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08624 (SFD)Building Address P.O. BOX 1504 -NO. 78-105 CALLS — ^y LA QUINTA, CALIFORNIAORNIA 9 92253 Mailing Address _ Contractor Mercier Hatt mut Address 77720 Cha"kih%_ Zip I Tela State Lia "— City & Classif. Lic. # Arch., Engr.,� Designer R.G. Sows Address Tel. = City — (Zip (State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Sectioh 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. DATE ` 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 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 rive hundred dollars ($500). ❑ 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.) O 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 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. 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 (8100) 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. 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. CONSTRUCTION LENDING AGENCY 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.) 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 08624 BUILDING: TYPE CONST. OCC: GRP., +� A.P. Number Legal Description Project Description Sq. Ft. No. No. Dw. Size 1522 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 3 , Estimated Valuation PERMIT 7 AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. .572.04 Mech. Electrical ti Plumbing S.M.I. Grading.t • ,20.00 Driveway Enc.'20.00 Infrastructure Praelm Plan 2S.00 TOTAL3077—Al. -J REMARKS �V14" 15 v#f .2 %77.4i 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 Issued by: Validated by: Validation: INSPECTOR Date Permit CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. STORAGE TANK FORMS POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. METER LOOP DRAINAGE PIPING WALL SQ. FT. OTHER APPJEQUIP. DRINKING FOUNTAIN, SQ FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SERVICE FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING: LAUNDRYTRAY AIR HANDLING UNIT CFM GAR. FIREWALL 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. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE LPL.CK.FEEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK 1491141,aoGROUND PLUMBINC�Q NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF.�a/� 01V, GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. r REINF. STEEL GAS (FINAL) TEMP. POLE O GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. ��j' „u1 QOMN FINAL INSP. /i1�o%9a r 113 16 L •tom . GRADING cu. yd. $ —plus—x$_=$ REMARKS: LUMBER GR. FRAMING !� fyA?, A ROOFING/rYl/ �0! O ( VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 1119-049 MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Building Address Ownej t 1 1 Mailing Address Imo_ Designer AMOUNT Plan Chk. Dep. Address Plan Chk. Bal. Const. FTe. a City Ltb Electrical Zip a��_ST—A te .# censed CONTRACTORS DECLARATION I hereby affirm t licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisi 3 t Business and Professiopj Code, andmy license is in full force and \ OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Bushm and Professions Code: Any city or county which requires a permit to construct. after. improve, demolish, or repair any structure. prior to its issuance also three requires Me (appiiicard �,ortha�dor'9�License Low, iaptaigned ��t(commennci g with Section 7000) 000) o ddsion 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis for the alleged exemption. Any Wribiio n of Section 7031.5 by 'any applicant for a permit subjects the applicant to a chit penally of not more Mem rive hundred dollars (41500). O 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 Con i=Ws License Law roes 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 krprcvenents are not intended or offered for sale. t, however, the building or krprovement is said within one year of completion. the owner-bu*fer will have the burden of proving that he did not bund or hprove for the purpose of sale.) 0 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 brigs or irproves thereon, and who contracts for such projects with a contractor(s) ic, , , pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec_ R & P.C. for this reason Date Owner WORKERS COMPENSATION DECLARATION 1 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 ❑ Copy is filed with the city. 0 Certified copy is hereby fumished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the iN is for one hundred dollars (41100) valuation or less.) I certify that in the perfc the work for which this rmit is issued, I shall not employ any ppeerson in any as to become surpp��t t e Workeey Compensation Laws of Calnfomia /!� Date owner NOTICE TO APPLICANT: it, effer nralvg this a of amp n you should become subject to rhe Wbrkers' Cerrpensatm provisions of the Labor Code, you must forthwith comply with such provisions or tris permit shaft be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, OW Code.) Lender's Name Lenders Address This is a building permit when property 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. 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 BUILDING: TYPE CONST. OCC. GRP. A.P. Number ,Legal Description Project Description Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add 0 Alter D Repair 0 Demolition O Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 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 Permit Validated by: Validation: I 1 OFFICE OF AGRICULTURAL COMMISSIONER AND +4-ri*I" WEIGHTS & MEASURES CALVIN C. KAMINSKAS JAMES O. WALLACE 4000 LEMON SIREEL ROOM 14 nl+I+ro�i comml++lohe+ A7kvftotComml+'lo""r RIVERSIDE. CALIFORNIA 91501 CLEMENT BENVENISIE OWN d welghli A Mealues (714) 787-2561 Sealer 49613 Highway 86,. Suite B12 Coachella, Ca. 92236 �D// /r�� (619) 342-8291 DATE 1 cnsE HD. -�-�-- /oma/Fo C_ DEVELOPER'S NN'! ADDRESS t 7 2 -7 C 1ELEP11CNE: ' .�' 1-- 7 � s rs�•�� � lam- c� Dear Developer: After reviewing your landscaping plans, all plant material listed is not in violation of quarantine -laws governing the Coachella Valley. If substitutions do occur slid they differ from plant material listed, this office 11Iust be notified' iinnediately. 'Ifiank you for protecting and preserving the Coachella Valley's pest-free.environment. Agricultural Can ss one s Office e cei Indio and Riverside Office ! r j,I ,!1 • DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 10/1/90 Type of Permit I La Quinta No. 10176 Permit N Log it Owner Name William O. Wilkinson No. street See Below city La Quinta zip 922M study Area 0 APN li J Tract #► Lot N Square Footage 112,448 Type of Development Single Family Residence No. of units Comments _J;1_Rd11; Ramirn7 Nd -19.(1 Rnhin .9_9.9()Mnnrin7n _J;9_QA0 NaVarrn K1_RR(1 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under. 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE 1 -his certifies that school facility fees imposed pursuant to Government Code MW in the amount ofFl—.58-1 X 112,448 1 or $ 19,667.84 have been paid to D.&U.&D. for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now beissued. Fees Paid By William O. Wilkinson Telephone Name on the check By Richard M. Beck Director, Facilities Planning & Development Fee collected /exempted by Shelley. D. Bennett Signature - PaYMent .Fecf;J'Lved . t CF:eck No. 019694 Collector: Attach a copy of County or City plan check application form to bluti ct copy. Embossed Original- Building DeptJApplicant Copy - Applicant/Receipt Copy - Accounting I 'N- ) a COUNTY OF RIVERSIDE ENVIRONMENTAL Assassofsf�n�MlNo. --r--- Issued By HEALTH SERVICES DIVISION ' PERMIT APPUCATION 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 check IWL A noi5-re-fundable filing fee (sde bbelow)yis required when the application is submitted. Check must be made payable to the County of Riverside. fi4pgroval of tktis app.onhall 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, Contract , Contact Pqrson Phone Address & Firm �� 1�/t 9 2 Me - D Caro ee 210 r%t r Phone Melling Add so l e e Riva - City �a r-_ - --, J�S_tate fL! Zip Job Property Address �LegalD escript Prop. (PM, Tract, Lot • a . D ` 47 Agerrcyfy,4dll Lot Size r Use of Permit P/P, CU, etc. a �) , ii , fj -Othef e C �ox �Srtrep,etc- Q .� Dwelling �(/ Signature of Applicant 3• Date CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE ❑ SUBSURFACE DISPOSAL, 1238 $ 57.00 ❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00 `❑ MULTIPLE PARCELS WITHIN SAME `"' NI SPLOT PLAN) LAND DMSION ,� IISEWERro _1C VERIFICATION d_3�4 $31700 a. 1 at 4 Parcels (Each) 1238 ./ $ 57.00 (Less than 1 year) b. Eacti Parcel after 4 7344 $ 24.00 ❑ PRELIMINARY ELECTIVE 7352 $ 23.00 ❑ herevlew,(2ndieview same parcel) 7344 �.o, $ 24.00 EVALUATION (Attach DOH SAN 53) , ❑ Stte Evaluation in Conjunction with ❑ HOLDING TANK 7351 $ 47.00 Ciithl`'Area 7348 $111.00 � ` ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 ❑ Slid Evaluation Loot Less than�f SYSTEM r '' 10,000 Sq. Ft. 7347 $ 87.00 - - IN IAL DATE Holding Tank Agreements Completed ❑ Yes Eev Certification Of Existing S.D. System Required❑Yes o� WOCB Clearance required. (Attach Form ❑ Yes Q No DOH SAN 007, Santa Ana Region Only) / Solls Percolation Report Required. \ ❑ Yes a /// Special Feasibility Bong Report Required. ❑ Yes f Detailed Contour Plot Plans Required (1 to 5 ft interval) ❑ Yes Oder, ❑ Yes t7 Staff Specialist Lot Inspection Required - ❑ Yes ❑ No Lot Inspection Date Solis report by PrOjeGt � Date Soils Map Page SoA Type Approved by ate No. of Systems Type of Syet No. Dwelling Units (I % (1) Septic Ti Soil Rath Grease/Send ❑ Holding Tank ng Bedrooms, F3xture-+Jrdtsa Grease Intop ❑ New ❑ R /) !� Gal Gel (2) Leach Line Sq. FL » * - Sidewall allowance Lines) tL long it wide with Leach Bed sq. It. Bottom trench area per running,fl�w min. wiehee rock below draMlines or of bottom area AL�Ell NA Leachlines/bed special des' r slope: (3) Pit Diameter No. Pits Ph Below it Seepage PT 1D th Other.. r. Applicable Inlet (BI) (TD) Max. Allowable Depth _> Overtxirden factor ❑ 5 ❑ 6 \� No. 2 System REMARKS: {' s This application�A�PRO�+ :NI _ L? for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanied plot plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above -designed system. Pio-eonstreetiarris-permitted-ire-the-regni xpartsiore-arear �C. B��_ ,, i -Septics--tank-end Sewer lines must be 50' minimum from any wells —t2t-Imaeh*lirwe-musWao-4AOpimum-frena-any weUs,inaudiag_8xparts ; r -(3)—"SN"-TSAg'9"ptts most-be"//11'S(��%�',nm, inimarra/qtror/aterDt�wells�ineludici(g.eaapansie/warea � /cies- � Si nature of Health Official 0'[x'+%7 W �C _G��.. f /r Date RECEIPT NO. --r--- Issued By !w Date DISTRICT: ❑ Riverside, f9' Indy ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHfTE - Office file YELLO Applicant PINK • Bldg. Dept GOLDENROD - Plans/Records / �} E0 Zvi of 'Ila Quinta 7-JaUttbtltanb $a�P��T �IkIi£4iIIIi This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 51-745 Avenida Bermudas Use Classificotion SFD Bldg. Permit No. 08624 Group R3 Type Construction VN Fire Zone Use Zone SR Owner of Building William O. Wilkinson Address 11716 Beverly Blvd. city Whittier. CA 90601 By; Doted lark Harold February 13, 1991 Building Official POST IN A CONSPICUOUS PLACE