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06760 (SFD)P.O. BOX 1504 No. 06760 Building 51� 5 11?�O 7&105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner PiIr�2 ISBN Mailing BUILDING: TYPE CONST. OCC: GRP.. Address um Business Center Dr. A.P. Number 973-151-020 City Zip ITel. SAA BerrsAzdino Legal Description Contractor Project Description _ SFD Sams Address City Zip Tela State Lic. City & Classif. 257254 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 70(10) of Division 3 of the Business and Professions Code, and my license is in full force and effect FIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affi0n that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8uciress 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 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 civilpenally of riot 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 ConhadWs 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 irprovernents are not intended or offered for sale. If, however, the building or improvement is sail 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.) ❑ 1, 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 properly who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. S P.C. for this reason Dater WORKERS' COMPENSATION DECLARATION 1 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 N the permit is for one hundred dollars ($100) valuation or less.) 1 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 Calitomia Date Owner NOTICE TO APPLICANT: B, after making this Certificate of Exemption you should become subject to the workers' Carpensation provisions of the Labor Code, you must forthwith comply with such provisions or this pemmit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 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 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 I tSIZS fi7 fit+ %'i'?7 AiA_1.P_gf1 jd 19 L.rrii"rl L iijillf., 1 r.14 ri 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 12/18/99 Issued by: Date / v /� Permit Validated by: �%!/► � t7�/a T�.. Validation: Estimated Valuation $87,580 PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. Z1 9.62 Const. 585.50 Mech. 53.50 Electrical 112.98 Plumbing 157.56 S.M.I. 6.16 Grading 20.00 Driveway Enc. 20.00 Infrastructure 1.932.71 TOTAL 93JR7.57 REMARKS I tSIZS fi7 fit+ %'i'?7 AiA_1.P_gf1 jd 19 L.rrii"rl L iijillf., 1 r.14 ri 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 12/18/99 Issued by: Date / v /� Permit Validated by: �%!/► � t7�/a T�.. Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. tal BONDING YARD SPKLR SYSTEM 2ND FL SO. FT. FORMS PTIC T NK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH)w (( METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. I SO. FT. ® GROUT WATER HEATER WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN. SQ FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation // FRAMING l L // I / /'J FLOOR DRAIN MECHANICAL FEES "FINAL O WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER VENTILATION 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® V4c 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 f'i� , GROUND PLUMBIN 9� NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. tal BONDING HEATING (ROUGH) STORAGE TANK FORMS PTIC T NK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH)w (( METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING --u- yd. $ plus x$ =$ LUMBER GR. FINAL INSP. // FRAMING l L // I / /'J INSP. ROOFING hhk 160 "FINAL O REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND / FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL 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 �ef.e-r�ence�-5�19-95_ AVend`aRubio 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 wouldk.-.only invite theft. Sincer l /� . Terry Talley Project Manager TT:jr 14, a� 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 Rubio 773-161-018 #06758 , 51-895 Rubio_ 773-,161-019 #06759 C5 !M5T_Rubio__,,- _f 773-161-020 #06760 51-925 Rubio 773-16i-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 Baena Engineers, Inc. 79-8118 Country Club Drive Bermuda Dunes, CA 92201 - (619) 345-1588 1, It P..,I ltl'�yj �b�•'� i e jllu. �-T g. -. r i•�� � 1�rixJ.b'PI�' of �x fn ,� k6ll' ' �a rr'• -�t caq� I 3 � 49 I � all h -.r.' l� Ai � :�I �', �'f I FI npp F' e I I � : f 13 L4 IA +.�fi � n • r tl r b I E a n� I y'Ir x�P��1 I I kq yx t r SFJ Irl e�uc � dR' o X.41�.I��`���'« - - i. II 7 ` r R4 kk 1 yl 1 I r L Yr #rhk�Iel�i0�9Ci iNa��l 6'�: DATE JOB NO. e PROJECT LOCATION ' CONTRACTOR" OWNER WEATHER GLr1 TEMP. AG. o at AAA °atPM PRESENT AT SITE MOISTURE DRY MAXIMUM MAXIMUM FIELD TESTING REFERENCE CURVE MOISTURE DRY MAXIMUM MAXIMUM OPTIMUM TEST PEST LOCATION LOT ' NUMBER' r NO• ELEVATION CONTENT DENSITY DRY DRY MOISTURE % IbsJCu. R DENSITY DENSITY CONTENT % IbsJcu. k. !6 r�; / . 8 • .. vv 1 5 s -7 h )5 a. 91 d 3 ��-s9� � DG`- io•�... /oma/�� . t -T/ 7 •9 �~ P� 9.0 � � � 'SPG /�_ • / � D � F/ !9 N<<*r a rs O REMARKS: t '21 ZA • RECE ` AUG 19 1991 . u : FIELD REPORT CM O. OW 47A 4 CLIENT REPRESENTATIVE SIGNATURE TECHNICIANS SIGNATURE ! Z p Z 3293 �}Cya "'*k�f/ TT?!crlri •"P{"�aiph}+1`w7e�o °[Ar�►r71'':W:fv gRi�. �pGi+c: p}wtf �? ► Asir MNR r9T}�i'r _ nYr y _x.e -jy�c1 ;...�; ; = � b COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES .PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM X Applicant: Submit this form with four copies of a scaled plot pla6(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 remaimvalid for a period not to exceed one yearfrom date of approval. P4 04. VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTME- NAPPLICATION LW #1. , Agent, Contractor, Contact Person Phone Address & Phone Owner !' Mailing Address City State TN Zip 9'� 77G Job Property Addres k. Legal Description Prop.. (PM, Tract Lot) t�o7' Lot Size Water Agency , . I Use of Permit P/P CU, etc a a-+ OtherX.c. , ! ! D -el Site Prep, etc. , ^^ Signature of Applicant' Date CATEGORY: '' REV CODE FEE CATEGORYNi. REV CODE FEE SUBSURFACE DISPOSAL 1238 " S�, d ❑ SITE.EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO -PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION. 7348 $11.00 a. 1st 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 $86.00 NIT E Q' DATEp Holding Tank Agreements Completed ❑ Yes 0' -No O " ' O Certification of Existing S.D. System Required ❑ Yes J; No WQCB Clearance required. (Attach Form ❑ Yes a No DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes N Special Feasibility Boring Report Required. ❑ Yes ET'N e 75 Detailed Contour Plot Plans Required (1 to 5 ft. interval) 13 Yes Other, ❑ Yes �"o� Staff Specialist Lot Inspection Required ❑ Yes D" No Lot Inspection Date Soils boring report by P ject`# Date Soils Map Page ` Soil Type �Gt Approved by �r Date " 02 No. of Systems TypLLof System(s) No. Dwelling Units(I (1) Septic Tank Soil RateGrease/Sand - ❑ H��Iding Tank ❑Existing -P.W Bedrooms,,8raits ase Intcp ❑ Replacement 1• a• 3 Gal Gal " Leach Line. Ft. Sq Bo Sidewall allowance Install Li ne(s)ft longft wide with ,each Bed sq. ft. trench area ft rock/sq. ft. min . - ihes,5ock below drainlines or, ofbo arm ea per running ft. IsliftlA Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit T$t�l Depth er: Applicable Inlet (BI) Na O Max. Allowably Depth N/A Overburden factor a!� No. 2 System /A j. REMARK :— This application isfAPPROVEDfor the category checked in SECTION B above, regarding the design of a subsurface tdisposal system as indicated on the accompa�irie- plot plan, 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. (1 Septic tank and sewer lines must be 50' minimum from any wells c1l0 0 Leach lines must be 100' minimum from any wells, including expansionare (/ 3� Seepage pits must be,150' minimum from, any wells, including expansion areac%�0�'1'po",►- �Signature 0 �,���Gf. �;I—O 9 of Health Official r� C - r�hN' Date o RECEIPT NO. 3J '5'6.2 r Y Issued By ' "lleL-- Date DISTRICT: ❑ Riverside, A Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records e ft,. MJ Ili it Titof4 (QU*Uta,- F 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 II ordinances of the City regulating building construction or use.' For the following: -BUILDING- ADDRESS .51-905 Rubio 8 Use Classification SFD 4dg. Permit No. 06760 -Group R3 Type Construction VN -Fire Zone Use zone SR Owner of Building Neil Baker,' J Address 1875 Business Center Drive City San Bernardino, A By: Lonnie Day Date; 4/17/92 • Building Official POST IN A CONOVICUOUS PLACE I Ij