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003699 (SFD)P.O. BOX 1504 No.. .003699 Building 78-105 CALLE ESTADO Address 53-240 Ramirez LA QUINTA, CALIFORNIA 92253 Owner • -poachh1l a VAI Tag Land rn' BUILDING: TYPE CONST. OCC: GRP. Mailing Address 247 E. ' ahqu Utz Way 42`.. A.P. Number 774 -'0'52-012 City Zip Tel. ». V 1 g - F+��- 8pr'c�s .92262 - 322-8020._-1 Leal Description .. Contractor Project Description•' Address. . a>.�a .City - -- - Zip Tel. �w State Lic. City 43 & Classif. 387934 Lic. # 995 , ., , Sq. Ft. No. -No. Dw. -. Size Stories - Units -Arch:, Engr., Designer ' New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 170 of S vood tante; City Zip State A754. of e_,e'9racr . ... - .. Lic. # LICENSED CONTRACTOR'S. DECLARATION +~ hereby affirm that I am licensed under provisions of Chapter.9 (commencingwith Section 70 00) of Division 3 of the Business and Professions Code, -and -my license is in full force and effect. qty Or r r SIGNATURE"a e • DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following reasdri: (Sec. 7031.5,Business and Professions Code:Anycity or county which.requires a 57 QHS. Permit to consfruct, alter, improve, demolish, or repair any structure, prior to its. issuance also t requires the applicant for such permit to rile 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.. ,S250 .00' ' - subjects the applicant to a civilpenaltyof not more than five hundred dollars ($500). Plan Chk. BBI. �� t p I, as owner of the property, or my employees with wages as their sole compensation, will 89 do the work, and the structure is not intended or offered for sale. (Sec. •7044; Buisness and Const3 .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, . Mech. "j A?f, provided that such improvements are not intended or offered for sale.. If, however, .the building J .00 or improvement is sold within one year of completion, the owner -builder will havethe burden Electrical `� of proving that he•did not build or improve for the purpose of sale.) •87 - ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 99.00 struct the project. (Sec. 7044, Business and. Professions Coder The Contractor's License Law. does not apply to an owner of property who builds or improves thereon, and .who' contracts for S.M.I. - 5_29 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading 20. 00 -O I am exempt under Sec: B. & P.C. for this reason . Driveway Enc. 20.0 Date owner Infrastructure .1.698.86 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__. i . ❑ Copy is filed with the city. ..O C`er�tified copy is hereby furnished. . TOTAL2 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) - - - • - 1� y� y/ yK 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, 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.Llne ' 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 � � E T 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. Issued by: Date Permit 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 HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINGFEES 1ST FL. SQ. FT. ® $ 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 OUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/a c SEWAGE DISPOSAL LUMBER GR. of SQ.FT.GAR ® 3/ac HOUSE SEWER FINAL INSP. ROOFING t c�� GAS PIPING PERMIT FEE REMARKS: PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING_ I ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING D UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE3 OUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR S TI 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. of FINAL INSP. /// FRAMING " FINAL INSP. ROOFING t c�� _ 1 �/� V /� z L//e!! q1- REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH . C INSULATION/SOUND J//v FINISH GRADING i WFINAL INSPECTION VVV CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESANITIALS. GARDEN WALL FINAL NOTICE: THIS ®®CV1n�ENT 6x erd School District b BE ®UPLICATE�ERTIFICATIOOF 1OF PAYMENT • i31± SCHOOL FACILITY FEES t( y � TO: City of La Quinta DATE: z'3z Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to certify that , developer of which is located at Q- 55 2 ithin this District, has paid chool facility fees imposed pursuantCAo the authority generated bGovernment Co a Sec ost 53080 in the amount of covering a total of square feet of (>4.) residential or ( ) industrial/commer ial development and that buili3ing permits for Ta n this development may noy✓p�e issued by your jurisdiction. YJ� r r 33��� White - Building Department • Yellow •e r QESERT SANDS UNIFIED SCHOOL DISTRICT Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 r z O H U W N M U) `1 fr Q W Cr ?:PI4 z,fJ U W U) 47 alow4r.....5,�.. �qr� `�Y �r i S t 9 is COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 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 $40 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # Name (Owner. Agent. Contractor. Etc.) .SSW)" ua o Cf©. Mailing Address -RA/ 7 5' City State 'f A L ni S Pt2 /706 5 (7,4 Zip Code ,z zG Z_ 1 Telephone 3 2 2- 'Job Progeny Address /.i ../3 'Cny�o%Commurnty+�- 'Legal Description of Property. (Lot. PM. TR) r-�!!;e •.�..+" X c r !iC/r✓rr .5 3 �d �A /►'1 / �e z _� _ '�-'a �ct� i,u-r •� G r / 3 Bt,� �. / ?- c1t/>i -2 / 'Assessor's Parcel No ftVNate-L Agencybr=WNt�•- �tf (SD/a6M,k46 aVAL4G%/ "'T �� /�,.�,t (1 _ , �, (r Use of Permp W .-rr Planning Case 4 Lot Size _ 7 7 7/7/— o C SFD. MH Site Preparation Etc. At S,gnjl'u,rolb f ApplicantDate The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date (' Certification of Existing S.D. System required. ❑ Yes No y WQCB Clearance required. ElYes ® NoX r Soils feasibility report required. ❑ Yes © N Special feasibility boring report required. ❑ Yes No'_ Detailed contour plot plans required. ❑ Yes . ONNo Staff Specialist approval required. ❑ Yes © No Lot Inspection Date Soils/boring report byQ 1 �/ Project # Date C c Soils Map Page l7 Soil Type Q G Approved by [ Date I -1 /7 /1 - Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required pr� ElExisting ON ElAdditional ❑ Replacement tz Gals. (2) Leach line Sq. ft. Sidewall allowance InstallL-ine(s)Ft. Long, Leach bed Sq. ofr (Bottbrmtren�a) ft. rock/ _ Sq. Ft. Ft. wide with min* , i ches F bottom per running ft. ❑G *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 14!( Applicable,,' NW,"" Overburden factor cM 51 6 � /[� Max. allowable depth v This applicationaap-p o' ed',de'nied•for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section d above. A building permit isnecessary for the installation of the above -designed system. (1 Septic tank and sewer lines must be 50' from any wells 1119 _' J^ ^`� Gr` > ry a^ " „r'� ' (2�) Leach lines must be 100' min. from any wells including expansion area t......,�1 C( Seepage pits must be 150' min. from any wells including expansion area ,( n „t f?a t /{� n a ! { o �� , R �� OI c lf_E' OF E. LEON SPAUGY � �. o:. � CCtinnS _i0`.EN AGRICUL�I URAL .0 IMISSIONER JAMEE O wnLVNCE . 0! `N VWEIGHTS-b. U A55 5 z.r �•)�Latcc�o�ER j ' CLEMENT BEwENISiE w�_tct rrs NIEJasulzr_s V 1 CLESEALER - 49-613 Ilwy 86, $alte 11-12 �\,_y..,.•'• C�aclte].la, CA .92236 . MqY9, 103 619-342-8291 DATE Z 2 q" l i 8 8' CASE W. T tit 5 D 12 DEVELOPER'S NAME i ADDRESS:- w TEI,EPI LONE: 53-24y4 Dear Developer: After reviewing your landscaping plans, al.l plant material listed is, not in.' violation of. quarantine laws governing the Coachella Valley. If substitutions'. do occur and they differ frun plait material listed, this office nest tie notified immediately. Thank you for protectii:g and preserving the Coachella -Valley's pest -free envirorunent. t Agricultural Cormussiot s office cc,. Indio and Riverside Office