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05796 (SFD)Building Address Owner mailing Address City LA QUINTA Contractor City State Lic. & Classif. Arch., Engr., Designer Address 51-165 QUITO AM OONSTOO'TION P.O. BOX 366 Z�2253 487584 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Tel. 564-4832 Tel.: City Lic. %26 Tel. - t City Zip State f Lic. # YCENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed undes provisions of Chapter 9 (commencing with Section - 70(10) of Division 3 of the°Business and Professions Code, and my license is in full force and effecI. >i I OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8usiness and Professions Code: Any city or county which requires a permit to construct, after, Improve, demolish, or repair any structure, prior to its tssuance also requires the applicant for such permit to We 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 orimprovement is sold wthin one year or completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ 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 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 hereby affirm that I have a certificate of Aonsent to self -insure ,or a certificate of Worker's Compensation Insurance, ora certified copy i ereof..(Se�fJtl'OytaborCi.) Policy No Company ❑ Copy is filed with the city. El Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (This section need not be completed if the pemtit is for one hundred dollars (5100) 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: t, 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 Lenders 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 certity 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 No. 05796 BUILDING: ' TYPE CONST. OCC: GRP. A.P. Number 769-134-008 Legal Description TAW Project Description S.F.U. Sq. Ft. 2226 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Estimated Valuation $125,221. PERMIT AMOUNT Plan Chk. Dep. 251:.00 Plan Chk. Bal. 359.77 Const. 730.50 Mech. 53.50 Electrical 138.87 Plumbing 157.50 S.M.I. 8.83 Grading 20.00 Driveway Enc. 20.00 Infrastructure . 2,673.53 P.ECxSE PUN 25.0( TOTAL REMARKS r '" ZONE: BY: Minimum Setback Distances: Front Setback frcm.Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback fron Property Line FINAL DATE INSPECTOR 5!19/89 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA 2ND FL. SO. FT. SLAB GRADE 6 YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. DRAINAGE PIPING WALL SO. FT. ROCK STORAGE DRINKING FOUNTAIN. SO FT ® (ROUGH) METER LOOP URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation REINF. STEEL 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 WATER SYSTEM KITCHEN 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER r G DDL t� f U7 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 0a If UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 6 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR S j ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. C� //� �T (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQU1P. 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. `G6RAMING y �, f/ FINAL INSP. ROOFING � � � (✓ _ j / / uoo (/ J /y (/ G{� f �� Cl C REMA KS: LL VENTILATION FIRE ZONE ROOFING � Al N �(/ —1fi-L FIREPLACE may/ F` lm a% iL r G DDL t� f U7 SPARK ARRESTOR GAR. FIREWALLS AO f TIAI E D DR[ AV*L 64HING �` A,, 5 m MESH SULATION/SOUND (f i2( -j FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINRIALS ' GARDEN WALL FINAL s Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES �5r THIS DOcU,;W ' CANNOT To: citB�Eof�Ya�Q�,RATED Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 DATE: ,.. ' 1 This is% Wertify th t -� �• , developer of which is located at within this District, has paid school facility fees imposed pursuant to the auth rity GUrat d by Go ernme t C de.5ectiott L080 in the ount of -) cov ring a total of square ee of.{ ) re idential or ( ) industrial/commerci development and that building permits for this footage in this development may now be issued by your jurisdiction. I D� for DESERT S NDS UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - De%,eloper (10)-37 Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEESfl TO: City of La Quinta 0 , ,v; `� _ DATE: Department of Comm unity,-D vFFelopment", 78-105 Calle Estado fid• �,� �'a La Quinta, CA 92253 This'is to ce tify'that developer of , which is located at 1 t within this District, has paid school facility fees imposed pursuant to the authXd4g;;g ent Co e• ection 53 80 n the amount of tet" ) covering.a total of 2- square feet of ( residential or ( ) industrial/commercial development and that'building permits for this footage-in this development may,,n,9w be issued by your jurisdiction. 1 ror DESERT ANDS•UNIFIED SCHOOL DISTRICT White - Building Department .0 Yellow - Facilities Planning • Pink - Accounting 0 Gold - Developer (10)-37 • Cv uu-ttcv . J 78-495 CALLE . TAMPICO LA QUINTA, CALIFORNIA 5,2253 - (619) 777-70W. FAX (619) 777-7101 April 2, 1996 t Riverside County Assesor'. s Office 46-209 Oasis Street #406 Indio, Ca. 992201 Re: 51-165 Calle Quito To whom it may concern: Please accept this as' a revision to your records of the square footage as, accepted by the City of La Quinta for the single family dwelling located at 51-165 Calle Quito. A. recent inquiry about the above dwelling revealed that the square footage of this house had - additional area added during construction. Our records do indicate that the actual square footage for this home is 2736 square. feet. The additional footage was added during the construction process, as evidenced by revised truss calculations and additional school fees. The added areas were inspected at the time of construction and met allCity requirements. Please feel free to contact me should you have any further questions. Sincerely, Mark. Hatold Building and Safety Manager, MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 s's H:• � KN;p�."s•�ral5'`�0"• ,;�� F�r�• �^�'��",a '`'�, t,�;�i� �$ ��"�",Y-''T:'' E� { � . �t°� '�e _ . {'!s< r{ r. •ti . ° +�j� �� 4g,. RECEIPT. NO. 1 Issued By i! � Date—,* /T15�9 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 COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH A°°°ss°°r° Par°el No. ENVIRONMENTAL HEALTH SERVICES 7��(— (� — 60$ ' 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 fora period not to exceed one year from date of approval. Q VERIFY ITEMS SECTION A FROM BUILDING 8 SAFETY. APPLICATION BUILDING DEPARTMENT APPLICATION LOCI' e Z Q Agent, �P$Frn D (. Phone Address & Phone 5(-,57.5 v 111.5 W Owner > Phone . Mailing Add City LIQ Qvfrrl+� to Zi Job Prope Address � S c��� Legal Description Prop. (P T Lot) }� (at�(�t.2 S�- Ga,�� e �i1 � 8 511 Lot Size Water Agency/Well Use of Permit P/P, CU, etc. Other (G Dou C_Vwp Ili ,.MH Site Prep, etc.. . Signature of Applicant Date CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE (SUBSURFACE DISPOSAL 1236. $45.00 ❑ SITE EVALUATION UPON REQUEST 7349, u $42.00 ❑ • MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) m. LAND DMSION ❑ SEWER/SEPTIC VERIFICAu]ON 7348 $11.00 0,: a. 1 at 4 Parcels (Each) 1238 $45.00 (Less than 1 year) . *w t— b. Each Parcel after 4 7344 -$16.00 .0 PRELIMINARY ELECTIVE 7352 $45.00 W ❑ Rereview (2nd review same parcel) 7344' $16.00 EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction`wtth ❑ HOLDING TANK 7351 $45.00 Critical Area 7348'.- $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $132.00 ❑ ' Site Evaluation Lot Less than . SYSTEM" ' 10,000 Sq. Ft. 7347 $86.00 , .k INITIAL DATE g Holding Tank Agreements Completed ❑ Yes No Certification of Existing S.D. System Required t , ❑ Yes No .WOCB Clearance required.. (Attach Form ❑ Yes No DOH SAN 007, Santa Ana Region Only) Sons Percolation Report Required. ❑ Yes No Special Feasibility Boring Report Required. ❑ Yes I No Detailed Contour Plot Plans Required (1 to 5 It. interval) ❑ Yes I No Other ❑ Yes I No } Staff Specialist Lot Inspection Required ❑ Yes NO .A Lot Inspection Date Soils boring report by T'( / f Project # pate Soils Map Page Soil Type 5, /z • Approved by Dale U Z No. of Systems Type of Systems) ❑ Tank ❑Existing N"ellinp Unita edro�s, Fixture Unita ' (1) Septic Tank Soil Rete •`,Grease/sww Grease Intep ❑ Replacement ,.3 � � <� Ue ! / � . % f°' H � � U (2) Leach Line Sq. Ft Sidewall allowance install Lines) long ft wide with Leach Bed sq. ft rock/ per? Ir R fL min. inches roc below drah!lines or fir!" e!h ❑ : NA Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth Other: Applicable-_ Zrden ' '?: Inlet (BI)N/A factor ❑ 5 L9"6 O�c / y, Max. AlbNable Depth 'X zy .3 r No. 2 System REMARKS: , I r - This application isrAPPROVED IED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated Q on the accompanied plot plan, using the requirements set forth in SECTION C above. A building permit is recessary for the installation of the 0 0% above -designed system. No construction is permitted in the required reserved 10expansion area. 1k(, )J Septic tank and sewer lines must. be 50' minimum from any wells IU UJ /(y' leach lines must be 100' minimum from any wells, including expansion area - U3 Seepage pits must be 150' minimum minimum from any wells, inciudin expansion area Signature of Health Official pie �- RECEIPT. NO. 1 Issued By i! � Date—,* /T15�9 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 o l 1)111►•E vt E. EEpw SPnt;ry AGRI :ULiURAL CU��hiisswri�iz ss` WALLA� `gip A-NO . CIEMEV► 11f.%.VEhISlE, ° I M �VI:IC 11 I S Li 1,111ASURES ;c•�un v'►^..�t��i!t. 49-6I3 Ilwy 116,-Hulce - • • . 'l:vucl►el l►►. 1.A 92236 � ' r Q CASE I IU. t)EvELovrlt' 5 11M Lk�('v,v- n��l�ss 'rrLL-. vla�l l b 1. 4,04 lit Lear Wveloperl Alter >'eviewilly your lalldsce►Iil.11cl 1►lans, 1111 ltlaltt material ICd ubstitutivtls Cu7citella Valley• . violation v[, yuarailtiile lows tjuvei.tiltly lite do occur mid they .d1E[er [tun 1110"t material' listed, ;tltls uL[lce amtst ,be ItaLlEled .. ilut��lately. 111011 you Lur pLutectLly Old 11tesecvilly Elie Coachella Valley's Per'"': a environtlellt: 11g ultural Cain sslviiel 9—b(- [ ice ccl ludlo Haid 1t1verside U111ce .