06758 (SFD)P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 51-885 Rdbie LA QUINTA, CALIFORNIA 92253
r,
11
Mailing
Address,, is alR I
City Zip
Sun Bernardino
Contractor
Niel Baker
Address
Sam
City Zip
State Lic. X5%25$
& Classif.
Tel.
Lic. #
fvrcn., tngr.'
Designer
Address I Tel.
� .-mak\ . 3-.;;•' �
No. 06758
LDING: TYPE CONST. . OCC: GRP.
P. Number 27'x—i$1—f1S
Description
Project Description
_ ISq. Ft.
Size
CityI Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
effectffec of Division 3 of the Business and Professions Code, and my license is in full force and
e
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affiryn that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031-5,13usioess 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 appGwnt for such permit to We 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 civilpena8y of not more than five hundred dollars (5500).
❑ 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 Contractors 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 irprovements are not intended or offered for sale. If, however, the building
Or improvement is said within one year of completion, the owner -builder will have the burden
of proving that he did not buld or kmprove 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.)
0 1 am exempt under Sec_B. & P.C. for this reason
Date/—/ d Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
❑ Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ff the permit is for one hundred dollars (S100) valuation
or fess.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any
Califoperson in any manner so as to become subject to the Workers' Compensation
Laws of rnia
Date Owner
NOTICE TO APPLICANT: d after making this Certificate of Exemption you should become
sutgect 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
Lenders Address
This is abuilding permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certity that 1 have read this application and state that the above information is correct.
1 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
SFD
1517 4 No.
Stories
New ❑ Add ❑ Alter ❑
Estimated Valuation $87,5$6
No. Dw.
Units
Repair ❑
Demolition ❑
PERMIT
AMOUNT
Plan Chk. Dep.
$250.00
Plan Chk. Bal.
S 249.62
Const.
585.50
Mech.
53.50
Electrical
112.98
Plumbing
157.50
S.M.I.
$.16
Grading
20.00
Driveway Enc.
20.00
Infrastructure
1,932-31
TOTAL
_ w.3$7.57
REMARKS
c* "4 : t. r, x„A n A : . + fl. _,0 ill irk
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
12118/89
Issued by: ate Perml _
A6 l8 f'o
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES ,
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL SQ. FT.
HEATING (ROUGH)
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
AN
ROUGH WIRING
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
DRAINAGE PIPING
CAR P. SQ. FT.
HEATING (FINAL)
WALL SO. FT. ®
REINF. STEEL
DRINKING FOUNTAIN
GAS (FINAL)
TEMP. POLE
URINAL
SOFT ®
GROUT
ESTIMATED CONSTRUCTION VALUATION $
WATER HEATER
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
LUMBER GR.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
SAA(/� /1�-
At,—
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11A c
SEWAGE DISPOSAL
GAR. FIREWALL
LATHING '
MESH
SO.FT.GAR ® Vic
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
TST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING//y/Q/ NDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PL B.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
R I
AN
ROUGH WIRING
DUCTWORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
[
METER LOOP
c(�
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. 3
FRAMING , Lo
/2
1
FINAL INSP.
ROOFING
VENTILATION
� � �
SAA(/� /1�-
At,—
/�/v/ �
y
1
�
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING '
MESH
INSULATIONISOUND 6
FINISH GRADING
FINAL INSPECTION do
111
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL:d
t
NEAL T. BAKER ENTERPRISES, INC.
1875 BUSINESS CENTER DRIVE
SAN BERNARDINO, CA 92408
(714) 884-7241
April 6, 1992
Lonnie Day, Building Department
City of La Quinta
78105 Calle Estado
La Quinta,.CA 92253
Reference: 51"8:85' Av.endda Rub.i.o----=
Dear Mr. Day:
Please be advised that Neal T. Baker Enterprises is
going to install a range hood, range and di.shw.asher „
at the above residence upon completion of sale.
Installation at any earlier date would only invite
theft.
Sincerelyo
Terr Talley
Project Manager
TT:jr .
T4h
78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253
- (619) 564-2246
December 20, 1990
Neal T. Baker Enterprises, Inc.
1875 Business Center Drive
San Bernardino, CA 92408
ATTN• Terry Talley
Dear Terry:
In response to your letter of December 12, 1990, we have
given you an extension ,until, June 18,-1991 on the following
parcels:
r51-885 773-161-018 #06758.
51-895 Rubio` 773-161-019 #06759
51-905 Rubio 773-161-020 #06760
51-925 Rubio 773-161-021. #'06761
Sincerely,
BUILDING AND SAFETY
Tom Hartung
Director of Building and Safety
TH/lc
MAILING ADDRESS P.O. BOX 1504 LA QUINTA,, CALIFORNIA 92253
s�`i��'�?�¢;�'f'�:`�i?�w'$�v7r.��'i'^tkF'r�'�'���a`��`"%�+"`f"''�"e�y�ye••ars�.�uair��+7Y1q�rT"'•-i�p b�'�'1''4y���t,�5{'�'Tir;�?•trt`Si��°•;"t.'is'.�r' ryi)t�Ttscri.�r1..-+r.�w.tii. ,
O
Z.
O
H
.0 W
`RECEIPT NO. S�"`3Issued By 4111 L,._• Date
DISTRICT: ❑ Riverside, Indio r-1Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK -Bldg. Dept. GOLDENROD - Plans/Records
COUNTY OF RIVERSIDE DEPARTMENT. OF HEALTH Assessors Parcel No. .
ENVIRONMENTAL HEALTH SERVICES
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Applicants r 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 issubmitted. 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
PP Y approval*.
� /]
VERIFY ITEMS IN -SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # o"a (X
Agent, Contractor, Contact Person
-
Phone
Address & Phone
i ..
.
/
I� V
Pity .
�,�A il�.l� i4lU laRc�IMr
State
CQ
Zip
97M
Job Property Addre
`ev 13► p
Le al Descriptio op. (PM Tract, Lot)
_
Lot Size
^ erg -
Use of Permit P/P, CU, etc of
� w
Other i -c 1" -7 -�-`
Q�f
Ili H>it�,atc.
�4�1"� C, 4 IL i L 1 T �
A4
Signature of Applicant
Date
CATEGORY: REV CODE FEE
CATEGORY: REV CODE FEE
L�] SUBSURFACE DISPOSAL 1238 5:Q = f S'7,
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
DAT��Holding Tank Agreements Completed ❑ Yes XN o
Certification of Existing S.D. System Required ' ❑ Yes-- N.❑" o
1
WQCB Clearance Form
required. (Attach ❑ Yes 2 o
DOH SAN 007, Santa Ana Region Only) ►
Soils Percolation. Report Required. V ❑ Yes 210/NNN���o!
Special Feasibility Boring Report Required. ❑ Yes
Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes �.
24-0Staff
.Other 1:1 Yes
Specialist Lot Inspection Required ❑ Yes ZNo
j Lot Inspection Date
Soils boring report by + Project # Date
Soils Map Page / / / Soil Type Approved by L w�
Date
No. of Systems
Typ f System(s)
No. Dwelling Units
(1) Septic Tank
Soil Rate _
Grease/Sand
a^ :
❑Molding Tank ❑ Existing
New ❑ReplacementGal
Bedrooms, PRtIIre+tItS
GRase Intcp
N2�_Leach Line Sq. Ft.
Botto trench area
; Sidewall allowance
��" R rock/sq. it
Insta Line(s) fL long ft wide/with
min. me rec below drainlines
�^Leach Bed sq. ft.
or oo'ttom,ar�ea
�� per running ft.
or
LtYN`A
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below
See p%e Pit To�I pepth
051he
Applicable /
t
Inlet (e�
/�
N/A '� Over/burden factor
k16
L�7 6
a((
1
Max. All o-�yab Ie/Depth
No. 2 SystemN/A
1 /A
REMARKS:
�(
This application i PROVE 01ERMD for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
on the accompanie pot plan, using the requirements set forth in SECTION C above. A building permit is necessary forlthe installation of the
abov-designed system. No construction is permitted in the required reserved 100% expansion area.
D1 Septic tank and sewer lines must be 50' minimum from any wells d /V '0
Leach lines must be 100' minimum from any wells, including expansion re a
(3 Seepage pits mustLbou' minimum from fiy wells, includi g expansion area
�1 *4
Si Health Officialf/Vr `' Date O _a 1
nature of
'v
Buena Engineers, Inco
..l
79-811 B Country Club Drive
Bermuda Dunes, CA 92201 ^ (619) 345-1588
Client
Client
Cjtlemt Phone
DATE
TEST LOCATION
JOB NO.
PROJECT
j1-0/
FIELD TESTING
LOCATION
MOISTURE
CONTENT
%
CONTRACTOR
MAXIMUM
DRY
DENSITY
%
OVvNF_R
WEATHER
G
TEMP. 0 at AM
0a PM
PRESENT AT SITE
.F
5g
1,
s,
�..� a
q/
q/
TEST
NUMBER
TEST LOCATION
LOT
NO.
ELEVATION
FIELD TESTING
REFERENCE CURVE
MOISTURE
CONTENT
%
DRY
DENSITY
Ibs./Cu. ft.
MAXIMUM
DRY
DENSITY
%
MAXIMUM
DRY
DENSITY
lbs./cu. ft.
OPTIMUM
MOISTURE
CONTENT
%
Iv Af ��
5g
1,
s,
�..� a
q/
q/
3
�-89�
��
DG
/o•�
ion/S
/
9.0
i e)7
93
--T77--
9�
4 7-
w`
REMARKS:
RECEIVED
CLIENT REPRESENTATIVE SIGNATURE
AUG 19 1991 �j
CITY OF LA OUINTA 1 11EID . xVr'p0'j"x'
COMMUNITY SAFETY OEFT.
TECHNICIANS SIGNATURE : 3293
OF
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 building construction -.or use; For ,,the following:
BUILDING 'ADDRESS 51-885 Rubio i
Use Classification S FD Bldg.ermit No. 06758
Group R3 Type Construction VN Fire Zone' » Use Zone ` SR^
Owner of Building Neil Baker Address 1875' Business Center Drive
City 'San Bernardino,,CA -' • '• ,• • -''; •
Byly Lonnie Dav
Date • : 4/ 171.9 2
Building Official
POST IN A CONB?ICUOUS PIACI
I
I
+
I I
I� II l