Loading...
05731 (SFD)Building 52-510 RUBIO Building. Owner W. R. BAKE. Mailing Address 52-448 HAVARRO City A QUIVTA zip 92253 Contractor OWNER/BUILDER City State Lic. I City & Classif. Lic. # Arch., Engr., Designer. Address Tel. City IZip I State Lic. # 4 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 LICENSED CONTRACTOR'S DECLARATION 11 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 effect. _SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.S,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 We a signed statement that he is licensed pursuant to the provisions• of the Conbactor'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 rive 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, Suisness 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.) ❑ 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 property who builds or improves thereon, and who contracts for such projects with a contractor(s) rrcensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason DateOwner 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 ff the permit is for one hundred dollars ($100) valuation or less.) " I certify that in the perfomnancefof 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 f , Date Owner NOTICE TO APPLICANT: ff, 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 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 property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certity 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 773-283-001 Legal Description Project Description 05131 Sq. Ft. 1650 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $95,143.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. .277.22 Const. 521.50 Mech.53. W Electrical 120.41 Plumbing 157.50 S. M.I. 6.72 Grading 20,00 Driveway Enc. 20.00 Infrastructure 2,102.45 M& FICiJ 1 ! r 19,.ta':' S�>;j Lf,16 l''! i TOTAL 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 5/12/89 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS A.C. UNIT COLL. AREA YARD SPKLR SYSTEM 2ND FL. SQ. FT. ROUGH PLUMB. BONDING MOBILEHOME SVC. BAR SINK POR. SQ. Ff. ® FORMS SEPTIC TANK/AL,, POWER OUTLET ROOF DRAINS GAR. SQ. Fr. ® DUCT WORK ROCK STORAGE FOUND. REINF. DRAINAGE PIPING CAR P. SO. FT. Q METER LOOP HEATING (FINAL) OTHER APPJEQUIP. DRINKING FOUNTAIN. WALL SQ. FT. GAS (FINAL) TEMP. POLE URINAL SQ. FT. @ GROUT ESTIMATED CONSTRUCTION VALUATION $ 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 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEWPERM 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 ® 1+A c SEWAGE DISPOSAL SQ.FT.GAR ® 3Vic HOUSE SEWER GAR. FIREWALL 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 PLUMBIN71 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEPTIC TANK/AL,, ROUGH WIRING, DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) 3 sJ / 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 //Aw FINAL INSP. . /y ROOFING/0 .�(�- �j O u o b a REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING fDWN ' 0 MESH INSULATION/SOUND `ry s FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL • v rn O n p Cr] C9 H z V cn C z H 'sJ H M v cn C'1 x O O r v H x H n H rr ^0 tna rt ra :r O G S O m r- < rr r- 0 < m m :I,(n a m n O rr �- rr r- H. n p m O H O 7 m O d Q rr N m r- rr G K, rt a n ul a m a n rr to rr to r- O r• m n rt m n n, m r• O m rt r• a rt m rt a n O ~ a rt 0 rr w 0 y P -h d n ul 'L7 rt m � a r• m 0 a < < r• L1 m a O y rt r r < 0 ::r O m ::r a 10 a n O rt (ao < as �°- 7 m m rt 7 r+i rt a 'D n '< m O � C1 r - O rt (n m rt O ,n £ a G UI 7 a m rt, Q d n n m m m rt m rt r- ur r = rr O m a m a r - (n rr m rt (GD w O d o O O W r• M co m Qr O pl O U3 n c rr (n n ro n :r G m m m a G r• a rr n r• p, g w rr m O rt- E (4 (n a G O d rr a S 1,. r• r* r- rr rr r- A 0 0 a s rr rr n O m :T r- rn r• r• O O 7 Vl 7 n �- H O r -1 v n ' a ao m r - I IO r a < C O n r to rt O 7 a rT a a a r�1 I rr a nm ❑KD�J y rn G Ch r• W 0 ] O rr O rr(n Ln O r w r- rr "C m S m 0 'C1 s� 5 rt Fitch Engineers Inc. January 17, 1990 City of La Quinta 78 105 Calle Estado La Quinta, Ca. 92253 SUBJECT: 52 510 Avenida Rubio Gentlemen: Enclosed please find beam calculations for the above referred to residence. These calculations show that the 4 X 8 beam used along the front entry way spanning 13 feet will support the load transmitted to the beam. Respectfully, WM. H. FITCH R.C.E. 12571 CIVIL ENGINEERING — PLANNING — SURVEYING — DESIGN P.O. BOX 4551 PALM DESERT, CA 92261 (619) 345-7667 U K COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH IAssamis Parcel NO' ENVIRONMENTAL HEALTH SERVICES 1773 -02Lf3 - 04) 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. VERIFY ITEMS IN SECTION A FROM BUILDING 3 SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'* Agent. Contractor, Contact Person ^ Phone Address 8 Phone - Mailing Address L� -g", fly ip ob Property Address Legal Description (PM, tact, Lot) = 7 edwp ✓!t i. &-12 , %S� G Lot Size Water A�gencYi 1; i Use of Permit P/P, CU, etc. Other�Q c�[7 Ilir@, MH Site P , etc. 1 � Date Signature of Applicant CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE Oee-SUBSURFACE DISPOSAL 1238 ❑ SITE EVALUATION UPON REQUEST 7348 $42.00 ❑ MULTIPLE PARCELS.WfTHIN SAME r (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 -J ❑ HOLDING TANK 7351 $45.00 Critical Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $13200 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347. $86.00 IWM��LL� DATE Holding Tank Agreements Completed ❑Yes No //v/tom ' � 3�� Certification of Existing S.D. System Requited ❑ Yes No WbCB Clearance required. (Attach Form ❑ Yes No DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes Special Feasibility Boring Report Required. ❑ Yes Detailed Contour Plot Plans Required'(1 to 5 it interval) ❑ Yes Other ❑ Yes Staff Specialist Lot Inspection Required- Q Yes No Lot Inspection Date Soils boring report by Date A=��J Soils Map Page / Sol Type `-'� Approved by Deme 3-23 No. of Systems Typkjof Syatem(s) No. Dwelling Units /) Septic Tank Soil Rate Greeae/Send . ydding Tank ❑ Existing" . O Replacement -`Bed a _(1) G'Mase IMap 38D�+ - /IMk ���Gal f (2) Leech Line Sq. Ft area Sidewall allowance ft. Irretall,,,�_ Lme(s) R kxig ft wide with _ L Bed sq, ft.trench sq. L pft. rookl fl. NA min. irxhes"r w� drai A=.or6 of rea a ��� Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth .�fK/N/A Other. Applicable / J Inlet (Bq Overburden factor / [ / f' Max. AI 34 � Ie+Depth No. 2 System 1114- 4-REMARKS: REMARKS: This application i PPROVED T E -01 -for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the aaoompan' pot 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 160%,expansion area. (1) Septic tank and sewer lines must be 50' minimum from any wells Leach lines must be 100' minimum from any wells, including expansion area' r G�ry�th kir(3 Seepage pits must 1550Qm-i�nimuum/from any wells, including expansion ar /� �� . o r . 'I'. ' w' /q� Si nature of Health Official 3' Dat � f RECEIPT NO. 5,0 0 9_ Issued By W/1 Date DISTRICT: ❑ Riverside, L9",/ Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe - DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records i �Qcaf