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06107 (BLCK)TitY 4 4 Q" Building Address 53"235 Bermudas Owner Construction P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address P. Q. Box 1379 City Zip Tel. La Quints 1 92253 1 564-'7411 Contractor Address Pers 1"' 92276 F.. 343-2+671 No. 06107 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 774-065-022, 023 Legal Descripti State Lic. City & Classif. 469157 Lic. # 1114 1 Sq. Ft. Arch., Engr., Designer Address Tel. CityI Zip I State I 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 full force and effect. SIGNATURE .f 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 Cade: Any city or county which requires a permit to construct, after, 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 chit penalty of riot more than five 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, Suisness and Professions Code: The Contractor's License Law does not apply to an owner of property who improves builds or proves 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.) ❑ 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.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 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. O Certified c�pyis hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff the pemmlt is for one hundred dollars ($100) valuation 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., ff. 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 property filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certity 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 ateMailing Address City, State, Zip Description Block wall 295' X 6' No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 7.375 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. `�- Mech. Electrical Plumbing S.M.I. 6 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: DatJ/21/89 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SQ. FT. ® $ UNITS COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL Sp. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. ® DUCT WORK ROCK STORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. I SO. FT. ® GAS (FINAL) WALL SQ. FT. DRINKING FOUNTAIN GROUT URINAL FT ® FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ f WATER PIPING NOTE: Not to be used as property tax valuation GRADING cu. yd. $ plus x$ 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 LAUNDRYTRAY AIR HANDLING UNIT CFM 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 SO. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic HOUSE SEWER 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 PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEANQ f WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS. VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL ) I 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (760) 777-7000 FAX (760) 777-7101 TDD (760) 777-1227 October 20, 1998 Mr. John Guenther 53-235 Avenida Bermudas La Quinta, CA 92253 Dear Mr. Guenther, This letter is to confirm our conversation on October 19, 1998, outlining allowable improvements to vacant land that you recently purchased. The land, described as Lot 13, Block 204, Santa Carmelita at Vale La Quinta, Unit No. 20 (APN: 774-065-011), is situated at the northeast corner of Avenida Navarro and Calle Monterey, in the City of La Quinta. For approximately the past five years, it has been the City's policy not to allow the importation of fill dirt on vacant property until a building permit has been issued for the primary structure on that property. As we discussed, we can allow you to use only soil native to the lot to build a berm, not greater than 2-1/2 feet high, for the purpose of establishing a planter bed along the east property line, against your existing combination retaining / garden wall. The berm shall taper down to natural grade not more than five feet west of the wall.. You may plant vegetation in the berm suitable to soften the appearance of your wall. If you have any -questions, or if new issues -arise, please contact me directly at (760) 777-7012. Greg Butler Counter Technician Building & Safety Department MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253+ ' f RECEIVED Date: SEP � � 3 1988 COACHELLA VALLEY WATER DISTRICT �. Received Address: Accountt N° .25685 U.A. Looe ❑ Meter(%) f ❑ Service(s) ❑ Backflow(s) ❑ House Laterals) ❑ Detector Check(s) ❑ Me rSurcharge SanitationCapacity Charge ❑ W.S.B.F.C. +' ❑ Temporary Construction Meter ❑ Tum on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water I Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt. ❑ Customer Deposit ❑ Other_ _ Remarks: ❑Copy to; TOTAL l Water Service Cashier 1.� `� CVWD-438 (8188) '• Y�`. .. 1. �5. � - i�n�•�r'�'4i�^��'sl'��4�+t;i,,.cY1ai �,�•r�`!i�•fr7E+'�'��v,�' � �t'�I i �t��'�-��,'�",�� �:';i�l'�-•�('�{i�c� �`,►,'".yF j,;�{1'�'`v?z `,. �� s :.. :•r ti +'� - i�.5�roa 1 �'4i �i1 J .` ;� r `,� '�i` •r S�'Sl � 'A'""'r'9''f-� �' �f"�!.•jlv... vw� f':vy a�, ��+�r Rll.'ta ��iF Ir :Rs, S 6V RECEIPT NO ' Issued By % Date DISTRICT: /,0 Riverside, 1A Indio � ❑ Hemet ❑ Perris ❑ Ranchot, if. ❑ Blythe .i t � . DOTH 3AN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records L COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES 719 - 065 - 022/023 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 check list. A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the Couny. of _ Riverside. Approval of this application shall remain valid fog a period riot to exceed one year from date of approval. ,� Q VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'* Z a O Agent, Contractor, Contact Person % -Phone Address & Phone` U HARRY BURNS 564-7411 P O Box 1379, La Quinta, CA 92253 W.. Owner WESTERN AMERICAN CONSTRUCTION CO Phone 564-7411- Mailing Address P O Box 1379,'La Quinta, CA 92253 City State Zip Job Property Address Legal Description Prop. (PM, Tract, Lot) La Q inta CA 92253 53-235 Bermudas Lot 11/12, Blk 204, U 20 Lot Size Water Agency/Well Use of Permit P/P, CU, etc. Other 100 X 100 CVWD SFR =D-.elring�MH Site Prep, etc.WLST R , I� December 15, 1988 % { ";_--Sig`natureofApplic`erd�f---� --'°"ter esident Date CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE SUBSURFACE DISPOSAL 1238 $45.00 ❑ •srrMLuA-nON UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WrfHIN SAME �; (NO PLOT PLAN) co LAND DIVISION ❑ SEVk�FR/SEPTIC VERIFICATION 7348 $11.00 Z O a 1st 4 Parcels (Each) 1238 , $45.00 (Less than 1 year) ' ; r'�: / - F b. Each Parcel after 4 7344 $16.00 ❑ ' PRELIMINARY ELECTIVE 7352 $45.00 W, ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) t ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK /7351 $45.00 Critical Area. 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL f 7345 $132.00 ❑ Site Evaluation,Lot Less than ' SYSTEM ? _ y"'--10;000 Sq. Ft. 7347 $86.00 4 rINITIAL DATE Holding Tank Agreements Completed ❑'Yes* b No r ' T. Q Certification of Existing S.a. System;Required Yes No WOCB Clearance required. (Attach Forth ❑ Yes, No DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes No Special Feasibility Boring Report Required. ❑ Yes NO �{ Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes I I'No Other ❑ yew-* I I No Staff Specialist Lot Inspection Required ❑ Yes 19 No It Lot Inspection Date Soils boring report by' #' -' ' Project # Date fti t/ /� Y Soils Map Page San Type Approved by Date U No. of Systems Type of Systems) t No. Dwelling Units (1) Septic Tank Rate Grease/Sand O❑ Fjotdi'ng Tank ❑ Existing Bedrooms Fixture Units / �r ❑Replacement 3 /Q�Gal ;Soil =GW 1-- r. U.1 (2) Leach Line Sg._Ft--- Sidewall albwan ^' Install Line(s) fL bn w d with Leach Bed sgote Bottom VeTX-sfrea ft.*, w running n sq. R min. inches roekbelo�ramd lines or of botto area 0 NA I { Leachlines/bed,special design,for slope: _ (3) Pit Diameter No. Pits Pit Below Seepage Pi TII Depth / Other. Applicable / Inlet (BI), N/A Overburden factor ❑ 5 pppjjj"' 6 Max. AllowaDepth No. 2 System REMARKS: a This application i APPROV /DENIED for the category checked: in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accomparne pot plan, using the requirements set forth in SECTION C above.A'building permit is necessary for the installation of the 0 above -designed system. No construction is permitted in the required reserved 100% expansion area. Septic tank and sewer lines must be 50' minimum from any wells r a( Leach lines must be 100' minimum from any wells, including expansion area; f (3 - Seepage pits must be 1 minimum from any wells, eluding expansion area . Si nature of Health Official Date ' S 6V RECEIPT NO ' Issued By % Date DISTRICT: /,0 Riverside, 1A Indio � ❑ Hemet ❑ Perris ❑ Ranchot, if. ❑ Blythe .i t � . DOTH 3AN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records L 0 n0A NNVHl 00' 39NVH3 00'SLZ Q383UN31 lNnOWV T 00"SLZ T IVIOl T HSd3 OT OTOVEOOOKTOO 0019Z T SlIW83d ZTOb£000b£T00 00' OSZ T S1I�l83d OT 88-TZ-ZT SW OT MOO vaina vi 30 Ano