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10744 (SFD)Building Address 78-740 Bottl.ebrush Ur Charles Sl.usser Address C. Box 3709 City Zip Palm Desert 1 9.2261 Contractor oweer/Builder .Address. ty Ira P.O. BOX 1504 �,%� 1 NO. 1©14`! 78-105 CALLE LA QUINTA, CALIFORNIAORNIA 92253 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 617-381.027 1 Legal Description Project Description $r n State Lic. I City & Classif. Lic. # Arch., Engr., Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) t.of Division 3 of the Business and Professions Code, and my license is in full force and effec 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, alter, Improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rile 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). X19I, 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.) - ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to cor - 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 I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.) . Policy No. Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. Sq. Ft.x-774 No. Size Storie, No. Dw. Units. New❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit includes stucco wall. Pool or retaining wall permits to be obtained tel.y, • :stlmatea valuation 11.8, 957.80 PERMIT AMOUNT Plan Chk. Dep. " 250.00 Plan Chk. Bal. 344.16 Const. 706.00 Mech. ► 55.50 Electrical 135. 47 Plumbing ZONE: 166-50 S.M.I. 11.90' Grading Minimum Setback 20.01) Driveway Enc. 20.00 Infrastructure 2259-03 A -e s In Piihlxa - 47.39 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 Setback from Property Line Lender's Name TOTAL 4015.95 3755.95 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit Is for one hundred dollars ($100) valuation or lel certify that in the performance of the work for which this permit is issued, I shall not -'�„xJY vc: )�vt+{�-L�t—•�,,.6t ?r employ any person in any manner so as to become subject to the Workers' Compensation,, Laws of California Date Owner NOTICE TO APPLICANT: lt, after making this Certificate of Exemption you. should become ZONE: - BY: - subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Distances: comply with such provisions or this permit shall be deemed revoked. - Minimum Setback Front Setback from Center Line Rear Setback from Rear Prop Line ' CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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 Setback from Property Line Lender's Name Lender's .Address FINAL DATE INSPECTOR 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: Issued by: Date Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS ROUGH PLUMB. BONDING 2ND FL. SQ. FT. STORAGE TANK YARD SPKLR SYSTEM MUM28MEPTIC TAN WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) / / METER LOOP ! [ HEATING (FINAL) GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS DRAINAGE PIPING CAR P. SQ. FT. FINAL INSP. WALL SQ. FT. WATER SYSTEM DRINKING FOUNTAIN. SQ FT ® LUMBER GR. URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP.OJ `,5"°f) W1 WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM SPARK ARRESTOR 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 INSULATIONISOUND SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 I c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac 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 ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING Lio UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS MUM28MEPTIC TAN WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) / / METER LOOP ! [ HEATING (FINAL) OTHER APPJEQUIP. STEEL ��' GAS (FINAL) TEMP. POLE w ��REINF. GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING -Cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP.` FRAMING FINAL INSP.OJ `,5"°f) W1 ROOFING p ral qcj/�REMARKS: •C [ p Ot d / Q` P^iSuwL�✓1 ����%rG� �I.i C� VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION C71 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL BROS 0O.z Ili' 1! C0 Z O U W CO ^. Z O H U LU CO COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors ParCe1 No. % r �— 38/ — U<a-7 ENVIRONMENTAL SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM . I 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 Riversidg. 6Q%tinivAi of%ssfipplication shall remain valid for a period not to exceed one year from date of approval. `;, 4 gga� t7AG # VERIFY ITEMS IN SECTION A FROM A NON -FEE BUILDING & SAFETY (goldenrod) APPLICATION eot ntr ctor,�Conta�g, m.s�, Phone 345-r Address City State Zip / 3xry �. �f1 ��6/ .� l SSS a2 z�U, . Owner Phone S-A+f 1 Address City State Zip �1/M'r �/2C Job Property Address City State Zip Legal Description Prop. (PM, Tract, Lot))� -� �{ C4tA8oMPMA..Z G 17-38) aZi Df2 (4k ,�5g2r- . +ut.liyfl 'T!1 ,> 7 Lo Size Water Agency/Well Use of Permit P/P, CU, etc. Other CJ 0 x ,00 C,0EH� Site Prep, etc. e��: cLe2,�I� 3L/7�gZ, fDate -30-66f_ Sign 4plicant CATEGORY REV CODE _EEE1 CATEGORY REV CODE FEE ❑ SUBSURFACE DISPOSAL (per system) 1238 $153.00 ❑ SITE EVALUATION UPON REQUEST 7349 $120.00 ❑ MULTIPLE PARCELS WITHIN SAME LAND DIVISION (NO PLOT PLAN) ❑ SEWER/SEPTIC VERIFICATION 7348 $ 58.00 a. 1st 4 Parcels (Each) 1238 $153.00 ❑ PRELIMINARY ELECTIVE EVALUATION b. Each Parcel after 4 7344 $ 55.00 (Attach DOH -SAN -53) 7352 $ 69.00 ❑ REREVIEW (2nd review same parcel) 7344 $ 55.00 ❑ HOLDING TANK 7351 $119.00 ❑ SITE EVALUATION In Conjuction with Critical Area 7346 $197.00 ❑ ALTERNATIVE EXPERIMENTAL SYSTEM 7345 $656.00 ❑ GRADING PLAN REVIEW DETAILED 1238 $104.00 ❑ SITE EVALUATION Lot Less than 10,000 Sq. Ft. 7347 $172.00 ❑ GRADING PLAN REVIEW CURSORY 1238 `$ 55.00 ❑ SECOND FIELD VISIT (SITE EVALUATION) 7346 $ 85.00 ❑ COPIES (LAND USE) 7786-81 $ .50 INITIAL DATE Holding Tank Agreements Completed ❑ Yes ❑ No Certification of Existing S.D. System Required ❑ Yes ❑ No WQCB Clearance Required ❑ Yes ❑ No (Attach Form 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 ❑ No Grading Handout Provided ❑ Yes ❑ No Staff Specialist Lot Inspection Required ❑ Yes ❑ No Maintenance Booklet Provided ❑ Yes ❑ No Lot Inspection Date Initials C/42 / Soils Percolation Boring Report by Lic/Project # Date l Soils Map Page I! + 1� Soil Type 11sj Approved By rff 5+ Date No. of Systems Type of System(s) No. Dwelling Units (1) Septic Tank Soil Rate Grease/Sand ❑ Holding Tank ❑ Replacement [)1,New ❑ Addition Bedrooms, Fixture Units Greaselntcp/Lint Trap ❑ Existing )ae c j . e'�[9 0+ + /; r / J000 Gal. r Gal. Sq. Ft. Total Linear Sidewall Allowance Leach Bed sq. ft. Bottom Area Ft. tt rock/ sq. ft. per running ft. Install Line(s) ft. long ft. wide with of Bottom Area Inlet Tested Depth ❑ NA min. inches rock below drainlines or Proposed Bottom Tested Depth t Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth Other: Inlet (BI) (TD) Applicable ❑ 5 IV 6 1 '40 Max. Allowable Depth N/A Overburden Factor Well Review Approved: Signature Date Well Drilling Permit # Grading Plan Approved: Signature Date REMARKS: . n,_� ; a ;.til `%. , .�..)n1iC» [..._a },:ate _� �;)0 , Cryn %.., rat cit t This application is APPROVED/DENIED for the category checked in SECTION B above, regarding.the design of a subsurface disposal system as indicated on the accompanied plot plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above -designed system. Nn ronstniclann is permitted in the required reserved 10001h expansion aroma (1) Septic tank must be 100' minimum from any wells (2) Leach lines must be 100' minimum from any wells, including expansion area. – (3) Seepage pits must be 150' minimum from any wells, including expansion area Signature of Health Official " ' \i1 r (� z,_� Date "� ❑ CASH ""CHECK NO. 719 in RECEIPT NO. C) 9 419, Issued By Date 3,_1 •l "% - S a DISTRICT: ❑ Riverside �0' Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH-SAN-122(Rev 6/91) DISTRIBUTION: WHITE—Office Nle YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Plans/Recorda 4: sr• CALVIN C. KAMINSKAS Asslslont Commissioner (114) 275.3000 DAN RILEY Sealer. Weights & Measures (714) 275.3030 . OFFICE OF - AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612 Avenue 45 Suite 7 Indio, CA 92201 (619) 342-8291 DATE CASE NO. C,R L_S 031-7 01 oZ DEVEIAPER'S NAME: ClAr�S 5, SL &4:56E n_ ADDRESS: X704 TELEPHONE- (&19 ) 3 y 5-! 2 (�CQcQ�nss D1.sSAZr CU -13 1 Z-gV0PZ 607 07 L� c�u7.�rrA � •C9 . 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. Agricultural Colmlissioner s Office cc: Indio and Riverside 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275.3012 Ca CALVIN C. KAMINSKAS Assistant Commissioner (714) 275.3000 . Indio Office: 83-612 Amxm 45 suite 7 Indio, CA 92201 (619).342-8291 OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner DAN RILEY Sealer, Weights & Measures (714) 275-3030 DATE 3- 1 `Gj CASE NO. L--> 03 F7 9 Q_ DEVELOPER'S NAM: ADDRESS: TELEPHONE: : aQ� s 1 C -P" 2-Z t., 1 Dear Developer: Certain plant material noted on your landscaping plans are in violation of quarantines governing the Coachella Valley, Riverside County. Since the noted plant material conceivably carries insects or diseases that would devastate the Coachella Valley's citrus, date, grape, vegetable or field crop industry, the following plant material IS DENIED ENM.- =r cTr_; CC_,AC_tk C- LL_ n NAL LL: Common Name 2. 3. Genus & Species g, �rn j'AA Q aPc� 0AQ PUAC"4 k�-v v,4_ (`tu F_SEi2Y ig -oma�E�� QD g� DA DuEIES INCLUDING ANY APPLIANCE ASSOCIATED WITH 1I1E ABOVE. To receive our approval and also final approval of the project, the above material must be substituted on your landscaping plan submittal.. It may be possible to receive the Agricultural Commissioner's approval on the above, if the plant material is purchased from an approved nursery that meets the quarantine requirements, or purchased from a non -quarantined area. The Agricultural Commissioner's office is willing to work with you on establishing that approval. Thank you for your cooperation in protecting and preserving the Coachella Valley's pest -free environment. Agricultural Commissi ner's Office Authority cited: Agricultural Code; 6301, 6461, 6462, 6464, 6501-6524. cc: Indio & Riverside Office 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501" — FAX (714) 275-3012 Ca .CHELLA VALLEY FRINGE -TOED LIZARD 0 SECTION 10A MITIGATION FORM -7 1A . i.. iS r%.75 CITY OF LA QUINTA _..tWiL�V U BUILDING PERMIT NUMBER ASSESSOR'S PARCEL NO(S). ADDRESS /v')s�5� 381 -oz.s r..- - 9 0 Ai5 _ - Dr +} : i.. -. ., ri ;TA: Vi. -1r -- ._. (Name of Developer) has applied for a building/grading permit affecting acres. 7s This proposal will require the payment of $� ($600.00 X 2acres). 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 i H �r OF ` COACHELLA VALLEY FRINGE -TOED LIZARD SECTION 10A MITIGATION FORM FROM: APPLICATION DATE: APPLICATION .F GRADING O BUILDING PERMIT NUMBER ASSESSOR'S PARCEL NO(S). ADDRESS CITY OF LA QUINTA (Name of Developer) has applied for a building/grading permit affecting acres. 75 This proposal will require the payment of $5 ($600.00 X ,(Z acres). By: 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 DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 4/9/92 1 Type of Permit I La Quinta No. 111306 Permit # Log # Owner Name Charles Slusser No. 78740 street Bottlebrush Drive city La Quinta zip 92253 study Area APN # I Tract # I Lot # Square Footage 11774 Type of Development Single Family Residence No. of units Comments 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 1.58 X 11.774 or $ 2,802.92 have been paid to D.S.0 S.D. for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Charles Slusser Name on the check By James E. Lively Assistant Superintendent, Business Services Telephone r . w. Fee collected /exempted by Vickie J. Durrett Payment Received Signature �(,ChL2�i� Check No. 17456 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 A T H E C 1 T Y goo r�'u■ ii� A La pinta 1982 - 1992 ien Cara[ Decade August 6, 1992 Mr. Charles E. Slusser PO Box 3709 Palm Desert, CA 92261 Dear Mr. Slusser: 0 F Subject: Setback Adjustment: 92-128 Location: 7_8-740 Bottlebrush Dr. APN: 617-381-027 This letter is to report approval of your recent application for a setback adjustment, pursuant to Chapter 9.188 of the City of La Quinta Planning & Zoning Regulations. The following setback adjustment has been approved subject to conditions and in accordance with attached Exhibit A. _SETBACK- ADJ-USTMENT - Five foot setback reduced to a minimum of three feet (side yard) FOR: Swimming pool & spa CONDITIONS: 1. The applicant shall comply with Municipal Code Fencing requirements for pools. 2. Ensure pool is reinforced to Building Code requirements. 3. This setback adjustment does not apply to mechanical pool equipment. After review it was determined that: 1. This adjustment is consistent with the intent and purpose of the zoning ordinance. 2. There are special circumstances applicable t / erty, including such factors as size, shape, topogr4 ocadon or surroundings that justify approval of thej�ust9 These f` special circumstances are: this lot has 1166A space for a`,/ pool in the side yard and the recreational facil3`t"g ll not affect any of the existing public utility easements. City of La Quinta Post Office Box 1504 ♦ 78-105 Calle Estado La Quinta, California 92253 LTRGT . 13 9 / CS Phone (619) 564-2246, Fax (6" 564-5617 Design & Production: Man. Palmer Des;gn• 619.346-0772 3. This adjustment will not be detrimental to the health, safety, and general welfare of the community or be detrimental to property in the vicinity of the parcel. for which the adjustment is requested. If you have any questions, please contact the undersigned. Very truly yours, JERRY HEYMAN PLANNING & DEVELOPMENT DIRECTOR Greg ousdell Associate Planner GT:ccs Attachment: Exhibit A . cc —,,,Building-&—S-a-f-ety—Depar-t nth=� LTRGT.139/CS -2- Lao 100.5, TOP os UN7lQlkK ED - Vol b7. '. ' , X2=0•. ;{ O ELF -U. TOP OF SEA(TWAI.I -Al \ -Ax- r ': o APP D BY PLANNING DIVISION BY DATE 8' EXHIBIT � ^M S:F CASE N0.