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003103 (SFD)4 4. .. UM&. P.O. BOX 1504 Building 78-105 CALLE ESTADO Address53i• 885 Ra,,tirp_r LA QUINTA, CALIFORNIA 92253 Owner T Address 41_740 Hopewell Ave, City Zip Tel. Be=uda Dunes 922-01 .345-1100 Contractor ress. No. 003103 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774-161-021 Legal Description Project Description Si X ale Pam-i1y Dwel:iina City Zip Tela - State Lic. City & Classif. $ 484382 Lic. # 350 Sq. Ft. 1392 Size No. No. Dw. Stories Units Arch.,-Engr., ' Designer New 10 Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic: # LICENSED CONTRACTORS 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. p .iAA w /' .. _ ' SIGNATURE'.. ,_ 'f,' - .w t��d -- S ,^' . ? DATE' V' 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 permit to construct, alter, improve, demolish, or repair any structure, 'prior twits 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 700.0) of Divisidn "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 sub)ects the applicant to a civil penalty of not more than five hundred dollars (5500). ❑ 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,'Mech. 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.) Estlmated'Valuatlon - $7 6, 32� - " PERMIT. - - AMOUNT Plan'Chk. Dep. - Plan Chk. Bal. — ' 4 Const.''_-. 364.00 - v �� + 00 Electrical m Plumbing ��� a 00 ❑ 1, 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.) _ ❑ I am exempt under Sec... B. & P.C. for this reason S.M.I. _. - 5.36 Grading .20 a 00 Driveway Enc. 28>40 Date owner Infrastructure 1121.16 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,rLabor Code.) - iPolicy No. 4.arril A r—)'41Company r; L ^r .. •, . .. ,L< q�o�t ` rk , py isAiledfwith-the city.' .p Certified copy is hereby'fu"rnishrer 7 TOTAL p� e CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE REMARKS J'ift .; (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 thg 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. err.. Y. ti`i,}Y I fUB HL z - Date Owhi:r 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. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback fro.m.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.;309,7, Civil Code.)1 Side Setback from Property Line Lender's Name 1-•0 FINAL DATE Issued by:* Validated by: INSPECTOR Date 5/6/87 Permit Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it 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 Validation: City, State, Zip • HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SO. 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 ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL 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, TEMIPERM 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. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR ® 3/4C HOUSE SEWER f ROOFING VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL PA91ATHING %-a ) "f 1 MESH 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 PLUMBINGb— UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTI —i 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$ $FRAMING LUMBER GR. ,NAL INSq /(/--r NAL /% f ROOFING VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL PA91ATHING %-a ) "f 1 MESH (C / G ? r� _ G� �G� o `p I�vuj// Q/A REMARKS: 'INSULATIONISOUND-):a f,G FINISH GRADING FINAL INSPECTION /%I✓ v I /LN CERT. OCC. FENCE FINAL GARDEN WALL FINAL 7A A INSPECTOR'S fT] Z O l— U W U) C0 Y cr Q W W X Z O H— U W (n Ah 1W 7 COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 771/—/6/ — O c� 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 Application Log # Name (Owner, Agent,C/o'ntractor, Etc.)�/�j �j /'� Mailing Ad�drreess City _ �e��ti duan �s State CA Zip Code %�2v� Telephone 3 y5-- 'Job Property Address Ale, Ram. o Gemmunilys _ Lac (�ufh�c Legal Description of Property. (Lot, PM, TR) Lo7` �. Z . 461xl 235 'Assessor's Parcel No. Water Age Permit1) ki-FI /Planning Case # Lot Size I! y 7%y MH Site Preparation Etc. Signature of Applicant Date ( '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' /.%,(�/C Q • % r WQCB Clearance required. ❑ Yes ❑-�NNo� Soils feasibility report required. ❑ Yes b No' Detailed boring report required. Q Yes ONO Detailed contour plot plans required. ❑ Yes � No iY t Staff Specialist approval required. El Yes 3 No Lot Inspection Date Soils/boring report by., . Project # Date Soils Map Page 1 f Soil Type— Approved by b lhl Date Type of System:, (d No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing 19'New ❑Additional ❑Replacement 3 �-a-yl ' Gals. (2),,LLeaach line sq. ft. tr h Sidewall allowance ft. Sq. Ft. install�Line(s) Ft. Long, Ft. b inches Leach Sq. Ft. bottom',,, (BottO rea) rock/ E3 wi with min. of per running ft. /N rock below drain lines area Leach lines/bed-special design for slope: Applicable— (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth ^'%r N/A O- � 5 ® "6' /� Max. allowable depth Overburden factor ! This application isa" r d 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. M. 04 1 :cla?> 1 lrr. el.�{e.� ,^ j J—�•,, � - (1) Septic tank and sewer lines must bei50 from any wells // p r Leach lines must be 100' min. from any wells including expansion area (3 Seepage pits must bp 150' min. from any.wells including expansion area —116A4,*, ",X, i 11 Signature of Health Official '% it,<,K,G.C,e. Date f (/ G _ RECEIPT NO. / P�/ y Issued by _514k District: ❑ Riverside ❑Indo ❑ Hemet ❑ Perris ❑ Rancho Calif. Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. DOH-SANA22 (Rev. 6/86) Date V .3 a - E1_2 r ❑ Blythe GOLDENROD—Pending File W Y— eT ,-.Rp or 'FICC _ /\GfZICULTURAL CO,y111SSl0NER 4g80:.LEMOV STREET. ROOtit_:19 E. LEO' SPAUGY COMM�SSiUvF.R PIUERSIDE CAUIFORNIA 9250'1 JANIES 0. WALLACE (914) 787.2561 ASSIsr^,47 COMMISSIONER 46 209 Oasis Street Room 14 Indio,::CAI.• 92261 34 2 - 82.9`1 Dear Developer/Lan,dsc:ap.er.: Thank you for-inquiring.with the: Agricultural Commissioner's ;Office regarding local quarantine laws. $ g Any diseases or insects a sociated w-ith the plants/landscaping aateial presented on your landscaping p p� g plans do not ose;'-a threat to the Coachella Valley Citrus, Date, Grape, Vegetable; or F1 "I Crop Indus;6ry, We,=therefore'';approve your landscaping -plans. If however, any, substitutions of."plan[s/landscaping; mate'ials .within yourlans ,n occurs between ow -ands the. ,actua`1- planting;: date, you., east contact' this offpce Within 48 hours before .Ce,livery- into ".the G.oachella Valle y. A so,;the substituted plants/landscaping r�at'erial ;must be Neld for inspect'ion..upon 2rriyal. Any sub- s'tituted. landscaping raterial found inferred/.lnfested.iath quarantine pests will be im:-nediately treated .or shipped out of t"_ Coachella Valley' at the discretion of the Agricultural Commissioner's"_ Office; Under penalty of perjury, I. the undersigned will :comply with the, above, Authorized'Agent: Name' Da.t e 7 97 Signature Permit Number(s)t/_ N.— p'= 2 lv e l� U_ 2 e Developer , AGRICULTURAL CO��fISSIO`; ..R' S l�PD OVAL' Date_ ^30 G% Authority cited: Agricultural Code;: Sections 6301, 6461, 64.5? 6464, 6501, 6521- 6524 cc: 2 Plan Check, I,;dio-C:ffice, R verside Office 01