Loading...
06789 (SFD)Building Address Mailing Address City 4 4 " P.5CAL0O X 1504 78-1LE ESTADO 52-19.6; $tuff® LA QUINTA, CALIFORNIA 92253 78401 Highway 211. Zip . . La Quints 92233 1 64-2205,,_ Contractor DGE Construction Address • CityZip Tela Palm Desert 92261 _340--6807 State Lic. City & Classif. 480121 Lic. # Arch.; Engr., Designer Address I Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under lirovisions of Chaptey9 (commencing with Section 71100) of Division 3 of the Business and, Professions Code, annd'my license istn full force and effect. {/ r,! </ 3� %ls', r _SIGNATURE - i'-' GATE OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Business and Professions Gide: 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 file 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 dollars (E500). 0 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 or property who builds orvrtproves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. It, 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 coir 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.) ❑ 1 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 Workers 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 ($100) valuation or less.) I 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 California. Date Owner NOTICE TO APPLICANT: N, 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.) Lenders Name Lenders 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 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 No. BUILDING: TYPE CONST. - OCC: GRP. A.P.'Number - 773-222--015 Legal Description LO / Project Description S3 Sq. Ft. 1756 No. No. Dw. Size - - Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $96.734 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical AMOUNT i $1 120+76 Plumbing 157+50 S.M.I. 6+79 Grading 20.00 Driveway Enc. 20.00 Infrastructure 2,138.28 TOTAL 1 S3 673.36 �. REMARKS 4i++i kt 3 c+x=+;±` c 9i t t':t -`?t ? ?.:.i4 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: 1/4/90 Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS A.C. UNIT COLL. AREA SLAB GRADE 7 AV YARD SPKLR SYSTEM 2ND FL. SO. FT. @ BONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. SO. FT. ® ROUGH WIRING. GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (ROUGH) DRAINAGE PIPING CAR P. I SO. FT. (cp HEATING (FINAL) OTHER APPJEOUIP. WALL SD. FT. GAS (FINAL) DRINKING FOUNTAIN. TEMP. POLE 4!!�IOeA-44 URINAL FT ® GROUT WATER HEATER ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ROOFING q3 -fO LAUNDRY TRAY AIR HANDLING UNIT CFM 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 ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE IPL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACKO y 0 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 7 AV ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. (, ® GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE 4!!�IOeA-44 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. a o"& $ GRADING cu. yd. -Plus-X$-=$ LUMBER GR. FRAMINGrj �a / FINAL INSP. ROOFING q3 -fO ti/w / Avg �' /t //� y���/1/_"�/�,( /I�moA•' / A d • �('y/ 4110 REMARKS VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL D QD LATHING 7 MESH INSULATIONISOUND --'� FINISH GRADING FINAL INSPECTION- NSPECTION ' 7� CERT. CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS - GARDEN WALL FINAL 1 Desert Sands Unified School District CERTIFICATION QF PAYMENT Q{A�e � r-5Cf�OG FACILITY FEES p-jV.1D. V'�3I a DATE: 'tiyo De arteof Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to ertify h developer of whir�j-/ located at / 1eiEi1� this District, has paid school acility fees imposed pursuant to the autr�or' t gen r t�db o ernment CodetiSecti St 5308 in t amount ofs 1U SY c �i c , covering a total of square feet of ( I/J&141si6ential or ( ) industrial/commercia development and that buil permits for this footage in this development may now be issued by your jurisdiction. 53- ka-o `U- t oeo C%�r CRCL f 1 for DESERT SANbS UNIFIED SCHOOL DISTRICT �G� rr� %l7S�j� ite it ing Department • Yellow -Facilities Planning •/ Pink - Accoun ing • Gold - Developer �/� �66 (10)-37 I1 El U Z O U W U) Z O U W Tn '�?3v�`it..'.p#;{,,;�;••�`,+�^�y"yi:T7Wl�'ti,�.�y COUNTY OF RIVERSIDE ENVIRONMENTAL A"msO" Puma! NM HEALTH SERVICES DIVISION �� - �'Z - APO /5 f` PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM �7 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 IisL 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. f, VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # t Agent, Contractor, Contact Person D.G.H. Const. / David Hm sinkvel.d Phone 3W-6807 Add ess & Firm PA Box 29Q32, Palm Dxw t, Ca. 92261 Owner Ia Qtanta Enterprises / Colataa: Din Phone 564-M Mailing Address 78-401 Hwy. 111, Slate G, La (Manta, Ca. 92253 City State Zip Job Property Address 4 4 - St. alb (P „ T Lot) r1 la Ca. 92253 ' Lot Size Water Agency/Well Use of Permit P/P, CU, etc. Other 50M sq. ft. (7• (J w � 0 Dwelli H Site Prep, etc. Signature of n /// ff Date CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE ❑ SUBSURFACE DISPOSAL 1238 $ 57.00 O SITE EVALUATION UPON REQUEST 7349 $ 43.00 Qo-46LTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348• $ 17.00 a. 1 st 4 Parcels (Each) 1238 $ 57.00 (Less than 1 year) b. Each Parcel after 4 7344 $ 24.00 ❑ PRELIMINARY ELECTIVE 7352 $ 23.00 ❑ Rereview (2nd review same parcel) 7344 $ 24.00 EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $ 47.00 Critical Area 7346 $111.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $ 87.00 INITIAL DATE Holding Tank Agreements Completed ❑ Yes CJ No Certification of Existing S.D. System Required ❑ Yes C( No WQCB Clearance required. (Attach Form ❑ Yes C No DOH SAN 007, Santa Ana Region Only) Sells Percolation Report Required. ❑ Yes C No Special Feasib8lty Boring Report Required. ❑ Yes C No -�4 * -7-'t L.:? Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes No Other ❑ Yes !� No { Staff Specialist Lot Inspection Required ❑ Yes p No Lot Inspection Date Sella boring report by Proiec Date ^• '' Soils Map Page Soo Type Approved by �= : pate �1 No. of Systems Type of Systems) No- Dwelling Unite (1) Septic Tank Soil Rate, Gresse/Sand ❑ Holding Tank ❑ Existing roo us Fixture Units $ Grease Intop / 9 -New O Replacamm" Gal (2) Leech Line Sq. Ft Sidewall allowance Install Line(s) ft long ft wide with Leach Bed sq. ft Bottom trench area / _ ft rock/ sq. R/ per running fL1-1 min. itches rods below dreMlirtee of Ixeltorrt e►ee �/ �- ❑ NA — Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth Other: Applicable % Inlet (BI) (TD) - / `7 ' Max. Al�bweble Depth a F N/A Overburden factor ❑ 5 y No. 2 System REMARKS: LOk.r.'t[ Lilvii:. �-/ulrN /M f L,._ �" F n. f�.Lis Is s�/��•/C 7� This application 1 As PPROVEDIDENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanied -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 (2 Leach lines must be 100' minimum from any wells, including expansion area C(3) Seepage pits must be 15,0' minimum fromany wields, including expansion area 9"—, Signature of Health Official ! Gc ' Date -72 - 2 2- " i RECEIPT NO. P / Z 2 Issued Byy Date 12 ` 2 2 ` -w".9 DISTRICT: ❑ Riverside, 19-Iridio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE . Office file YELLOW . Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records Of OFFICE OF AGRICULTURAL COMMISSIONER AND ;R ; WEIGHTS & MEASURES N INSKAS JAMES O, WALLACE 4080 LEMON STREET, ROOM 49 CALVIN C. KAMilonor Agricultural Commissioner CLESMENT BENVENISTE RIVERSIDE, CALIFORNIA 92504 I Director of Weights d MeasuresSealer (744) 787-2564 49613 Highway 86, Suite B12 Coachella, Ca. 92236. DATE I a `-� Q (619) 342 NO. �4 1.2 12 Z l DEVELOPER'S NAME: ADDRESS: - L4 ( C Q7 LA , ,.� �, Cry TELEPHONE: H) Si9 L{ Dear Developer: After reviewing your landscaping plans,.'all.plant material listed isnot in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ from plant material listed; this office must be notified immediately. Thank you for protecting,and preserving the Coachella Valley's pest -free environment. Agric tural Commissioner's Office cc: Indio and Riverside Office Mt 1 D A I LY R E PO RT O l *GRADING CONTROL SOIL and TESTING 'K 0 ENGINEERS INC. JOB LOCATION CLIENT OR OWNER REPORT SEQUENCE NO. GENERAL LOCATION OF FILL Z-1�5 kle, 1��bic� PURPOSE OFFILLOR NATURE OF STRUCTURE TO BE SUPPORTED -E�toU�e Pc, DATE 3-2310 DAY OF WEEK � �i. GENERAL CONTRACTOR GRADING OR EARTHWORK CONTRACTOR JOB ENGINEER HRS.0HARGED0'r"Ai G.ro CONTRACTOR'S SHIFT 7 CONTRACTOR'S SUPT. OR FORMAN ASSISTANTS HRS. CHARGED SOURCE & DESCRIPTION OF FILL MATERIAL & MAXIMUM DENSITY & M/C WEATHER APPROXIMATE YARDAGE PLACED THIS SHIFT TOTAL TO -DATE TEST N0.NSITY TEST LOCATION aZ�J /S JC��I D LOTS ELEVATION IN �I FE� .7 COMP. CURVE NO. TEST MOISTURE +AOMW% TEST DRY LSE/CU.. FT. RELATIVE COMP. % RETEST N0. NOTES AUar4l, F� � Seg �iovt Z 3 133,— y�r3 Z eeol cr :�c'c4jo/ t 2 132--7 'So i. i.JPsf .5(!A_ 7 Z- , ¢ 1301 97.) SUPPLEMENTARY REPORT (DESCRIBE EQUIPMENT USED FOR HAULING, SPREADING, WATERING, CONDITIONING & COMPACTING; ALSO REPORTTHICKNESS OF LIFTS, AND AND NUMBER OF ROLLER TRIPS.) e r 1,arx ^ l o. I )r 4 rJ 1 61 vl eA r r r`hrvA.A (4f r -A J) or e c c.4 f k I Jn 4.(C���c • � wu- 40Atea,-op(e �.�k�e, Cn��[���P�� 'n0 l /4.r 4,11' ick 1 . 1nr^ !C JOB NO. � COPY SENT TO CLIENT 0 CONTINUED ON NEXT PAGE PAGE 1 OF , 105-5/86 e