12486 (BLCK)r,
Building
Address
Owner
4
P.O. BOX 1504 No. 12486
78-105 CALLE ESTADO
`18-748 Bottl ebrush LA QUINTA, CALIFORNIA 92253
Hark & Rosalie Karmel.ich
BUILDING: TYPE CONST. OCC: GRP. -
Address
City Zip Tel.
Contractor
Trent Construction
Address
CityTela
Zip
1d Qnitta, CA 92253 564--2197
State Lic. City
& Classif. Lic. # 3000
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) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
'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 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 or 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 withwages 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
j builds or improves thereon and who does such work himself or through his own employees,
I 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 i con -
Strutt 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 herebyaffirm 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. r Company
Ojy('.e4y'ls filed with the city. O 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 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. 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
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 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
P. Number
Legal Description
Project Descriptions 2001 of 51 high block wall.
Sq. Ft. No. No. Dw.
Size . Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $4,330.00
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const. v
Mech.
Electrical
Plumbing
.S.M.I.
Grading
Driveway Enc.
Infrastructure
• h h
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
t
FINAL DATE I 4
Issued by: T D e Perra
Validated by: AtJ1�! Ln\ a
Validation: N ILI/
f By
- 1•
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. S0. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS e
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
FOR. 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
SO. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
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
VENTILATION
LAUNDRYTRAY
AIR HANDLING UNIT CFM
I
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
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® lAc
HOUSE SEWER
GAS PIPING
PERMIT FEE
RMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEVPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS e
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. V
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
` 6
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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION It
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
H=E
Hogancamp
Engineering
Civil Engineering • Structures
Hydrology - Land Planning
August 12, 1993
Mr. Mark Harold
Building Department
CITY OF LA QUINTA, CALIFORNIA
78-10.5 Calle Estado
La Quinta, California 92253
(619)564-2246
72-855 Fred Waring Drive
Suite #C-18
Palm Desert, CA 92260
(619)773-9373
(619)340-0601 FAX
Donald A. Hogancamp, P., E.
RCE 38239
Re: Structural Calculations for the RARHELICH RESIDENCE; located
at 78-748 Bottlebrush, in the City of La Quinta, CA.
Dear Mr. Harold:
I am a Registered Civil Engineer, licensed to practice in the
State of California and I have performed the following
calculations for the referenced project at the request of Mr.
Mike Trent of TRENT CONSTRUCTION. This calculation is performed
in accordance with the Uniform Building Code; 1991 Edition. All
normal vertical and lateral loads are considered.
If I can answer any questions or be of further assistance, please
don't hesitate to call me at (619)773-9373.
Respectfully Submitted,
HOGANCAHP ENGINEERING
Donald A. Hogancamp; RCE 38239
License Expires March 31, 1997
QVFESS/011/
cc o
a. No. 38239 -° A
��qlF
0F -GAL E4��\P
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Hogancamp
Engineering SHEET 2 OF s
72-833 Fred Waring Drive Kai e /'
Suite NC -19 PROJECT 'C% 1?2S;cle"C2
Palm Desert, CA 92260
(619)773-9373 CLIENT Mike TI -OM' DATE /993
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
125%qn .LoGd$ . . . . .. . . . . . . . . . . . . . . . . .
A Roo -o' Dnq ct! Load . (00 3C) F5%/ . . . . . . . . . . .
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. . - . ?o ps . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
0,/6 . 550 p.sf
,.
. . . . . . . . . . . . . . .
..............................
Lum 6c�r L71= Ili-' Z. 1j.60"S E , - /. t5/v6ps; . . . . . .
+
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Hogancamp
Engineering SHEET -3 of s
72-833 Fred Waring Drive
Suite PC-ig PROJECT Karme/i Ch /?e,'r;d -7c2
Palm Desert, CA 92260
(619)773-9373 CLIENT NIS ke _Tf_0"7' DATE /993
. .
/Uao k J3ejrn 5 (1 -0 . �,►,a,� e 0.3.7
1/. .
. /2s C��)/. =. 6.18.7# %"._ .74.zs. # . . . . . . .
^!1
`".-�Q/ �- �� 2-5 (! 1) s/� 7,01,5-0, or�z_o4,.186 . . . .
..............................
' . Use.
'516, I .x /Z " G L 43 6df- .6 /,',1 S = /23 /',7 3 . ...2 = . 738
I-5V
- .
M IV ZUal. /8,81 /Z3 = /660 psi.oK
,.,. .,. _.,.�3 1+ +
3
AOL «�ul4J/i/. Q, 17, Ok
/!ZS('��.�?=. Z�12# . . . . . ... . . . . . . . . .
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b.
4.ZI !66 —3 .� SQ .ps�. Go
. . . . . . . . . . . . . . . . . . . . . .
ogancamp
Engineering SHEET 4 OF
72-855 Fred Waring Drive
Suite NC -19 PROJECT 1KCIrmell'ch 8VT;cIQ-2Cr,-
Palm Desert, CA 92260
(619)773-9373 CLIENT M'ke rr*On� DATE
. . . . . . . . . . ... . . . . . . . . . . . . . . . . .
154-1i0 -sh def- &C Cal
Spar? . . . . . . . . . . . . . . .
+
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V. 32 5 (c�)/z 5300 . . . . . . . . . . . . . . .
M 13Z,5. ./0, 600:1" o,(7 /Z71 Zoo
. . . . . . . . . . I . . . . . . . . . . . . . . . . . . .
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+ +
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. . . . . . . . . . . . . . . . . .
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+
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Hogancamp
Engineering SHEET s OFEFZ S
Fred Waring Drive
Suite N kcirm 2l. ch I?CSr
Suite c -i s PROJECT do'7 CQ'
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 8/12/93 1 Type of Permit I La Quinta
No. 112373 Permit #
Owner Name Mark and Rosalie Karmelich Log
No. 78-748 Street Bottlebrush
City La Quinta Zip 92253 Study Area 123
APN # 617-381-026 Tract # Lot # 0 Square Footage 1904
Type of Development I Single Family Residence No. of units 0
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 1.65 x 1904. or $ 3,141.60 have been paid to D.S.U.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 M .T Trent Construction .. Telephone 564-2197
Name on the check
By Tames E. Lively
Assistant Superintendent, Business' Services
X e
r
Fee collected /exempted by Vickie J. Durrett J.
Paymeri Recerved.�
�-
Signature �rn - A'
g Check"No. 1121
Collector: Attach a copy of county or city plan check application form to district c'o`py for all waivers.
Embossed Original- Building Dept./ApplicantCori, - Applicant/ Receipt Copy - Accounting
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l No. Parcel arce
COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY AssessorsL
16/7 -391 — Qc"
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 speculations as indicated on the attached check list.
r 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.
pp t,� 7 1
n Lii.-29- 93 16:11C1Ql
�L-4_
LOG # r - VERIFY ITEMS IN SECTION A FROM A NON -FEE BUILDING & SAFETY (goldenrod) APPLICATION
Agent n�. Contect�n
Phone
Address City L.at"'38 State Zip $15
~�
�.J t?�—/ i,�uL 7 / D.�
- z If
'%%l� .r9� c� f . /z �f G'Ld t 502 ) 3
Owner
Phone
'7�5-£3�1�
Address city.q rESlate $Z1pCr—r
P,�1< 3
��cSrhi(l�=c� z 2 J
Job Property Address,
i�p
City
State
CA �
Zip
�12Z)�
Legal Description Prop. (PM, Tract, Lot)
LOT
7 --apt NO ¢
v' t4A
d6 %�SFQTf
Lot Size
Water Agen II
Use of Permit PIP, CU, etc.
Other
CV w /)
Dwelling, MH Site Prep, etc.
k Si na re of Iicant
Date
CATEGORY REV CODE FEE
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)
❑ SEWERVSEPTIC 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 Con)uction with Critical Area 7346 $197.00
❑ ALTERNATIVE EXPERIMENTAL SYSTEM 7345 $656.00
❑ SITE EVALUATION Lot Less than 10,000 Sq. Ft. 7347 $172.00
❑ GRADING PLAN REVIEW DETAILED 1238 $104.00
❑ GRADING PLAN REVIEW CURSORY 1238 $ 55.00
❑ SECOND FIELD VISIT (SITE EVALUATION) 7346 $ 85.00
- ❑ COPIES (LAND USE) 7786-81 $ 50
I ITIAL DATE
7 d
--No �'`' —
Completed
Holding Tank Agreements ❑ Yes 9
S.D. Required ❑ ' )
Certification of Existing System Yes B�No
WQCB Clearance Required ❑ Yes No
(Attach Form DOH SAN 007, Santa Ana Region Only)
Soils Percolation Report Required ❑ Yes 20No!
SpecialFFeasibility Boring Report Required ❑ Yes OYNo/.
Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes W �N
Grading Handout Provided ❑ Yes Z%�
Staff Specialist Lot Inspection Required ❑ Yes AD
Maintenance Booklet Provided ❑ Yes (J No Lot Inspection Date Initials
C/42 / Soils Percolation Boring Report by Lic/Project # Date
Soils Map Page Soil Type —Q Approved By Date 7a1
/
No. of Systems
Type of Systems)
No. Dwelling Units 1
(1) Septic Tank
Soil Rate
Grease/Sand
❑ folding Tank ❑ Replacement
New ❑ Addition
Bedrooms,�5ixture.Mnits
/,�j,�,,�
S ��
Gre�lntcplJntTrap
❑ Existing
Y
�T
� Gal.
r
Ga .
q. Ft.
B om Area
Total Linear
Sidewall Allowance
n. rock/ sq. ft. per running ft.
Install Line(e) ft. long ft. wide with
Leach Bed sq. ft.
.O Bottom Area
Inlet Tested Depth EINNA
min. Inch k below dreinlines or
Proposed Bottom Tested Depth
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below
Inlet (BI)
Seepage Pit Total Depth
(TD) 0 , 1/-3
Applicable r
�
.�.5 01'
'
LA /
Max. Allowabl? Depth
N/A_ V11, Overburden Factor
Tu
(,/y
Well Review Approved: Signature Date Well Drilling Permit #
Grading Plan Approved: Signature Dates
REMARKS:
G, 6��,1
This app kation is P5 PRPEN rhe category�c ectked In SECTIO B abo e, regardi7n'g gn of a subs'ii�rtac"e isposa�sy�'§te�as indicated
on the ac anis t plan, usi ui[eale.Dts eljorthin=SEGION.C.eboxe„ j building permit is necessary for the installation of the above -designed
syste,!m�.(�"�nn is
r Septic tank must be 100' minimum from any wells q10
( Leach lines must be 100' minimum from any wells, inclrin pansion area
Seepage pits must be 150' minimum from any wells, including expansion area Cy/t)
4&j (.!✓• Z " c F77
Signature of Health Official ,z Date
RECEIPT NO.
3719
DISTRICT: 0 Riverside
❑ CASH EI ,HECK NO.10,qov
Issued By V)��� Date
M"J01-0 ❑ Hemet ❑ Perris O Rancho Calif. ❑ Blythe
DOH -SAN -122 (Rev 1/92) DISTRIBUTION: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Plans/Records
396
.00
310
CALVIN C. KAMINSKAS
Assistant Commissioner
(714) 275-3000
DATE
DEVELOPER'S
OFFICE OF
AGRICULTURAL COMMISSIONER
. JAMES O. WALLACE, Commissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619) 342-8291
DAN RILEY
Sealer, Weights & Measures
(714) 275.3030
l
CASE NO. VC
c
ADDRESS:
TELEPHONES ((of
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 ttiey differ from platit material listed, this office must be notified
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
Agricult,V61 Comnissioner's Of is
cci Indio and Riverside
4080 LEMON STREET, (ZOOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275.3012
TWY/ 4 4 "
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
October 21, 1993
Mr. Michael Trent
Trent Construction
53-770 Ave. Carranza
La Quinta, CA 92253
Dear Mr: Trent:
SETBACK ADJUSTMENT: 93-212
LOCATION: 78-748 Bottlebrush
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 ADJUSTMENT:
Reduction of 5 -feet to 3 -feet and 4 -feet in the rear yard..
FOR: Pool Equipment & Pool and Spa
CONDITIONS:
1. Obtain a building permit from the Building Department.
2. The fencing requirements for S -R Zone shall be met.
3. A' three inch (3) PVC' conduit, schedule 40 or better, be placed within the
easement area. This would facilitate our accessing the area in the future,
should the need to replace our facilities arise. This conduit is to be capped
off within five feet (5) of the side property lines, and should be placed at a
maximum of thirty inches (30) .
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 to the property, including such
factors as size, shape, topography, location or surroundings that ; justify
approval of the adjustment. These special circumstances are: small size of
yard.
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.
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
.1
If you have any questions, please contact the undersigned.
Very truly yours,
DEVELOPMENT DIRECTOR
NO
TROUSDELL
ASS CIATE PLANNER
GT: ccs
Attachment: Exhibit A
cc: 1B.u�ildn-g=& Safety--DepartmentI
2
PLANNING & DEVELOPMENTOEPAflTMW
JA) Too l- IV" 5
AROAr
e*A