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002557 (SFD)Building B� Address 53-743 AVenida Owner P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing " Address City Zip Tel. 1 _ ... Contractor Craig Ctmkl�Iin Address .. .. .. City Zip Tela Palm Desc rt 92262 346-8805 State Lic. City & Classif: 316634 Lic. # 203 *Arch., Engr., Designer _ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S. DECLARATION 1 hereby affirm that Lam licensed under pr6visi6,ns 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. �^ . �1 '_ .l- • 4' e!; l',f �w SIGNATURE 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, 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 isexempt 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 o/ not more than live hundred dollars j$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.) ❑ 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 builds .or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O 1 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 i WORKERS' COMPENSATION INSURANCE. (This section need not be completed it the permit Is /or one hundred dollars ($100) valuation or less.) i - 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 subjectto 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 theta 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 ordinancesland state laws relating to building construction, and hereby authorize representatNes'-of this city to enter the above- mentioned properly for inspection purposes.( Signature of applicant 4-- A- ` k Date '71 Mailing Address r City, State, Zip No. 002557 BUILDING: TYPE CONST. OCC: GRP.- A.P. Number 774•-I75-013 Legal Description Lat 1 & 2 Project Description .'s� fstil.v t3`IL4n�r itAP 2893 Sq. Ft. �3 No. No. Dw. Size • - _ Stories Units New Acrd P Alter ❑' Repair ❑ Demolition ❑ Estimated Valuation HARD COPY Y PERMIT.,— - ti AMOUNT Plan Chk. Dep.. Z51).UU Plan Chk. Bal. W.94 Const. " 474.On Mech.� . Electrical q r.Fl1 Plumbing INSPECTOR S. M.I. Date 9-P-76 Permit Grading Driveway Enc. Validation: Infrastructure 1.49.21 9 8 2242,1,1 ft TOTAL_R4�_i1 z.zai.nt 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 9-P-76 Permit Validated by: Validation: A6296 9 8 2242,1,1 ft CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. @ $ UNITS SLAB GRADE CAWGH PLUMB./Q 3-S BONDING YARD SPKLR SYSTEM 2ND FL. SQ, FT. FO S r1W 46EWER OR SEPT I�7 b OUGH WIRING/6 3—�- C C MOBILEHOME SVC. BAR SINK POR. SO. FT. @ GAS (ROUGH) 17 METER LOOP GAR. SO. FT. @ POWER OUTLET ROOF DRAINS GAS (FINAL) EMP. POLE P DRAINAGE PIPING CAR P. I SO, FT. @ OUT WATER HEATER WALL SQ. FT. @ FINAL INSP. �2 S DRINKING FOUNTAIN SQ FT @ WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be used as property tax valuation ?RAMING U , �� 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 LAUNDRY TRAY 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 SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL r I14JLATIONISOUND SQ.FT.GAR @ 3/ac HOUSE SEWER FINISH GRADING GAS PIPING PERMIT FEE tQ/_FINAL INSPECTION 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 y l UND PLUMBING l UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE CAWGH PLUMB./Q 3-S BONDING HEATING (ROUGH) STORAGE TANK FO S r1W 46EWER OR SEPT I�7 b OUGH WIRING/6 3—�- C C DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) 17 METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. INF. STEEL �(> GAS (FINAL) EMP. POLE P OUT WATER HEATER SERVICE FINAL INSP. �2 S BEAM L WATER SYSTEM GRADING cu. yd. $ plus x$ _$ MBER GR. FINAL INSP., 0 ?RAMING U , �� FINAL INSP. j C ! 0 %ROOFING 2pl �/ v REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING y MESH r I14JLATIONISOUND FINISH GRADING tQ/_FINAL INSPECTION CERT. OCC. .FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS, GARDEN WALL FINAL �2-�wei 101<y/kG ell�� J��fIEO S r; %o y BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS H PALM DESERT -b JP LA OUINTA INDIO I IN �T Desert Sands Unified School District 82-879 HIGHWAY 111 0 INDIO, CALIFORNIA 92201-5678 • (619) 347-8631 August 25, 1986 City of La Quinta Department of Community Development 78-105 Calle Estado La Qui'nta, CA 92253 Re: 53-743 Avenida Bermudas Gentlemen: The developer of the above referenced lot has mi.ti*gated its i=mpacts on. our overcrowded schools by payment of the amount of $628 per unit to be applied to the cost of district educational faci-11ties made necessary by such new development. Sincerely, -� rL - 1. V, .4� John D. Brooks Assistant Supe.ri.ntende.nt Business Services JDB/crm m z O t- U W CO C0 `1 cc Q G LJ cc IN z O 1z U W C0 COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM 77y — /7j— 013 0/,V 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 ofMs required when the application is submitted. Check must be made payable to the County of Riverside. K A f Lia .0 llj I . eO w+%, Building Department Application Log # Name (Owner, Age ontractor, Etc.) Mailing Address C_ Q;�, C`• •Jrfl,:� G`oI,— ,,,t 93- &1z f�w�. !I/ City L, '.} Seri State C'�'- Zip Code 921Go Telephone C0/9- 3 'Job Properly Address -.. n �J,r. &£7AU,JA5,-# At,< 40WA GI.Or Community' G� a,rus� Legal Description of Property. (Lot, PM TR) Loo t �� l3�.Il qN.,a(�-.t.At,-,,a> !/�, 'Assessor's Parcel No. Water Agency (9~11 Use of Perm t S x e_ Planning Case N_ 'Lot¢ ' -77(4—t 7�" — C I3 G'.1/ C IAaP. �r�{. T!oo SFO, MH Site Preparation Ete� r"�' 1 - /oo Signature of Applicant Date 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date Certification of Existing S.D. System required. ❑ Yes LTJ" No WQCB Clearance required. ❑ Yes FNQo Soils feasibility report required. ElYes Detailed boring report required. E)Yes Detailed contour plot plans required. ❑ Yes 12 No Staff Specialist approval required. ❑ Yes ❑_1 J0 Lot Inspection Date— Soils/boring report by Project # Date Soils Map Page '/= Soil Type _Approved by _Date_ Type of System: NO. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing ©ITew ❑ Additional ❑ Replacement�� 1�4, Ant a I —Gals. (2) Leach line sq. ft. Sidewall allowance Install--__ -7 Line(s). Ft. Long, Leach ,bed Sq. trench area) ft. rock/_ -Sq. Ft. Ft. wide wth-mic— inches Ft. o per running ft. S -W rock below drain lines area Leach lines/bed-special design for slope: A licable (3) Pit Diameter No. Pits Pit BI f Seepage Pit total depth — Pp '� r, I /4� Max. allowable depthi r� N/A Overburden factor _ lo 2-J1, I. / I This application is app dWt8d 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 is necessary for the installati9�n o the above -designed system. (1 Septic tank and sewer lines must b�50' from any wells '-/ /0�/T Ca. �11�,��Le- UlIi�IC Leach lines must be 100' min. from any wells including expansion rea J (3 Seepage pits must be 150' min. from any wells including• expansion area'•/&.IF fir_, Signature of Health Official T— 7 / Dale _ a RECEIPT NO. d J ,�,/ Issued by_ 4&4 a Date --jig District: E3L7 Riverside Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH SAN 122 (Rev. 2186) Titif 4 4 a" P.O. BOX 1504 APPLICATION ONLY Building ? ��// GG 7&105 CALLE ESTADO Address S3 -7`13 �vF �.G/Cf9ltvo,�UINTA, CALIFORNIA 92253 Owner t7u�tie ><ie�vc�L BUILDING: TYPE CONST. OCC. GRP. Mailing Address 3 a q )400ue,. A u2 A.P. Number !?? f aso —ops C'.0T OZ City Zip Tel. D 2AA,y e 9;p6& Legal Description Contractor cizA, -) 0. -) Zo Project Description Address N4u1' //I &-Oc,r 4-4--f- .4<<Cit Cit Zip 9Z26Z - Tel.. 3 y6 -sem. 335" Po��1i State Lic. — & Classif. f 3���3� Cit #p� pry6 0 q. Ft.L�A2503 No. No. Dw. ize Stories Units Arch., Engr., Designer _ Ov Nom` _ New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOWS;DECLARATION 1 hereby affirm that I aryl licensed under provisionsfof Chapter 9 (commencing with Section 7000) of Divisions'3�offtthe'Busiinnes and Professions Code, and my license Is in full force and effect. 7 .c---\ V, -SIGNATUREDATE. 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, 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 civil penalty of not more than five hundred dollars ($500). 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 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.) . Estimated Valuation 490 °� A6 91 PERMIT AMOUNT Plan Chk. Dep. ,D SO Plan Chk. BBI. Const. .2 Mech. Electrical Qj/ 4C!/ Plumbing 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 contractors) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. ti P.C. for this reason S.M.I. 9. 76 Grading o2 S- 0 0 Driveway Enc. o7p , 00 Date owner Infrastructure 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 4TklY- i'u ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS (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 thg work for which this permit is issued, I shall not employ any ppeon in any manner so as to become subject to the Workers' Compensation Laws of Cal ifornirsa. QN 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 P,op. Line 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.) Side Street Setback from Center Line Side Setback from Property Line Lender's 'Name — far.a PIN— - FINAL DATE INSPECTOR Issued by: Date Permit Validated by: LendePs Address This is a building permit when properly 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. 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 Validation: A 6 1 8 9 8 1 3 2 5 0. 0 0 CK City, state, zip BUILDING DIVISION CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES 1-1/—SQ. /b p �1 $ D / UNITS BONDING HEATING (ROUGH) STORAGE TANK 1ST FL. FT. ® 2ND FL. SQ. FT. ® SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK YARD SPKLR SYSTEM FOUND. REINF. A9 iO 3 3 83 S MOBILEHOME SVC. OTHER APPJEOUIP. BAR SINK GAS (FINAL) POR. SO, FT. ® GROUT WATER HEATER SERVICE GAR. SQ. FT. ®/ •/0 O —7- 3o POWER OUTLET WATER SYSTEM ROOF DRAINS GRADING cu. yd. $ —Plus—x$—=$ CAR P. SQ. FT. ® LUMBER GR. FINAL INSP. DRAINAGE PIPING FINAL INSP. WALL SQ. FT. ®-2 e� O O — DRINKING FOUNTAIN REMARKS: A4 SQ. FT. ® S- O ,� URINAL ESTIMATED CONSTRUCTION VALUATION a $ �/ _ FIREPLACE WATER PIPING NOTE: Not to be used as property tax valuation 9s16� f%,e Tf-,�iQ.4 oar SPARK ARRESTOR FLOOR DRAIN GAR. FIREWALL MECHANICAL FEES LATHING WATER SOFTENER MESH VENT SYSTEM FAN EVAP.000L HOOD 3 — SIGN WASHER(AUTO)(DISH) 8 APPLIANCE DRYER FINISH GRADING GARBAGE DISPOSAL f,/ FURNACE UNIT WALL FLOOR SUSPENDED 7 LAUNDRYTRAY AIR HANDLING UNIT CFM FENCE FINAL KITCHEN SINK Y ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET O COMPRESSOR HP / - POLE, TEM/PERM LAVATORY 102 HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT - _ SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB _ SO. FT. ® c WATER HEATER S MAX. HEATER OUTPUT, B.T.U.' ESQ. FT. RESID ® 11/4 c q SEWAGE DISPOSAL SQ.FT.GAR ® 3Ac 7 HOUSE SEWER _ GAS PIPING PERMIT FEE /D PERMIT FEE �� _ PERMIT FEE 1,9 DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE 3 /, se> 30,19 % S/.2� " -?6.60 4 ,•? L 10-7-00 STRUCTURE PLUMBING EL UT ^AL HEATING & AIR COND. SOLAR I 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 BEAM 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 SIGNATURESIINITIALS GARDEN WALL FINAL