05334 (SFD)Building
Address 46-'51:5 ttOUDEL LN
Owner LW.U8 CONSTRUCTION
Mailin
Address 72-757 FRED WARINC $8
Cit Zi Tel
P.O. BOX 1504 N 0 , id *►'�
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
BUILDING: TYPE CONST. OCC: GRP.
A.P.'Number . ,627--1,01-008
y P
PX -DXSSV"i 92260 --tel, 53 3 Legal Description
Contractor Project Description SPS}
Address
City Zip Tel:
State Lic. City
& Classif. B-232366 Lic. # Sq. Ft. 2,077 No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑
Address Tel.
City Zip State
Lic. #
F . lq LICENSED CONTCTOR S DECLARATION
I hereby affirm that) aTjicensed under, rovisions of Cha-oteo (commencing with Section
7000) of Division 3 of the l§u9_! and Professions and my license is in full force and
effect /}°m&'�"�w UY°r Z'S f
SHINAT Ar !
OWNER -BUILDER DECLARATION '
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,13usirtess 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 1110 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 cad penalty of Trot 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 Contractors License Law does no appy to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such_inprovements are not intended or offered for sate. g, however, the budding
orimprovement is sold within one year of completion, the owner -budder wig have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to cor,
struct the project (Sec. 7044, Business and Professions Code: The Contractors License Law
does not appy to an owner of property who buBds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. 8 P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION/
1 hereby affirm that 1 have a certificate of consent to3belf-,insure, or a certificate of
Workers Compensation Insurance, or a certified copy.tliereof. (Sec=X3,800, Labor Code.)
Policy No. mpany �;z + f 7
❑ Copy is filed with the city_ ❑ Certified copy is hereby fumished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($700) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California
Date Owner
NOTICE TO APPLICANT. ff, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions of this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lenders Name
Lenders Address
This is a building permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certity that 1 have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-.
mentioned property for inspection purposes
Signature of applicant Date
Mailing Address
City, State, Zip
Estimated Valuation
121,29
PERMIT
AMOUNT
Plan Chk. Dep. 250.(YJ
Distances:
Plan Chk. Bal.
Front Setback from Center. Line
Const.
716.50
Mech.
t3.fJti
Electrical _ -
13F. 1.4
Plumbing
M.30—
S.M.I.
..k
Grading
Z0.00
Driveway Enc.
Z13.00
Infrastructure
2, 3864,60
, u-- a—u-1
TOTAL
jC ' it �, IS,
REMARKS
• '��'It'' �:'f��C�Z$�`S�`•�°i�'uif-�~�`.i,.'�''�',a1�s, a`f`�3 � :�
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
2/7/69
Issued by:
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. SQ. FT.
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
DUCT WORK
DRAINAGE PIPING
WALL SQ. FT.
DRINKING FOUNTAIN
SOFT ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
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
GRADING
cu. yd.
$ plus x$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FRAMING / FINAL INSP.
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SQ.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
I
Of
GROUND PLUMBING
' UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 51,10
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TVK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. R@W. S y
S (ROUGH
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) Z! i
EMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR. FINAL INSP. �// � {i
FRAMING / FINAL INSP.
ROOFING 'T (/
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING e)
MESH
INSULATION/SOUND "r
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FFNr:F FINAI
REMARKS:
SIGNATURES/INITIALS
GARDEN WALL FINAL
.__71T`, -71,W..11.1 nrPx,Yr r �.. 7.T'Vi, �ri'�•r1r e'.aF?wyn- jr-yr�f,.,� �rin`l,-:R. N
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH 8O'g Parcel No.
ENVIRONMENTAL HEALTH SERVICES 617 — 101; —',008,
PERMIT APPLICATION FOR SUBSURFACE SEWAGEDISPOSAL' 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'toahe'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 PLICATION LOG'*
Agent, Contractor, Contact Person
PhoneAddress
& Phone
Gerald J. Chazan, Inc. 619/340-5369
72-757 Fred Waring Dr., #8, P.D. 92260
"Gerald J. Chazan, Inc. 818
Re --7268
4 ��n �dWand Blvd.,, #101
CityState
Zip
Job Property Address
Legal Description Prop. (PM, Tract, Lot)
Gleud le �M
CA
91203
46-515 Roudel Lane
Lot #81 Tract 2667
Lo Size
88}x /38''�S/
�titer-4ency
UseofPermitP/P,CU,eta La Quinta
-j)Wd.V077
Other
Dwelling, MH Site rep, etc.
Jan. 5, 1989
riatuie'o
Date
,__CATEGORY:- REV CODE FEE
CATEGORY: REV CODE FEE
❑ SUURFACE DISPOSAL 1238 $45.00
❑ SITE EVALUATION UPON REQUEST 7349 $42.00
MULTIPLE PARCELS WrrHIN SAME
(NO PLOT PLAN)
LAND DIVISION
❑ SEWER/SEPTIC VERIFICATION 7348 $11.00
a. 1 at 4 Parcels (Each) 1238 .00
(Less than 1 year)
b. Each Parcel after 4 7344 $16.00
❑ PRELIMINARY ELECTIVE 7352 $45.00
❑ Rereview (2nd review same parcel) 7344 $16.00
EVALUATION (Attach DOH SAN 53)
❑ Site Evaluation in Conjunction with
❑ HOLDING TANK 7351 $45.00
Critical Area 7346 $86.00
❑ ALTERNATIVE/EXPERIMENTAL 7345 $13200
❑ Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft. 7347 $86.00
I IITIA DATE
Holding Tank Agreements Completed ❑ Yes 0 S
Certification•of Existing S.D. System Required ❑ Yes
WQCB Clearaance required. (Attach Form ❑ Yes 0
DOH SAN 007, Santa Ana Region Only)
Soils Percolation Report Required. ❑ Yes
Special Feasibility Boring Report Required. ❑ Yes No
Detailed Contour Plot Plans Required (1 to 5 n interval) ❑ Yes
Other ❑ Yes
Staff Specialist Lot Inspection Required ❑ Yesr No
Lot Inspection Date
Soils bong report by' /!'t- �`c -Project # Date - -
Soils Map -Page Soil Type QApgL by 4411,4— — Date - - -
No. of Systems
TypAl System(s)
No. Dwelling Units /1
(1) Septic Tank
Soil Rate, Grease/Sand
❑ 'Holding Tank ❑ Existing
i q1 O Replacement
Bedrooms �ixtrrre�Hnits:
o�
Intcp
Q02M� 3G�A1R/M4
Gal
Gal "
2k ) Leach Une Sq. Ft
Bottom trench
a Sidewall allowance
Install Line(s) n long wide '
Leach Bed sq. n .
area
'
n r« w sq. n
per running n
min. orchesclSpebw drafnlines or
om area
i
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below
Seepage Pit Total Depth
Other.
Applicable
�—
N/A`.\ � Overburden factor
�r
Inlet (BI)
// /
Max. Allowable�pePih
v
No. 2 System'.
r 0 G.
REMARKS: Idu
� [r
E
Thi i ton is V = or e ego�cfe�in�S O abo , reg r ing'the ign o u rfa isG as nidi t
o he accompanied p o Ian, using the requirements set forth in SECTION C above. A building permit i 6cessary: for the installation of th
above -designed system: No construction is permitted in the required reserved 100% expansion area.
n (1) Septic tank and sewer lines must be 50' minimum from any wells <i �U
7
Leach lines must be 100' minimum from any wells, including expansion rea 1 ,. J
Seepage from
3) pits must be 150' minimum any wells, including - pansio area
LSignature
of HealthOfficial w. - Date
RECEIPT NO. Q � Issued By Date � M
DISTRICT: ❑ Riverside, 01116dio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe /
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records
DATE 2- Z 7~ F2
DEVELOPER'S NAME:
ADDRESS:
of n(:F of E. LEON SrAUGN'
AGRICUL I URAL COMMISSIONM
nyU MMES 0 WALLACE
�SS;SU.Nt COMMISS10`EP.
MIGI ITS & MEASURES CLENIEV1 ALEE.`.vEM51E
sE.��n
49-613 Hwy 86, Suite 15-12
'Coached., CA 92236
619342-8291
2-
2
CASE W. �- Z-
wa,,A-�
•422
TELEPHONE:
�.-�-
Dear Developer: .4
After reviewing your landscaping plans, all plant r(vaterial listed is not in
violation of quarantine laws governutg the Coachella. Valley. if substitutions
do occur and they differ iron pla>>t materia]. listed, this office ntust be notified
imnediately.
Thank you for protecting and preserving the Coachella Valley's pest -free enviro:u»?nt.
W
Agricultural Connissi ( is Office
cc: Indio and Riverside Mice
DAILY FIELD REPORT No:
Job Name: C�azei UAze
Project No.:-Sblo
Date:(�L)
Location
a�d�l �-�
Weather: P. Lld
Da
Day:Y�,.
Contractor:
Foreman:
Field Technician:
Miles:
Hours: S
Equipment Working:
Test Test Elevation Soil Optimum
No. Location or Depth Type Moisture
In�spection / Testing of
e er
Field
Moisture
Maximum
Density
Field
Density
Rel.
Comp.
%
S _l CorAP-,-
�. 9
/06,3
Summary of
Operations:��rt-v iesF e,u.;� ��'��,
L
Vtu.>5w 0.dS t✓/l� L- �C�iS CGAf/1.
esu I+s a6o
Supervisor :
Engineer:
Geologist:
Todays Yardage:
Yardage to Date: -512
I LEIGHTON and ASSOCIATES "�
17975 Sky Park Circle, Suite E, Irvine, California 92714 Tel: (714) 556-1421 556-1422
IOOA (4.77)
WHITE — File Copy YELLOW — Client Copy PINK — Field Copy GOLD — Office Copy
AUG 09 '89 10:48 United Slater Gypsum Conapany
Wesurn Construction 1'roducts Region
Suite 1100
e 550 .North Brand Blvd.
Glendale, CA 91203-1901
818 956.1882 PAX (818) 240.4790
August 9, 1989
Mr. Thomas Hartung
City of La Quinta
Building Department
P.O. Box 1504
La Quinta, CA 92253
RE! Roudel Lane Homes/Chazen Construction
Dear Mr. Hartung,
It has come to my attention that a number of United States Gypsum
Company SHEETROCK Brand 5/8" Type X Firecode Gypsum Panels 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 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 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
the flying buttress
26 April 1989
CITY OF LA QUINTA
78105 Calle Estad
P. 0. Box 1504
La Quinta, CA 92253
Attention: City Engineer
Re: Lot 8, Tract 2667 MB 50/64-65
46-515 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 87.04 as compared to 87.00 as
shown on the approved grading plan.
These elevations are in substantial conformance with the
grading plan prepared by my firm..
Respectfully submitted,
brSE R. POELTLER, Inc.
THE FLYING BUTTRESS
Denise R. Poeltler
R.C.E. 33446
DRP/lm
CC: Chazan Construction
TFB # 88-361
72-757 Fred Waring Drive • Suite 5 • Polm Desert, California 92260 • (619) 346-5445