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003081 (SFD)Twit 4 4 Qubt& P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 53--275 Avenida 2 irez LA QUINTA, CALIFORNIA 92253 Owner Coachella Vallev Land Co.. Ltd. No. 003081 BUILDING: TYPE CONST. OCC: GRP: Mailing Address 732 Williams Road A.P..Number 774-081-013-2 City Zip ITel. rt1.LSil i?TJZ3TiGi:3' �GLL7ik J6et:""1V�i3 Contractor .. Scam Cons ySl:3 tion Address . 732 Williams Saad City JZip ITel. ' State Lic. I City & Classif. Lic. # 751 Arch.,' Engr., . Designer Address 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. `f L•. SIGNATURE • DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Busfness and Professions Code: Any city of 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 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 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). ' 0 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 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 year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ I, asowner 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 l 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 (S f 00) 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, after making this Certificate or 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 ' Ihereby 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 Legal Description Lot 2. aloc#. 223,. Unit 21 Project Description Paan 'r'a`t REMARKS ZONE: BY: Sq. Ft. 1418 174G Size kat! t'_74x"'t. No. No. Dw. Stories - Units New O Add O Alter ❑ Repair ❑ Demolition ❑ Fence 258, Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Estimated Valuation Validated by: PERMIT AMOUNT Plan Chk. Dep. Plan Chk.. Bal. S 14W; . 20 Const."5i33€Y Mech. Electrical 7A ? a? Plumbing S.M.I. Grading Driveway Enc. Infrastructure , �� se-rp_ 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 4%22%97Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA 2ND FL. SO. FT. ® ROUGH PLUMB. YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. S0. FT. ® DUCT WORK DRAINAGE PIPING WALL SQ. FT. ® GAS (ROUGH) DRINKING FOUNTAIN SQ. FT. ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation GROUT WATER HEATER FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GRADING cu. yd. $ —Plus—X$—=$ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP. 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 ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAR. FIREWALL GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEEPL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR �C//SETBACK ,ROUND PLUMBINGS a� UNDERGROUND A.C. UNIT COLL. AREA eG16SLAB GRADE — ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK ✓%6ldiD.RMS �/� , SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE �?/IfQUND. REINF. _ /. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. 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 FRAMING 71;71 �7 FINAL INSP. . AA.. kkROOFING � / a , REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL X�77««11 LATHING 1/LATHING�/�! MESH INSULATION/SOUND 9 �J FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL Building 53- Address Owner ��G�/EG: L.�Jyi4LL E Mailing Address 732_ /LLiq^�5 Ay '2 � s zip `�Z262- Contractor �s P.O. BOX 1504 78-105 CALLE ESTADO fZ_19 q LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. ~'�� A P Number TSL Q APPLICATION ONLY Sid .00C. GRP. tj 77¢-08/-013—Z 322 =/G7Zo Legal Description L-057- #Z %3Cc� ZZ3 Project Description ��-AN "A Address . Cp C114, SP2l.�lGS ZI Tel.: A322-/OZc> State Lic. City & Classif. - 38 7 9 3 ¢ Lic. # 7S� Arch., Engr., Designer C4>Ar c>�•e. Address Tel. V Cityv I Z ✓ ip I State ✓ . Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affir t I am licensed under, Prov' ons oWChapQ commencing with Section 7000)of Divis' n of the Business Pr o Clicense is in full orce and effect. S GNATU DATE OWNER -BUILDER DECLANATION I he by 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 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 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 year of completion, the owner -builder will have the burden of proving that he did not build or Improve for the purpose of sale.) ❑ 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 of 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. 8 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. I .Company O 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 Ihereby 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. 1 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 FINANCE - REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback fron Rear Prop. Line Side Street Setba ,k from Center Line Side Setback from Property Line FINAL DATEINSPECTOR Issued by: Date Permit Validated by: Validation: 130 F g—r-X 1¢/o L/U. Sq. Ft. Size No. Of Stories No. Dw. Units New)Rf Add ❑ Alter ❑ Repair ❑_ Demolition ❑ Estimated Valuation !! PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 1340 0 Const. 3 „.00 Mech. 30 „®,p Electrical -7cl. e2 Plumbing , ®e> S.M.I. _z2 Grading p0 Driveway Enc. o?p, Infrastructure !7 .3 8' TOTAL .2 00 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback fron Rear Prop. Line Side Street Setba ,k from Center Line Side Setback from Property Line FINAL DATEINSPECTOR Issued by: Date Permit Validated by: Validation: Desert Sands Unified School District CERTIFICATION OF PAYMENT OF �J SCHOOL FACILITY FEES T0: City of La Quinta DATE: "rljp/,P Department of Community Development 78-105 Calle Estado La Quinta,'CA 92253 0017 This is. to certify.tha ' developer of which is located at �¢..` within this District, has paid school facility fees imposed pursuant to the authority generate by Government Code Section 53080 'n th amount of ev covering a total of // ;5// square feet of (H—residential or ( ) industrial/comm erc•ial development and that building permits for this footage in this development may now be > ed by your jurisdiction. a �� ll 7s .1S3 K for DESERT SANDS•UNIFIED SC OOL DISTRICT White -Building Department • Yellow -Facilities Planning • Pink - Accounting • Gold -Developer (10)-37 r Z O U w U) m Z O U w U) W Y Q W fr U Z O U W U) • P AL (- COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 77�— 0�.�— 'Aly 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 Application Log # Name (Owner, Agent, Contractor, Etc.) Sr ,9 e 4e- Cv.vg�— . Cc, . Mailing Address 73 ,AAeCA /, City ,4 c.M SP2 i niG 5 State C Zip Code 92241 Telephone � Z z- /40z o 'Job Property AAddddresss tiCity.dr Community— Legal Description of Property. (Lot, PM, TR) 'Assessor's Parcel No. '06��A2GAG •Tt Water Agency or^Well— �—� Lot Size Cca.4c NE44_^ Use of Permit Planning Case r SL 77� — Qe/ — 0/3.... z_ `� SFD, MH Site Preparation Etc. JWIJ/i►LG� /A7 Signaattuur€of Applicant Date {/ The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Iridal Date / �f Certification of Existing S.D. System required. El © No-` l/�/a! - 0 c� i WOCB Clearance required. El Yes �o' ! Soils feasibility report required. ❑ Yes (2 N0" Detailed boring report required. ❑ Yes E No Detailed contour plot plans required. ❑ Yes ❑I'No Staff Specialist approval required. ❑ Yes 0No Lot Inspection Date Soils/boring report by !� • Project # Date Soils Map Page / %C Soil Type Approved by V "2 f' Date Type of System: tl No. of Bedrooms (1) Septic Tank Soil.Rate Required El Existing New El Additional El Replacement l':'!%>- � � Gals. 4, 4� ct/ 2 Leach lines ft. O q• Sidewall allowance Install" Lines) Ft. Lrng, _Ft`"wid_ �� Leach bed Sq. (Sottotrench area) ft. rock/ Ft. 9,0N/A with min. aches Ftof bottoim. ._ _ per running ft. rock below drain lines area Leach lines/bed-special design for slope: Applicable (3) Pit Diameter No. Pits Pit BI Seepage Pt total depth ' N/A �-�Overburden factor ❑ 5 6 �% ••fL"YJD�'..,%•�<.!L!l%.+.. / L f Max. allowable depth .T\Ai/ LI-/S�. !�/� . ~/Ll. �'S� Jr,(/C..+v�- �.A.'!{� ��/'..��ti This application isa roved eniedfor the design of a subsurface disposal system as indicated on the accompanied 1plot plan using the requirements set forth in Section B above. A building permit is necessary for the installation of the above -designed system. 1) Septic tank and sewer lines must be 50 from any wells mss+ lCi �L!ry ;C °.r . s Gx� E s, . , `�s•�. c , 2 Leach lines must be 100' min. from any wells including expansion area 3 Seepage pits must be 150' min. from any wells including expansion area ry 101, �6.�, iL /L V26-10 '...J�i, r�'��� f •I% �' �� / /� .�+.,�..�•o 5�•i' .. r✓'�r j�,,r: _ � , Wiz. Signature of Health Official Date t1. 114z ' RECEIPT NO. Issued by S�< Date Y "� 7 r District: ❑ Riverside ED�Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) EXHIisIT "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: Lotsl and,2, Block 223 of SANTA CARMELITA AT VALE LA QUINTA-UNIT NO. 21, as shown by Ma" on file -in Book 20 page 22, of'Maps, Records of Riverside County, California. PARCEL C Lots 1 and 2, Block 254 of SANTA CARMELITA AT, VALE LA QUINTA UNIT NO. 24, as,.shown by Map -on file �a Book 19 page 44 and 45: of Maps, Records of: Riverside County; Cali ornia.° PARCEL D: Lots 1 and 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 SANT:'_ CARMELITA AT VALE LA QUINTA UNIT NO. 24, as shown by Map on file in Book 19 page 44 and 45, of Maps, Records,of Riverside County, Cal-fornia. 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 190 of SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 19., as shown' 'by Map on file i.: 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. 16, as shown by Map, on file 3r. Book 18 page 99,' of Maps, Records''of Riverside County, California.;