05333 (SFD)�L
Building
Address
46-381 RflUDEL LN
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address 72-757 FD WARM #$
City Zip Tel.
MM DESERT 92260 340-5369
Contractor
SAME
City
State Lic. I City
& Classif. B-232366 Lic. #
Arch., Engr.,
Designer
Address Tel.
City IZip I State I
Lic. #
,f; LICENSED CONTRACTOR'S DECLARATION
hereby affirm that;l am licensed under prwovisions of Chapter 9 (commencing with Section
7000) of Division 3,df the -Business and Professions Code, arfd rt�Ly license is in full force and
effect -
SIGNATURE ' °' Y/ "^' DATE
Or OWNER -BUIL ER DECLARATION
1 hereby affign that I am exempt from the Contractors 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 issuance also
requires the applicant for such permit to lite 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 chidpenally of not more than five hundred dollars ($500).
❑ 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, 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 rrprovements 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 Ila- 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) 8censed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec a, & P.C. for this reason
Date Owner
A
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Workers 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 ff 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 makb79 this Certificate of Exemption you should become
subject to the Nbrkers' 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.)
Lenders Name
Lenders Address
This is a building permit when property filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
I certity 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.
A.P: Number* - 617-1.01-003
No.
Legal Description
Project Description SED
OCC: GRP.
05333
Sq. Ft. 2077 No. No. Dw.
Size Stories Units
New ❑ Add. ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation 121,299
PERMIT
AMOUNT
Plan Chk. Dep.
250.00 -
Plan Chk. Bal.
.2
Const.
----716.50
Mech.
60.UO
Electrical
131-14
Plumbing
184.50
S.M.I.
8.54
Grading
20.00
Driveway Enc.
20.00
Infrastructure
2,5S6.60
FrInge-ToedNe-e
13b 648
TOTAL
REMARKS
`
Fi9{.t�,t•,�p i � yr1 e ° y�' .� f �.. gy,�.,,s. „t �?
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 2/7189 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
r
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SO. FT. ®
SQ. FT.
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
HEATING (ROUGH)
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOXDISH)
APPLIANCE DRYER
nTA
OMAS (ROUGH r,L ` METER LOOP
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SQ. FT. ® c
BATH TUB
FRAMING G
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1'A c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
HOUSE SEWER
VENTILATION
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 PLU GING ELECTRICAL HEATING & AIR GOND. SOLAR'
�.�s�
SETBACK
GROUND PL MEIN UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADEG
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR S(FKtROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF. 1 4
nTA
OMAS (ROUGH r,L ` METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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. (% lg
FRAMING G
AL INSP.
ROOFING /( �yy�
(f✓'C
/
REMARKS:
VENTILATION
FRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 9
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
1
11,estcrn (:uri.eiruciion Pruducts t(epal
Suiie 1200
550 North Brand Blvd.
Glendale,'C,4 91203-1904
818 956.1882 9 FAX (818) 240-4790
August -.9, 1,989
FrFI1I FD
Mr. Thomas Hartung
City of La Quinta
Building Department
P..O. Box .1504_
La Quinta,.CA 92253
-RE: Roudel Lane Homes/Chazen Construction
J G 1989 .
CITY yr LA QUINTA
PIANNi)c &_ 6EVECOPMENT. DEPT.
Dear Mr. Hartung,
It has come to my attention that,*a number of United'States Gypsum.
Company SHEETROCK--Brand--5/8"---Type---X--Frecode --.G-ypsum_._Pane.ls_-:_were -. .
found on subject jobsite without printed identification on the
face. „ They had bee applied by Bernard. Drywall, the drywall
contractor, preventing visual inspection of the information pr in.
on the reverse side.
Several'plant representatives from our Plaster City plant visited
the jobsite on 8/8/89 and inspected,the board. They had a gypsum
panel -removed and were able to .verify the panels which had been.
applied to the'.garage walls and ceilings were indeed the required
5/8!' Type X Firecode Gypsum Panels. This mater'ial,complies with
ASTM C36 requirements for Type X gypsum board.
If we can be of any further assistance in the matter, please call
at the number above.
'Very truly yours,
J
UNITED STATES GYPSUM COMPANY
R.L. Di Bias
Western Region, Quality Manager
RLD/jee
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No.
ENVIRONMENTAL HEALTH. SERVICES., - _ :-- _.. _ 617 - 101 - 003
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
4011cant: " Submifthis: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 ishall remain .valid fora period not to exceed one year from date of approval. "
VERIFY ITEMS IN SECTION A FROM_BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'#
-Agent, Contractor; Contact Person
'Gerald�,J. Chazan, Inc. 619/340=5369.
Phone
Address & Phone f
72-757 Fred Waring Dr., #8,•Pajm Deser
Ocerald tj.Chazan, Inc. 81
Mor 7268
MngddrRrsand Blvd., #101, Glendale
,.
City , State
ale CA
Zip
91203
Job Property Address
46-381 Roudel Lane
Legal Description Prop. (PMT Lot)!Glen
Lot #3, Tract 2667
Lot Sizeter
Agenc fi
Use of Permit P/P, , CUetc. a u nta
Other
n�� v a ,
:X O
/ , /
O
` ,te
Ili H m Prep, etc. {
Jan. 5, 1989
Date
v nava re oPAppl
- , CATEGORY } REV CODE FEE
CATEGORY:; }-a _ z' REV CODE FEE
r ❑ RFACE DISPOSAL f . 1238 $45.00
❑ SITE EVALUATION UPON'RECUEST 7349 $42.00
LE PARCELS WITHIN SAME
(NO PLOT PLAN)
LMR DIVISION, "
❑ SEWER/SEPTIC VERIFICATON 7348 $11.00
a+!1 at 4 Parcels (Each) 1238
(Less than 1 year)
b. Each Parcel after 4 7344 j . $16.00
❑ PRELIMINARY ELECTIVE 7352 $45:00
O :Rereview (2nd review same parcel) 7344 $16.00
EVALUATION (Attach DOH SAN 53)
O Sfte Evaluation"in Conjunction with
❑ HOLDING TANK 7351 $45.00
Crttical Area " 7346 $86.00
❑ ALTERNATIVE/EXPERIMEN-AL 7345 $
-`
13 Site Evaluation Lot Less than
'
f
SYSTEM -!13200
x =
.10,000,Sq•.Ft.... 7347 $86.00'
NITI
Holding. Tank Agreements Completed i ❑ Yes ZOO DATE;rT
`
dertiHiationofExisting S.D. System Required ❑ Yes GYN x
:WQCB Clearance'required. (Attach Form ❑ Yes No
"' 66k SAN Santa
007, Ana Region Only)
Soils Percolation Report Required. ❑ Yes No/,// +
`
Special Feasibility Boring Report Required. ❑ Yes
Detailed Contour Plot Plans Required (1 to 5 ft interval) ❑Yes
Other-.:. = -
❑ Yes
Staff Specialist Lot Inspection "Required �,� ❑ Yes • No
" 1
Lot -Inspection Date
Sons boring Port by.. s- !Y
# Date S -
/`.
Soils. -Map Page ��� SoA Type Ay '•�+%Approves!+ by' !F" �: '�- _-'`� Date
No: of Systema;''
}' it
!
T s)
❑ ing Tank . ❑ Existing
, •New ❑ Replacement
No: Dwelling Units f
Bedrooms, re lin
4�tU1rt 56
` (1) Sepfk�' ..:_
i
Soil'Rate
�- ✓
� /Send
G ntcp
-
Gall
('2 SG. Ft l7
eotth area
Sidewalk>wancesq It.
`Ir>steil,, lJr�e(s) ' ft kxig t► wide with
min. inches drains -ores or r"
Bed sq. ft
�\
per running It.
Leachlines/bed special design for slope:
Applicable
(3) Pit Diameter
No. Pits
Pit Below
Inlet (BI)
r
Seepage'it Total Depth
A0
r.
N/Arden
/
!
Max. Allowable Depth
factor
�0
No. 2 System
07e
REMARKS: /L6 Brn l��d-
i Q
This applkation i PROVED/ Ei fir the egory checks m SECTION B ve, regarding t design of a sy u ace disposals tem as indicatede,
on .the accompanied p o plan,. using the requirements set forth in SECTION C above. A b ilding permit i necessary for the installation of the
'-.
atx�ve-designed system. No construction is permitted in the required 'reserved 100% a pension area.
01
" Septic tank and sewer lines must "be 50' `minimum. from any wel �'
2 •leach lines must be 100' minimum from any wells, including expansi
i
(3 . ;Seepage pits. must 190 minimum- fro any •wells including -expansion ar 0 -
�Si nature of'Health OfficiaVDaG• �
te
RECEIPT NO rl D�� / SDZj
Issued _By Date,'
ate
DISTRICT: `. ❑ `Riverside, fYlndro_❑ Hemet., ❑ Perris ❑ 'Rancho Calif: ❑ Blythe
DOH SAN 122 (Rev. 5/88);DISTRIBUTION: WHITE 'Office file YELLOW Applicant PINK - Bldg. Dept - GOLDENROD ,Plans/Records ' F
\ �p .�.
3
L
1
-the
flying b
17 , May 1989
•
CITY OF LA QUINTA -
75105 Calle.Estado
P. 0. 'Box .1504
La Quinta, CA 92253
Attention: City' Efigineer
Re: Lot 3, Tract 2667 MB 50/64-65
46-381 Roudel Lane
Pad certification letter
Dear Sir:
I, Denise. R. Poeltler of THE FLYING BUTTRESS, verified the
finished floor elevation of the project referenced above.
I shot an- average elevation -of 93.97_ as compared too 94.00 as
shown on the approved grading plan.
These elevations are in "substantial conformance_ with the
grading plan prepared by my firm.
Respectfully submitted,
DVWTSE ir. POE TLER; Inc.
THE -FLYING BUTTRESS.-
R.
UTTRESS -
Denise R. Poeltler
R.C.E. 33446
DRP/lm
CC: Chazan Construction
TFB # 88-359
72-757 Fred Waring Drive: • Suite 5 • Palm Desert, California 92260 • (619) :346-5445
Pf
l �E nOf I FE OF
11 s AGRIC,UL'MIM-1.. COMMISSIONER
0 AND
4► kVEIG1-115`.&, MEASURES
1 49-613..jIwy, 86, 5ulte . 11-12
�\,�����,•'� Colgh,tlln, CA 92236
MgYv req 6J,9 342-8'291
E. LEON SPAUGY
ZANIES 0 WALLACE
ASS:S�A`'f COMMISSIUW
CLENIE`1 BE`VENIS1E
• SEILER
DATE - 1 7- 8$ ` V CASE W. r2 99 R 5 1 �- '. 7- -5
DEVELOPER'S ME:
ADDRESS:
TELEPI[ONE: (` ) 3
� 3
Dear Developer:
After reviewing your landscapi.ny' Elan s, it -11 plant naterial listed is not in
violation of quarantine laws governifig the.. Coachella, Valley. if substitutions
do occur and they differ fruit plant riuterial listed, this office rn:st be notified
immediately.
Thank you for protecting -and preserving the Coachella Valley's fest-free envirornent.
Agricultural Cormii.ssi : is Office
cc: Indio and Riverside Office
P 2�101 = �Ak a Q _Frk
GUDAILY
AO_J
FIELA REPORT
No:
`Job Name:
Project -No..
.Location
Ln
Weather,
A LA!j
Day-TLe
Contractor:
Foreman:
F!'eld. Technician: A7—
Miles:
ours:,/. (D
Equipment Working:
inspection Testing of
0
Test
Na.
Test
Location
Elevation
or Depth
Soil
Type
Optimum
Moisture
Field
Moisture
Maximum
Density
Field
Density .-Comp.,
Rel.
J7
Z
Summary. of
OperbtiPnstriv2�lkCV1.,,e
OSS
Se all CA A ie
6zf
104 Q 2 C cv,-,p
Supervisor :&OAA/,��-ngineer
Geologist:
Todays /age:.
Yardage to Date:
LEIGHTON and ASSOCIATES
17975 Sky Park.Circle, Suite E, Irvine; California 92 714 Te.l: (714) E56-1421 556-1422
100A (4.77)
WHITE — -File Copy YELLOW — Client Copy PINK Field Copy, GOLD Office Copy