05530 (SFD)Building 52-732 MM10
Sunrese Properties, lime.
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Address 72-850 Stora 'Rd-
Cilalm Desert "9226Q Tel19,3,6--Zfi82
Sam
State Ljc. (City
& Classif. 517085 Ljc. #
Arch., Engr.,
Designer Bushmans
Address
CityZip State
Ralm Desert X2260 tic.
—
LICENSED CONTRACTORS DECt TW N
I here% affirm that I am 6oa�sed under peovisior of Chapter 9 (commencing with Section
effect-
upon 3 of'th6' Profesgaas and mp license is in full force and
SIGNATILF Y -' 11ATE
i` GINNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt tram the Contactors License Law for the following
reason: (Ser~ 7031.5.8usness and Pfailessiors Cod- Any cly or county wlwidn reproves a
per"* to construct. after. irprnv. d I ft or any structure- prior to Rs ssuarice afro
requires the appicart for such perm- m Bea signed sta[amf flet hes icersed pursuant to
Me provisions of the C n&acftr*s License Law. Chwftr 9 (commencing with Section 7000) of
L1rvision 3 of the Business and Rafass ars Coda or fel. he is exempt therefrom, and the basis
for Me alleged exemption Awry vie- I N of Secliim 7031.5 by any a plical for a permit
subjjeds Ore no I Ito a arilpenally of not awe Yvan fee hundred rffirs (1500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not untended or offered for sale. (Sec. 7044, Brrfsmess and
ArWessio s Code. The Caribactoh Luse Law does not aPJ* to an owner of property who
bur7ds or improves thereon and atm does such world himself or through his own erpbyees,
provided Mat such irprovernens are ad k9ml ed or offered for sale_ If, however, Me busIAV
or improvement is sold wWW ane year of oaurpNetiorm, the owner -budder will have the burden
of proving that he did not buil or improve for the purpose of sale.)
❑ 1, as owner of the property, am exclusively eon bacting with licensed contractors to con
struct the project- (Sea 7044, Bush= and Phafessions Code The Contractor's License taw
does not apply to an owner of prapety who broth or 6proves thereon, and who contracts for
such projects with a conbacWs) fpursuant to Me Cvnb-acbw'S License Law.)
❑ 1 am exempt under Sec. R b P_C_ for this reason
Date owner
WORKERS COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure, of a certificate of
Workers Compensation Insurance. or a certified copy thereof. (Sec_ 3800, Labor Cade.)
Polity No Company -'/, ser f'r'`'r x" I i � �✓ti^/3t ! ' "
p'Cbpy is filed with the city_ ❑ Certified copy is whereby furnished
CERTWICATE OF E7®IFIION FROM
(This section need not be coi pte[ed 9 Me pard is for one hundred dollars (f 100) valabon
or fess.)
I certify that in the performance of the wank far which this permit is issued, I shalt not
employ any perso. in any mariner so as to beoorne subject to the Workers' Compensation
Laws of Cal F is
Date Owner
NOTICE TO APPLACAW_ f• after mating tis Certirare of Exemptim you should become
subject to the wbrlters' Cor>permafvm prov®as of fie tabor Code, you must forthwth
comply with such prwmon s or this permit shall be deemed rni ofoed
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction IeMing agency for the performance of the
work for which this permit is issued (Sec_ 3097, Chd code.)
Lender's Name
Lenders Address
This is abuilding permit when properly fitled out, signed and validated, and is subject to
expiration if work thunder is suspended for 180 days
I certify that 1 have read this appfieation and state that the abpve information is correct
1 agree to comply with a8 city and county ordinances and state laws relating to building
construction. and hereby arthmriae representatives -of this city to enter the above-
mentioned property for irspectiorn pnupasea
Signature of applicant Date
Mailing Addnss
City, State, Zip
Numbe
No.
TYPE CONST. OCC: GRP.
r 773--313-002
Description Lot 25
Project Description
SPD
05530
Sq. Ft. 11+37 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $71,116.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
.Io
Const.
•
Mech.
9.W .W
Electrical
108.88
Plumbing
164.00
S.M.I.
5.04
Grading
20.00
Driveway Enc.
20.00
Infrastructure
1.564.74
r,
TOTAL
�P -1
REMARKS
r-4.642. is"
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 3/16/89 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB. BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT.
FORMS
WER OR SE ROUGH WIRING.
MOBILEHOME SVC.
BAR SINK
POR. Sp. FT. ®
GAS (ROUGH) METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
GROUT
DRAINAGE PIPING
CAR P. SO. FT. ®
FINAL INSP.
WALL Sp. FT.
WATER SYSTEM
DRINKING FOUNTAIN.
GRADING
cu. yd.
$ plus x$
=$
URINAL
SO FT ®
, y�
LRAMING 7—�j — '�/
C
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
/ 7 7_
'
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
VENTILATION
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIREPLACE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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
FINISH GRADING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. 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
OUND PLUMBIN ? UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
WER OR SE ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) METER LOOP
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. /
, y�
LRAMING 7—�j — '�/
C
FINAL INSP.
ROOFING
/ 7 7_
'
Q
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND h
v
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF'
SCHOOL FACILITY FEES
NOTI THIS DOCUMENT
,E:
CANCIA
NOT
BE ®UPL1 ATE®.
TO': C.i:.ty of 'La .Quina
DATE:
•Depa'r'tment.'of Community Development
78-105 Calle Estado
La,:Qu,i;nta,,.. CA 92253
This is tocertif that
developer
which' is
q4. -
wi:thin
this';Di's ti ict, has paid school .f aci'lity fees,
imposed put sua , to e.
aautho it genes 3t by ernment ,C'" a Sect
'osi '5 i.n', the amount_"6f
�0D80
covering a total of sguai e'
feet,"of ( °•-residential or
y..
"( ) indus.tria•1/gommer.cial . evelopment'and that-
building •perm-'`t's for
this footage in .tfiis development may now .be -'issued
-by your jurisdiction.
: for DESERT S
DS UNIFIF.D_SCHOOL DISTRLCT
White - Building Department . • Yellow - Facilities Planning 9'
Pink = Accounting • Gold.- Developer
(10)-37
i COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH A°'°'8Of" Parcel NO'
�E ENVIRONMENTAL HEALTH SERVICES ; 7 -
PERMIT APPLICATION FOR 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 Ao exceed one year from date of approval.
VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'*
t; Contractor, Contact Person , ,
i_ G '% l e5 1�/O/'"/ i .�G �• dl
Phone
fr^ c
Address 8 Phone �)
' �' z �?
Owner
Phone
Mailing Address
.
.'rrfq//�f4
City/
State
Zip
Job Property Add
Description Prop. (PM, Tract, Lot)
ule� /mac
T.T GO
7 % ��lio
u/0
Lot SizeWater.A'ger
�Mlell-•
Use of PierqqrniAt P/P, CU, etc. � •G/r �n/'!L�
Other
Dwelling, MH Site Prep, etc.,
Q CGcx,�2i ;
nature of Applicant
'SW
Date
ff ' CATEGORY: REV CODE .. FEE , _
'CATEGORY: ? ,-REV CODE FEE
l7� SUBSURFACE DISPOSAL 1238$45.00
o SITE EVALUATION UPON REQUEST 7349 $42:00
❑ : MULTIPLE PARCELS WITHIN SAME
(NO,PLOT PLAN)
LAND DIVISION
❑ SEWER/SEPTIC VERIFICATION 7348 $11.00
a 1 at 4. Parcels (Each) 1238 $45.00
;(Less than 1 year) r .r
;nib7 Each Parcel after 4 7344 $16.00
❑ PRELIMINARY ELECTIVE r 7352.'i� h $45.00
tEVALUATION �
Reparcel)
review (2nd review same 7344'. $16.00
(Attach DOH SAN 53) j is �y~ ttiz•'
❑ -HOLDING TANK yi';Sk7351 ` 3 $45.00
❑ She Evaluation in Conjunction with
a
i Crttkal'Area 7346 $Bfi.00
❑ -ALTERNATIVE/EXPERIMENTAL 7345"' 113200.
'-❑, Site Evaluation Lot Less than
SYSTEM
' 10,000 Sq. Ft. 7347 $86.00
INMAL DATE G
Holding Tank Agreements Completed ❑ Yes
Certification of Existing S.D. System Required , • ❑ Yes-. WNo
WOCB Clearance required. (Attach.Form ❑ Yes ❑� o
DOH SAN 007, Santa Ana Region Only) `
Soils`Pemolation Report Required. ❑ Yes rI No
,
Spedal.Feasibtlity Boring Report Required. ❑Yes , . N�
Detailed Contour Plot Plans .Required (i to 5 R interval) ❑ Yes , poi
•
Other ❑ Yes l N
N//pp
t f ,
Staff Specialist Lot -Inspection Requited ❑ Yes No
Lot Inspection Date
Soils boring report by' Project Data
/#
Sills Map Page / <' t7 Son Type l /tet C ✓ Approved .by-C/� _ Date
No. of Systems
Type of Systems)
f] Holding Tenk ❑ Existing
No. Dwalling,'Units t i
Bedrooms, Fadure;.Untts.
(1.) Septic Tank
Soil Rate
Grease/Sand
Intep
{
❑ Replacement
Q.-vt 4`
I�Y�"1/
Grease
�f
}clew
,
Gel
J
Gels*
Leach Lire Sq. Ft
Sidewall allowance
Ir�ll..__ - ' LineR long H w
s) ide with
Leach Bad sq. ft
`2)
Bottom trench area'
R rock/sq. ft.
min. ,; ' r *Ibelowdrafni'mes or
per running ft
Leachlinea/bed special design for slope:
(3) Pit Diameter
No. Pb','
Pit Below
Seepage Pit Total Depth
Other
Applicable -
!f
Inlet{BI)
/
�a !�
N/A Overburden factor
--;,`
(1
Max. Alwabl� Depth
No 2'System /'V/%
° REMARKS,irt +.h— G >i t�C. %-: /7`" , c }`< fAri'
i..f�'S-"C�.'�%'�ir.: A /✓ 1/�A/9 � / .r/ � Of' •.f`� x /d �/.Y - 18• ' l�.1/ �.1/`b�4/°/./
This•application 's PPROVED __NIEU+for the category checked in`SECTION l3 above, regarding the design of a subsurface disposal system as indicated '
on the accompanied po pt t�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.
` t
1') Septic lines be 50' from f
tank and sewer must minimum any wells,)6/0
`-(2 Leach lines from including `? (' �� o�c,
must'be 100' minimum any wells, expansion ares .r/ • ,cic�
r 3) Seepage pits must be 1.50' minimum from any wells, including expansion area
-�/�G •ice cL
,s.
-•• �' L��� -;✓
Signature of Hearth Official /[ Gr e ,�`-r-Qn�
YT'RECEIPT-'NO. oAfy Issued By /°�� 3 /. �1 Date
z
DISTRICT'.' ' ❑ . Riverside, M l do .❑ Hemet q .Perris ❑` .Rancho'Calif. ❑ Blythe
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PIf' K -Bldg: Dept GOLDENROD - Plans/Records