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11606 (SFD)P.O. BOX 1504 N o . 11606 Building51 Ramirez 78-105 CALLE ESTADO AddresLA QUINTA, CALIFORNIA 92253 Owner W.E.S. DS✓vepopment BUILDING: TYPE CONST. .s'iF"T1 OCC: GRP. Mailing Address 4102 Marble Ridge A.P. Numberr. 777-w1 71--41nq City Zip Tel. S31icq i e Segs 95682 (916)676-3300.. Legal' Description Lot 3 �. �� FA10- nk 59 Contractor Project Description P `� 3 r�'-4'e sed StC3C:'kiCan Homes Address t City Zip 71 -_ State i. B1 6 42348 I City & Classit. Arch., Engr., Designer Studio 4 Addl. 949 University #'100 (e910 920-1159 City Zip - State Sacramento Lic. # 22044 LICENSED CONTRACTOR'S DECLARATION I 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. M SIGNATURE - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Business 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 civil penalty of not more than five hundred dollars ($500). ❑ 1, 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 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 yeai of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) 0 I, 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) 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 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'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: If; alter 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.) 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 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 Sq. Ft. No. No. Dw. 1 Size 1680 Stories 1 Units New,E Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $99,664.00 PERMIT AMOUNT Plan Clik. Dep. Plan Chk. Bal. 528. 015 Const. 639.50 Mech. 60.0u Electrical 115.30 Plumbing 109.50 S.M.I. 1.0.00 Grading 20.00 Driveway Enc. Infrastructure ti r 204.10 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 Permit Validated by: Validation: w CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES ,1ST FL. SO. FT. ® $ UNITS 2ND FL. SQ. FT. YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. DRAINAGE PIPING WALL SQ. FT. DRINKING FOUNTAIN. SQ FT ® URINAL 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(AUTO)(DISH) APPLIANCE DRYER 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. SQ. FT. ® c BATH TUB SQ. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/4 c SEWAGE DISPOSAL SO.FT.GAR ® �/ic 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 GROUND PLUMBING / ? UNDERGROUND A.C. UNIT COLL, AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 2 SEPTIC TANK L�O'UGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM / /►�}�- ` J rF/es r -S -/ GRADING LUMBER GR. L FINAL INSPfttgog cu. yd. FRAMING G n FINAL INS —� $ —Plus—x$—=$ ROOFING I l �J �I co (� REMARKS: VENTILATION C `' L l ��� FIRE ZONE ROOFING !O GGaS �► rE:/Sio rJ �i�.a c,v E� ro J4 o FIREPLACE SPARK ARRESTOR y//.2/�C/ -F- GAR. -GAR. FIREWALL / kZ2 JLA RING q 7 /-P 10 `� MESH 711i INSULATION/SOUND FINISH GRADING � FINAL INSPECTION �f °,� � � ���� FENCE FINAL INSPECTOR'S SI NATURESAITIALS GARDEN WALL FINAL February 16, 1993 Marcia Ewart DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Hwy 111 Indio, CA 92201 Dear Marcia: The addresses of the following structures have been changed: #773-171_Z,0-0,9, Lot 16,_ Bloc O Di- APN #769-134-005, Lot 105, Desert Club Tract 5 Changed from 51-215 Calle Paloma to 51-220 Calle Paloma e APN #774-154-006, Lot 19, -Block 202 Changed from 53-810 Avenida Alvarado to 53-798 Avenida Alvarado APN #773-172-004, Lot 21, Block 60 Changed from 51-850 Avenida Vallejo to 51-840 Avenida Vallejo Please note these changes and feel free to contact me if I may be of further assistance. . Thank you. Sincerely, BUILDING AND SAFETY DEPARTMENT Kelly.Tropple Counter Technician '�U A-41 COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY Assessors Parcel No. 19 • DEPARTMENT OF ENVIRONMENTAL HEALTH 3 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. /% 04-••01. 93 08:56C001 LOG ii K" VERIFY ITEM_ S IN SECTION A FROM A NON -FEE BUILDING & SAFETY (goldenrod) APPLICATION 815 Agent Conte or, Contact Person wqt� Phone 5�L+-s,!y Address City 1"7 State Zip 130' 0.d. 6jr 1(v>� cr Cao 9 tIS"� d��, m i -1-.-a ���,� �3p- Owner Phone Address City CI IE Mate $ZIZ06 m Job Property Address, City State Zip Legal Description Pro . (PM, Tract, Lot Ci Ll 0 Lot Size 0 ater Agency Use of Permit P/P, CU, etc. Other S44 7ACA RMQL 1 4r >0 1 too 1 C V w, 19-Dw Iling Site Prep, etc. La tX u/STA G/Nir Si nature of Applicant- Date CATEGORY.';''•- y'+ REV CODE FEE CATEGORY REV CODE .FEE F ,7349 j Ck SUBSURFACE DISPOSAL (per system) 1238 153.00 ❑ SITE EVALUATION UPON REQUEST $120.00 i (NO PLOT. PLAN) ❑ MULTIPLE PARCELS WITHIN SAME LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $ 58.00 a. 1st 4 Parcels (Each) 1238 $153.00 ❑ PRELIMINARY ELECTIVE EVALUATION b. Each Parcel after 4 7344 $ 55.00 (Attach DOH -SAN -53) r 7352 $ 69.00 ❑ REREVIEW (2nd review same parcel) 7344 $ 55.00 ❑ HOLDING TANK 7351 $119.00 ,,...,_ ❑ SITE EVALUATION In Con)uction with Critical Area 7346 $197.00 ❑ ALTERNATIVE EXPERIMENTAL SYSTEM 7345 $656.00 ❑GRADING PLAN REVIEW DETAILED 1238 $104.00 ❑ SITE EVALUATION Lot Less than 10,000 Sq. Ft. 7347 $172.00 ❑ GRADING PLAN REVIEW CURSORY 1238 $ 55.00 ❑ SECOND FIELD VISIT.(SITE EVALUATION) 7346 $ 85.00. ❑ COPIES (LAND USE) 7786-81 $ .50 • If11TIAk DATE/ Holding Tank Agreements Completed ❑ Yes 0- IN Certification'of Existing S.D. System Required ❑ Yes No WQCB Clearance Required ❑ Yes No (Attach Form DOH SAN 0(77, Santa Ana Region Only) / -No, Soils Percolation Report Required ❑ Yes 21 Special Feasibility Boring Report Required ❑ Yes N�o Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes ;No Grading Handout Provided ❑ Yes 70, Staff Specialist Lot Inspection Required ❑ Yes Maintenance Booklet Provided ❑ Yes la No Lot Inspection Date Initials C/42 / Soils Percolation Boring Report by Lic/Project # Date / Soils Map, Page Soil Type Gt G Approved By /�- Date No. of Systems Type of System(s) No. Dwelling Units 1) (1) Septic Tank Soil Rate eale/Sand ❑ Hggeng Tank ❑ Replacement Bedrooms, Fixtuuce-LtFnits ntcp/Lint Trap :Gr [mew ❑Addition3A0A'-q,aBA-T3F /T. .l' �� Gal. ,3 al. ❑ Existing . Sq. Ft. ttOm Area Total Linear t FInsta t�\\ Sidewall Allowance It. rock/ sq. ft. per running ft. ll Line(s) ft. long ft. wide with Leachbed sq. ft. o ottorn' Area \' Inlet Tested Depth A min. ` me efi'9+ slow drainlines or Proposed' Bottom Tested Depth Leachlines/bed.special design for slope: (3) Pit Diameter N0. Pits .Pit Below Seepe Pit Total agDepth her: Applicable Inlet (BI). (TD) ^ c2, Max. Allowable Depth . !TlO /A Overburden Factor N/A / tf -60000, Well Review Approved: Signature Date Well Drilling Permit # Grading Plan Approved: Signature Date .REMARKS: Thts�pplication i APPROPsEft for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accom anie p of ping the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above designed system. o Septic tank must be 100' minimum from any wells Iyto Leach lines must be 100' minimum from any wells, includ ng a ansion area 3 Seepage pits must be 150' minimum from any wells, including expansion area ��� / 7��t.¢?q q! G(/u�t�•- /'Y1,�, y✓• /t /'-�ftJ' - Signature of Health Officialri1 Date 7 103 00 00 30 2.,. ❑CASH EYEHECKNO. 1001A to _26 RECEIPT rND. ) Issued By U Date— DISTRICT ate DISTRICT:. ❑ Riverside 2r"W oBo ❑ Hemet ❑ Perris ❑ Rancho Calif. ' ❑ Blythe DOH-SAN-122(Rev1/92) DISTRIBUTION: WHITE--OfficefileYELLOW-Applicant PINK—Bldg: Dept. GOLDENROD—Plans/Records x Rr4MSIDM COUMV 02PAMIEff OF PUW4 REALT21 DIVISSOM or IM'WROM MIIML MRALTH Food Establishment Sesi M., Disposal Trailer Park Gal. Siqildc UWA Wei Apt Hotel Sq. Ft. of Leach Uns DMIling - 41"x. x 2L'**SP3P pit (&90.j AAe) Commercial Building Donnas to So= Swimming Pct No on-site regnaratina v,-Uw n,:fft-rilne, &v.lcos mey Na dinawarpI into the WIVOdual wvv4p disposal system herewlth approvad vAimpt ci ar from th.z Q,,svMy Contre., lard. Vftter SUM! servi W3 e-.Sahw F..'.Ust 't -A t", '-I L/V70) 7orm Plum C4& X AM sewap Wii. 'aw - OW"O. -, -% 'S. C-41 fn: -,w (4)10c�v� .Al no'NiNy aamxgo dl: DVVMI. mg' Mrig iv. e. CS- G Any auftlnS Vvo, Approval 'has bean oLui mzd -'I- frviry the rcal Vvbtor Quailty Curitral 8*,, -%id for insfAIL-rdon of the disposal syfit�'sewage Thl-r4 is to certify thij' vh-a Wiverside County Department of Pubic Heo-Rh approves for emawmv, cmntruMoa Jr nstaha�Zon the ltem(s).cbh�c zd abdvo. 'wa �' —/-93 — n:2� -z MAIWAR. 1 W14 UARIANRUXAM AMEA', f-XSQ,.' MEMO ab ardsa WL 15.0 afty Weft f I f gtteso 19-Rj*'h Of R. Plane by ttle U0VartMwt Riverside CountY doeg not ROM IITE LIF 'PuPKIn nnilnn I or the re---;-,�0n5ibjjj reliftle the Englal'. -tY for the e�y���k� - .. � .:;..v+� ' ^ �, >a.,ti ebb- P •:.-u1' ,�{. • ke �/.,,n^'.4^c'f PROJECT LOCATION CONTRACTOR MOISTURE EARTH SYSTEMS CONSULTANTS S.C. 1w BUENA ENGINEERS- DIV. -- TEMP. 0 at AM at PM 79-811 B Country Club Drive . TEST LOCATION Bermuda Dunes, CA 92201 • (619) 345-1588 ' Client Name NUMBER ; Client Address ELEVATION CONTENT DENSITY DRY Client Phone DATE JOB NO. ` PROJECT LOCATION CONTRACTOR MOISTURE (OWNER WEATHER / MAXIMUM TEMP. 0 at AM at PM PRESENT AT SITE TEST LOCATION LOT NUMBER ; MELD REPORT CLIEN/TREPRESENTATIVE SIGNATURE TECHNICIANS V TECHNICIANS SIGNATURE FIELD.TESTING REFERENCE CURVE MOISTURE DRY MAXIMUM MAXIMUM OPTIMUM TEST TEST LOCATION LOT NUMBER ; NO. ELEVATION CONTENT DENSITY DRY DRY MOISTURE % Ibsku. ft. DENSITY DENSITY CONTENT % IbsJcu. ft. % �a - (a2• t/_ :r _y : ='B /s, 01.3 =7 F -M v %3 A"" . v. i v Lx15tIN • S' -V aV "C— 11 IN r `, t REMARKS:.V. MELD REPORT CLIEN/TREPRESENTATIVE SIGNATURE TECHNICIANS V TECHNICIANS SIGNATURE , Ir lil, 11111 = 1 p _ r� SII I � r_ , \ •; � _ / I%'' rj.+ III :I II 'r; `�.. ^l \��� -� :i ' ' i I � � / / I ,; I I (�s OF j ? ;151 • � • I i ijl�`I i ( is (� 1 �'li �'jLit�tlt5'�tPtk�ttlt 1 '�' . • � • i • ��� 1 � {,I � !ill This Certificate issued pursuant.to the requirements of Section 306 of the Uniform Building! i Code certifying that at the time of issuance this structure was in compliance with the various. . ordinances of the City regulating building construction or use. For the following: II I : BUILDING ADDRESS 51-930 Avenida Ramirez II 11 III ?? Use Classification Single Family Dwelling Bldg. Permit No. 11606 ` i ; Group R3 Type Construction VN Fre Zone Use Zone SR Owner of Building W.E.S. Development Address 4102 Marble Ridge City Shingle Springs, CA 95682 Lonnie Da y By. I; I! Dot'. March 1, 1994 Building Official POST IN A CONSPICUOUS. PLACE — w 78-105 CALLE ESTADO — LA ;CIUINTA; CALIFORNIA 92253 - (619) 564-2246 FAX (619) 564-5617 June 4, 1-541 SENT CERTIFIED MAIL - P 659 083 292 Walter Stockman STOCKMAN -HOMES P.O. Box 1657 La Quinta, CA 92253 Dear Mr. Stockman: This letter !fill serve `a;s notification that the Certificate of Occupancy for 51-940 `Avenida Ram iz�. was issued in error and is hereby revoked. I apol_ogi,ze.-for any inconvenience this may cause you. The City has also received "a notice from, State Fund that your Workers' Compensation Insurance will=be canceled effective June 8, 1993 at 12:01 a:m. Unless�a•.repl.acement policy.is provided by. that time, all active permits -will be;suspended. The permits will. not be reactivated until a_ -,new policy, is in„,place;,or-until a complete list of sub -contractors with,.,pro.of of., thei r, individual workers' .compensation policy i`s Submitted to thi`s'depa.rtment. Thank you for your cooperation in this matter. Sincerely, BUILDI:NG.AND SAFETY DEPARTMENT. Tom Hartung Director of Bu'ilding�.and Safety kt cc: Robert. L. Hunt, City.`Manager Lonnie Day, Building.. Inspector Vi Nancy Madrid,.,,Rosenow Spev.acek Group Inc.. MAILING ADDRESS -`P.O. BOX:. 1504 - LA QUINTA, CALIFORNIA 92253 . V ry .lope OF i. 11► utt t11 all ''afettint tun 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 compliari . with the various ordinances of the City regulating building construction or use. For the ,'allowing: BUILDING ADDRESS 51-940 Ramirez Use Classification Single Fami 1 Dwelling Bldg. Permit No. 6� Group R3 Type Construction VN Fire Zone Use Zc.3 SR Owner of Building WES Development Address 4102 Marble Rid :� Road l( City in le SjDrincrs. CA By; Lonnie Day Dote: April 7, 1993 Building Official POST IN A CONSVICUOUS PLACE 161 -43"t) if At, e