05332 (SFD)4
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 46-415 ROUDEL TANS LA QUINTA, CALIFORNIA 92253
Owner At'!� CONS' UCTIMI
Address 72-757 FMi WAGING DR, #$
City Zip Tel.
. PAIX DESERT 1 92260 1 340;-369
Contractor
SAM
Address
Tela
State Lic. I City
& Classif. 8-232366 Lic. #
Arch., Engr.,
Designer
Address Tel.
City IZip I State
Lic. #
�rLICENSED CONTRACTOR'S DECLARATION
I affirm that 1'_a .licensed under provisions of Chapter 9 (co
7000) of bivision 3 of'the Business and Professiorid Cod ; a�1,�� Iic
effect I L1�b f 1/( r's. l r 71' i it J,
1g with Section
n full force and
OWNEWBUILDER DECLARATION
I hereby affigm that I am exempt from the Contractors License Law for the following
reason_ (Sec- 7031-S.Bsshess and Professions Code: Any city or county which requires a
permit to construct. attar. irptme, demofth, or repair any structure, prior to its issuance also
requires the applicant for such pent to fie a signed statement that he is licensed pursuant to
the provisions M the Contractor's lionise Law, Chapter 9 (commencing with Section 7000) of
DivWw 3 of the Business and Professions Cade, 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 avi penalty of not more therm fire hundred dolars (5500).
❑ 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: Ilia Contractor's License Law does not apply to an owner of property who
builds or improves thereon arid 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 erprovememt is said within one year of completion, the owner -builder will have the burden
of proving that he did not buil or reprove for the popose of sale.)
❑ 1,as owner of the properly, am exclusively contracting with licensed contractors to con
struct the project (Sec. 7044, t and Professions Code: The Contractors License Law
does not apply to an owner of property who burrs or improves thereon, and who contracts for
such projects with a cordractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec R_ & P.C. for this reason
Date owner
rr
WORKERS COMPENSATION DECLARATION
J_
hereby affirm that I have a certificate of conse.nt,to1`1 -insure, or a certificate of
Workers Compensation Insurance or a certified copy" 4heieo . (Sac..,3800, Labor Code.)
Policy No Company " s/r e ' f
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be Completed it the permit is for one hundred dollars (5100) valuation
or less.)
I cer ity that in the performance of flip work for which this permit is issued, I shall not
employ any penton in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT_ I, after makig Ods Certificate of Eremptron you should become
subject to the tlbrkers' C(Inpalsation provisions of the Labor Code, you must forthwith
carr** with such provisions or has pent shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 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 abuilding permit when property 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.
I
r ly 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. 05332
ILDING: TYPE CONST. OCC: GRP.•
h. Number • 017-101-004
al Description
Project Description
CSE
Sq. Ft. 2077 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
stimated Valuation 121,299
REMARKS
PERMIT
AMOUNT
Plan Chk. Dep: 250.00
Plan Chk. Bal.
7
Const.
7V5.30
Mech.
t91 *vu
Electrical
131.1
Plumbing
id4.W
S.M.I.
.7
Grading
+Qi)
Driveway Enc.
. u
Infrastructure
2.586. Q
FrOge—Toect Fee
r
TOTAL
`� f
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 2/7189 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL SO. FT. @
POR. SO. FT. ®
GAR. SO. Fr. ®
CAR P. I SO. FT.
WALL SO. FT.
FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOB]LEHOME 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
AS (ROUGH) J.Z l e /
/
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
EMP. POLE
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
FINAL INSP. I Z(
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11A c
SEWAGE DISPOSAL
SO.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
- - = -0-40'--
%;w,
"9
SETBACK
GROUND PLUMBI
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE S y P
UGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR S� I TA
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND..@Ffl F. Q
v
AS (ROUGH) J.Z l e /
/
R LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
EMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-x$-=$
LUMBER GR.
FINAL INSP. I Z(
FRAMING -761119!51; ` r
INAL INSP.
ROOFING ? /�.'
VENTILATION
^
�1
Hf
D
11 .s7 // //�Y�jy/►j'
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
;7 -ft ��ry;
J
-7:7
47
RECEIPT NO. X667a - T442, Issued By Date l
DISTRICT: 0 Riversi`ddia, B -Indio 0 Hemet - 0 P6nit 0' Rancho Calif. 0 Blythe ?
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW'- Ap'plicant PINK - Bldg. Dept. GOLDENROD - Plans/Records
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No.
. —-r
ENVIRONMENTAL HEALTH SERVICES 617 — J01 7 0.04 --
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 specU , lations as indicated on'lhe attached check li's't
.
A rion-refundable filing fee (see below) it required when the . application is submitted. Check must be md& payable to the County Rf ow
Riverside. Approval of this application shall remain valid for.a period not to exceed one year from cate of approval.
<
v9kiFY ITEMS IN SECTION A FROM BUILDING & 'SAFETY APPLICATION 'BUILDING DEPARTMENT APPLICATION LOG'*.
z
0
Agent, Contractor, Contact Person
Gerald J. Chazan, Inc. 6191340-5369
Phone
Address & Phone
72-757 Fred Waring Dr., #8',- P.D. 921A
LU
Ow" tir. ald J. Chazan, Inc. 818
12�06--7268
M%ijjAd�q r esaBrand Blvd., #101
to
CRY
Gleindale
state Zip
CA 91203
Job Property Address
46-415 Roudel Lane
Legal Descirption Prop., (PM,Lot
Lot #4, Tract 2 67
Lot Size�at r Agenc . P Use of Permit P/P CU, etc. La Quinta
X ewe
Other
0 7 7
in MH rte Pt_petc=__7"
Jan. 5, .1989
Data'
CATEGOky,-,. REV CODE FEE
CATEGORY: REV CODE :FEE
0�IUBSURFACE DISPOSAL 1238 $45.00
0 SITE EVALUATION UPON REQUEST .7349 $42.00
MULTIPLE PARCELS WITHIK'SAME
(NO PLOT PLAN)
00
Z
LAND DIVISION
0 SEWER/SEPTIC VERIFICATION 7348 $11.00
0
a. 1 at 4 Parcels. (Each) 1238
(Less than 1 year)
b. Each Parcel after 4 7344 t 116.00
0 PRELIMINARY ELECTIVE 7352, 445.00
Uj
0 Rereview. (2nd review same parcel) 73" $16.00
EVALUATION (Attach DOH SAN 53)
0).
OAeSftwEvaluation in Conjunction with
0 HOLDING TANK 7351 $45.00
Critical Area 7346 $86.00
0 ALTERNATIVE/EXPERIMENTAL 7345 -.$132.00,
0 Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft. 7347 $86.00
DATE
NRI �J " /
Holding Tank Agreements Completed 11 Yes
Certification of -Existing S.D. System Required 0 Yes
WOCS Clearance required. (Attach Form 11 Yes O No
DOH SAN 007, Santa Ana Region Only)
Soils Percolation Report Required. El Yes 70
Special Feasibility Boring Report Required. 0. Yes
Detailed Contour Plot Plans Required (1 to 5 It. interval) 0 Yes
Other 0 Yeses
Staff Specialist Lot, lnspection Required 0 Yes No
Lot Inspection Date
Soils boring report by Data
Aw/•
Soils Map Page son Type Approved by Date
U
No. of systems
ype of System(s)
No. Dwelling Units f
(1) Septic Tank
/Sand
Soil Rate/Sand
Z
0
0 HOd4 Tank 0 Existing
DeRew 0 Replacement
Bedrooms, FbMNMnW
G: Irriop
0
LLI
C0
r(g) Leach Line , q. Ft
t�area
<h
Sidewall allowance
ft. rock/— sq. It
Install !��_�Line(s)_ftlom. It wide With
min. inches below d or
sq. fl.
per running ft.
Leachlines/bed special design for slope:
Applicable
(3) Fit Diameter
No. Pits
Pit Below
Inlet (131
Seepage I
Pit Tbtaf)epth
Othia
Max. AMwablq,'Depth
-01116 Ct,1-16
N/A _!!!!!!!FOverburd�n factor
vvV
No. 2 System A/4
REMARKS: Ve7��
/Vom
2"A qt (00,
_00� C1170
6 Ave If,
ell—
I
I)VE
This Ipp'Mica on i r the category 1 14_EAbeov r rdin design i �e,.bsuyc2e&i
. i ked in SE31 I! 11� s%os6a s�MdQ�_
C r�ing
is
on the accomp nki� pi Ila lan,i'-usingthe requirements set forth in 2
z
siding y vw. the
in
In
abovAWe signed a) construction is permitted in t he required reserved 100% expaon area.
p
Septic tank and sewer lines must be 50' minimum from any wells
Leach lines must be 100' minimum from any wells, including expansion re
Seepage must 50—iniri" /hare
pits um orany wells, 1 9 expansi
7,71
'Health
Signature of Official [)at-
J
-7:7
47
RECEIPT NO. X667a - T442, Issued By Date l
DISTRICT: 0 Riversi`ddia, B -Indio 0 Hemet - 0 P6nit 0' Rancho Calif. 0 Blythe ?
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW'- Ap'plicant PINK - Bldg. Dept. GOLDENROD - Plans/Records
Of
01 f Ir_E OF E. LEON SPAUGY
r AGRICUL'I UIA�IFS 0 WALLACE
COMMISSIONER ALLACE
� >,� s
J
i AND ASS:St40,t
-� ^�Ij ' K7' 1V(IGI 115 Fi
MEASURES
CLE NIE`11 8E `V E`�IS I E.
s[.At.En
49-613 Hwy 86, Suite I1-12.
'Coachel.l.a, CA 92236
q r v, e9 619-342-8291
D11'I'CASE R). �• g g � � � •�- 2
DEVELOPER'S Pd111°IE:
ADDRESS e 7 2-- % -7 Lt 1 gnA r '
'I'ELEPIIONEz c� 3 Y6 -s'361r
Dear Developer:
After reviewing your landscaping plans, all plant.,material listed is not in
violation of quarantine laws governi_Itg the Coachella. Valley... If substitutions
do occur and they differ frau plant ilviterial listed, this office must be notified
imnadiately.
ThmAk you for protecting and preservi_IIg the Coachella Valley's (est-free enviroment.,.
Agricultural Calmissi is O[fice
cc: Indio and Riverside Office
11'estern Construction Yroaucts negu,n
Suite 1200-
- 550 North Brand Blvd.
Glendale. CA 91203-1904
818 956-1882 • FAX (818) 240.4790
August 9, 1989
Mr.' Thomas Hartung
City of La. Quinta AUG 1 i9s9
Building Department LI1Y
'P.O. Box 15,04, lei LkQUINTA
La " Quinta, CA 92253 �lANN1ND,� DEVELOPMENT DEPT
RE: Roudel Lane Homes/Chazen Construction
Dear Mr. Hartung,
It has come to my attention that a number of. United States Gypsum
_.. . .
Company SHEETROCKB"rand`'5-/�8�"-Type -X—F-free-ode--Gypsum_.__Pane ;a._wer__._�___
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 printed
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 s 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 Fixecode Gypsum Panels. This material 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,
UNITED STATES GYPSUM COMPANY
R.L. Di Bias
Western Region Quality Manager
RLD/J ee
A Subsidiary of USC Corporation
' ®
theti.ying'.
17 May 1989
CITY OF L-A QUINTA
7.8105 Calle Estado -
P._.0. Box 1504
La Quinta, CA 92253 -
Attention: City En
'Re:. Lot 4, Tract 2667 MB 5.0/64-65 '
46-415 Roudel Lane
- Pad certification letter
Dear Sir. _
I, Denise R. Poeltler of THE .FLYING BUTTRESS, verified the
finished floor elevation of the project referenced-l.bove.
I shot ,an, average elevatiori of, 97.46 as compared to 97.50 as
shown.on the approved grading plan
These elevations are, .in substantial conformance with the
grading plan prepared by my firm.- -
Respectfully. submitted',
D EMUS E R. POEL LER,:. Inc. -
THE FLYING BUTTRESS `P
Denise R. Poel-tler -
R.C.`E..334'46:
t DRP/lm'._
CC: Chazan Construction - -
' TFB # 88-359. _
72-757 Fred Waring Drive w'Suite 5 9 Palm Desert, California 92260 • (619) :46-5445
100A (4.77)
WHITE — File Copy YELLOW — Client Copy PINK — Field Copy GOLD — Office Copy
DAILY
FIELD REPORT
No:
Job Name:
Project No.:
cDate:
Location: sic0 q+- Roo d
Weather:
Day:
Contractor: h aA ZEl-VI
Foreman:
Field Technician: -"rh411,4144
Milel:
Hours: 3
Equipment Working:
Inspection / Testing- of (,.p+ 4'i
Test
No.
Test
Location
Elevation
or Depth
Soil
Type
Optimum
Moisture
Field
Moisture
Maximum
Density
Field
Density
Rel.
Comp.
f�>:, Co�ror Frvn� �F P�1
-.j t/
�
(3.5�
I I �'"
� �U, Ci
CD2• �
�G'�
rq..CD�nr C -r oPac►2
loci,
1!;,W
C,xnor vF RPA4
10Z,
G-C✓11er of Pad
es+
of 'ad
2.6
I Z- 5
04%
0
"I
L
r
Summary of
Operations:
C1
Supervisor c G
Engineer:
Geologist:
Todays Yodoge:
Yardage to Date:
0 LEIGHTON and ASSOCIATES
17975 Sky Park Circle, Suite E, Irvine, California 92714
Tel: (714) 556-1421 556-1422
100A (4.77)
WHITE — File Copy YELLOW — Client Copy PINK — Field Copy GOLD — Office Copy