©rrf�flA rock below drain lines area Leach lines/bed-special design for slope: Applicable (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth vitr N/A__L.eOverburden factor _ t Max. allowable depth !J - � , ' ,i-�,-a .�..,r�,,-!.�_ {_,.., _ • .'r�rr.- v,..-' .rte /ori>u �/�fit" This application is.approvedlda"d•for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements �above. set forth in Section B A building permit necessary for the installation of�the abo/ve-designed system. 1-1)_,)Septic tank and sewer lines mustive 50' from any wells/(J7r N4aa� h.�i� LG �¢Lf✓t�' (2). Leach lines must be 100' min. from any wells including expansion area tv�`y"' N/� r l' Seepage pits must be 150' min. from any wells including expansion area ^✓/0.��- /�' �"' `f(3) /� Signatu of laealih'O tial / A �,y.l 5� =Date C RECEIPT NO.0� / Issued by- //"c.t// G Date 3 t2 District: ❑ Riverside ❑.t ditS�o ' ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE -Office file YELLOW -Applicant PINK -Bldg. Dept. GOLDENROD -Pending File DOH SAN 122 (Rev. 2/86) J '�fIE0 o r %o N BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS to PALM DESERT f LA OUINTA 'gyp INDIO Desert Sands Unified School District 82-879 HIGHWAY 111 O INDIO, CALIFORNIA 92201-5678 • (619) 347.8631 September 16, 1986 City of La Quinta Department of Community Development 78-105 Calle Estado La Qui'nta, CA 92253 Re: Plot Plan N0. 85-206 (single family dwelling in La Quinta on Avenida Carranza) Gentlemen: The developer of the above referenced lot has mitigated its impacts on our overcrowded schools by payment of the amount of $628 per unit to be applied to the cost of district educational facilities made necessary by such new development. Sincerely, '-� VL I., John D. Brooks Assistant Superintendent Business Services JDB/crm S 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 October 23, 1985 Mr. Thomas Dorsey RE: PLOT PIAN NO. 85-206, Approval to Construct a Single -Family Dwelling on the East Side of Avenida Carranza, 150' South of Calle Potrero Dear Mr. Dorsey: This letter is to report approval of your application to build a single- family house at the location described above. This approval is subject to the conditions listed on the attached sheet. Now that you have Planning Commission approval for construction of your single-family hone, the next step is to submit plans to the Ccummity Development Department, Building Division, for plan checking. An instruction sheet is attached explaining the requirements that must be completed prior to acceptance of the plans for consideration of approval. Please contact the Building Division if you have any further questions regarding fees, etc. Very truly yours, COMMUNITY DEVELOPMENT DEPARTMENT PLANNING DIVISION Gary W. Price Associate Planner Encls: 1. Conditions of Approval 2. Instructions for Submitting Plans for Plan Check MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 II F THIS APPROVAL IS SUEk-rCT TO 7ME FCIIOWING OONDITICNS _ 1. The development of the site shall be in cmdamanoe with the FXhibits A, B and C contained in the file for Plot Plan No. Q -1'-.2o4., unless otherwise amended by the following conditions. 2. 2he approved plot plan shall be used within tato years of the approval date; otherwise, it shall become null and void and of no effect whatsoever. By "use" is meant the beginning of substantial construction, not including grading, contemplated by this approval which is begun with the two-year period and is thereafter diligently pursued to oomplet:icn. 3. Mater arra sewage disposal facilities shall be installed in a000rdanoe with the requirements of the Riverside County Health Department. 4. Fire protection shall be provided in accordance with the standards of the Muform Fire Code as adopted by the City of La Quinta. 5. Prior to the issuance of a building permit, the developer shall submit and have approved, a detailed landscape plan for the front yard showing the species, size, location and spacing of all planting materials, including a minimum of two (2), 15 -gallon, street trees. The plan shall indicate the irrigation system and the location of the required three (3) outdoor water spigots. Prior to the issuance of a Certificate of Cocvpancy, the Applicant shall install landscaping in accordance with the approved landscape plan. All trees and plants shall be maintained in viable omxUticn for the life of the approved use. 6. Zhe heating and cooling mechanical equip ent shall be ground mounted, or screened entirely by the roof structure. 7. Refuse containers arra bottled gas containers shall be concealed by fencing or landscaping. S. The driveway shall be surfaced with concrete and have asphaltic concrete connecting pavement (a 2" x 4" header) to the existing street pavement. 9. The Applicant shall obtain clearances and/or permits fram the following agencies prior to submitting these plans to the Building Department for plan check: ° Riverside County Health Department ° City Fire Marshal ° Oommmzdty Development Department, Planning Division ° Desert Sands Unified School District 10. The Applicant shall pay a school development fee as determined by the Desert Sands Unified School District in accordance with the school mitigation agree- ment as approved by the City Council and in effect at the time of issuance of a building permit. A letter from Desert Sands Unified School District stating that these fees have been paid shall be presented to the Ccnmunity Development Department, Building Division, prior to issuance of a building permit. 11. The structure shall have a Class "A" roof covering. That the internal garage dimensions of the house have a minimum of 20' x 20' clear dimension. That an exterior color scheme of the house be submitted for review and approval by the Planning Division prior to building permit issuance. Orr Pr -W., i� Tit� of Ka(ouinta jluitbtng dnb�$Ufet� 34t*lliy.�iion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 54-820 AVENIDA CARRANZA Use Classification SINGLE FAMILY DWELLING Bldg. Permit No. 10777' Group R3 Type Construction VN Fre Zone Use Zone SR Owner of Building ESTEBAN Address 54-820 AVENIDA CARRANZA City L UINTA; CA 9 By. LONNIE DAY Date: JULY 15, 1992 Building Official POST IN A CONSPICUOUS PLACE