9689 (PLBG)4
` P.O. BOX 1504 � N Q S 9689
Building7&105 CALLE ESTADO
Address 783�, y ` '
160. Rade—lida LA QUINTA, CALIFORNIA 92253
Owner
LOVE V
Martino BUILDING: TYPE CONST. OCC: GRP.
Address
City
Zip
Tel.
La Qninta
92253
Contractor
Econ Sewer Service
Address
P. p. Box 132
City
Zip
Tel.:
Balm Desert
92261
346-2703
State Lic.
City
& Classif. 460981
Lic. # 342
Arch., Engr:,
Designer'
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
7000) of Division 3 of the,Businessnd Professions Code, and my license is in full force and
effect. ti !
SIGNATUREm .:✓r"' r DATE
� OWNER -BUILDER DECLARATION
I herebyafjfirm that I am exempt from the Contractors License Law forthefollowing
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 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 dollam(S500). -
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 of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
-strucl 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.)
❑ I am exempt under Sec. B. & 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 _
'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 (5100) 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 filledwut, signed and validated, and Is subject to
expiration it 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
iA.P. Number
Legal Description_
Project Description
Sewer Hook Up
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const. I
Mech.
Electrical
Plumbing 30.00
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL JU.UU
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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ, FT. ®
POWER OUTLET
ROOF. DRAINS
CAR P. SQ. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
OTHER APPJEQUIP.
DRINKING FOUNTAIN.
SQ 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/. c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.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.+EE 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
HEATING (ROUGH)
STORAGE TANK
FORMS
o'
SEWER OR SEPTIC TANK/,/
www��y
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION a,` •
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
A
� C
,f ViATER
421STRIO
ESTABLISHED IN 1918 AS A PUBLIC AGENCY
COACHELLA VALLEY WATER DISTRICT
POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (619) 398.2651
DIRECTORS OFFICERS
RAYMOND R. RUMMONDS, PRESIDENT LOWELL0. WEEKS. GENERAL MANAGER -CHIEF ENGINEER
TELLIS CODEKAS, VICE PRESIDENT BERNARDINE SUTTON, SECRETARY
JOHN P. POWELL KEITH H. AINSWORTH. ASSISTANT GENERAL MANAGERIAUDITOR
PAUL W. NICHOLS REDWINE AND SHERRILL. ATTORNEYS
THEODORE J. FISH January 27, 1986
File: 0721.1
j iL Ac
VNameV -�
VAddV / C/
Va
VSa1V
Subject: Sanitation Service for Avila Drive, Hacienda
La Quinta, Guijarro Place, La Quinta, California
The tract in which your home is located was constructed with a dry sewer system.
This system was installed in anticipation of the extension of community trunk
1. sewers. In October 1985 connection to the community_ trunk sewer was made,
thereby activating the sewer system within your tract.
The developer of your tract, recognizing that the sewer system was not usable,
installed septic tanks for the purpose of providing wastewater treatment until
the sewer system could be activated. Now that your sewer.system is in service
you may desire to connect to it.
In order to obtain sewer service to your property the following items must be
completed:
1. The owners of record of the property must complete the enclosed application
for service card and return it to the District in the enclosed envelope.
2. The physical connection of your home to the community sewer may be made by
a plumber or sewer contractor of your choice. The contractor or plumber must
secure a building permit from the City of La Quinta and notify the District
prior to installation of the connecting pipeline.
A monthly sewer charge which is currently $11.00 is collected to pay for
treatment of the wastewater generated from your home. .
TRUE CONSERVATION m f `y
USE WATER WISELY '
I
c
1.
fo
2.
a F
sec
pri,
A mo
trea
VNameu -2- January 27, 1986
If you have any questions or require additional information, please call
Jim 'Zimmerman at (619) 398-2651.
]ours very truly,
AU:lmf
Enclosures/2/as
Lowell 0. [leeks
General Manager -Chief Engineer