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04688 (SFD)- -------- _,�._� __�«a:�.F.�s�:m�.>�.os_a_ ---- — ------------ 4 P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 54—,925 Ramirez w ^ LA QUINTA, CALIFORNIA 92253 Owner Mailing Coachella Valley Land BUILDING: TYPE CONST. OCC. GRP. Address 247 ;E;, Ttquftz tray #2 A.P. Number 774-275-013 CityZip Tel. Palm Springs 192262 1 322,x-1020. Legal Description Contractor Project Description S.P.D. Starr Construction Address Same City Zip Tel. State Ljc. 387934 Lio & Classif. # 1315 Sq. Ft. 1463 No. No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 4751 cRi31��t'�f(�9 City Zip State 1701 61 wt3 d fence 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 fulllll''ff�orc�e'and; effect. % -?.+R R � �P »>°+•k * �a ! hAk' f ti SIGNATURE DATE OWNER-BUILDER DECLARATION Estimated Valuation 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 to its issuance also requires the applicant for such permit to lila 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�i ea • for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit Plan Chk. Dep.' 'g subjects the applicant to a civil penally of not more than five hundred dollars ($500). Plan Chk. Bal. O 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 COnSt.�% t �� Profession 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 Electrical r of proving that he did not build or improve for fhe purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing IT5 • 0 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 S.M-1, such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) C ❑ 1 am exempt under Sec. 0 B. & P.C. for this reason Grading o UU 2 Driveway Enc. 2;fj • tiB3 Date owner Infrastructure rr �� • f%� t' 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'thh&dbf.,(Se_c°3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS " WORKERS' COMPENSATION INSURANCE�S gry� t�C (This section need not be completed if the permit is for one hundred dollars ($100) valuation MAP 14-134114 lfitt•"t�, r�'"'i�t�:R;� f',(3�2 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 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 Line 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 `� 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 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD -. ASSESSOR'S OFFICE, HARD COPY -'FILE CONSTRUCTION ESTIMATL NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO FT y $ UNITS SLAB GRADE ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT. gr STORAGE TANK FORMS jVjLSEWER OR SEPT ��/f ( ( MOBILEHOME SVC. BAR SINK POR SO FT. a FOUND. REINF. GAS (ROUGH) METER LOOP POWER OUTLET ROOF DRAINS GAR SO. FT. @ REINF. STEEL GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO FT. f(1 GROUT WATER HEATER SERVICE DRINKING FOUNTAIN WALL SO. FT. 0 BOND BEAM WATER SYSTEM URINAL SO. FT. (a LUMBER GR. l ESTIMATED CONSTRUCTION VALUATION S FRAMING WATER PIPING NOTE Not to be used as property tax valuation ROOFING FLOOR DRAIN MECHANICAL FEES REMARKS: WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM 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 IV. c SEWAGE DISPOSAL SO.FT.GAR Ii:c HOUSE SEWER FINAL INSPECTION 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 8 AIR COND. SOLAR SETBACK GROUND PLUMBIN ..,?— O UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS jVjLSEWER OR SEPT ��/f ( ( ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. l FINAL INSP. FRAMING FINAL INSP. ROOFING / l a/ �G�� / ri + G /'V I V .l 12 ' REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH GI IN ULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS GARDEN WALL FINAL J << let. Desert Sands Unified School District f 1/ CERTIFICATION OF PAYMENT OF tE 1 SCHOOL FACILITY FEES f(A r"10-CURAFNI6 CANNO-T T0: City of La Quinta DATE: EEJFI Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to certify that developer ofwhich is located at , within this District, has paid scho 1 facility fees imposed pursu nt to the authority generat d by overnment a Sec ioit 308jp in t e am un f $ covering a total of 1 uare feet of'(,/\) residential or .( ) industrial/commercial development and that buildipermits for this footage in this development may now be issued by your jurisdiction.' NOWD �cCl for DESERT S NDS UNIFIED SCHOOL DISTRICT 53— qog 5�1- qo� �-t ��,''/%�J,.� ( C� f; , T0��6 I D �lll(///�������Yl/�J,(Qy ► lr�/�J White -'Building Departriti� � Yellow 'Pati il'ties Planning /0 Pink - Rcc2.t (bdld - Developer 0007 Q Z O U W W M Z O U W WE Z 0 U LU 0) COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES 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 speculations as indicated on the attached checklist. A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG' # Agent, Contractor, Contact Person Phone Address & Phone 3ZZ -Jeae ;Z ,6 7✓F!H`G>u, r -,;" a) Owner Phone Mailing Address City State Zip jp� Job Property Address O Legal Description PropZ(PM, Tract, Lot)(ft%(%% Lot Size titer A epZ ell Use of Permit P/P, CU, etc. i Qui •v7;4 Other 3 0-7'0 + r r .r /SYawc % Dwelling, Site Prep, etc. g2, Ape Signature of Applicant Date ,��/' CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE C7 SUBSURFACE DISPOSAL 1238 $45.00 ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 a. 1 st 4 Parcels (Each) 1238 $45.00 (Less than 1 year) b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 .$45.00. Critical Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 .,$.62.06, ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $86.00• INITI.�A//L•AP` - DATE �,�- Holding Tank Agreements Completed ❑ Yes m- N" Certification of Existing S.D. System Required ❑ Yes �o 1 WQCB Clearance required. (Attach Form ❑ Yes 17 No DOH SAN 007, Santa Ana Region Only) f Soils Percolation Report Required. ❑ Yes jW J Special Feasibility Boring Report Required. ❑ Yes Cd N Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes Other ❑ Yes Cr No s s Staff Specialist Lot Inspection Required ❑ Yes ❑ No Lot Inspection Date Soils boring report by Project # Date �f/ Cd c ) f 11�rX 1 /% ' ' Soils Map Page Soil Type Approved by Date No. of Systems jype of System(s) No. Dwelling Units ? (1) Septic Tank Soil Rate Grease/Sand ❑ Holding Tank ❑ Existing '47•Pfaw ❑Replacement Bedrooms, FixtuwWnfts – G e Intcp Gal s(2) Leach Line Sq. Ft. Be om trench area Sidewall allowance Install Line(s) ft long ft wide with Leach Bed sq. ft. ft. rock/sq. ftfbottom per running ft. min. inches -below d_ rainlines or oarea ,, rNA ` Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Tto�tal Depth �r ;} I Other. Applicable �� e a :,,,3 'P".ge, .../// Inlet (BI) � tl Max. AllowablDepth N/A Overburden factor S/ / GC��// No. 2 System REMARKS: � GZ,r'y-` '�� �!/�'/cJ p'"�_ •.L�''..Z�r✓.f-<.,s�7 1�,/ //7�'"� ,, ,.! rs^'.se�f �.s;�. /% � ��I�.1^--- .•r`�.f"-.r�s•.�r_ '.��'r�i7it /JL+. ,�.-� �r r�ltLcl.-C�%f� ,n This application sPR_OVED -NIED-for the category checked in SECTION B above, regarding the design of a subsurface disposal system as ;indicated on the accompanied pl–o pla using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above -designed system. No construction is permitted in the required reserved 100% expansion area. 't,.'«!/ Septic tank and sewer lines must be 50' minimum from any wells -//O 'J x O Leach lines must be 100' minimum from any wells, including expansibi area Seepage pits must beer/1/5,0' mifnfrom/9anny wells, including expansionareae/ _J 1(33p ��c/ Z ��-irAl Si nature of Health Official C t"�t�'T / �" %rfi �r Q It- / per%. ".7.� RECEIPT NO. t (I / Issued By A� Date ! Q ' O DISTRICT: ❑ Riverside, ❑olndio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records of E. LEON SPAUGY -,L OUAIAL ,, MW X A GRidi )AMES.0 WALLACE AN D,' ,. OR CLUNIEN !�BENVENISIE WEIGHTS &-MEASUILS 21 RAM 1 - D-1 49-613 Hwy', 86 Guile2' 6.19--.�7142-80 T' DATE CASE .:RD. . DEVELOPER'S HAMS; ;R- TO R R ADDRESSt P fl, �j e"'. i; TELEPI [ONE: 32- :217- rA A Dear Wve-lopero After review- your atit ma , tekjal listed is not- in -.-16iAst1 ap all :plant violation of'-q`u-drp' ttliie,.14W6, g,p,venp:,-iq thee Coachella Valleys If Substitutions fice must be Ef !et notified iey r' al. do occur and ib 10 it ifia e imrediaLely. Thank you. [-or' P'rotebting and presery ig the;%C-6achella VajLIey1.s':.pest-free envirotimnt. I