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06759 (SFD)4 P.O. BOX 1504 No, 05759 Building78-105 CALLE ESTADO Address 51-5915 Rubio LA QUINTA, CALIFORNIA 92253 Owner Fmil Baker Y BUILDING: TYPE CONST. Mailing OCC: GRP. Address A.P. Number„ 773-161-019 az C=tcr 7 -City Zip Legal Description Contractor Project Description SFD Sam _ Address City Zip Tela State Lic. City & Classif. Z5225k Lic. # -.. Sq. Ft. 1517 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 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 effecI. _SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following 57.580 reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a Permit to construct, alter, 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 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 that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. .$250.00 ' subjects the applicant to a civil penalty of not more than rive hundred dollars (8500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 244.62 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. S65 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. 53. 50 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 Electrical s of proving that he did not build or improve for the purpose of sale.) 112. B ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 157.50struct 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 S.M.j, �- such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 16 ❑ I am exempt under Sec. B. 8 P.C. for this reason Grading 00 C r Driveway Enc. Date!�`fi"��'�'�''`"�-�' Infrastructures• Owner 1 ,t 932 •31 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. TOTAL 93.387.37 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars 8100 valuation e _ 4w0 t ( ) .2 .sin .i, -ftp .f3. l Or less.) A vu 1'(4541 A f 2P A YtP. 1 v.u" I certify that in the performance of the work for which this permit is issued, I shall not ' r employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: ff, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shah be deemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line Lender's Name Lenders Address FINAL DATE INSPECTOR 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. t a nn 1 certity that I have read this application and state that the above information is correct. Issued by: Date 12 18 63+7 Permit 1 agree to comply with all city and county ordinances and state laws relating to building 6�8 90 • construction, and hereby authorize representatives sof this city to enter the above•. O mentioned property for inspection purposes. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS A.C. UNIT COLL. AREA SLAB GRADE O YARD SPKLR SYSTEM 2ND FL SO. FT. BONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. SO. FT. ® go 19 IC TANK ROUGH WIRING GAR. SO. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. DRAINAGE PIPING CAR P. SO. FT. ® HEATING (FINAL) WALL SO. FT. REINF. STEEL ZA DRINKING FOUNTAIN. SO FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation WATER HEATER FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LUMBER GR. LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP. 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 FIREPLACE SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/. c SEWAGE DISPOSAL SO.FT.GAR ® 3/<c 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 GROUND PLUMBING//y Q AMPERGROUND A.C. UNIT COLL. AREA SLAB GRADE O Q ROUGH P UM . tj BONDING HEATING (ROUGH) STORAGE TANK FORMS go 19 IC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) J 3 [ METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL ZA 110 GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. 3 ./ G FRAMINGy1 1 "''.'1/"'111 FINAL INSP. ROOFINGYl� VENTILATION 3 1. REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING J-1)KIAl / MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION l L� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL 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: 51-885 Rubio773-161,-018 #06758 (5 -895 Rubio.- 773-161-019 #06759 51-905 Rubio 713-161-020 #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 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 V—Ref.er_en.c_e_: 5-1`8.9-5—1 veni.da RRub.i.o; Dear Mr. Day: Please be advised that Neal -T. Baker Enterprises is going to install a range.hood, range and dishwasher at the above residence.upon completion of sale. Installation at any earlier date would only invite theft. Sincerely Terry Talley Project Manager TT: jr rte:: RECEIPT NO. ,/ 7 Issued By /� Date DISTRICT: ❑ Riverside, ndio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records M COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES �(7 - ©� 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 check list. 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. Q �K VERIFY ITEMS IN SECTION. A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # Z Q Agent, Contractor, Contact Person Phone Address & Phone H U W Ow er�� ( 1 75 IX s,sr3, cfvrtf 2 D e C'YPJAfRluAtdiA State Zip Job Property Addre�40_," Legal Description Prop. (PM, Tract, Lot) CQ T V 6 J o — Lot Size ater Agen Use of Permit P/P, CU, etcC�2�aZZ�Other wellin H i e r p, etc.%- A-��-p ' x I — ss5, Signature of Applicant Date CATEGORY: REV CODE FEEqED CATEGORY: REV CODE FEE SUBSURFACE DISPOSAL 1238 SITE EVALUATION UPON REQUEST 7349 $42.00 m O MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) Z LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 p a. 1 st 4 Parcels (Each) 1238 $45.00 (Less than 1 year) U b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 W ❑ 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 7,346 $86.00 ❑ ALTERNATIVE/EXPER[MENTAL 7345 $132.00 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $86.00 ITIA�J QAT G Holding Tank Agreements Completed 1:1 Yes O No Certification of Existing S.D. System Required D Yes No WQCB Clearance required. (Attach Form ❑ Yes ❑'hl0 DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes /per/ Special Feasibility Boring Report Required. .0- Yes ❑'N Detailed Contour Plot Plans Required (? to 5 ft. interval) ❑Yes Other ❑ Yes ) 0 Staff Specialist Lot Inspection Required O Yes No Lot Inspection Date Soils boring report by P/rg*' ct # Date % Soils Map Page / Soil `.d� Type Approved by Date U Z No. of Systems Typ f System(s) ❑ F)�ng Tank ❑ Existing No. Dwelling Units Bedrooms, �irehwe�aits (1) Septic Tank /Soil Rate rease/Sand a Intcp O PNew ❑ Replacement 3 m! _i Gat U LU Leach Line Sq. Ft. Sidewall allowance Instal Line(s) ft long ft wide with Leach Bed sq. ft. B trench area ft rock/_ sq. ft min. inc k below drainlines or rr� ea per running ft. @_-NA Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit To I Pepth Applicable f Inlet (BI) /r119d ^�a.� N/A Overburden factor Max. Allowable/Depth 56 No. -2 System A- REMARKS: d� ol This application isOVE DEiOED for the category checked in SECTION B above, regarding.the design of a subsurface disposal system as indicated on the accompame plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the Z above -designed system. No construction is permitted in the required reserved 100% expansion area. /O JJ , Septic tank and sewer lines must be 50' minimum from any wells of (Q Leach lines must be 100' minimum from any wells, including expansion rea / 3) Seepage be /0 pits must 50' minimum from wells, incl di ex/paw/n�siion alac/ Signature of Health OfficialDate RECEIPT NO. ,/ 7 Issued By /� Date DISTRICT: ❑ Riverside, ndio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records M No CLIENT REPRESENTATIVE SIGNATURE DATE :. JOB NO. Buena Engineers, Ince 9� PROJECT 79-811B Country Club Drive + '. Bermuda Dunes, CA 92201 • (619) 345-1588 - LOCJATION c' yy q Ff''E T'YTaE aTR,"i'if �j'3'ff§'R'�'"i�1FJkz f"+'�a'Y'M' !k RSI VI'i l'E!j1!'I FttI ' ! r.�,c,,.o f �•,�INcttl*p L "4i '''Q s `cf `' rF- Fa Y �1- •�' .r I, I'`ip't_t4 P, 1 nr T! gpM. fil. �" tr d ' t $n� i„ I� CONTRACTOR OWNER. `nl u; ��!^irt. r!a �• t i R - WAI��T,�URREnter uses frac P , ju,'�t P(,Gi` _ 'WEATHER 18758dW Ss enter Dr i . at, �PM�Sed T�rtE1JM ,, ar4 a. Yt ' riG�rrG�l;'••a r,i. l.ta r il,I�kl,'�n a�'e!'s'l ` �P. 0, } 'Oat- ,pfi rt;tlu!!•"ftE't •ylt 1 AI F � IH G.1 H. R�p � : PRESENT AT SITE (�?!•1S) ';�.�t.r.IM4� i I�fl w,{ai rw ' ". r,. •! tr }rI` j yplPv l j t,, CHlrm• I d''t , rn-,,n t r'�,,IIl���,,'''����ladf�r'�! �I�,•�I '�pq�!�u��'j'ti ,���� Il�y+p,��d¢"�f � � ��' YI"�!v �i�l. -F - � , " " � ' �1'� ~ ` r , 1 ,`r.•l•�YPp�ul'�ii•�I-lIt �*h.!�5i i,ii t _n+'4.•i'',4r '1�1{r�Kr'IkdE,5 h1} i �FE�'r�.aS"v•�Ii'�f'SRI�(+E il;l�:T bit1 i�bl�`kl ut•� ��IE . .. r rl$N)Ilf ,, 1 is r'd2! j. �. • .-• II,;;��P I K '� II �,�ilp� 4 t t fl r [ 101j �i!'� i �i� �p) ru ' ut H ' I I n t�la ° - •n Fr. lljilt'iN•kk t �t }t5ti I i ,it '! IRft��l - �'+ fa , I IH ,ht�lIIG' w _k yf1 , �,I _ h4�aal..•n•,a viUlLkn..• 11,1_7 4�i4!u.,d_. Ili IJtk E!i'!ukPoh!..:p !4' h !_ x w. data :. -_ FIELD TESTING` REFERENCE CURVE TEST TEST LOCATION LOT • MOISTURE DRY MAXIMUM , MAXIMUM, OPTIMUM NUMBERNO• ELEVATION CONTENT % DENSITY DRY DRY • MOISTURE IbsJCu. ft.- 'DENSITY DENSITY CONTENT Z�vS q Ibs./cu. ft. 9/ .P i `-7 7' U a N<< G C� rS ,+ , , REMARKS: ,� • ' .e , Z- e.,7- 7- 7-0 4 JK i C /a �4�/,F r ` RECEIVED.. CLIENT REPRESENTATIVE SIGNATURE `a ; ..; ®�•�% � � _ 'say 1' �' =_ % �i/,v �/ ' I LI'% L=, •;i 4 j I -Ole of �. 1,'�i4 . - .► � til I I This. Certificate issued pursuant to the requirements of.Section .-300 of the Uniform Building' Code certifying that at the time of issuance this structure was in compliance with the various ! I. ordinances of the City regulating. building construction_ or use.., For the following:. BUILDING .ADDRESS 51-895 Rubio- I Use Classification SFD Bldg. Permit No. 06759 1 Group R3 Type Construction Fre ,Zone Use Zone SR owner of Building Neil Baker Address 51-895 Rubio Ii I City San •Bern rdino A By; Lonnie Day i v •� Dat , 4/1.7/92 e•• Building Official .. POST IN A CONBTICUOU! PLACE j _