Loading...
04382 (SFD)'0 A 04382 P.O. BOX 1504 Building 5307,25 Rubio 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Canchalla Valley Land Mailing "BUILDING: TYPE CONST. OCC. GRP. Address 247 Lie Tahiuitz Way 02 A.P. Number 774--132-018 City Zip Tel. Palm' .4inrinas 192262 Legal Description Contractor Project Description Address - . -_ . r . .. .. . . City Zip Tel. State Lica City & Classif. 387934 Lic. # agey , u Sq. Ft. _1410 No. No. Dw. Arch., Engr., r Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 4281 Garam City Zip State 1701 611 Pence Wood Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 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. ,,.«e ,e d f�. J E.0 s f SIGNATURE d DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License law for the following"', reason: (Sec. 7031.5,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 file 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.J�}.VEI �t yy� subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). Plan Chk. BBI. .,�+ro ❑ 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 Const. .� . ��� Professions Code: The Contractor's License Law does not apply to an owner of property who 7y ii1��'��y builds or Improves thereon and who does such work himself or through his own employees. Mech. 3 . V V provided that such improvements are not intended or offered for sale. If, however, the building pq� or improvement is sold within one year of completion, the owner -builder will have the burden Electrical . y� j of roving that he did not build or improve for the purpose of sale.) O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 105 000 struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License'Law ' L does not apply to an owner of property who builds or improves thereon, and who contracts for' S.M.I. ,./ » 3 f6 such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. 8 P.C. for this reason Grading 20 A 00 Driveway Enc. 20.00 Date Owner Infrastructure i t fi b WORKERS' COMPENSATION DECLARATION � I hereby affirm that I have a certificate of consent to self -insure; o"r a certificate of Worker's Compensation Insurance, or a certified copy thereof:(Se'c:'98600. Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 1$2,609,53 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit Is for one hundred dollars (5100) valuation WI-00t—AR • 4.h or less.) CAS S143j I certify that in the performance of the work for which this permit is issued. I shall not 10 4t.A .1 T W AL if. employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: - BY:. �• subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. 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 Lender's Address FINAL DATE INSPECTOR This Is a building permit when properly filled out, signed and validated, and is subject to 1/29/88 �.} / A Q expiration If work thereunder is suspended for 180 days. i A: / 8 8 1 certify that I have read this application and state thatthe above Information Is correct. Issued by: Date Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip �i WHITE.- FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD = ASSESSOR'S OFFICE, HARD COPY,- FILE CONSTRUCTION ESTIMATL NO. ELECTRICAL FEES NO. PLUMBING FEEcr IST FL SO F1 y S UNITS COLL. AREA ( SLAB GRADE - y ROUGH PLUMB YARD SPKLR SYSTEM 2ND FL SO FT. 0 HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR SO FTa DUCT WORK ROCK STORAGE FOUND. REINF. POWER OUTLET ROOF DRAINS GAR SO. FT. * HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SO FT. 6 WALL SO. FT. �d WATER HEATER DRINKING FOUNTAIN FINAL INSP. URINAL SO. FT. tp1 WATER SYSTEM ESTIMATED CONSTRUCTION VALUATION i GRADING cu. yd. -plus-x$ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTONDISH) APPLIANCE DRYER REMARKS: GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMIPERM 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 g I w c SEWAGE DISPOSAL SO.FT.GAR rg 3:c HOUSE SEWER FINISH GRADING 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 8 AIR COND. SOLAR SETBACK - 2 GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA ( SLAB GRADE - y 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 APP.IEOUIP. REINF. STEEL GAS (FINAL) EMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. -plus-x$ =S LUMBER GR. FINAL INSP. FRAMING FINAL INSP. CROOFING 16 _ 000��0 ©` 1 /C %43(� �/� I If ` A^,_ �J REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR' GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION ' CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL :d Of � i ��, �• R f OFFICE OF E. LEON SPAUGY s AGRICULTURAL CONIMISSIONER C0MMISONER WALL JAMES O. WALLACE O AND ASS;S.ANr COMMISSIONER V .. n CLEMENT BENVENISTEWEIGHTS & MEASURES SEALER 49-613 }Iwy 86, Suite B-12 ��„��,,.•' 'Coachella, CA- 92236 Mq Y q, eq619-342-8291 DATE' 1 / ;Z CASE NO. -67?-`l `I DEVELOPER'S NAME: ADDRESS: L L TELEPHONE: ly?�� Dear Developer: After reviewing your landscaping plans, all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions do. occur and they differ frau plant material listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. Agricultural ssioner's Office cc: Indio and Riverside Office 771-/!5-z- ©tg 5 3 ':i� z 5- / 'l1-6 , �2� I C� COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM 1 " Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to -County specifications required on the attached check list. A non-refundable filing fee !/! of� •$ TO is required when the application is submitted. Check must be made payable to the ++ 7 County of Riverside Building Department Application Log # a z 0 H H W W U) as Z 0 H co H W Name (Owner, Agent, Contractor, Etc.) Mailing Address .STA 0- I2Dz-)3TActc-7-/-,AJ Soil Rate Required .�y7 E' T. hmcI./T7- WA v City State i �(.. Zip Code Telephone 44 Q /A!7%¢ C L 2, 4 Z 44 /* 1 --? L Z - / b z" n Job Property Addressf/, City";bre�8omm�sr� y *Legal Description of Prpty,. ,(Lot-, PM;• TR) S.3 82 kjLt a51t a4ld-rA Lor !s 4C3LA-0 Assessor's Parcel No. c4Jater AgeenW Use of Permit ';A-o1'i ,l2xrf -, / Lot Size 775/ Or -Well it 4VA?'S'1.. t ` SFD, MH Site Prep Etc'. Planning Case N G Ft. wide Sq ,Ft. of per running ft. Signature of Applicant Date *The above information must be verified from Building Application ' STAFF USE - DO NOT WRITE BELOW THIS LINE Initial t Date Certification of Existing S.D. System reqd. Yes[ ] No Ci] r�• r WQCB Clearance reqd. Yes[ ] No C -]� Soils feasibility report reqd. Yes[ ] No 101 1 Detailed boring report reqd. Yes[ ] No[ Detailed contour plot plans reqd. Yes[ ] Nor ( _ Staff Specialist approval reqd. Yes[ ] No C" J Lot Inspection Date Soils/boring report by 'z J�-✓''' Proj . N Date Soils Map Page jl. 41 r Soil Type �'� Approved by -'. i ( Date Type of System: r No. of Bedrooms) (1) Septic Tank Soil Rate Required Existing New Addition Replacement i �(.. Gals. , !r jf'"le. Z (2) Leach line sq. ft. Sidewall allowanceInstall Line(s) Leach bed (Bottom�h area) ft. rock/ Sq. Ft. Ft. Long, Ft. wide Sq ,Ft. of per running ft. with Min. ---inihes rock bottom ' N/A C+d% below drain lines area Leach lines/bed-special design (3) Pit Diameter No. Pit Seepage Pit total depth for slope: Applicable 6' 01 Pits BI N/A 1,/Overburden factor /L[ Max. allowable depth _ yG L f ' This application is a proved' +en -:ad for the design of a subsurface disposal s, -stem as indicated on the accompanied plot plan using the requirements set forth in Section B above. u A building permit is necessary for the installation of the above -designed system. N lto.o �1) Septic tank and sewer lines must be 50'r from any wells t -f �'' ^ 1 �(2) Leach lines must be 100' min. from any wells including expansion area,� � Seepage pits must be 150' min. from any wells including expansion area ! J. 7 r Signature of Health Official Date " r L= RECEIPT NO. n Issued by t.Ae Date , v. n J District: Riverside [ ] Indio EvT Hemet C ] Perris [ ] Rancho Calif. C ] Blythe [r]cf 0 Distribution: WHITE -Office file YELLOW -Applicant PINK -Bldg. Dept. GOLDENROD -Pending File DOH SAN 122 (Rev. 2/86) - I• f t: r / 71 A/ r � Z W x - L f ' This application is a proved' +en -:ad for the design of a subsurface disposal s, -stem as indicated on the accompanied plot plan using the requirements set forth in Section B above. u A building permit is necessary for the installation of the above -designed system. N lto.o �1) Septic tank and sewer lines must be 50'r from any wells t -f �'' ^ 1 �(2) Leach lines must be 100' min. from any wells including expansion area,� � Seepage pits must be 150' min. from any wells including expansion area ! J. 7 r Signature of Health Official Date " r L= RECEIPT NO. n Issued by t.Ae Date , v. n J District: Riverside [ ] Indio EvT Hemet C ] Perris [ ] Rancho Calif. C ] Blythe [r]cf 0 Distribution: WHITE -Office file YELLOW -Applicant PINK -Bldg. Dept. GOLDENROD -Pending File DOH SAN 122 (Rev. 2/86) - I• f t: r / 71 A/