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05335 (SFD)Building Address TWY� 4 4 a" 46-440 ROUDEL Lit MUM CONMUCTM P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address n-757 DPW WARMGs 18 City Zip Tel. PATJ1 DESERT 922610 340-530,, Contractor SAME Address State Lic. City & Classif. B-232366 Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State I Lic. If I hereby affirm'that I amJicensed under provisions 0 Chaptei gg��ee��nmmencing with Section 7000) of Division 3 of the usiness and Professions<Code and fiylicbnse is in full force and effect. 410 �� 7L 5 d•fO�ss 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, demofsh, or repair any structure, prior to its issuance also requires the applicant for such permit to lie a signed statement that he is licensed pursuant to the provisions of the Contractors 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 cNd penalty of not more than five hundred doffm ($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 hrnseff or through his own employees, provided that such improvements are not Intended or offered for sale. It, 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 safe.) O 1, 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 bolds or 6nproves 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. R_ & 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, or a certified copy tbfi reof. (See.'f3800, Labor Code.) Policy No. Company �'`•', a"x_" l ❑ Copy is filed with the city. ❑ Certified copy is hereby fumished. CERTIFICATE OF EXEMPTION FROM WORKED' 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. ff, after malug this Certilcate of Exemption you should become subject to the Workers' Conpensagon provisions of the Labor Code, you must forthwith comply with such provisions or this pem* 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, Civif 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 No. 05335 BUILDING: TYPE CONST. - OCC: GRP. A.P. Number .617-102-005 Legal Description Project Description SFJ) Sq. Ft. 2�7i No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Estimated Valuation 121,299 PERMIT AMOUNT Plan Chk. Dep.• Plan Chk. Bal. •2 Const. 7ib.50 Mech. 60. 00 Electrical 131*14 Plumbing 1 '4F50 S.M.I. 8.54 Grading 20.00 Driveway Enc. . 2Q.00 Infrastructure 2,586.60 Ivige ' oed Yee TOTAL REMARKS il3t��i�111 ti�l�a ..._dye { w i i a - 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 2/7t89 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL SO. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CARP. SO. FT. GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. OTHER APPJEOU1P. DRINKING FOUNTAIN- OUNTAIN.SO SO.FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER FRAMING U ` GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED i O� LAUNDRY TRAY AIR HANDLING UNIT CFM REMARKS: 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/. 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 -- — — SETBACK GROUND PLU14 MBING UNDERGROUND A.C. UNIT COLL AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC F H WIRING DUCT WORK ROCK STORAGE FOUND. 0110W. (� GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOU1P. 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. �Z y FRAMING U ` INAL INSP. ROOFING 7 1 _ i O� A REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING J(/(A/ MESH INSULATIONISOUND 7 Z FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 4 4 Qum& P.O. BOX 1504 APPLICATION ONLY Building 7&105 CALLE ESTADO Address Yd - `1'r YO 120 uQE L L N. LA QUINTA, CALIFORNIA 92253 Owner G * /¢Z -14A, iIv S % BUILDING: TYPE CONST. OCC. GRP. Mailing Address ;7L _ %SCAW wA.rL /AIG RA- 574 -EP A.P. Number % City Zip Tel. 4-.0 n 44A,v� _ ZZ` O 61 3Viz _5 3 Legal Description 7 I Contractor _ Project Description Address Tel.. State Lic.I City & Classif. Lic. # Arcn., tngr., I Designer Address Tel. City IZip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 71100) of bivision 3 of the Business and Professions Code, and my license is in full force and effect gJGNA,nJRE DATE OWHIMBUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Bisioss and Professions Code: Any city or county which requires a permit to oorstrud, alter, irpmve, denhoish, or repair any structure, p to hs issuance also requires the appicarht for such permit to lie a signed statement that he is licensed pursuant to t the provfsbrts of e Canbacor^s license Law, Chapter 9 (commencing with Section 7000) of Division 3 of the liisihess and PFofess- Cade. or that. he is exempt therefrom, and the basis for the aseged ozermpton. Any violation of Section 7031.5 by 'any applicant for a permit surbje . the to a civilpenally of not more than tie hundred dollars ($500). 0 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 OW such rrWovemenis are not idended or offered for sale. If, however, the building or improvements said wdhih orte 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 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sec_ 7044, Basi= and Professions Code: The Contractor's License Law does not apply to an owner of property who darts 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 Sem 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 Workefs Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company O Copy is filed with the city_ 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be completed B 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 M077CE TO APPLICANT: t, alter mall tg 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.) Lenders '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 1110 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 Addrr cc City, State, Zip FINANCE Sq. Ft. No. No. Dw. Size 2 O 77 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ r Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Z —O, c -a Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 1zl"40 r0,60 TOTAL D a to 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 Permit Validated by: Validation: A .r Assessors Parcel No ` COUNTY OPRIVERSIDE DEPARTMENT OF HEALTH y ENVIRONMENTAL HEALTH SERVICES 617 102, -, 005• . k //'�'i �"' PERMIT•APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM plk:ant Submit this formwith four copies of a scaled plot plan (1-20 scale) drawn to County speculations as indicated on,„the attached check list `. Anon -refundable filing fee (see below) is required when the application is submitted. Check must be madepayableao.the County of. = Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of; approval. ;• VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'* tact Person gent, PTO. �era�1°P T �tiazan, Inc. 619 e AV15369 d P e %t ` 51 ��•ed Waring Dr., '4/:8, P. D.' 92260: Owner Gerald J. Chazan, Inc. 8181246-7268 Phone Mailing Address 431 N. Brand Blvd., 4101 City State Glendale CA Zi 9T203 Job Property Address 46-440 Roudel Lane al Desc ' n Prop. PM, Tract . ,Ot Tract 1 69,` Siz{/e er A e use of Perm cu, oto. a nLa . Other /L% �P///P, elfin ite Prep, etc. Jan. 5, 1989 Signatu of Applfca tl.:.' r Date c CATEGORY,. REV CODE FEE CATEGORY: REV CODE .-FEE ❑� DISPOSAL 1238 $45.00 ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 __SUBSURFACE LMULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00' a. 1 st 4 Parcels (Each) 1238 (Less than 1 year) b. Each Parcel after 4 7344 9A 6.00 ❑ PRELIMINARY ELECTIVE 7352 $45.0.0 . ❑ RerevidGM2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) y ❑ Site Evaluation in Conjunction.with ❑ HOLDING TANK 7351 $45.00 Critical Area 7346 $86.00 ❑ ALTERMATIVE/EXPERIMENTAL 7345 $132A0 ❑ Site Evaluation Lot Less than SYSTEM 10,'000 Sq. Ft. 7347 $86.00 Q. fO��� (f '�D �0 Aj ❑ Ye� o Holding Tankg Certification of Existing S.D. System Required ❑Yes AN i WQCB Clearance required. (Attach Forth ❑ Yes t No DOH SAN 067, 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 tL interval) ❑ Yeses la Other ❑ Yes. Staff Specialist Lot Inspection Required , ❑ Yes iD No Lot Inspection Date ar-63, Soils boring report by # Date ` y' ' �— Soils Map Page Sal Type by( Date !/-0 No. of S to T of System(s) ❑ Tank ❑ Existing No. Dwelling Units Bedrooms, (1) Septic Tank Soil Rate Grease/Sand Uolding . y�New ❑Replacement nr - rr�` /,Q�4� G%ase 3 v1J�'t� a - Im !1LGaI �/ 7 d Gal Leach Line Sq. Ft Sidewall allowance Install Lines) It. kxrg wide Leach Bed lloom trench area It rock/ sq. It. min. mcnes drainlines or of botto per running ft / t Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet (BI) . Seepage Pii yDepth ��/• Oche Applica�ble -09 M5 f.- �,� N/A Overburden facto Max. Alloyr� I� Depth No. 2 System REMARKS: v /S This ap licatic i PPRO D ^-NIEF?efor the t pry checked in SECTION B above, regar ng the design of a subsurface disposal system as 'indicated on t accompani plot --pan, using the req laments set forth in SECTION C above. A building permit is necessary for the installation' of the above designed system. No construction is permitted in the required reserved 100% expansion area. Septic tank and sewer lines must be 50' minimum from any wells ' �Q0/ Leach lines must be 100' minimum from any wells, including expansion area Qrf J Seepage pits must be 1,N,?' minimum from any X!ells, including expansi n ar / Q/� ” " l Ajj/ �,/ Signature of Health Official Date RECEIPT NO. O8a 90 Issued By //'�'i �"' Date ✓ �O ^[2 / ' DISTRICT: ❑ Riverside, J-* hdio ❑ Hemet ❑ Perris ❑ Rancho Calif. `-. ❑ Blythe DOH SAN •122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records th. �I �n buttress April 24, 1989 _CITY OF LA QUINTA - 78105 Calle-Estado. P. 0. Box 1504 La Quinta,, CA 92253 Attention: City Engineer ` Re: Lot 28, Tract 2667 .l 46440 Roudel.Lane; Pad certification Tetter _ Dear Sir: I, Denise -R. Poeltler` of THE FLYING BUTTRESS, verified -the finished floor elevation of the project referenced -above. I shot- an average Felevation of 99•.23 as compared to` 99.25 as ' shown'on the approved grading plan. These 'elevations are in substantial conformance with the ,grading plan'pre.pared by -my firm. Respectfully submitted, „ C& DENISE R..POELTLER,"Inc., -THE FLYING BUTTRESS - Denise.R. Poeltler - - R.C.E. 33446 - DRP -/lm CC: Chazan Construction ` TFB # 88-357' 72-757 Fred Waring Drive • Suite 5,• Palm Desert, California 92260 • (619) 3t6-5445 � r • �.w � . . /f� Lr �+rii7TTa> q—� GU I DAILY FIELD REPORT No: Job Name: r�ZQn Project No .:'S-310 Dater_ 0 Location : Uu� el 128. Weather: P. C d Day: �• Contractor: Foreman:. . Field Technician: Miles:.. Hours:' S— Equipment Working: 0 Inspection / Testing of Test No. Test Location Elevation or Depth Soil Type Optimum Moisture Field Moisture Maximum Density Fleld Density Rel. Comp. Z � � C.v�rn•er � - - . � % .s Summary of Operations: d al„ _<,j, 0- -k) z:w' 0^1 0a_ uv Q cl rA# J5 6(11 '11�1 k c) mA CIA �6) C—aL4"nVcJ?aA. /r ►r Supervisor : 1, .'..�• /�' Engineer: Geologist: Todays Y �rg e: Yardage to Date: 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