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003432 (SFD)Building Address Owner 54-345 Ramirez Mailing Address 2A7 R_ Irh"tii tv bray all! City Zip Tel 4 P.O. BOX 1504 N o . 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Contractor " Starr Construction Address - same City ._ Zip Tel. State Lic. City & Classif. 387934 Lic. # 895 Arch., Engr:, Designer Address Tel. BUILDING: TYPE CONST. OCC: GRP. A.P. Number. 774-741-fil,7 Legal Description Project Description 101 sa.a T% 68$ nerl A . T=`Alp i t'ta Twre-r _ Sq. Ft. 1529 No. Size Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ City Zip State . Lic. #- _ LICENSED CONTRACTOR'S DECLARATION. " I hereby -affirm that I am licensed under provisions of Chapter 9 (commencing with'Section 7000),9f Division 3.of the Business and Professions Code, and my license is in full force and effect: SIGNATURE''"' - - ' DATE OWNER -BUILDER DECLARATION fl"hereby affirm that I am exempt from the Contractor's License Law for.the following reason: (Sec. 7031.5,Buslness 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 Estimated Valuation .��� ' PERMIT - - - AMOUNT the provisions or 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 therefiorn,-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 or not more than five hundred dollars ($500). ❑ I, as owner of the. property, or my employees with wages as their sole compensation, will . . • Plan Chk. Dep. Plan Chk. Bal. Const. do the work, and the structure is not intended or offered for sale. (Seca 7044, Buisness and Professions Code: The Contractor's License Law does notapplyto an owner of property who Mech. _ {y 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 °,)f _ t i or improvement is sold within one year or completion, the owner -builder .will have the burden of proving that he did not build or improve for the purpose of sale.) Plumbing _ III (I ❑ 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.) O I. am exempt under Sec. B. 8 P.C. for this. reason _ S.M.I.- - Grading tt+; - Driveway Enc. _ Date Owner Infrastructure (i -t WORKERS' COMPENSATION DECLARATION hereby affirm that 1 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 O Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL REMARKS CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION. INSU RANCE .. (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 tha work for which this permit is issued, I shall note+,{ employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. {{ pp {9U ,ai li 3t} - - 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. ZONE: BY: Minimum Setback Distances: - 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 Line Lender's Name Lender's Address FINAL DATE INSPECTOR This is•s 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.l have read this application and state that the above information is correct. ' I agree to comply with all city and county ordinances and stale laws relating to building construction, and hereby authorize representatives -of this city to enter the above-.' mentioned property for inspection purposes. Issued by: Date 10/818, Permit Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. FOR. SO. FT. ® GAR. SO, FT. ® CAR P. I SO. FT. WALL SO. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM a T P. POLE 1 G 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 C SEWAGE DISPOSAL SO.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 ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR l/ 9/(—/S '2t/ //— ROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA L `FLAB GRADE _ ( _ ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR YE 1 ROUGH WIRING DUCT WORK ROCK STORAGE ' FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) a T P. POLE 1 G 14/ GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. GRADING cu. yd. 00, $ plus x$ =$ LUMBER GR. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL ' y Desert Sands Unified School District, l t' t CERTIFICATION OF PAYMENT +�" •' OF K SCHOOL FACILITY FEES k• , T0: City of La Quinta DATE:', Department of Community Development ^ » 78-105 Calle Estado La Quinta, CA 92253 NOTICE: THIS DOCUMENT CANNOT;,' i BE DUPLICATED. o This is to certify that a ;M• developer of 3 which'is located at(Liza1 Q ,,within, this District, has paij sddool f c'lity fees imposed pur uant to the- r .' authority genera pd b Government Code Sect'oTt 0$ in the amount`�of covering a total o square feet of ( ) residential or"''-, i` ( '.) industrial/commerci 1 development and that building permits for Y 61—,VS footage in this development may now be issued by your jurisdiction. 5 rJ a�s for VSERT SANDS U IED SCHOOL .DISTRICT ` White Building Department- 0 Yellow - Facilities Planning 0 Pink - Accounting 0 Gold - Developer ��' RECORDING REOLIESTED BY AND WHEN MCCONDED MAIL TO ' 7-1 aAM[ COACHELLA VALLEY LAND CO. Aoo�a•• 247 E. TAHOUITZ WAY , . SUITE 2 COTASPRINGS, CA 92262 SPACE ABOVE THIS LINE FOR R'ECORDER'S USE MAIL TAX •TATRUENT•' TO - - I Uofl.merltdry 'tranrfer Ia.a 4 9:r; 5 ....... ............ n )- NAM[ toruted on fuI' va uc. of ro )ert�• con.e.�•ed, or Comjluted on `f till value le'> liens d ens umhrances ,AODM[•• SAME rerna'ini�np th.e.reon .j'i tune of gale. CITY STATL J .. .. . 'iignature of derlarenf or aFtnt delFiminin� tax - firm name E.:c•ro% No. 2U 1860Bk: l'nincorJgated a.r.ea Ci," of ................................ Title Order No. 78892A Ovant _ eed L -I THIS FORM FURNISHED BY STEWART TITLE EQM,P,.ANY OF, RIVERSIDE COUNTY ' FOR A 1'ALUA)3LF CONSIDE.RATlON,.receif)t of M•hich is he.relav ackngMvh*ed, ROBERT WONG.and PATRICIA WONG; 'hus'ba' ndand wife as JOirit Tenants hereby GRANT(S) to COACHELLA VALLEY LAND ;CC. , A CALI,EORNI-A IsTMITED PARTNERSI;:Ix' the following described rea! propeTIV in the CITY -OF LA OJINT. counly of RIVERSIDE.- State of California: LOT 6 IN BLOCK 288'.OF SANTA 'CARM! LITE AT "VALE. 1 A 'OUINTA, UN`17 NO. 26, AS SHOWN ON MAP FILE IN BQ(A 20 PAGE 5Q, .OF MAPS, :REC.0RDS OF' hIV.ERSIDE C0UNJTY, CALIFORNIA. Dated-.— September 15 1 8) �`Aj ROPERY,'ONG YG� . (Indi��dual) STATE Oi CALIFORNIA SS. IORANGE –13 i�j�fi ri, Nu—. --'- COL�NT1 CI 15th day of September 1987 Orbefore me, the underswnea a rvotar) ru-blic in and lor.said State, personany appeared Rob e rt wong. anU PatricIF7Wonq (known to mel or (proved to me on.thc basis of satisfactorvidence) to be the person S whose names are subscribed to the within;nstrument and acknowledged that ey _. executed the same. FOR NOTARY SEAL OR STAMP WITNESS my hand and officiA seal e •� 1 • /l Y l' ' ALICE RAI FERTY,` ti (l )l?t C. !:.' FTirt:d) FORM 72-13 MAIL TAX STATEMENTS, AS DIRECTED ABOVE ON Z O H U W U) m Z O 1= U w Cn Cf) Y fr Q 2 W Cr U Z O U w U) COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 7211 2 I PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM ,;y3—o 1 fi 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. ,/�/0 Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) Mailing Address 0 7 e 7545 W4-1, -,-z Aa,4 2 City State Zip Code Telephone 0, f5LV I.L,►� G.''•r� . �2 a � 3x2 'Job Property Address EV / City or C.Mrpunity— Legal Description of Property. (Lot, PM, TR) C� t �^ S/ . #m IR&I Z.R 2, ,9 1 'Assessor's Parcel No. AWater Agen'cyy" erxwetl/ t F.�.� Use of Permi: f ,I&f 6�lfan`ning Case # Lot Size 77 2./3 - 7 '4� -f SFO, MH Site Preparation Etc. % XIVM Siriature of Applicant Date 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial1 Date _ �U✓l Certification of Existing S.D. System required. ED Yes Z No'f- C �(% '(�! �, WQCB Clearance required. ❑ Yes rjoNo./ / Soils feasibility report�required. ❑ Yes 1.2o'er t Detailed boring report required. ❑ Yes •© No j r Detailed contour pjot plans required. ❑ Yes Z�No 'El Staff Specialist approval required. ❑ Yes No Lot Inspection Date Soils/boring report by^ Project # Date Soils Map Page �c,�l Soil Type (- Approved by 11 '(A 14 A/ -if -Date * t Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing 0 New ❑ Additional ❑ Replacement hr+01�C Gals. (2) Leach line sq. ft. Sidewall allowance Install a— Line(s) -Ft. Long, Leach bed Sq. (Botto trench area) ft. rock/ - Sq. Ft. Ft. wid-e%with min." inches Ft. + per running ft. ©-N'5A 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 Overburden factor k( ❑ 6 Max. allowable depth Ty' lv G� This application is appr""moo d �d Hied 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 �snecessary for the installation of the above -designed syste , (1) Septic tank and sewer lines must be,50' from any wells', /0?/�"�'` ;tom ' ti �^ (2) Leach lines must be 100' min. from any wells including expanslonfar�' ea f U��� ' "41 1 (3) Seepage pits fmust be 150' min. from any wells including expansion area//a z.�,. �, l /ni ot Signature of Health OfficialZg,-- - 1 Date F� / 7 /� 4 �(Q — 747 RECEIPT NO. Issued by Date District: ❑ Riverside ❑<dio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6186) I_