05330 (SFD)Building
Address
Owner
46af44I ROMEL LH.
CITAM CONSTUCTION
P.O. BOX 1504
78.105 CALLE ESTADO
,LA QUINTA, CALIFORNIA 92253
Address 72•-757 FR�°i?s WARING #$
City Zip Tel.
PALK DESEP2 1. 422601 1 340-5369
Contractor
CH=�AN CONSTRUCTION
.Sly
City
State Ljc. I City M
& Classif. B 232W Lic. #
Arch-, Engr-,
Designer
Address Tel.
CityI Zip I State
Lic. #
LICENSED COMTRACTOR'S�DECLARATION
T hereby affi that cg! under provisions of ChapteC9 (commencing with Section
of burst 3 of f ie,Rusmess and Professions>•Cod , d y license is in full force and
effectxY;rna Y�e(j'i-,(,�,
SIGNATUM W ✓' DATE
OIUNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,13usiiiress and Professions Code: Any city or county which requires a
permit to construct ate, irprove, dernoksh, or repair any structure, prior to its issuance also
requires the applicant for such pea., t to lire a signed statement that he is licensed pursuant to
the Prov -situs of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Q'vision 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for Bhe a0eged excerption- 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 (8500).
❑ 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
Pmfessios Code: The Contractors License Law does not apply to an owner of property who
builds or irpreves thereon and who does such work himself or through his own employees,
Provided that such irrprovernants are not 'amended or offered for sale. If, however, the building
or erprovanent is said wthih are year of completion, the owner -builder will have the burden
of pnovig that he did not bold or ibi rove for the purpose of sale.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con.
struct the project (Sec. 7044, Bsiress and Professions Code: The Contractor's License Law
does not apply to an owner of property who bunds or unproves thereon, and who contracts for
such prajetds with a oeriftracmr(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec R- & P.C. for this reason
Date Owner
WORKERS• COMPENSATION DECVRATIIN
Workers I her by affirm that 1 have a certificate of consen to,sel -insure, or a certificate of
Compensation Insurance, or a certified copy then ofd/Se )3800, Labor Code.)
Policy Na Company
❑ Copy is filed with the city. ❑ Certifiei copy is�by fumished.
CERTIFICATE OF EXEMPTION FROM
trORKEW COMPENSATION INSURANCE
section need not be conpkted 0 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. I, after making this Certilicate of Exemption you should become
subject to the Utodxces' CorrpersaOm provisions of the Labor Code• you must forthwith
coney with such provisions or this pemvt shag 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, 00 Code.)
Lenders Name
Lender's 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.
1 I certify that 1 have read chis application and state that the above information is correct.
ag cortrply with all city and county ordinances and state laws relating to building
=-construction and hereby aufhor¢e representatives -of this city to enter the above-.
toned property fu inspection purposes
Signature of applicant Date'
Mailing Address
City, State, Zip
No. 05330
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 617-101-00-5
Legal Description -
Project Description $
Sq. Ft. 2077 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑
r
Estimated Valuation 121,299
PERMIT
AMOUNT
Plan Chk. Dep. `•
Plan Chk. Bal
-435. L
Const.
116.50
Mech.
5Q•Q
Electrical
3 'M
Plumbing
154.5U
S.M.I.
+
Grading
Z[f+i3
Driveway Enc.
zu.Qu
Infrastructure
oti•tl
i=V TUt .feed
TOTAL
` /'. 3 I: rJ .
REMARKS
b ft ,k a . i � r.{.�..r �.� �:t`•1xt; P1"` s�c�
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback frlan Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date 2/7199 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FF, S, r�
1ST FL. SO. FT. ® $
2ND FL SQ. FT.
POR SQ FT ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SQ. 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH) if &*ER LOOP
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
REINF. STEEL
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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
ROOFING ��(!
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING �
MESH
INSULATIONISOUND �'Ll
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
ccurc FINAI
SQ. FT. ®c
IWATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1'/a 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 PLUMBINCf /� ELECTRICAL HEATING & AIR COND. SOLAR
z nf,
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR S I A
7 ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REW. S l 9 4i
l
GAS (ROUGH) if &*ER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM S
7 C/
ATER SYSTEM
\
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR. FINAL INSP. /T
FRAMING ? �Q Q FINAL INSP. Q
ROOFING ��(!
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING �
MESH
INSULATIONISOUND �'Ll
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
ccurc FINAI
I o
"](
REMARKS:
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
August 9, 1989
Mr. Thomas Hartung
City of La Quinta
Building Department
P . O .. Box 1504
La Quinta, CA 92253
Western Constructioii Products negwu
Suite 1200
550 North Brand Blvd.
Glendale, CA 91203-1904 -
818 956.1882 • FAX (818) 240.4790
RE: Roudel Lane Homes/Chazen.Construction
FrFrvfFD
kj o 1 1989
C17 Y Or LA QUINTA
°LAN11"W" & DEVELOPMENT DEPT.
Dear Mr. Hartung,
It has come to my attention that'a number of United States Gypsum
�- - - 8" T e-X---Firecode--Gypsum._.P-ane.ls._.:were_ .
Company SHEETROCK Brarid -5/ - yp----�-- --
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 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 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
allat the number above.
Very truly yours,
UNITED STATES GYPSUM COMPANY
R.L. Di Bias
Western Region Quality Manager
RLD/jee
A Subsidiary of USC Corporation
.rs§i.._�N!r7X1`F
:a
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH
BO'8 Parcel No.
ENVIRONMENTAL HEALTH SERVICES
619 Jill'. - -'005- '
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'Cotinty of
Riverside.. Approval of this application shall remain valid for a period not to exceed one year from date of approval . ;
Q
VERIFY ITEMS IN SECTION A' FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'*. i
O
p:
Agent, Contractor, Contact Person
Gerald J. Chazan, Inc. .6191340-5369
Phone
Address & Phone .
72-757'Fred Waring Dr., #8, P D. 92260
U
�
erald J. Chazan, Inc. 818
2VO9 7268
4Y'iinV and Blvd.., 4101
!;
Job Property Address
Legal DescriFtlon Prop. (PM, Tract, Lot)
r
Glendale
CA
91203 '146-441
Roudel Lane
Lot #5, Tract 2667
Lot Size
3 ./ ' 8
X/39
ater Agenc t
a
Use of Permit P/P, CU, etc. a u nta
w�c�
elli MH a Prep, etc.
Other
989 .
Jan. 5, 1989-
Date
Date
'
'4 CATEGORY:REV CODE FEE
CATEGORY: REV CODE FEE
DISPOSAL 1238 $45.00
❑ SITE EVALUATION UPON.REQUEST 7349 $42.00
i
�❑ _SUBSURFACE
f7 MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
1
co
LAND DIVISION
❑ SEWER/SEPTIC VERIFICATION 7348. $11.00
0
a. 1st 4 Parcels (Each) 1238
(Less than 1 year)
h'
F=
b. Each Parcel after 4 7344 $16.00
❑ PRELIMINARY ELECTIVE 7352 ' $45.00
W
❑ Rereview (2nd review same parcel) 7344 $16.00
EVALUATION (Attach DOH SCAN
❑ Site Evaluation in Conjunction with
❑ HOLDING TANK 7351 $45.00
Crttical Area 7346 $86.00
❑ ALTERNATIVE/EXPERIMENTAL 7345 $13200
`r
❑ Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft. 7347 .a+ $86.00
ITIA � DATE
Holding Tank Agreements Completed ❑Yes N_��"
x
'
Certification of Existing S.D. System Required ❑ Yes N o/
�o
WQCB Clearance required. (Attach Form ❑ Yes
a
DOH SAN 007, Santa Ana Region Only)
?
Soils Percolation Report Required. ❑ Yes
Special Feasibility Boring Report Required. ❑Yes
Detailed Contour Plot. Plans Required (1 to 5 ff. interval) ❑ Yes
Other ❑ Yes
Staff Specialist Lot Inspection Required ❑ Yes No
Lot Ins o+i Date
6
Soils boring report by /r't-�—Ot Date '. S`
'
t
Soils Map Page Soil Type Approved by Date
Y
U
No. of Systema
Type`of System(s)
No. Dwelling Unita 1
(1) Septic Tank
Soil Rate �
,. Grease/Sand
Z
s
�ing Tank
nlaoement
Bedr<..
�n tcP
O Rep
X
/��
l—
f
CO
(? Leach Line Sq. FL
Sidewall allowance
Install Line(s) R kxig ft wide with
Beach Bed sq. ft
trench area
R rook/ sq. IL
min. inches below drainlines or
of bott2)m area
per running n
-
y
Leachlines/bed special design for slope:
(3),Pit Diameter
No. Pits
Pit Below
Seepage Pit Total Depth
Over.
Applicable -
s'= `
Inlet (BI�
�� 0
Max. AlIVOle
N/A Overburden factor
epth.
U�
No. 2 Systefi X114 -
r,
REMARKS: R+�P-� •w'$'
>.
s
This a lira for is in a
'
e egory c e ve, e g the desi n o su u ispo sys as mdr
on t accompanied of plan, ing the requirements set forth in SECTION C above. A building permit is iecessary for. the installation of
Z
0
abov designed system. No construction, is permitted in the required reserved 100% exp nsion area.
�Ii Septic tank and sewer lines must be 50' minimum from any wells �o � h.
!`
Leach lines must be 100' minimum from any wells, including expansion rea S i.
3� Seepage pits must be minimu from any IIs, in luding a ansion ar -''—r-
'^mac —
nature of Health Official -KW C/V :� ate`a
RECEIPTNO. `' f� Issued By �CDate�—:f
DISTRICT: ❑ Riverside, Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE.- Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD: Plans/Records j
.`."'�'►�Y`yy�l"�'�Wil�'\_+N.,:�y.•y�"�rZr•'TT�t4�.�.,-+� "'Y",�
�' Gv DAILY
FIELD REPORT
i' No:
Job Name-: �. k
Project No.:5��Q C� �
ate-`
'Date-
Locationpp �
Location : ro Q
,/
Weather �f CA - i"DQ�
r
Day'
Contractor :
-
Foreman:
Field Technician
VAM
Miles :��' �
Hours 21
Equipment Working:
Insp,,ect.i.on / Tegting':�_'of
TestTest
Elevation
Soil
Optimum
Field
Max mum
Field
Rel.
Comp.
No.
� Location
or
Depth
Type
Moisture
Moi/suture
Density
Density
1
P/ct i .� lA(S,�C.�/ Li
Or G
IV
-
\4
V,
..
.. ,
f
�
Summary of f
Operations: Irr IE s'i �
1? .<t
�
/��S �r, "'i i4vftfI ` s�rke e% A)
-
}}
P-1 it-'_ '16 k�t.tf(`! �� I Ca !C_
�cJ �i
,�. ,
/c�1% 4t 0A) c�
�
�
-tin,
Supervisor Supervisor
Engineer:
f
Geologist:
Todays Yardage:
Yardage to Date:
. LEIGHTON and ASSOCIATES
0
17975 Sky Park Circle, Suite E,
Irvine, California 92714 Tel: (714) 5a6-1421 556-1422
IOOA (4.77)
WHITE — File Copy YELLOW — Client Copy PINK — Field Copy GOLD — Office Copy
N l
U ( R b1 f Ir f OF "' E. LE.)Nt51 ivxy
SIUNLR 0. WALLACE Ln
/GUN
AND X555 �`.t r rit�t1551U`EP.
'- CLE�IE�:1 Etf�VE`�IS(E
n kvL.161 ITS b.. N1EASUI ES
i�+ � `Iai•�, sc��En
49-013 Hwy 116., Suite 11—,12
Y9��1�"•�� (.o �c°he].ir� (;A 92236
g9
DAT E 2-2 -8$ CASE 128SRSI1- -3
...
DEVELOPER'S Pl11 E
nuDlzEss: 72--
7 S7 31 �✓ mow.--
TELE111 TUNE: (` / ) 3 Y.6 - r3 6 y
Dear Developer:
After reviewing your landsc"ping 1)Ians, all plant n3terial listed is t'Ot in
violation of yuarantilie.laws 'ywe:>>�►; icj the Coachella. Valley. if substitutions
do occur and`they differ from plaI1tµ I%4aterial listed, this office must" be notified
inur-diaLely.
Thank you for proLecting aiO pre serving the Coachella VaIle Y's fest-free enviroment.
Agricultural Cot IIIU.551 I is Uf [ice
cc: Indio and Riverside Office