Loading...
06235 (SFD)Building Arttlracc 78-625 $agu ir0 Owner Tamco Di aopamt Inc. Address P. 0. Box 4694 City Zip Palm Iie8E)K' ' Contractor Address State Lic. & Classif. 379468 Arch., Engr., Designer City Zip P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Tel. Tel: City Lic. # 120 Tel. ZipIState Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section -N%! 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. _SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to 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 subjects the applicant to a civil penalty of not more than five hundred dollars (5500). 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 bullds or= thereon and 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 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 sale.) ❑ 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 builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. 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 Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is.filed with the city.. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE I'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, l shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California- Date---L-Owner aliforniaDate Owner NOTICE TO APPLICANT: d, 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 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.) Lender's Name Lender's 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 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 Dale' Mailing Address City, State, Zip BUILDING: TYPE CONST No. 06235 OCC: GRP. .P. Number 617-383-012 Legal Description Project Description Validation: Sq. Ft. 1.36$3 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $78,849 PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. 221..35 Const. 545.00 Mech. 51.50 Electrical 1}6,70 Plumbing 166.50 S. M.I. 5.53 Grading 20.00 Driveway Enc. 20.00 Infrastructure 1,735.85 rri :e-T®ed Lia rd 68.87 TOTAL $3,193.30 REMARKS:,I 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 DATEINSPEfCTOR 8/29! a9 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS r LAB GRADE ROUGH PLUMB. BONDING ;ARD SPKLR SYSTEM 2ND FL. SO. FT. 0 FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. ® GROUT WATER HEATER WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN. BOND BEAM WATER SYSTEM URINAL SO FT ® =$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. 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(AUTOXDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM 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 ® 11/. c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic 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'�� ROUND PLUMBIN /s UNDERGROUND A.C. UNIT COLL. AREA r LAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. 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. FRAMING -12-clel FINAL INSP. ROOFING _ h-�' j g j I ` J O A, J p 6 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL t6THING MESH INSULATION/SOUNyl'06;Aj– –OtC� FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL A- i 4p- P.O. Box 1504 APPLICATION ONLY Building78-105 CALLE ESTADO Address 7�f LA QUINTA, CALIFORNIA 92253 -:-/ 4 It. - 722.`1 lye Contractor., f- ":•I X- City 7 zjo_- Tel-' City---- & Classif. Lic. # Arch, EngrJ Designer IR 0 Address City Zip State LIC. # UCENISEDCONTRACTOWSDECLARATION;­ I hereby affirm that I am licinsed under provislorisj of Chap(commencing with Section 70p0j ofDIvIslorill of tWBustriess arid Professions 4_and my license p Is In full fored and --OWNEWSUILDER DECLARATION I hereby that I am exempt from the Contractors Ucense,'Lw for the following 7031 5,13usiness and Professions Code: Any'cily or county ~ requires a dwwfisftj•or repair -y,6&ucb" _pdor4o,fts issuance also._. to pie 8_100ned statement that -he is licensed pursuant-to— the proftions of the Contractoes License Law, Chapter9 w1th Section 7000) 0. QHslon 3 of ft Business and Professions code, or that. he ft --V, Merefrom. and the basls alleged ex4WSon.--Ahy vbAklcin -of'Sec7f6i7031.5 -by any -4pilkant'-lbr a -pe-W_ penalty of not more Man rim hundred dollars ($500). -- 04, asowner-of-the property, or my employees with.vgagesasthelfsofe.compansatioNAvill— do the work, and the structure Is . not Intended or offered for sale. (See. 7044, Suftness and Professions License Low does not apply,to an owner of property who -btillft,or -who -does - such work•hknsaff or -through -his own awpbyeas.— Intermlad or offered for safe. (/,'however, the building r"W=T7 of completion, the owner-bulider will have the burdeWEO —ofpn)v*WUW he did not bid or lip vve-for the popos& ofsalle.1- r of _g.,.a9,:mer the property, am exclusively contractln%,W licensed contractors to con, The Contractors License Law does not apply to an owner of Property who 6511IT-or 11,60 os tfi6i8&,_ aped 'WO _0onffa&i-AW— such prqbcts with a contractor(s) licensed pursuard to the Conbactorl; License Law.) d V@W-exempt —under'S-eic Data Owner WORKERS' COMPENSA COMPENSATION DECLARATION Aeraby=affirm-that. I -have a certificate of,consent to -self -Insure, or a certificate of -- Workers Compensation Insurance, or a certified copy thitweat. (Sec. 3800, Labor Code.) PoIk;YNQ=======rompany—_-- Q_Copy fa filed with the city- 0 Certified copy Is hereby furnished. -- CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE or Am-need-Abt-W-ionptefed-If ine'-pm-Triff-ft-for one hundred dollars ($100) vatuation .) . t I*CerUty that-In'the-performance of ttV work-for,which, this permit is Issued, I shall not employ any pBf3O11 in any manner so as to become subject to the Workers' Compensation Data ,Owner A0077CE - TO - APMJCANr.- lf,'-after making -this Cardficale-of Exerrpthn you should became subject to the Workers' Compensation provisions of ft Lebon Code, you must "with compily with such provisions or this permit shall be deemed revoked CONSTRUCTION LENDING AGENCY Ithat them Is a construction lending agency for the performance of the work for which this permit Is issued. (Sec. 3097, CM Code.) Lenders Lenders Address Tfils Is a building permit When propiprly 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 c with aIth all city and county ordinances ano elate laws relating to building m constructi!MAPauthorize representatives of this city to enter the above- mentioned property for Inspection purposes. Signature of applicant —Date - Mailing Add City, State, Zip IILDING: TYPE CONST.—OCC. GRP. P. Number- 4�1 Z_ gal Description 1- J Diect Description- 5. 15 d. 'Size - I -L__) -Stories ---Units 'New O-f--7Add 0---- -''Alter,O--Re'p�.iirr-Ek----D�e�molition-0 ZONE. BY: Minimum Setback Distances: Front Setback from Center Lin 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: Estirfiatel:I'Valuatlon­ --plan-Chk. Dep.---- D Chk. Bal. "Const. `Electrical ,:J,I?,),uMbing Driveway Eric. InfrjjS—trUCtjjie7-'7-_— TOTAL O REMARKS 009182 10 753P OA -27-:A9 ZONE. BY: Minimum Setback Distances: Front Setback from Center Lin 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: n } <<. Desert Sands Unified School District ti•S ``, CERTIFICATION OF PAYMENT a OF - SCHOOL FACILITY FEES - .. ":D T0: City of La Quinta DATE: g/7/ Department of Community Development= +'" ; 78-105 Calle Estado 't ' La Quna CA 92253 - } itNOTICE: -HIS �������I�T C�1i�Rl�� . _l r• • �E V V LICATE®( v `._.. This is to certify that _ 'T developer of �( which 'located. at. — rL�O.L within j this District, has paid sch:ol facility fees imposed pursuant to the 'f .' .'authority generated by G vernment Code Section 53080 in the amount of covering a total of square feet of (x) r sidential or r industrial/commercial development and that'building permits for. this foJ/oltage in this development may now be issued by your. jurisdict, for DESERT SANDS UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 . µ rte. MST RECEIPT NOW—' �*Issued By Date ` l I' DISTRICT:' ❑, Riverside, p<haio . Eft`jHemet 'J7 Perris, ❑ Rancho Calif. ❑Blythe " "` i i DOH SAN -122 (Revue. 5/88). DISTRIBUTION: WHITE - Office file T YELLOW -Applicant PINK ; Bldg. Dept ~ GOLDENROD - Plans/Records P. COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH IV `Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES ,� a — ' PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM,-' .r.• 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 IisL A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of k • 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 A SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'* z - Agen� Contractor, Contact Person 'Phone -'Address a Phone -, r- AVL- G - mbss LU Owner Phone Mailing Address City. State 0 -Zip Jo pert Address �/%� / Legal Description Prop. (PM, Tract, Lot) PAt.m FSE T CA.-- 9276.1. Lo—r III . 1Dr_VW_T CLUM AlAtJOIL Lot Size ter Agent Use of Permit P/P, Cg atc..-4.1 0 cr� Other 100/P ell eic. Signature of Applicant - J Date CATEGORY:, .- REV CODE FEE - CATEGORY: REV CODE FEE SUBSURFACE DISPOSAL 1238$45.00 • s �0 SITE EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME -�- *' (NO PLOT PLAN) m LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 fp a . 1 st 4 Parcels (Each) 1238 $45.00 (Less than 1 year) H 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 SAN 53) . ❑ ' Site Evaluation in Conjunction with v - .. ❑ HOLDING TANK 7351 $45.00 Crttk:al Area 7346 'T, $86.00 ❑ ALTERNATIVE/EXPERIMENTAL • 7345 5 $13200 ❑ Site Evaluation Lot Less than , SYSTEM 10,000 Sq. Ft. • 7347 $86.00 INITIAL DATE Holding Tank Agreements Completed ❑ -YesNo ' Certification of Existing S.D. System Required - ❑Yes - WQCB Clearance required. (Attach Form ❑ Yes DOH SAN 007, Santa'Ana Region Only) ' Solis Percolation Report Required. ❑ Yes 1 ---,�_ Special Fe sibility Boring Report Required. , ,4/ , . �J ❑ Yes r Ft O Detailed -Contour Pbt,Plans Required (],to 5 ft; interval), ❑ Yes O ;Specialist ,Lot Staff Inspection Required'' ❑ Yes l7 Nof 1 k t, • + ) 1 Lot -Inspection Date ti. � '' Soils boring report by Rroject# Date Soils Map Page .Soil .Type41 Approved by t' Date 06 w U No. of Sysl ins a " Type (Syatem(s) Na Dwelling Unita I (1) Septi Tank Soil Rate .\ Qrease/Sand *Z • Q / ' /1 ❑ Hglding Tank ❑'F_xiattng . 'New ❑ Replacement ' Bedrooms erdnUa � � G'%9ese IntCp E ,r ,Q.D2m. D. WGal IA --L L� 4 _ I _ al. r< W i (2�Leach Line Sq. Ft �: Sidewall allowance Irk Linea) R long R wide with U Leach Bed sq. R i- trench area . rock/ ft sq. It per running min. �roc�k below drainrnes or °��of urea �� Leachlines/bed special design for slope: Appl'icaMe (3) Pit Diameter No. Pits on Below dw G(BI) ' 1, Seepage Pit Tojal Depth *0 • // � Ih '6 / Max. Allowable/Depth N/A 'I Overburden factor -,,N/A No. 2 System A REMARKS:." r. N This application i APPROVED ,^ IrlIES for the' category checked in SECTION'B above, regarding the design of a subsurface disposal system as indicated f 0 on •the accompan plo plan, using the requirements set forth, in SECTION C above. A building permit isnecessary for the installation of the Oabove -designed system: _INo construction is permitted in the required reserved 100% expansion area. : U W (1 Septile tank and sewer lines must be 50' minimum from any,wells,Off /0 w.... .Leach lines must be 100' minimum from any wells, including expansion rea• / (3 Seepage pits must be 50' minimum from any wells, including expansionlareaCZi/(2 �0 S- t� , Sr nature of Health Official Date RECEIPT NOW—' �*Issued By Date ` l I' DISTRICT:' ❑, Riverside, p<haio . Eft`jHemet 'J7 Perris, ❑ Rancho Calif. ❑Blythe " "` i i DOH SAN -122 (Revue. 5/88). DISTRIBUTION: WHITE - Office file T YELLOW -Applicant PINK ; Bldg. Dept ~ GOLDENROD - Plans/Records P. ME U lEvr+Sent;ry co ru. ur. cn fi array .F �Ih1.I551U1.ILll y o V,AtLA(. . 07 n6l'11U;L`9TUIll11 LU �n. irs i�1pANA) �ss�S���l�,►•.ru�snrLa ' M I.LE IUNI nF.`VEhIS1E BVI It;l lI5 ti hlLl\SUItLS J~ ,, s��un v -. _/t� 6`LJ. Ilwy �116� �l1�tEce 11 IP"I _ ., .. t:�s(a t t � • x/lam 7S 7 � � � ( / f� / � DUE DEV CLA1'Clt'S 11111i�t ~ . CO (--JC-LO.M:.C.. AUUIWS5't O ;Qti t}:EQ 9 ,m A scle,r. FCS _ zu �'rt,t;hltUw�� t bl� l 3�0 � 146 War Wveluperl Atter revlewlnq.your. lali(15CJI)i;l,l�� 110I1'3� flll I11f11Yt llt3keCi�1 liSlCdsubsMutluns violf�tivll cif: yuar�i;tinP air.O►s cluveiiiinq ll�e t_vacllell� Velle:y. 1 do occur cud they t11Efie;r [tciii �ilailk n►�lellftl� `11s'leJ, lllls dCice nlusl tie IlotiFiecl 1 `and it esetvit►y ll►e Cv cltella; Valley's l�eSU. Elee eflvirotn�flt. '1'llat k you lvr ptvtectL y. Lo 7 /l2 .pC-SES: cLU6 In.4A/d& . '1lgrlcuJ.teura3. Gcaiit�ssiwrier s;�V [lce. , cc$ Indio, Farad' iaverslde- u[,[ ice •