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05331 (SFD)4 Qubd . P.O. BOX 1504 N o • 05331 Building 46-541 ROUDn M LA QUINTA, CALIFORNIA92253 Address Owner CHAZAN CONMUC ION Mailing BUILDING: TYPE CONST. OCC: GRP. Address 72-757 FRED 13'AR111-G #8 617-101-009 A.P. Number City Zip Tel. PAW DES 922+0 340-5369 Legal Description Contractor SFD SME Project Description Address City Zip Tela State Lic. City & Classif. B--232366 Lic. # Sq. Ft. 2341 No. No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # ,f 14CENSED CONTRACTOWS DECLARATION I hereby affirm that I a1n-licensed under provisions,of Ch 9 (commencing with Section e7000) of Div`ision,3 of the Businessd P i�ode�o y license is in full force and SIGNATURE " / �" DATE OWNEWBUILDER DECLARATION Estimated Valuation 1 hereby affirm that I am exempt from the Contractor's License Law for the following 133,272 reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a Permit to construct, after, improve, dernoish'or repair any structure, prior to its issuance also requires the applicant for such permit to Ne a signed statement that he is licensed pursuant to PERMIT AMOUNT 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 Plan Chk. Dep.•V subjects the applicant to a civil penally of not more than five hundred dollars ($500). - • ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.��� • Prolessions 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, Mech. • provided that such•nprovements are not intended or offered for sale. If, however, the building or improvement is said within one year of completion, the owner -builder will have the burdenElectrical 0•5 Of proving that he did not build or improve for the purpose of safe.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing • struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buids or improves thereon, and who contracts for S.M.I. 9.10 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ❑ I am exempt under Sec. R. S P.C. for this reason Driveway Enc. 20.00 Date owner Infrastructure l s • WORKERS' COMPENSATION DECLARATION FRINGE—TOM) FEE 1:3i. au 1 hereby affirm that I have a certificate of cone f to sell -insure, or a certificate of Worker's Compensation Insurance, or a cerlified,cGI*tl)ereof. (Se " 3800, Labor Code.) Policy No Company ~�f • • • ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (ibis section need not be completed ff the permit is for one hundred dollars ($100) valuation f J t f (} or less.) I certify that in the performance of thg work for which this permit is issued, I shall not 11 employ any pperson in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: It, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, CW Code.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR 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. 2%7%$9 1 certity that I have read this application and state that the above information is correct. Issued by: Date Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE L111 2ND FL. SQ. FT. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. I SQ. FT. GAS (ROUGH) R LOOP DRAINAGE PIPING WALL SO. FT. OTHER APPJEQUIP. DRINKING FOUNTAIN. SO. FT. ® 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 -711 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED C•��� ©� / � � � �✓�� / LAUNDRY TRAY AIR HANDLING UNIT CFM REMARKS: 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 SQ. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SQ.FT.GAR ® 3/+c HOUSE SEWER MESH 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 PLUMBI G NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE L111 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SE N GH WIRING DUCT WORK ROCK STORAGE FOUND.i±�3Qr (� GAS (ROUGH) R LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) /�y P�j MP. POLE `` �� GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP." /� p FRAMING -711 FINAL INSP. ROOFING aQiQ C•��� ©� / � � � �✓�� / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING U l V (/ !LO MESH INSULATION/SOUND % 1Q FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF QA MOTILp E. T Rei SCHOOL FACILITY FEES QA �urAENT CANNOT � TO: City of La Quinta ` DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 A19 a-3 / , This is to certify that QIL developer of ,QA which is located at -,within this District, has paid s hool acili y fees imposed pursuant to the aut ority genera o by Government Code ectio5► 53 80 i th am unt of $ � ( y -O y ��7, covering a tota1—o U square feet of( ) re i ential or ( ) industrial/commercial development and that buil ing permits for this footage in this development may now be issued by your jurisdiction. gog7 ak,�:�Igml for DESERT 9ANDS UNIFIED SCHOOL DISTRICT 1 �' 100 c g30/4 White - Building DepartmentYell O- Facilities Planning • Pink - Accounting • Gold - Developer 0 1 2 (10)-37 rr }7t�r ::, s� yLr�..:�: n ii.+ gR TY `f�l+� c T.wv► .•(.+.`�: �f �y l�` a�. W i COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES 617—. 101 - 009 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 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' # Agent, Contractor, Contact Person Phone Address & Phone Gerald J. Chazan, Inc. 619340-5369 72-757 Fred Waring Dr., #8, P.D. 92260 Owner Phone Mailing Address Gerald J. Chazan, Inc. 8181246-7268 431 N. Brand Blvd., 4101 city State Zip Job Property Address Legal Description Prop. (PM, Tract, Lot) Glend le I CA 91203 46-541 Roudel Lane Lot #9, Tract 2667 Lot Siz e ater Agenc Use of Permit P/P, CU, etc. La Quinta Other / 1a3 x Of/ well' MH de Prep, 11tcla Jan. 5, 1289 lure of App Date CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE ❑ SUBSURFACE DISPOSAL 1238 $45.00 ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 ' f O MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11-:00 a 1 at 4 Parcels (Each) 1238 $45. _ (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 Conjunctiori with ❑ HOLDING TANK - 7351 $45.00 Critical Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $132.00 ❑ She Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. y 7347 $86.00 r � NITIA _ DATE Holding k Agreements Completed ❑Yes No� Certification of Existing S.D. System Required ❑ Yes O:NoR WQCB Clearance required. (Attach Form ❑ Yes 0 ' o DOH SA 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes Specie! Fea>bflity, Boring Report Required. ❑ Yes Detailed Contour Plot Plans Required (1 to 5 It. interval) ❑ Yes Other 1 ❑ Yes(/ Staff Special Lot Inspection Required ❑ Yes es No Lot Inspection Date Sills boring repot by v # Date � f'- ti 3 r t'= m �� Type '; ' r Soils Map Page r : Sal f . ed by / Date No. of Systema '40 of Systems) No. Dwelling Units (1) Septic Tank Soil Rate Grease/Sand ❑ Holding Tank ❑ Existing M -1 46w ❑ Replacement Bedroom/ns,44xtq�loKa 901 /t f 4:E0& Intcp e (2) h Line Sq. Ft Sidewall allowance Install Line(s) R long wide wdvLeach Bed sq. ft trench area R rock/ sq. ft min. ux hes below drelnlines or ", o_ per running ft / Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth �a Oth r. Applicable1T / , / Inlet (BI) T N/A Overburden factor 8 ,�{/- — a o Max. Allowable 9epth �'No. 2 System ,4 O REMARKS:Z51A__R �j C, DGlr / Fa , Thi a i ti n APP V o e t dry- ch ked in 5 ' abo e` �rel�ar e e as � su ac i %; sys a as mdicat on the a • mpanie pfo pan`, using the requirements t 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. 1) Septic tank and sewer lines must be 50' minimum from any well Leach lines must be 100' minimum from any wells, including expansio rea y g pension ar - • •-- Seepage pits must 150' minimum from an wells, includi "Awi nature of Health Offici Gf 26 Dat 5 9 RECEIPT NO. D0� ! rf&,= Issued By Date DISTRICT: ❑ Riverside, Ul lndio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records r DATE 2- 2 7- 89 ,0 DEVELOPER'S [IN14E: off It.1 Of AGRICUL'I URAL- CUti1MISSIONLR AN 1.) WLIGI ITS b. MEASURLS 49-613 Hwy 86, Sulte 11-12 Coachella, CA 92236 619-342-8291 E. LEON SPAUGY CO'•���IS �IO'.E� JAMES O WALLACE AISS;S;ANI (?)MMMIONEP CLEMEV1 SE`.VENISIE SLALEn CASE W. (Z99RS122--7 �Lf ADDRESS: . �2-— % :!-7 �✓ "`s _ A -4 7 Z K TELEPHONE: Dear Developer: .4 After reviewing your landscaping plans, all plant material. listed is not in violation of quarantine laws governing the Coachella. Valley. If substitutions do occur and they differ frrmi plant material listed, this office must be notified ijimediately. Thai* you for protecti_fig and preserving the Coachella Valley's pest -free enviroment. Agricultural Cainiissi r i s OC F ice cc: Indio and Riverside office the flying buttress 27 April 1989 CITY OF LA QUINTA 78105 Calle Estad P. 0. Box 1504 La Quinta, CA 92253 Attention: City Engineer Re: Lot 9, Tract 2667 MB 50/64-65 46-541 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 82.65 as compared to 82.70 as shown on the approved grading plan. These elevations are in substantial conformance with the grading plan prepared by my firm. Respectfully submitted, DENISE R. POELTLER, Inc. THE FLYING BUTTRESS Denise R.t Poeltler R.C.E. 33446 DRP/lm CC: Chazan Construction TFB # 88-362 72-757 Fred Waring Drive a Suite 5 • Palm Desert, California 92260 • (619) 346-5445 United States Gypsum Company Western Construction Products Region 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 Building Department 9�$9 P.O. Box 1504 CITY UI- LA QUINTA La Qu i nt a , CA 92253 aLAWNC & DEVELQPME* NT DEPT 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 USG Corporation 100A (4.7T) WHITE — File Copy YELLOW — Client Copy PINK — Field Copy GOLD — Office Copy DAILY FIELD REPORT No: Job Name:G Z� G Project No.: 5�����9 (3 Date: (-.25-81 Location: L04 Weather: Day: Contractor : Foreman: Field Technician: Miles : Hours:/ Equipment Working: Inspection//Testing of NG ,SQ P 4. d Test No. Test Location Elevation or Depth Soil Type Optimum Moisture Field Moisture Maximum Density Field Density Rel. Comp. s � �s �� F s ►3.s 3. ��� Z- qz 1 / 4 1/4 G S Summary of Operations: �1 � �V0- r,,\ SID 4qJ i 5 l_ch., /I q CAi 10 I S OU'Ap- ( i vc C-Ovvn a care, iNtS-2 4 ell1 S e S v' av-, D a Il' u"\ C ea s -�e�, F� t Supervisor ngineer : Geologist Todays Y�dage: Yardage to Date: LEIGHTON and ASSOCIATES 17975 Sky Park Circle, Suite E, Irvine, California 92714 Tel: (714) 556-1421 556-1422 100A (4.7T) WHITE — File Copy YELLOW — Client Copy PINK — Field Copy GOLD — Office Copy