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04711 (SFD)------------ 04711_ P.O. BOX 1504 Building 52-015 Bermudas 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Cbetihoila Valley TAW w Mailing->` BUILDING: TYPE CONST. OCC. GRP. Address ,, �- � i S. Tahquita V14Y #2 � A.P. Number - _ "773-235-012: City ,,, Zip Tel. Palm Sp92262 322-1-03. 20 Legal Description Contractor Project Description 9.F.D. Starr Construction Address SAT" City Zip Tel. State Lic. City i& Classif. 387934 Lic. # 693. Sq. Ft. 1463 No. No. Dw., Arch., Engr., Size Stories Units - Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 475' Gerrie City Zip State 17o' 6' wood fence Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section I 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. <,t L.K. .a° -_ft .E r .�.s?�.w Ar�.i'..�"fYr, SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following $79,451 reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, atter, Improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to rile 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 c for the alleged exemption. Any violation of Section 7031_5 by any applicant for a permit Plan Chk. Dep. NZ�Q.Q subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal. 70.98 l ❑ I as owner of the property, or my employees with wages as their sole compensation, will 373.00 r"= do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. Professions Code: The Contractor's License Law does not apply to an owner of property who �i!i � builds or improves thereon and who does such work himself or through his own employees, Mech. aiy.VV provided that such • improvements are not intended or offered for sale. If, however, the building 3 or improvement Is sold within one year of completion, the owner -builder will have the burden Electrical $6.19 1. of proving that he did not build or improve for the purpose or sale.) s n An f I p 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 103.00 _ - struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law -. C tty does not apply, to an owner of property who builds or improves thereon, and who contracts for S.M.I. 5.J such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading 20.00 1.- 0 1 am exempt under Sec. B. & P.C. for this reason Driveway Enc. 2{1.00. 141 Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to. self-irisure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof.,'(Sec. 3800, Labor Code.) Policy No. Company •'k ! e— e/ . - ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTALi�,71X.S�i( CERTIFICATE OF EXEMPTION FROM REMARKS 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 th8 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 Q expiration if work thereunder is suspended for 180 days. 10121/88 1 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; . ....,. ,.. .. � ., _ . .. _. _ _...o, � �, s?t..,v.:•:di'�6%a.• . , ..... .. k .- . .....c,:.r...c � ....- _,..w _ _�:C'u i., a,.re;[s ..." _ _. _ _ ... �f: S " .J,r 3:u+J�/�y r ...,,£ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO Fl ip S UNITS A.C. UNIT COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL SO FT. 6 BONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR SO FTor ROUGH WIRING POWER OUTLET ROOF DRAINS GAR SO. FT. 0 GAS (ROUGH) METER LOOP DRAINAGE PIPING CAR P. SO FT. 6 REINF. STEEL GAS (FINAL) WALL SO. FT. a TEMP. POLE DRINKING FOUNTAIN URINAL SO. FT. td SERVICE ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to De used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTOHDISHI APPLIANCE DRYER FRAMING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED lOOFING �- l LAUNDRYTRAY AIR HANDLING UNIT CFM �G�v 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 SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT. B.T.U. SO. FT. RESID I'A c SEWAGE DISPOSAL SO.FT.GAR rg lv:c HOUSE SEWER 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 ROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR 6 t v V 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. FINAL INSP. FRAMING FINAL INSP. lOOFING �- l b%C 76 c,, ,ocA� ' , r �. 1-- �` i L () / � Z -I L �/�/ L �G�v REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING -k MESH INSULATION/SOUND - .� FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL '• �+�..^7-w L;�-''r•..,.: fir.•_ _ e...-�r-f�...r• "'y,";yl: "^�• w�-x- . -.+, .-•"y.�., l 7 i� M Z O U W U) U Z 0 U U.1 U) IN, 3g COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES 773 3..5= /-2. 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 02 adc7� c� 3a2 /o Z.6 2 -7 E7-A.4gPWirx. uJA 2 Owner Phone tMailing Address. city State Zip Job Property AddressR r/ENiDa Legal Description Prop. (PM, Tract, Loot F�/L cJGs eA' 2-L 2.0 .Cgc'QAfd-04 S Lot Size Na er A enc I Use of Permit P/P,CU, etc. 4A Qu iov7-A Other C! ,✓, w.a E e2- .1'o X / 6 a Dwellin H Site Prep, etc. ��p Signature of Applicant Date � CATEGORY: REV CODE FEE r CATEGORY: REV CODE FEE p/SUBSURFACE DISPOSAL 1238 5.00 ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) 4 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 ELECTIV61 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 $132.00 ❑ Site Evaluation Lot Less than ' SYSTEM 10,000 Sq. Ft. 7347 $86.00 NITIA DATE Holding Tank Agreements Completed ❑ Yes ZONO" Certification of Existing S.D. System Required ❑ Yes PAO WQCB Clearance required. (Attach Form ❑ Yes DOH SAN 007, Santa Ana Region Only) :�Noo� Soils Percolation Report Required. ❑ Yes Special Feasibility Boring Report Required. ❑Yes Detailed Contour Plot Plans Required (1 to 5 ft. interval) X0 Yes PO Other 11 Yes Staff Specialist Lot Inspection Required ❑ Yes la'No If Lot Inspition Date Soils boring report by Project # Date Soils Map Page Soil Type Approved by .!.(� Date % 5 � No. of Systems Typvof Systems) No. Dwelling Units /) (1) Septic Tank Soil Rate .,1o2rease�/Sand ❑ Holding Tank ❑ Existing lew ❑Replacement Bedrooms, I=ixtmre.lJwits //T -a r/ /� a ntcp al (2)4mch Line Sq. Ft. t Sidewall allowance Install � Line(s) ft. long ft wide with �` each Bed sq. ft. Botto ench area ft rock/sq. R min. mches w drainlines or ro� o om area per running ft. Query A Leachlines/bed special design forpe: (3) Pit Diameter No. Pits Pit Below Depth Seepage Pit To D ;;�, g- / her. Applicable -141, ►53 �/6 J Inlet (BI) 1 Max. All N/A � Overburden factor .E /i "w"���ble gepth [[Q No. 2 System loll.4 r REMARKS. ✓t ��� /j,�-L' /`T190 This application iA PROVEE6�for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanied plot pan, 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. (1) Septic tank and sewer lines must be 50' minimum from any well (� d,c",5,40, `� Leach lines must be too' minimum from any wells, including expansio are !.�/� / — 3) Seepage pits must be 150' fromm any wells, in/cclludding expan onn a eat /� mmiiniim�u )m A9 Signature of Health Official ,rC�t; W. L "mA' .f /1. -,2/-r�X Da RECEIPT NO. % �o7h Issued By ��s Date DISTRICT: ❑ Riverside, 9--fnd'io ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records 3 8' ol►ICE OF. E. LEON SPAUGY ? , s AGRICULTURAL CO+N NISSIONER CO�rit15WAL ^ 1'r, JAMES O WALLACE o C A v V ASSIStA\t C7N?IKS10"ER t�S5 t �) '" WEIGHTS & MEASURES CLEMENT BE`VENISiE .I �,�: suEER } '��•' 49-613 IlwY 86, Suite B-12 'Coachella, CA 92236 Mq ► 9, i Sq� 619-342-8291 DATE CASE NO. 8'� t 5 101 9 F DEVEWPER' S NAME: S T R R R G ©.L/ �� /'Gt e Ti J ADDRESS t .2 4-"7 --' 7_.9H4u i r z W,4'1 -4"2 PALM Sed ik)& s ' dg 9 7-2-4,2. TEMPHONEt (6/9) 32 21 -- %O z o X a o i s .6rA •e M u.*D Q s 4 o r / 13A. es 9 2 u..�, r e/ Dear Developers 7 7 3 _ a 3S-. o i L After reviewing your landscaping plans, all plant material listed is not in violation of quarantine laws governi»g the Coachella Valley. If substitutions do occur and they differ fran plant material listed, this office nnast be notified imnediately. Thank you for protecting and preservi.sig the Coachella Valley's pest -free environment. A4ricultura17 Canniss ' Ii is office ccs Indio and Riverside Office