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003083 (BLCK)f� • CV it Q9 I A 44 P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 52-855 Avenida . Ramirez LA QUINTA, CALIFORNIA 92253 Owner Address 732 Williams Road City Zip Tel. - Eua.I ; springs ..... 922162 Contractor -tarr. {.onstructio' n Address State Lic. & Classif. Arch., Engn, Designer Address No. 003033 BUILDING:. TYPE CONST. OCC: GRP. A.P. Number 773-322-018-6 322-1020 Legal Description Lot 6. Block 157, Unit 16 Project Description Plan ."Ao .Zip_ Tela 32262 322-10 City ,34 Lic. # 761 Tel. City Zip State - Lic. # 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 Sq. Ft. 1410 SM N0. No. Dw. Size 42R 1,,Ag Stories Units New. Add ❑ Alter ❑ Repair ❑ Demolition , - % -SIGNATURE' DATE �i OWNER -BUILDER DECLARATION 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� Estimated Valuation PERMIT permit to construct, alter, 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 Side Street Setback from Center Line Division. 3 or theBusiness 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. ' subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ' D I, as owner of the property, or my employees with wages as their sole compensation, Will Plan Chk. Bal. Const. 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 - Mech. 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 Electrical 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.) _ Plumbing O 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 or property who builds or improves thereon, and who contracts for S.M.I. ' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. 8 P.C. for this reason Grading Driveway Enc. Dale 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. �_, e"• -.MSL,. r-,fe P.�Y'�' _-1:k �_110� j CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation orless.) I certify that in the performance of thg work for which this permit is issued, 1 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, 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.) ' 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 HARD COPY Infrastructure TOTAL REMARKS AMOUNT $306.20 256.00 / 30.00 74.22 99,€0 5-22 20.00 20.00 1093.82. 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 4177IRIPermit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEE 1ST FL. SO. FT. Q $ 2ND FL: SQ. FT. ® POR. SQ. FT. ® GAR. SQ. FT. ® CARP. SQ. FT. ® WALL SQ. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation NDING71t7 FLOOR DRAIN MECHANICAL FEES g�,ePORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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 -4- FINAL INSP. SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/a c SEWAGE DISPOSAL �� 6 (C (a !/ J SQ.FT.GAR ® 3/ac HOUSE SEWER VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE fELECT.FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR All ,ROUND PLUMBING5;V -,,� UNDERGROUND A.C. UNIT COLL. AREA FLAB GRADE l�/— 47/MUGH PLUMB NDING71t7 HEATING (ROUGH) STORAGE TANK g�,ePORMS ell/A--EWER OR SEP-9111&-&-� ) ROUGH 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 GRADING cu. yd. $ plus x$ • =$ LUMBER GR. -4- FINAL INSP. L�e FRAMING 6 - 3 G FINAL INSP. n / / D/vROOFING 16 ..11 T6 �� 6 (C (a !/ J U REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH LINSULATION/SOUND'-� FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL - INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL . 6 Desert Sands Unified School District CERTIFICATION_OF PAYMENT OF L,ia SCHOOL FACILITY FEES TO': City of La Quinta DATE: � /� C31 Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to certify that developer of which is located atwithin this District, has paid school facility fees imposed pursuant to the authority generate by Government Code Section 53080 n the amount of S 7 .� covering a total // 5 -ii square feet of -1—residential or ( ) industrial/commercial development and that building permits for this footage in this development may now be i ied by your jurisdiction. for DESERT SANDS•UNIFIED SC OOL DISTRICT White Building Department • Yellow - Facilities Planning • Pink - Accounting 411 Gold - Developer (10)-31 0 Z O H U W U) W. Z O U W U) U) Y Q W tz N Z O U W U) r-1 COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 3 Z _ J t `� _ 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 specifications required on the attached check list. A non-refundable filing fee of $37 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Applicatian Log # Name (Owner, Agent, Contractor, Etc.) 57-A .2,z cc -,),..-'s,— C'd . Mailing Address 737 c.v,(_L City*State !� ��-� S,�,l iAY Cha Zip Code 9 Z 2 Telephone Job Property Address City or Community cA c ,,.' �44I Legal Description of Prolmrty. (Lot, PM, TR) Z - #s oc,t i5;7 411V 17- -c, 'Assessor's Parcel No. PAQ�EG 4,/ Water Agency or Well - Lot Size G fI G Ce. 4:!1ISUIs e of Permit Planningcase U 773 - �z - eve- s L/AG G _�/D. MH Site Preparation Etc. /-Aerr g� 6ha 7 Signature ofApplicant Date The.above information be from Building must verified Application STAFF USE — DO NOT WRITE BELOW THIS LINE nitiall Date Certification of Existing S.D. System required. ❑ Yes O No WOCB Clearance required.. ❑ Yes E� No II Soils feasibility report required. ❑ Yes n No r Detailed boring report required. ❑ Yes 0 No i Detailed contour plot plans required. ❑ Yes 0 No i Staff Specialist approval required. ❑ Yes 10 No Lot In:spection Date Soils/boring report by 4 r LD Project # Date Soils Map Page Soil Type Approved by Date Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing ©eNew ❑ Additional ❑ Replacement j k,Q_9_ Gals. cj a (2) Leach line sq. ft./ Sidewall allowance Install Line(s) Ft. _ong, Leach bed Sq. (Bottom trench rea) ft. rock/ Sq. Ft. Ft. wide with min. inches Ft. of bottom/ per running ft. ❑ N/A rock below drain lines area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth. Applicable N/A Overburden -factor ❑ 5' 6' Max. allowable depth r (flirt r�•c.;�, 100 /. LUQ 5�.� �`!`fiS r t This application is approved/denied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section B above. A building permit is necessary for the installation of the above -designed system. C(•1'), Septic tank and sewer lines most be 50' from any wells (2) Leach lines must be 100' min. from any wells including expansion area , ((3)) Seepage pittstmus be 150' min. from any welllss)includ� i�xpans;io fk+, . \Q � Sarea �e t fit, �7 Signature of Health Official - Date RECEIPT NO. ��1 Issued by 2>11C Date 54 _C) 1," a 7 District: ❑ Riverside ©`Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending Fite DOH -SAN -122 (Rev. 6/86) f� STEWART TITLE COMPANY OF RIVERSIDE COUNTY 700 E. TAHQUITZ-McCALLUM, SUITE H PALM SPRINGS, CALIFORNIA 92262 (619)320-1101 April 21, 1987 City of La Quinta P.O. Box 1504 La Quinta, California 92253 ATTENTION: Jerry Herman Dear Jerry, As per our conversation this date, please be advised that a search of the records reveals that none of the adjoining lots included on the attached Exhibit "A" have ever been merged. and there should be no.problem issuing building permits on each lot. Very Truy Yours, 4.R. "Sv" DANIELS President'- Desert resident- Desert Division 11 1 4 4 jr - .. EXHIBIT "A" PARCEL A: Lots 11 and 12, Block 207 of SANTA-CARMELITA AT VALE LA.QUINTA UNIT NO. 20, as shown by Map on file in Book 19 page 38, of Maps, Records of Riverside County, California. PARCEL B Lots 1 and 2,. -Block 223 of SANTA CARMELITA AT VALE LA,QUINTA UNIT NO. 21, as shown by Map. on file in Book 20 page 22,` of Maps, Records of Riverside County; California. PARCEL C: Lots 1. and 2';,Blo.ck 254 of SANTA CARMELITA AT VALE.LA QUINTA UNIT NO. 243 as..shown by Map on file ' i Book 19 page 44 -and -45'- of Maps - Records of. Riverside County'," Calii:ornia. PARCEL D: Lots 1, arid, 2,,,Block 308 of SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 28,, as`shown by Map. on file in Book 19 page 59 and 60, of Maps., Records of Riverside'County, California. PARCEL E: Lots 23 -and 24, Block 261 of SANTA CARMELITA AT VALE LA QUINTA UNIT N0. 24, as.shown by Map on file in Book 19 page 44 and 45, of Maps, Records of Riverside County, California. PARCEL F: Lots 17 and'.18,; Block 312 of SANTA CARMELITA AT -VALE LA QUINTA UNIT NO. 28, as "shown by Map on file in:Book'19 page 59 and 60, of Maps., Records of. Riverside County, California. - PARCEL G: Lots 4 and 5,, Block 1,90 of'SANTA CARME'LITA AT VALE LA QUINTA UNIT NO. 193 as shown by Map on file ir.- Book 19 page'33 and 34, of.Maps, Records of Riverside'County, California. PARCEL H Lots .5 and 6, Block 157 of SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 163 as shown by Map on file.in Book 18 page 99, of Maps, Records'of Riverside County, California.