05528 (SFD)Building
Address 78-555 DOMEBRUSH
Villim Firms
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Address
City Zip Tel.
Contractor I
Same
Address
No.
BUILDING: TYPE CONST. OCC: GRP.;
A.P. Number 617^382-015
Legal Description
Project Description "D
05528
State Lic. I City I
& Classif. 1473969 Lic. # 990 Sq. Ft- 1530 No. Dw.
__ Size 153 Stories Units
Designer
Address Tel.
City IZip Stae
I Litt# I
L 10EINSED CONTRACTORS DECLARATION
I hereby aff'nn drat I am licensed cruder provisions of Chapter 9 (commencing with Section
7000(!, Division 3 of the Busiiness and Professions Cade, and my license is in full force and
SIGNATURE DATE
OWNS ,BURDEN DECLARATION
I hereby affmin that 1 am l ftam the Contractors License Law for the following
reason (Sec. 7031.5,1kpsrrss and Prolessia�s Come= Any city, or County which regimes a
permit to costr cL alter. i�lR dlawmfslh, or rear any sbnc6ae, prior to its ssualce also
requires fie appicarht for such pe®7 m pile a smI sMame r Mat Ives licensed pursuant to
the provisbrhs of Me Corrisbr'k License Law. Ch4aftir 9 (comazericirig with Section 7000) of
4visan 3 of the Business and Pafessbs CddA or Mal. he is exeept Merefrom, and the basis
for the alleged exerrpfat. Awry ®I - of Seetan 7031.5 by ay applicant for a permit
nmjeds the app I m a chop wally omens!come that foe lmardied dntsrs (E500).
❑ 1, as owner of the puopery, or my employees with mages as their sole compensation, will
do the work, and theStrmpcbre's trot erLerded w offered for sale_ (Sec. 7044, Busnrss and
Processions code_ lhti'"Chntradodhs Lease Law does nal appy to an owner of property who
butids or orproves Mercer and wtm dbes such walk himse(IF or thought his own employees.
provided that such iare not k4si dkd m offered far sale_ f, however, the boding
or improvement is Sold willio one yew of cwt the awroer-buWar wn7 have the burden
of proving that he it'd not build or imp we for fie purpose of Sao_-)
0 1, as owner of the properly, am wdlaivdy contracting with licensed contractors to con-
struct the project- (Sec 7044. Business and Prufessas Code The Cmtractor's License Law
does not a pfy to an owner of prapevy wtm badLt or irmpe I thereon. and who contracts for
such projects wit a pwbaclorfa) icasedpasrsr to Me moors License Law.) .
❑ 1 am exempt under Sem------& & P -C. for this reason
Date 1117 ! Owner
wOR1O3iS COMPENSATION DECLARATION
I hereby affirm that 1 have a aer ifilate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof_ (sec, 3800, labor Code.)
Policy No_ Company
❑ Copy is filed with the c y_ 13 Certified copy is hereby furnished.
CE FDFlIc LTE OF EXEMPTION FROM
rOR10Bis COMPENSATION INSURANCE
(This section need not be l i the . 11 is $or one hundred dotars ($100) vatuatiah
or less.)
I ceRffy that in the Performance of the work far which this permit is issued, I shall not
employ any persorn in any Marina so as to became subject to the Workers' Compensation
Laws of C'alifoma Z` f / .=-'
Date ' Owner
NOTICE TO APPLICANT. IF. after maI-g Ms Cie of Exemption you should become
subject to Me ttbrkersCompaaafar f of She iabor Code. you must forthwith
comply rip such prdv®rs or thsprrmR shatbe R reo*e.M
CONSTRUCTION LENDING AGENCY
1 hereby affirm that -1 is a corsbucfion ledung agency for the performance of the
work for which this permit is svred fSm 3097. Chit Cite)
Lenders Name
Lenders Addmers '
This is a building permit when propey filed out, signed and validated, and is subject to
expiration if work thereunder is 9syerded for 180 days.
I certify that I have read this appfcalion and state Mat the above information is correct
I agree to comply Oft aft by and aamy ar ilmmes and state laws relating to building
constructior, and hereby adhorfine repreentatives wt aft city to enter the above.
mentioned property for inspection purposes.
Signature of appiicarft Date
Mailing Add. _
City, State, Zip
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
IEstimated Valuation $82,966-00
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
a 7" Lige—r-ow
TOTAL
AMOUNT
152.54 �-
S
53.5{
111.61 ,
157.503 r
5.8
2G.00
73.7
REMARKS
�ry�,�.rx*��C�•� f�`�'itilmff`I'il.t--ijii'prvn .?t �,�
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
3/16/89
Issued by: Date a Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE 3 O
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT.
FORMS
SEW (R _ PTIC Ai0
ROUGH WIRING.
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SO. FT.
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN.
BOND BEAM
WATER SYSTEM
URINAL
SO FT ®
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FRAMING
WATER PIPING
NOTE: Not to be used as property tax valuation
li
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
LAUNDRY TRAY
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 V4 c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
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 I ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBINGUNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 3 O
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEW (R _ PTIC Ai0
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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
INSP.
ROOFING y �p�
__/(
li
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING LPfW 6 a eQ
MESH
INSULATIOWSOUND�
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
l
INSPECTOR'S SIGNATOR SIINITIALS
GARDEN WALL FINAL
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
�+ OF
NOTICE: THIS RE.ICoU�%ig9 � % FACILOI� FEES �
BE DUPLICATED, ��,
TO: City of La Quinta DATE: �3 — 9 J
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
This is to certify that�A�
T, V ';
developer of which is
located at — , within
this District, has paid school facility fees imposed pursuant to the
author' Herat d by overnment de Se tiolt 530 0 i the amount o
s 3 0 cly
cov ring a total of square feet of () r sidential or
( ) industrial/commercial development and that building permits for
this footage in this development may now be issued by your jurisdiction.
jobb 0 6, &Wm-�—g
for DESERT SA46S UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
Of R7
V
M4t*9. Esq
Dear Developer/Landscapers
OFFICE OF
AGRICULTURAL COMMISSIONER
AND
WEIGHTS & MEASURES
4080 LEMON STREET, ROOM 19
RIVERSIDE. CALIFORNIA 92501
1714) 787.2561
E. LEON SPAUGY
COMMISSIONER
JAMES O. WALLACE
ASSISTANT COMMISSIONER
CLEMENT BENVENISTE
SEALER
Prior to delivery to the Coachella Valley, the following plants/landscaping material
should be "free from" the insects/diseases listed. Plants, landscaping material,
appliances, insects and diseases, other than those listed, are also applicable to quar-
antine laws and regulations.
Citrus Nursery Stock/Citrus Plants; free fran Red, Yellow, and Purple Scale, Tristeza
Complex, Woolly Whitefly , and Comstock Mealybug.
Euonymus species; free from Red, Yellow, and Purple Scale and Comstock Mealybug.
Grape (Vinifera); insects and diseases.
Olive trees; Olive knot and Red, Yellow, and Purple Scale.
Palm trees, genus Phoenix; Prohibited. Please contact Agricultural Commissioner's Office.
Psidium (Guava); Woolly Whitefly.
Soil, plants and landscaping material with roots contaminated with Ozonium Root Rot;
Prohibited. Please contact Agricultural Ccmnissioner's Office.
Hydrilla, viable forms and appliances associated with; Prohibited. Please contact
Agricultural Commissioner's Office.
Certain plants/landscaping material from Tulare County and portions of Kern County; Pro-
hibited. Please contact. Agricultural Commissioner's Office.
Your cooperation is greatly appreciated. If you have any questions on laws and regulations
governing the Coachella Valley, please do not hesitate to call our office. The telephone
number for our district office in the Coachella Valley is (619) 342-8291.
Yours truly,
E n Spaugy
Agricultural Commissioner.
ELS/jh
7/15/87
A,-Z'!M a•�' 7
-4r9. fie%
DATE
DEVELOPER'S MlE s
ADDRESS:
OI f Ir E Of
AGRICUL I URAL COMMISSIONER
A, Iu
WLIGI ITS b. MEASURES
49-613 Ilwy 86, Suite 11-12
'Conchelin, CA 9ZZ36
619-342-8291
E. LEON SPAUGv
COMMISPO.. M
)AMES O WALLACE
ASS:S.ANI 1:1)NIMISSIOW.
CLEMENt 13f.`VENIS1E
SL+LEn
CASE U). 61 n S 020-6,4
'.YELEPI 1014E t (71V) 99-t— 314C
• 'MLS'AWmJL
Dear Uevelopers Q,,�/,r,„� 4s
After reviewing your landscaping plans, all plant material listed is riot in
violation of quarantine laws governvig the Coachella Valley. If substitutions
do occur and they differ frun plant material listed, this office must be notified
iimr-diately.
Thank you for protecting and preserving the Coachella Valley's pest -free envirom ent.
_ k/ _
Agricultura aliui.ssiolier' Tice
ccs Indio and Riverside office
a
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COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH 'O" P°'ical No.
I
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 check list
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 8 SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'*
Agent. Contractor, Contact Person
Phone
Address 8 Phone
,v t r- ,✓.
7i�
Owner
Phone
Mailing Address
City
State
Zip
job Property Address
Legal Description Prop.(��Mr�Tta�t Lopas 11 A,vC
Lot Size
' Water Agency M"
Use of PermA P/P, CU, etc.` 4 (X N, n/i
Other
Dwelling, MH Site Prep, etc.
Date
Signature of Applicant
CATEGORY: REV CODE FEE.
CATEGORY: REV CODE FEE
❑SUBSURFACE DISPOSAL 1238 <
❑ SITE EVALUATION UPON REQUEST 7349 $42.00
❑ MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
LAND DIVISION
❑ SEWER/SEPTIC VERIFICATION 7348 $11.00
a. 1 at 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 $13200
❑ Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft. 7347 $86.00
INITIAL DATE n
Holding Tank Agreements Completed ❑ Yes Le�o/�
Certification of Existing S.D. System Required ❑ Yes )No I
WQCB Clearance required. (Attach Form ❑ Yes Nd3 0
DOH SAN 007, Santa Ana Region Only)
Sills Percolation Report Required. ❑ Yes
�No
Special Feasibility Boring Report Required. ❑ Yes
Detailed Contour Plot Plans Required (1 to 5 R interval) ❑ Yes
/
Other ❑ Yes
/No
Staff Specialist Lot Inspection Required 13 Yes S No
Lot Inspection Date
Soils boring report by Project Date
Soils Map Page Sol Type n A Approved by Dale 3- LEY
No. of Systems
Tire of System(.)
No. Dwelling Units(!
(1) Septic Tank
Soll Rate
G_ room/Sand
❑ Holding Tank ❑ ExWft
Bedrooms ,
'9' Mew ❑ Replacement
/tint .
/. % W�'
('%
GW
.
—Gal
(2) leech Line Sq. Ft
Sidewall allowance
install Line(s) ft brig ft wide with
Leech Bed sq. ft
♦ om trench area
ft rock/sq. R/
min. irliBsro bebw�`or
►ea
Per running tL
Leechtines/bed special design for slope:
(3) Pit Diameter
No. PAs
Pit Below
Seepage Pit Total Depth
Applicable
f
!
— n !
N/A ��Overbnxden factors
(� O
Max. Allowable Depth
No. 2 System
1
REMARKS -"O 1 ff
--
" /1
U
This application is PPROVED�NIED'for the category checked in SECTION B above, regarding the design of a subsurface disposal system as Indicated
on the accompahlp o�'iTp al n, 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.
X1I Septic tank and sewer lines must be 50' minimum from any wells
Leach lines must be 100' minimum from any wells, including expanse � �y 5 �{ / -,
Seepage be
(3 pits must 150' minimum from any wells, including expansidn ar
Signature of Health Official - J' f �. ''. ." t .� 3` %- f Date--,— C 'e
9�g
� �
• RECEIPT NO. Issued By r ..r if / % Date �- •C 1
DISTRICT: ❑ Riverside, ❑ Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHfTE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records
l`.
ak
i•v„ P y �r i 'it., '
RECEIPT NO. T Issued By Date — —
DISTRICT: ❑ Riverside, ❑ Indio ❑ Hemet q Perris ❑ Rancho Calif. .❑ Blythe
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records
h
'�`""�'�'' '` •,,"�"•:"' , - - '' Atlsessors Parcel No.
COUNTY OF RIVERSIDE:'DEPARTMEHT OF HEALTH
��'
ENVIRONMENTALIHEALTHISERVICES
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 in icated 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 County of
Riverside. Approval of this application shall remain valid for a period not to exceed one year from( date of approval.
Q
VERIFY ITEMS IN SECTION A FROM BUILDING 8 SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'*
Z
Q
U°
Agent, Contractor, Contact Person
61/3 f=,�kiiv/, /l
Phone
1Y)635-356.1
Address 8 Phone
Z,«v.1%,i /t//s 6x3c/r- 1-/
IL
Owner
Phone
Mailing Address
5.4. -i T
l
City
State
Zip
Job Property Address
Legal Description Prop �6 %1 f 4r✓
r�b 5 S n tC1r_�,,L_
40 tK ?/ n
Lot Size ter Agent 11""
Use of Permit P/P, CU, etc. 0 evn
Other
svfx 16� , V cv (�
Dwelling, H S eti Prep, etc.
Signature of Applicant
Date
CATEGORY: REV CODE FEE
CATEGORY: REV CODE FEE
SUBSURFACE DISPOSAL 1238 $4a 5
❑ SITE EVALUATION UPON REQUEST 7349 $42.00
O MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
2
LAND DIVISION
❑ SEWER/SEPTIC VERIFICATION 7348 $11.00
p
a. 1 et 4 Parcels (Each) 1238 $45.00
(Less than 1 year)
U
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)
co
❑ Site Evaluation in Conjunction with
*$86.00
❑ HOLDING TANK 7351 $45.00
Crftical Area 7346
❑ ALTERNATIVE/EXPERIMENTAL 7345 $13200
❑ Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft. 7347 $86.00
I MAL DATE
Holding Tank Agreements Completed ❑ Yes .0
Certification of Existing S.D. System Required ❑ Yes p�No
WQCB Clearance required. (Attach Form ❑ Yes N
DOH SAN 007, Santa na Region Only)
Sails Percolation Report Required. ❑ Yes No
Special Feasibility Boring Report Required. ❑ Yes No
Detailed Contour Plot Plans Required (1 to 5 it, interval) ❑ Yes
Other ❑ Yes
Staff Specialist Lot Inspection Required ❑ Yes ,Q No
Lot inspection Date
Soils boring report by Project Data
Soils Map PageSOA Type Approved by ��- Data 3_- LEY
U
No. of Systems
of Systema)
No. Dwelling Unita(l)
(1) Septic Tank
Soil Rate
Grease/Sand
Z
❑ Ing Tank ❑ Existing
'
Bedrooms,*ixture-Units..
Q
❑ Replacertrerrt
3 Q �/l/h • /�!
A
A, 7 /
aGf
Get
r .
Gal
. fJ
U.1
(2) Leach Line Sq. Ft
Sidewall allowance
Install Line(s) R long R wide with
Leach Bed eq. R
trench area
ft rock/ sq. R
min. below drefilines or
per running It.
NA
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pita
Pit BeleW
Seeps Pit Total Depth
Other:
Applicable
��
.
�
•Q=b' " l
mom)
1n /
.
Max. Ali le D�pth
N/A r lector
Q
No. 2 System
REMARKS:
4
This application is PROVED IED'for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
!9
on the accompan pot an, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the
Oabove
-designed system. No construction is permitted in the required reserved 100% expansion area.
U
1 Septic tank and sewer tines must be 50' minimum from any weltsQ/ / Q ficl r!,A/ _,
Leach lines must be 100' minimum from any wells, including expansio res �/ S
��I
(3 Seepage pits mis) be 5500'minim-•u�m- from any wells, including
/e ansi h ar
3r
Signature of Has Official Date r
RECEIPT NO. T Issued By Date — —
DISTRICT: ❑ Riverside, ❑ Indio ❑ Hemet q Perris ❑ Rancho Calif. .❑ Blythe
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records
h