07726 (SFD)Building
Address 78„ 695 5ottlebrush i
Owner
Tano Development, Inc.
Address PO Box 4694
City lZip ITel.
' u
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Contractor 0~ I
Address
Zip I Tel.
State Lie. I City
& Classif. _ Lie. #
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State I
Lie. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70 130) of Division 3 of the Business and Professions
Code, and my license is in full force and
effect/J�/,l1,wr
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors 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 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, 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 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 contractors) 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
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i1 the permit 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: 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
Ihereby 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 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
City, State, Zip
M
No.
WING: TYPE CONST. OCC. GRP,
07726
A.P. Number 617-392-nl9
Legal Description Lot 69
Project Description Sinal! Fmmilrr�nnl
Sq. Ft. 1708
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
t
Estimated Valuation
$939315
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
266.14
Const.
612.50
Mech.
50
Electrical
Plumbing
161 .50
S.M.I.
Cj .58
Grading
20.00
Driveway Enc.
20.00
Infrastructure
2.099.59
FrinW Toed
f68.88
TOTAL
13„ fi5f 48 1 MAMAS
REMARKS
i,T_ , k%r i" `E oTii-Li" " 3746. "o
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 4/30/9 ermit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE �� d� / l
2ND FL. S0. FT.
BONDING
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEOUIP.
DRAINAGE PIPING
CAR P. I SQ. FT.
TEMP. POLE 8
WALL SO. FT.
GROUT
DRINKING FOUNTAIN.
SO FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
=$
FLOOR DRAIN
MECHANICAL FEES
INSP4/—/472-
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IKITCHEN 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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
INSULATIONISOUND �� Q
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE JPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK SO y0 114.0LUIvf4
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE �� d� / l
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
"
FOUND. REINF. /yL
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE 8
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.INAL
INSP4/—/472-
FRAMING 6 f/f
FINAL INSP.
ROOFING4a"' � fel 90 /f,�a
fi
,�. 6✓. ,�. -1 J ll�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND �� Q
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
co
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O
8
W
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COUNTY OF RIVERSIDE ENVIRONMENTAL A"•"O1'ftNO.
HEALTH SERVICES DIVISION
PEkikrr APPIJ- , ATION 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
OMI A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of
ve4- Riverside.l 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 #
i-,
�Agerit�CoMracto`�Con{acf Person
Phone
q
Address & Firm
n MSU Q OQME"'T INL
(90')gI
—
Phone
Mailing Address
CRY
State
Zip
J Property Address
Legal Description Prop. (PM, Tract, Lot)
PA\ -PA n()(KT`
CA
cl2260
L_oT 6, ti UN 10,1 D(vaTavaymp
Lot Size
ter nc h
Use of Permit P/P, CU, etc.
Other
.50'x ) O u I
cvw. . D
Q
Dwelling, H" ' e'Prep, a c. -
,Q O
Signature of Applicant
Date
CATEGORY: REV CODE E
CATEGORY: REV CODE FEE
SUBSURFACE DISPOSAL 1238 $ 57.00
❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00
❑ MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
LAND DIVISION
❑ SEWER/SEPTIC VERIFICATION 7348 $ 17.00
a. 1 at 4 Parcels (Each) 1238 $ 57.00
(Less than 1 year)
b. Each Parcel after 4 7344 $ 24.00
❑ PRELIMINARY ELECTIVE 7352 $ 23.00
❑ Rereview (2nd review same parcel) 7344 $ 24.00
EVALUATION (Attach DOH SAN 53)
❑ Site Evaluation in Conjunction with
❑ HOLDING TANK 7351 $ 47.00
Critical Area 7348 $111.00
❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00
❑ Site Evaluation Lot Less than
SYSTEM `
10,000 Sq. Ft. 7347 $ 87.00
IN DATE
Holding Tank Agreements Completed ❑ Yes No V O
Certification of Existing S.D. System Required ❑ Yes o
WQCB Clearance required. (Attach Forth ❑ Yes o
DOH SAN 007, Santa Ana Region Only)
Sails Percolation Report Required. ❑ Yes
Special Feasibility Boring Report Required. ❑ Yes Nc�
Detailed Contour Plot Plans Required (1 to 5 ft interval) ❑ Yes
t
Other ❑ Yes
Staff Specialist Lot Inspection Required ❑ Yes •-`' No
Lot Inspection Date
Soils boring report by Project fit/ Date
cis
Soils Map Page ( Sol Type v Approved byf� Date
No. of Sye*m
T of S s)
❑ HoWng Tank ❑ Existing
No. Dwelling Units(l)
Bedrooms
(1) Septic Tank
Soil Rate
/Send
G
O Reptecerrrxrt
�/j��
�
Gal
Leech LineSq. Ft
Sidewall allowance
Instal Lxre(s) R long H wide with
Leach Bed sq. R
trench area
R rock/ sq. R
per running R
NA
min. les dralnlines or
�--
�+4 ottom arae
wX ,.
Leachlines/bed special design for slope:
Applicable5"
(3) PR Diameters
No. Pits
Ph Below
PR Tr Depth
(TD)
Max.
Max. Allowab Depth
lo/
6 r
(
/
N/A L100", Ovwtxjrden factor
..(�—
Q
No. 2 System
REMARKS:
CJ��
•
� GGs��
AV
This application' APPROVED/D , Wa for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
on the acoompariie pot 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.
Septic tank and sewer lines must be 50' minimum from any wells "'of ik rP.Q.O
( Leach lines must be 100' minimum from any wells, including expansion ret
3) Seepage pits must be 7' minimum from any wells,/�/ncluding expansion area �d ���(
f Of
�/ elde
�� Si rlttun • •art �ffiCial
fH h y[� /�—�
-/
RECEIPT NO. f Issued By Date ✓ r -r -(
A
DISTRICT: ❑ Riverside, &<die ❑ Hemet . Q Perris ❑ Rancho Calif. ❑ Blythe
DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE - Office file YELLOW - Applicant - PINK - Bldg. Dept. GOLDENROD - Plans/Aecords
rW
k_ I
14.
COUNTY OF RIVERSIDE ENVIRONMENTAL`•0f'�NO
HEALTH SERVICES DIVISION
PEOWIT 10PIaGATION 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
'Z!4' Riversi(!�pproval of this application shall remain valid for a period not to exceed one year from date of approval.
1 K�
VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG #(1-12-f4-
Agee Contractor. Person
M U QEuftoPrA(U1' Jiuic-
Phone
�:- o IyU`�
Address & Firm
Phone
Mailing Address
City
\-A.m A()0r J�/1
State
Zip
"1226Uf�4�
J Property Address
_/
Legal Description Prop. (PM, Tract, Lot)
LaT V9 UU I14 1 1,( \(rt (t,e rrpv
Lot Size
ter \nc '' 11
Use of Permit P/P, CU, etc.o;?-'is WW%.tlw
Other
I4P
y 1UV
`y W • D
Dwelling, 4 e etc.
Signature of Applicant
Date
CATEGORY: REV CODE E
CATEGORY: REV CODE FEE
❑ SUBSURFACE DISPOSAL 1238 $ 57.00
❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00
❑ MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
LAND DIVISION
❑ SEWER/SEPTIC VERIFICATION 7348 $ 17.00
a. 1 st 4 Parcels (Each) 1238 $ 57.00
(Less than 1 year)
b. Each Parcel after 4 7344 $ 24.00
❑ PRELIMINARY ELECTIVE 7352 $ 23.00
❑ Rereview (2nd review same parcel) 7344 $ 24.00
EVALUATION (Attach DOH SAN 53)
❑ Site Evaluation in Conjunction with
❑ HOLDING TANK 7351 $ 47.00
CrltIcW Area 7348 $111.00
❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00
❑ Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft. 7347 $ 87.00
rr I N IAL DA
4V
Holding Tank Agreements Completed ❑ Yes ® No (%
Certification of Existing S.D. System Required ❑ Yes .21410
WQCB Clearance required. (Attach Form ❑ Yes No
DOH SAN 007, Santa Ana Region Only)
Soils Percolation Report Required. ❑ Yes
�dd_N-a/
Special Feasibility Boring Report Required. - ❑ Yes
Detailed Contour Plot Plans Required (1 to 5 R interval) ❑ Yes
Ao
Other ❑ Yes
i
Staff Specialist Lot Inspection Required ❑ Yes No
Lot Inspection Date
Soils boring report by Prroicet Date a
Soils Map Page ( / Soil Type Approved by Date / v
No. of Syslams
Tyu of System(.)
❑ng Tank ❑❑ Existing
No. Dwelling Unit�t1
Bedrooms,-hid7ra)t.
(1) Septic Tank
Soil Rate
�GrAaee/Send
Gra ee-Irp
beRew eParnt
Gal'
• % /
'L—G�d`��
lolv
%qLLeach Line Sq. Ft
Sidewall allowance
Instai Line(s) it loft ng wide with
6f
Leach Bed sq. fl.
trench arae
tt rock/ sq. R
per running It.
NA
min. inches drainlinee or
«n eree
—
Leachlines/bed special design for slope:
Applicable A!
(3) Pit Diameter
_ /
No. Pits
Ph Below
7rt�et:(BI)
Seepage Pit Total Depth
(TD) /
Max. Allowable. Depth
N/A Overburden factor
No. 2 System -
REMARKS:
� GG-s.�
,I�•J�-- �f ,s LCL o/'�
.�.��,
40,
This applicat' i APPROVEDD/DEr71ED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
on the accompanie�pottpplan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the
above -designed system. No constriction is permitted in the required reserved 100% expansion area.
Septic tank and sewer lines must be 50' minimum from any wellstr/D
Leach lines must be 100' minimum from any wells, including expansion area
Seepage pits must be 50' minimum from any wells, including expansion l(0/
kl:!/ area
/l/�/�
f Health �f
Signature • •art awlyt/ `
�c/ �fT".Date
RECEIPT NO. Issued By i �/✓� Date /
DISTRICT: ❑ Riverside, e,4radie ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe
DOH -SAN -122 (Rev. 7/89)DISTRIBUTION: WHITE Offioe file'=`iYELLOW APPl ntxPINK - Bldg. Dept. GOLDENROD - Plans/Records
L/
7
.Y
COACHELLA VALLEY FRINGE -TOED LIZARD
SECTION 10A MITIGATION FORM
FROM:
APPLICATION
DATE:
APPLICATION .FOR
GRADING OR BUILDING
PERMIT NUMBER
ASSESSOR'S PARCEL NO(S).
ADDRESS
CITY OF LA QUINTA
Inc
61�-36Z-o!�_
/,*Mco OA2 (Name of Developer) has applied for a
building/grading permit affecting ��� acres.
This proposal will require the payment of $ G g.
($600-00 X 11qF) acres) .
By: At� H • /7/--��
Title
We have received mitigation in the amount.of $
($600.00 X acres) in the form of cash on
from
Name of Developer
By:
BJ/FORM-006
Title
OFFICE OF
AGRICULTURAL COMMISSIONER
AND z
WEIGHTS & MEASURES
*''�!•' CALVIN.C. KAMINSKAS
JAMES O. WALLACE 4080 LEMON STREET. ROOM 19 Asslslonl Commissioner .
Agrtoulheai Commissioner RIVERSIDE. CALIFORNIA 92501 CLEMENT BENVENISTE,
Drector of Weights a Measures (714) 787-2561 Sealer
49613 Highway 86, Suite B12
Coachella, Ca. 92236
(619) 342-8291
DATE ,3 - Z o - qa CASE NO. PC LL 31516
DEVELOPER'S N11MEi 'rAMCO
ADDRESS: OX
PAW 43r:t2v— 4(A
TELEPHONE: (G 19 ) _36e, - 1 `I61' //y
-. f+ c7� � � Q (, b C.,6- C� , �'-l• tee- ��N� � .•., ' .
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 and they differ from plant material listed, this office must be notified
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
Agric ural Camussioner-s Office
cc: Indio and Riverside Office
Buena Engineers, Inc.
79-8116 Country Club Drive -
Bermuda Dunes, CA 92201 • (619) 345-1588 s,;., ► ;,
Client Name
Client Address
Client Phone
DATE
JOB NO.
'41 r'2-5 -
3 t/3 -`r
PROJECT
REFERENCE CURVE
MOISTURE
CONTENT
%
LOCATION
MAXIMUM
DRY
DENSITY
A
OPTIMUM
MOISTURE
CONTENT
CONTRACTOR
OWNER
WEATHER
TEMP.
o.at AM
at PM
PRESENT AT SITE
r�
;7
TEST
NUMBER
TEST LOCATION
LOT
NO.
ELEVATION
FIELD TESTING
REFERENCE CURVE
MOISTURE
CONTENT
%
DRY
DENSITY
lbs./Cu.ft.
MAXIMUM
DRY
DENSITY
MAXIMUM
DRY
DENSITY
lbs./cu. ft.
OPTIMUM
MOISTURE
CONTENT
r�
;7
f�
.i
REMARKS:
!>'1T C VG�v X
/7 rrr6
CLIENT REPRESENTATIVE SIGNATURE
t4
FIEID. REPORT
TECHNICIANS SIGNATURE
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
a= SCHOOL FACILITY FEES
TO: City of& Qoin-In-t'�a C44 B DATE:
Department o ,%itnuni e1To ent
78-105 Calle Estado��ZD NIVor
La Quinta, CA 92253
IGO ", ffi�,
this District; has paid school facility fees imposed pursuant
au horit ratby rinvernment C de Section 5308Oein the a
covering 1a total of Onz square
( ) industrial/commercial development and
this footage in this development may now be
hich is
within
to the
unt of tfU
r/
� #TV
feet of () resid ntial or
that buildAg permits for
issued by your jurisdiction.
!!��,44 f) � 6&JU V6 -
for DESERT SAND NIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
1!
AP
Al
OF
Tib Ila (Quintet
t bt anb Aafet� 13 t, 11 t* 0 to n
This Certificate issued Purivant to the reqUitements of Section 306 of thi Lmi otrii 60&1
Code certifying that at the time of issuance thii structure was in- complidh�4 -km, Vmw
ordinances of the City reguldti4d building construction or use. - 'For 041M,6iN
BUILDING ADDRESS 78-695 Bottlebrush
lr air
Use Classification SFD Bldg. Permit No. 67726
Group R3_ Typt Construction VV r -Fire Zone use 20" SR_
A
Owner of Building Tamcq _Develo�meht, Inc, Addresi O. Box4694
Palm Desert,
City _CA 92260
bys T 6nnie'j)av_.' k_
-April 171 101i
Data;
Building Official
POST 100 A COWMWO1ii M.Ati
V