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0001-113 (SFD)LICENSED CONTRACTOR DECLARATION ' Iw hereby affirm under penalty of perjury that I am licensed under provisions of F -_t - Chapter 9 (commencing with Section 7000) of Division 3 of the Business and C14 ((n J, Professionals Code, and my License is in full force and effect. `••-License # Lic. Class Exp. Date o O LO 634981 8LLI , ti 01/31I2(N"~ oZ r- Dalb ",6`t -Signature of Contractor (0 () J U C R OWNER-BUILDEDECLARATION W WW fl- I hereby affirm under penalty of perjury that I am exempt from the Contractor's U) License Law for the following reason: Z (. ) • 1, 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, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). co () I am exempt under Section B&P.C. for this reason u C\I Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: () I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. -(,) I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued: My workers'. compensation insurance carrier & policy no. are: Carriern{ Policy No. 0, OE pmt T ul!GL E 10M. A ur S,ku�o�Q^V.A (This section need not be completed if the permit valuation is for $100.00 or less). () I certify that in the performance of the work for which this permit is issued, I shall not employ anyperson in any manner so as to become subject to the workers' compensation laws of California, and agree that if I shoulTbecome subject to the workers' compensation -provisions of Section 3700 of the Labor Codepl s all forthwith comply wit hl hose provisions-'" < • 1 Date � Applicant %%'" `%" d� �_ ✓- v Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to`criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions 'and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, -_indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purpo e's. Signature (Owner/Agent) �' ` 'L' �fiDate/—j r f •� rc- BUILDING PERMIT PERMIT# 411111101-1.13 DATE / / / / VALUATION $9J,()50.54j LOT 28 TRACT / DDSITEESS 8-730 UOIL'F rEBRUSH APN 164,6<311-02.8 1A OWNER ` CONTRACTOR / DESIGNER / ENGINEER ti �+ Ji .J.1 ri.i.s lr 51-540 EISENii:OWEPL DR. 51-340 EFSFNHrs+NER DIL ' LA QLW1 I'A CA 92253 LA Q UTNt'A CA y2253 (760)564-4604 C.RL€I 2201 USE OF PERMIT SF13-PERMIT a003 111 i .ZFM );3LOCI'114iisUIS R P001 I 1.6Z1iC1'.a1T ROt Ctf&A IO aS.tJ i OARA.0 ICAt2PC) k 463• VJ Sf 5 Elf. W00D FENCE 2JQ oo '.1 vSTS,AIATE+, u "O''.." OF 4'C'N" T RUC-4-0,Er 1}�.3diLo.E'1' ;t';i+�.�i: �5J1117S0'D.r�:l!•i�" 1;ON k �. . t 0J. -1)N-41 8-(.F4t) -t(lt�i��-�1i3a-/��/4�,��c $�`p t z•n,S v,tT.�t1��rtty q1(�); Ali i'VsW, .A 1, 1'.�'a4.S if,f �6'-VUV"iLi^l lW 161" o r"EtY114CAL FEEl�i-Ct ^�dLU Otis �.t3.t..)i) �1aI.:LIIvF.lNil EFE 1.0.1-1100 4I9-00�J �t 1u. 73 S`,4 RONt C .-NIiD T!0W FFF, . R SIS MI -W10 -241 -MO GRADING F.f:;r ,41^.3-000 $20.13E) I) VELOKA, iNtPjkCT.rkE t1JCLC1S' PLAN 101-000-441-345 S t+)1l>+x> 0')N47i'171 fC1JnN AN+) .P`ff.C..A]yN�jC �1,04 11 j�I:gCK 1� LCi2iFS 1.'L�Lr'1 AiA��.l�`rL'•J�♦9 $Yi.i./,/ '11MM, PERMIT il'lk.:eu', 010F, NOW' 53,464.3:1 Z* RECEIPT DATE BY DA INSPECTOR ,7NALECY INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings _ _ Ducts Slab Grade Return Air Steel Roof Deck Combustion Air Exhaust Fans O.K to Wrap (p oto F.A.U. Framing _ �iD�ep % Compressor Insulation /p-� Vents Fireplace P.L. _K_ ` Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath O p a 5 Final Final1 7 POOLS - SPAS BLOCKWALL APkOVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) 7 0� ELECTRICAL VPROVALS Temp. Power Pole _ Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) Building Address Owner Mailing Address City )o6r _r 4, r 1,e.. or 1 PJ)/1,1 I Address city r State Lic. & Classif. Arch., Engr., Designer Address 4 P.O. BOX 1504 APPLICATION ONLY 78-495 LA QUINTACCALIFORNIA 92253 Tel. city 1 ( Y I Lic. # 2 ZL City IZip I State Lic. # LICENSED CONTRACTOR'S DECLARATION Thereby affirm that I am licensed undet�ovisions_of Cl apter 9 (commencing with Section 7000) of Division 3 of th Busines and Professions"Code, andln, license's in fu forcwand effeot�,, U, S GNA B DATE OWNER -BUILDER DECLARATION I hereby aft' that that I am exempt from the Contractors License Law for the following reason: (Sec. 7fT31.5, 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 thathe 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, 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 1 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.) 17 1 am exempt under Sec. B. & P.C. for this reason Dale 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 n Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM 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 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: It, 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 r 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. 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 Address City, State, Zip BUILDING: TYPE'CONST. OCttC,,...GRP. 1 A.P. Number /,.> kjY , Legal Description"{ - Project Description j ,c Sq. Ft. Size New Add ❑ No. Stories Alter ❑ I/ No. Dw. Units Repair ❑ Demolition ❑ �timated Valuation PERMIT AMOUNT Plan Chk. Dep. /, . lea Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. 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: '•Date Permit Validated by: " Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION I ALL I y "'c. jock E) C)o E� E= fl-: V-0" ABOVE CURB PAD ELEV.: 09-6m ABOVE CURB MEASURED @ CENTER OF LOT. 000 kk ,0(d ------31-0 P . A10A RQtL-UIP GARAGE DOOR 100 B yq RC 'BLO ANTER WT R FA0 PROP /loo" , cy x Lf 0 6p, 03 1 AV 3F-EPA6& Hr 4@-Ou E BLOCK PROPERTY LINE ,: ;A ': rt D r PLANTIiN SCREEN 3) L EENI. PAL r44 :'7ROr iI CURB . 16mix t xx SITE Notice: Document Cannot Be Duplicated Date 1/14/00 No. 19904 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE, Owner NameCoronel Construction No. 78-730 CityLa Quinta Tract # Type of Development Comments Street Bottlebrush Lot # Single Family Residence APN # 646-311-028 Jurisdiction La Quinta zip 92253 Permit # Log # Study Area Square Footage 1,501 No. of Units At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.93 X .1,501 or $ 2,896.93 the property listed above and that building '%_N ,. permits and/or Certificates of Occupancy for this square footage in this proposed project may now• betlssue¢ • . Fees Paid By CCNalley Independent Bank/Hazany Coronel Telephone ,, Name on the check By Dr. Doris Wilson f; Superintendent Fee collected /exempted by Ellen Patine, Payment Received . $2;896:93 Signature Check No. 212172 IOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified bove will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to ollect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original—Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting OUNTY OF RIVERSIDE HEALTH SERVICES AGENCY AssEssoR's PARCEL NUMBER - o D d L/ -3i/ EPARTMENT OF ENVIRONMENTAL HEALTH ERMIT APPLICATION FORA SUBSURFACE SEWAGE DISPOSAL SYSTEM APPLICANT. Submit this form with four copies of a SCALED plot plan (1-20 SCALE) drawn to County specifications as indicated on the attached check list. A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this applica- tion shall remain valid for aperiod not to exceed one year from date of payment. .LMS1# 0I TY OC 6,4 QuIAIM Ag nt, Contractor, Co tact Person / 2 i�2 oPon eel Adddr�; s City ^ State Zip 7 /-�1(� G'o w� 6�. ) 4` p)' �t?Z Tele one fit/ lid Q wner Stat Address city e Zip . X22 Tel phone ZJob Property Address City Zip '00 LU Lot Size q._. `V1/ater Agency ell' Use of Permit, P/P, UP, PUP, etc. Zj/,r,£ccin/c w%SaT c Legal Description cn < 64) 00 r I J 2�+ 60�- 4 C/-/> M.SitB Prep., et / SO � v �'Dw'efl' +I e ignatur of Appli n /I / . FOW 1 Date , f CHECK BOX IF REQUIRED If any box is.checked, this application shall be considered rejected until Q Detailed Contour Plot Plans Required (1 to 5 foot interval) the information is provided and the fee paid. Resubmittals latersthan 90 days after date noted below may require repayment of fees. ❑ Staff Specialist Lot Inspection Required m ❑ Holding Tank Agreements Completed Thomas Bros. Page Grid Z O ❑Certification of Existing S.D. System Required Ll Date Lot Inspection Completed: Initials H V W ❑ QCB Clearance Required LU (Attach for DOH -SAN -007, Santa Ana Region Only) Remarks: ❑ Soils Percolation Report Required ❑ Maintenance Booklet Provided ❑ Special Feasibility Boring Report Required ❑ Final Inspection by Department of Environmental Health is required. ❑ Rereview Required Initials Date Please call 24 hours PRIOR to inspection. ,r C/42 / Soils Percolation Bori g Report by Lic/Project # Date Soils Map Page 7 / Soil Type e 4 A Approved By Date No of Systems Type of System(s) Ll'•Holding Tank ❑ Replacement © New ❑ Addition No. Dwelling Units / M4k Bedrooms, -Fixture Chits -?BOart (1) Septic Tank Soil Rate Grebsq and Grease Intcp Lint Trap Q Existing a/,04 -T%1 ��i rl,/ I DaD Gal.d, .L Sq, Ft. Boffb Area Total Linear Ft. Sidewall Allowance -% ft. roc4c� sq. ft. running ft. Inlet Tested Depth ❑ NA Instal\ �Line(s) ft. long ft. wide with min.�li1e es rock below drainlines or Leach Bed sq. ft. of zBottom Area Proposed Bottom Tested Depth U Z Leach lines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet (BI) Seepage Pit Maximum Otliet, O APPlicable '�log, /) / Total Depth ^^(Z.?/ Allowable Depth 'o•��*+�„ UJN/A Overburden Factor l� 1 / I v TD fr Well Review Approved: Date: Well Drilling Permit # SIGNATURE Grading Plan Approved: Date: SIGNATURE Sewer Verification Approved: Date: Plan Check Only Approved: �Q Date: REMARKS: L� .4 1d A�l�Q�/�•Iiv�'� ILS �Go e ��--^�'� This application i APPS ROVED'IDENII)Tto"}r tfie•categary+crhec edziSECTION-B- FOR OFFICE USE ONLY above regarding the des' ig�' n of a subsurface disposal system as indicated on the acompanied plot plan, using the requirements set forth in SECTION C above. !.A� b.b�uil.d+- ipgernlit�sdlece for the installation the 3 p ) �a $ Revenue g /31►-(1�2O ` OS / of above-desigedMsystem.l>d structlon Is permitted In thT ulred reserved 100% expansion area code ,,/ a. (1) Septic Tank must be Ominimum from any well s r �V M 7 ~((yy p check # '- (2) Leach lines must be 100' minimum from any wells, including expansion area Al j to '— - 0 Initial %M 0 (3) Sewer lines must be 50' minimum from any wells. �. �C • / • -/r Q 4 3` Z "1 O 4) Seepage pits must be 150' minimum from any wells, including expansion area. w ql /o Cto^. rn.-__EJ 4 b✓4i&l A44/N/ Signature of Health Official l- 13 - oD Date DEH -SAN -122 (Rev 9/88) uisinouuon: Wrn I t—umce rue; TtuwW—Appncanr, rINK—tsiag. uepi.; Uvuutrvnuu—dans/rlecoros PEP !✓T� �� ESSOR'S PARCEL NUMBER COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY— bL,�v _3i1 _ 02-8 DEPARTMENT OF ENVIRONMENTAL HEALTH 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 specifications as Indicated on the attached check list. A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this applica- tion shall remain valid for a /period not to exceed one year from date of payment. .I.IIA�9it l �/ i f� Ag ConUactor, Co�itact Person Address '� City �-� / State Zip Telep one �_t10 / f,Onil;j �`l=�1/%7 ,�,'�G1rin i�R! /-�/�. LA�Qni,4A.. /21 �i2LS-�i �%/ c4i - -'r;f F - h1 _ -1 b -v yc — 4� 3 i lgenc Use of Perfnh, PiP, PUP PUP, etc. Legal Description ; I U< l ta/A4rAZg, CXh . r4 l Date A /-13- 2000 -11 CHECK BOX IF REQUWFWD If any box is checked, this application shall be considered rejected until the information is provided and the fee paid. Resubmittals later than 90 days after date noted below may require repayment of fees. iM ❑ Holding Tank Agreements -Completed O ❑ Certification of Existing S.D. System Required iEU) C3 Clearance Required i LU (Attach for DOH -SAN -007, Santa Ana Region Only) ❑ Soils Percolation Report Required Q Special Feasibility Boring Report Required ❑ Rereview Required Initials Date C/42 / Soils Percolation Boring Report b Soils Map Page S No of Systems T p of System(s) ding Tank I New Existing S Total Linear Bo Area Ft. U Z Leach lines/bed special design for slope: Applicable U LUN/A Overburden Factor Well Review Afld: 6719' / G SIGNMV9E Grading Plan Approved: SIGNATURE Sewer Verification Approved: Plan Check Onlu Approved: 1/4 z 0 U w 0 ❑ Detailed Contour Plot Plans Required (1 to 5 foot interval) •' ❑ Staff Specialist Lot Inspection Required Thomas Bros. Page Grid ❑ Date Lot Inspection Completed: -Initials Remarks: ' ❑ Maintenance Booklet Pr ed •�'•� ❑ Final Inspection by Department of Environmen I -Health is required. Please call 24 hours PRIOR to Inspection. Uc/Project # Date I rype Approved By Date No. Dwelling Units ~ • (1) Septic Tank Soil Rate'', Gre !Sand 8 Replacement ' Bedrooms,-Fif iv thnite 'Grease nt Trap .... ;:- Addition" �80n01 X 000 Gal. /• d ,o " "': ' ,dam• L Sidewall Allowance Leach Bed sq. ft. of ttom Area ft. res sq. ft. running ft. Install Line(s) ft, long ft. wide with Inlet Tested Depth ❑ NA min. as rock below drainlines or Proposed Bottom Tested Dept (3) Pit Diameter No. Pits Pit Below Inlet (BI) Seepage Pit Maximum Ot Total Depth Allowable / Depth 5 '� TD�T� / 7c A / A A N 0 Date: Well Drilligg9P�rmit # This application irAPPROVE abeye; regarding t e design of a subsurface disposal system as indicated on the acompanied plot plan, using the requirements set forth in SECTION C above. A build - inn oarmit is necessary for the Installation of the above -designed system. sinrettan In nermiried in i ired reserved iui,% expansion ar�9 1 ,,�� s , , a D) Septic Tank must be minimum from any well/V /t't • =�& (2)✓) Leach lines must be 100' minimum from any wells, including 1 (3) Sewer lines must be 50' minimum from any wells. T4) eepage pits must be 1517 minimum from any wells, Including expansion area. / 0 iw,,/ A Lo, TitF1Ef 4 !.✓A"rFK AWIA/1' Signatureof Health ealth Official /_13-0 D/ �/ // "V` a Date p� a? /Le/�--7,- - .:?-do jORO FIC USE Q)Y( 3 0 v �i3rl 3 i�t� code 6_13J' /a3r00 e t, 9.s'o 6fte 1-1/–UV Initial �.Q •T -#- 00 0:1t C' K% •4A' 00 to53 E-111- 00 7 DEH -SAN -122 (Rev 9/98) Distribution: WHITE—Office File; YELLOW—Applicant; PINK—Bldg. Dept.; Lyn t Z0 Job Property WU Lot Size c4i - -'r;f F - h1 _ -1 b -v yc — 4� 3 i lgenc Use of Perfnh, PiP, PUP PUP, etc. Legal Description ; I U< l ta/A4rAZg, CXh . r4 l Date A /-13- 2000 -11 CHECK BOX IF REQUWFWD If any box is checked, this application shall be considered rejected until the information is provided and the fee paid. Resubmittals later than 90 days after date noted below may require repayment of fees. iM ❑ Holding Tank Agreements -Completed O ❑ Certification of Existing S.D. System Required iEU) C3 Clearance Required i LU (Attach for DOH -SAN -007, Santa Ana Region Only) ❑ Soils Percolation Report Required Q Special Feasibility Boring Report Required ❑ Rereview Required Initials Date C/42 / Soils Percolation Boring Report b Soils Map Page S No of Systems T p of System(s) ding Tank I New Existing S Total Linear Bo Area Ft. U Z Leach lines/bed special design for slope: Applicable U LUN/A Overburden Factor Well Review Afld: 6719' / G SIGNMV9E Grading Plan Approved: SIGNATURE Sewer Verification Approved: Plan Check Onlu Approved: 1/4 z 0 U w 0 ❑ Detailed Contour Plot Plans Required (1 to 5 foot interval) •' ❑ Staff Specialist Lot Inspection Required Thomas Bros. Page Grid ❑ Date Lot Inspection Completed: -Initials Remarks: ' ❑ Maintenance Booklet Pr ed •�'•� ❑ Final Inspection by Department of Environmen I -Health is required. Please call 24 hours PRIOR to Inspection. Uc/Project # Date I rype Approved By Date No. Dwelling Units ~ • (1) Septic Tank Soil Rate'', Gre !Sand 8 Replacement ' Bedrooms,-Fif iv thnite 'Grease nt Trap .... ;:- Addition" �80n01 X 000 Gal. /• d ,o " "': ' ,dam• L Sidewall Allowance Leach Bed sq. ft. of ttom Area ft. res sq. ft. running ft. Install Line(s) ft, long ft. wide with Inlet Tested Depth ❑ NA min. as rock below drainlines or Proposed Bottom Tested Dept (3) Pit Diameter No. Pits Pit Below Inlet (BI) Seepage Pit Maximum Ot Total Depth Allowable / Depth 5 '� TD�T� / 7c A / A A N 0 Date: Well Drilligg9P�rmit # This application irAPPROVE abeye; regarding t e design of a subsurface disposal system as indicated on the acompanied plot plan, using the requirements set forth in SECTION C above. A build - inn oarmit is necessary for the Installation of the above -designed system. sinrettan In nermiried in i ired reserved iui,% expansion ar�9 1 ,,�� s , , a D) Septic Tank must be minimum from any well/V /t't • =�& (2)✓) Leach lines must be 100' minimum from any wells, including 1 (3) Sewer lines must be 50' minimum from any wells. T4) eepage pits must be 1517 minimum from any wells, Including expansion area. / 0 iw,,/ A Lo, TitF1Ef 4 !.✓A"rFK AWIA/1' Signatureof Health ealth Official /_13-0 D/ �/ // "V` a Date p� a? /Le/�--7,- - .:?-do jORO FIC USE Q)Y( 3 0 v �i3rl 3 i�t� code 6_13J' /a3r00 e t, 9.s'o 6fte 1-1/–UV Initial �.Q •T -#- 00 0:1t C' K% •4A' 00 to53 E-111- 00 7 DEH -SAN -122 (Rev 9/98) Distribution: WHITE—Office File; YELLOW—Applicant; PINK—Bldg. Dept.; ALL ' , • r A U. S� j �Mr 1 ' 4 % DEPARTMENT OF ENVIRONMENTAL HEALTH L Food —X—Sewage Disposal ____Trailer Park I OOD Gal. Septic Tank Motel Apt., Hotel Sq. Ft# Leach !he i we'lling,-ok j(310let-010) 'I.- '=t4o. ±—Dia JL -f 3 TD3 MD Seepage Pit VB _Commercial Building Connection to Sower _Swimming Pool Connect to Existing S.S.D.S. -X—No on -she regenerating water softening devices may be discharged into the individual sewage disposal SYS111)m herewith approved without clearance from the Water Quality Control Board —XJValer supply se i thi liation must be from an approved source tcuwo) ry ' C must zZC All sewage disposM. (T n - conform with requirements of current Uniform Plumbing Code. X Any cutting, gradinlfor filling in excess of two(2) feet will nullify sewage disposal approval. /Approval has been obtained from the Regional Water Quality Control Board for installation at the sewage disposal system. This is to certify that the Riverside County Environmental Health Services approves the subsurface sewage disposal plot plan to obtain building I slallatio I n, constr ction. — l3 0o S, -/I" By R;,4L MY WELL MIN. '50 100 OliA ANY o"RE TREE R WATER SrIr P Selgic tank and jwwer lines must be 50 ft• m, from any wells. 4iduding expansion arees beadi lines must be 199 4 FAffii..d seepage pits must be 150 ft. minimum from any wells. . . e INS -'fe ou 4" A T 1 -3 -APPROVAL GRAN111Y B % RD 02FARTMENT OF PUBLIC HEALT do cow not relleve the Enct? '01 Sam 01 W- VALID FOR ONE (1) YEAR A, 11,Uity for the q bitwt of the res FROM VATE OF APPROVAL %a or Arehlt�wrell d --I"-' qtr dAu-et.� fA.P.N.: 646=31:1 028 7 ADDRESS-.-:78--730-90T--TC[E-l-3R'USH-DRz--, -'J LEGAL:' LOT 28, OF DESERT CLUB MANOR TRACT NO. I l� 51,1�rl .7A;Vll y f86AAC4 A. l� 3 HOUSE _. S.C. GATE 5' GARAGE ' RET. Jr o, PAIUAM P'L d dALLr � I' . C 6" —�–.- --w- P r6y " N i AUTO FILL rlE Doo L. (uN uj m.a.r1 10' 5'6 DP (.¢CK-FioW fbG/. vr/)I(e Ar pp.c_ �f ew' SupOi-5' O Dv,.�Efri � w 1 1�(TYl Fl c c . U -1E Fnw. u/aus .� CAL.•SEo1i r44 O1000 -Ti 6MT/0crP' tAl lr✓o',lhl7 F�Vis o 6" —�–.- --w- P " N i p/U ✓q rlE Doo L. (uN uj m.a.r1 10' 5'6 DP ' I I i 4' , � v J 1 " I RET.Ou�RE� Ilio» : loo%o EXPaArs��� iT �Q/2E. Wicc SE i� 2Ea L auF Ac&Lu 6.4-0 rME 1E4 /�pfT 4E /�jdii✓l3Y✓fi�I,. AAEW Alo OW7�lL,-,a- C4,1 OCC u2, oy S MIr+ YP) , FnoM ,/qu! \ SO �61¢ X 4p DP• (e•z (AAM (Ai dA �! 4 U 'e� O SEF04b,E P/T W/6RS-T)6Hr� O,p-rit4FF,� G✓E/�f�r L�L�NOKrPOOL E61UIP: /Vo1� n7 T-0 `i ✓itKED� (U?Ok /✓! s� 4 10 f V+��fI/L�anoq 91 6 D O lIr) Soy x 4:'_ 8o7f LE P'F" N . 78-730 BOTTLEBRUSH LA QUINTA,CA. CORONEL CONST. P.O.BOX 389 LA QUINTA,CA. OFF. 564-4604 PAG.862-3534 POOL 10'X20' 1 H.P. PUMP NO HEATER 36" TO 5'6" D.P. SCALE: 3/ DATE: le"14flf 5 yS7ZFM AW c 1X--,0 DRAWN E REVISED DRAWING NUMBER ^ 10 � METAL GATE BLOCK WALL ,.uvANE TANK (3 QUEEN PALMS -3 liGAC.`,,OR EQUALI!!.',� in I �DIA­ TRUNK 'SIZE SCREEN TANK Cune - DR IVE ^ PAD � METAL GATE BLOCK WALL ,.uvANE TANK BLOCK WALL PLANTINGS TO SCREEN TANK Cune - Certificate of Occupancy City of La Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING. ADDRESS: 78-730 BOTTLEBRUSH Use Classification: SFD Occupancy Group: R 3 Type of Construction: Owner of Building:. CORONEL CONSTRUCTION Building Official VN Bldg. Permit No.: 0001-113 Land Use Zone: RL Address: 51-540 EISENHOWER DR. City: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: 06-07-00 POST IN A CONSPICUOUS PLACE