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002542 (SFD)Building A,+4-.48-955 Fi Nirb TWif 4 4 Q" P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Owner H.L. . I&AS Mailing Address P.n. r1noc 1464 City Zip Tel. Iia Q nt�t 922$3 Contractor I.`C L�JaI.'312:St3C�:��Pf'1< 40-825 Ytv= Iam City , lZip I Tel. State Lic. I City & Classif. 35IM8 Lic. # 29 Arch.; Engr., Designer Address Tel. City IZip I State Lic. #•- LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Y r. r 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,Business and Professions Code: Any city or county which requires 'a permit to construct, atter, 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 ($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 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.) ❑ I, 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 contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Dale 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 (This section need not be completed if the permit is for one hundred dollars ($100) 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. If, 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 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. 1 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 applican Date . ' s Mailing Address City, State, Zip HARD COPY No. 002542 LDING: TYPE CONST. OCC. GRP. Number 631-321-003 I Description It* 93 fct Description AL -K lm fami1v AtaAllinm Sq. Ft. MG 2432 Size GAR 467 No. No. Dw. Stories Units New © Ad In Alter ❑ Repair ❑ Demolition ❑ Estimated valuation 1'642•00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 1,71.63 Const.3 Mech. 40.Sn- Electrical (11 IM111 Plumbing S.M.I. to _lei. Grading .7n,, on Driveway Enc. 20.00 Infrastructure 2.()gn.no TOTAL 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 Pe -14-N; Permit Validated by: Validation: A 6 2 1 7 8 19 3 3 6 L 5 5 ft _ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING hES IST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. _ BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. ® FORMS (SEWER OR SEPTIC A UGH WIRING /S 6� �/ C/ W MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® Ole GAS (ROUGH) METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CARP. SO. FT. ® GROUT WALL SO. FT. ® FINAL INSP. DRINKING FOUNTAIN SQ FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be used as property tax valuation FRAMING /O — b —,� FLOOR DRAIN MECHANICAL FEES � WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/a c SEWAGE DISPOSAL py6NSULATION/SOUND rp a SO.FT.GAR ® 3/4c HOUSE SEWER FINISH GRADING 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 GOND. SOLAR BACKGROUND � PLUMBING UNDERGROUND A.C. UNIT COLL, AREA SLAB GRADE ROUGH PLUMB. _ BONDING HEATING (ROUGH) STORAGE TANK FORMS (SEWER OR SEPTIC A UGH WIRING /S 6� �/ C/ W DUCT WORK ROCK STORAGE ?, OUND. REINF. Ole GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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 /O — b —,� FINAL INSP. y.-.00FINGOCC,� � �)<T /T�� Gc. 0, 7 /S YL �%- ? DEC 17 REMARKS: -VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH py6NSULATION/SOUND rp a FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS, GARDEN WALL FINAL L j? (X- p m w IN CL- /O- / (` a txjIEp o j o Desert Sands Unified School District N BERMUDA DUNES r RANCHO MIRAGE 82-879 HIGHWAY 111 O INDIO. CALIFORNIA 92201-5678 • (619) 347-8631 INDIAN WELLS N PALM DESERT -4 J` LA QUINTA �a �o INDIO ,' August 18, 1986 City ,of La ,Qui nta Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 Re: 48955 E1 Nido Gentlemen: The developer of the above referenced lot has mitigated i'ts impacts on our overcrowded sch.00ls'by payment of the amount of $628 per unit to be applied to the cost of district educational facilities made necessary by such new development. Sincerely, J rL I.: Vol ....,.�C, John D. Brooks Assistant Supe.ri'ntende.nt Business Services JDB/crm Mr. H. Lauren Lewis P.O. Box 850 Sioux Falls, South Dakota 57101 July 10, 1986 To Whom it May Concern:. I authorize Dan Edgar to act as my agent in regards to Lot # 93, La Quinta Golf Estates, Unit 1, map book 37, pages 96 through 98, of the Riverside County•Recorders Office. This authorization does not allow Mr. Edgar to make any sale of said lot or structure on said lot. Sincerel C H. Lauren Lewis z 0 U LLJ 0 To z O U W U) U z O U W U) COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 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 specifications required on the attached check list. A non-refundable filing fee oL..030 is required when the application is submitted. Check must be made payable to the County of Riverside. #3? Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) Co ,-v S` /` Mailing Address 1 5�O el'x S yv C -C.^ City State Zip Code Telephone jr 'Job Property Address 1C_,/V' /,/,P/,/,P9 L` /r//� 10 -of -of 'Cit } 74, 'Legal Description of Property. (Lot, PM, TR) Z07 .-q Gocr� 4I-r7,1_—el'r 'Assessor's Parcel No. oY,;mlp% F/%j�"F!ize (i(�(�(� Eaer'Agency Use of Permi J�Planning Case Hw SFO. MH �L Site Preparation Etc.!" Signature of AppI cwnt Date / /^ 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE ; )Initial) 'Date Certification of Existing S.D. System required. ❑ Yes 0l C _' WQCB Clearance required. " ❑ Yes No Soils feasibility report required. ❑ Yes -No.- Detailed boring report required. El Yes 'P - ,0�.'�No'' Detailed contour plot plans required. El Yes LJ Nom Staff Specialist approval required. ❑ Yes ,EI No Lot Inspection Date— Soils/boring report b / Project # Date i Approved by Date Soils Map Page Soil Typ*�J _ Type of System: v / El Existing Cil -New ElAdditional ❑ Replacement No. of Bedrooms W&MA4 Ji B4171 MA (1) Septic Tank -" S d 0 Gals. Soil Rate Required -2 V 3'.t- tj e-7�0 (2) Leach line sq. ft. (Bottom,trench area) Sidewall allowance -r lft�fo k/�'r -Sq. Ft. Install Line(s)—Ft. Long, 1Ftwide With. min' '_inches Leach bed Sq. Ft. of bo to per running ft N/A rock below drain es area _ Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit EM Seepage Pit total depth y0 Applicahlle `­!�— . N/A_ Overburden factor �6'` f Max. allowable depth T V ��% 1 ./ � � tom..... n � , � .r... .l ��i � F:'� ,ani •, ...��,•j _ (J/�//r/J A :�9.1! I7.r �>' , �•�(--1�;�/l yr,�, ,.. Y/t-1f'!'/_ chi /.! .,f ��^�-t•�, f� ev /liY(Y�4 / / - 10, This application,itapp ved/det3W.for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section B a ove. A building permit is r)ecessary for the installation of the above -designed system. AlI (1) Septic tank and sewer lines must be 50' from any wells 1/f0.• yt,Clj,,rrleP.y�C /`? 1 2� Leach lines be 100' from including f � must min. any wells ,a y""�{ expansionrarea (3) pits must be 150' min. from any wells including expansion area /Q„ >rrt � _ �" `r L"? ✓ /�eepaaage f/x-4" �. � !j� � I .rf:_ l.(�ttt��....[-<r.� Signature of Health Official "` F - Dates %0 If I :C �d RECEIPT NO.�9 Issued b Ls!!^- Date 2 96 T District: ❑ Riverside 0-1<o❑ Hemet / ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH SAN 122 (Rev. 2/86) ,