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05587 (SFD)Building 49--240 EL NIDD Address Owner 4 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Bud & Lois Buettner Mailingr r Addres ` f ti �._ ,:� f ' �. 1'� L L .., _� •L . City ti Zip Tel. r ; �7 Const. ♦ • 50 Contractor L.✓1`--r' Address.7 t ,. Cityi �' m - Zip Te y/ State Lia{ C _ f & Classif. ``� y >» ( City Lic. # Arcn., tngr., Designer Noon Sund Address Tel. ..P.O. Box 1575 619/564-'3363 City Zip State La :Quints 92253 LiC-# 013625 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chaptei 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.! / ;l �s.,�,,�^^ j 1 , f SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8usiness 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 Rte 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 civi penally of not more than rive hundred dollars (5500). ❑ 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. R, 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.) O 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 PropeM 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 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 i✓ ` ^ ❑ Copy is filed with the city. O Certified copy is hereby fumished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be cor pleted ff the permit is for one hundred dollars (E 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: ft, 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 pemut shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby 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. 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 No. UILDING: TYPE CONST. OCC. GRP.: .P. Number 631--342-r006 egal Description Lot 326 roject Description SPID 05587 Sq. Ft. No. No. Dw. Size 3037. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $237,964.06 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 085. 101 Const. ♦ • 50 Mech. 102 • 50 Electrical 191.32 Plumbing .1 • S.M.I. 16 • Grading 2U. U0 Driveway Enc. ZU • QV Infrastructure ♦ • TOTAL REMARKS fig 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 3/31/89Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING F 1ST FL. SQ. FT. ® $ UNITS COLL. AREA SLAB GRADE S OUGH PLUMB, YARD SPKLR SYSTEM 2ND FL SQ. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. SQ. FT. GAS (FINAL) �/ 'd(J ��% TEMP. POLE WALL SQ. FT. DRINKING FOUNTAIN. WATER HEATER SERVICE URINAL SO. FT. ® BOND BEAM ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. $' WATER PIPING NOTE: Not to be used as property tax valuation LUMBER GR. FLOOR DRAIN MECHANICAL FEES /L� WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM S.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 ® 11/4 c SEWAGE DISPOSAL INSULATION/SOUND SQ.FT.GAR ® 3/ac 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 COND. SOLAR _4 -A--- SETBACK A SETBACK GROUND PLU I G UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE S OUGH PLUMB, BONDING HEATING (ROUGH) STORAGE TANK FORMS "EWER OR SEPTICaheA/ UGH WIRIN 00,. DUCT WORK ROCK STORAGE FOUND. REINF.� T AS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) �/ 'd(J ��% TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. $' GRADING -cu. yd. plus x$ -$ LUMBER GR. FRAMING ROOFING VENTILATION /L� �/��� ( Q� C!� _ \0 a o �t REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH. INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL Building g _ O G� ArlttrPcs tel' • ty/ 4 4 Qght& P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Owner�b Mailing Address City I Zip ITel. Contractor State Lic.I City - & Classif. Lic. # Arch:, Engr., /O,0/4 8JN ,^ (� Designer � Address0, n _ v 1575 Tel. __ , I � City }/\ Zip State /.l a! 11 Alr%� Lic. LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section effect.. Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirin that 1 am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Busiress and Professions Code: Any city or county which requires a permit to construct, ager, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exe»pfion. Any tdolation of Section 7031.5 by any applicant for a permit subjects the appficant t0 a c" penalty of not more than rive 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 empkiyees, 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 o1 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 confracton(s) 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 (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 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: It. 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 shalt 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 taws 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 BUILDING DIVISION BUILDING: TYPE CONST. !/ OCC. GRP. A.P. Number (� 3— 3 T Z `— 0 0 Legal Description .�� D . ! 2 Project Description `I , � 0 , Sq. Ft. -23 -7 No. Size / Sto No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation vi Z3 7� t���✓ PERMIT AMOUNT Plan Chk. Dep. 5-0,0 p Chk. Bal. ,30CoPlan 57,30— nst. Const. Mech. 2 - Electrical Electrical g / Plumbing Z3-7 , p d S.M.I. 6- Grading Z-0. OO Driveway Enc. 2.0 , ma Infrastructure 2_0 TOTAL REMARKS O0SJA? 44 RQ1,)4 oz -,in -0c) 10 CASH 1 *TOTAL F 25W 00 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 Permit Validated by: Validation: CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING,.7* -7 UNITS BONDING HEATING (ROUGH) STORAGE TANK z 4 1ST FL. SQ. FT. ® ROUGH WIRING DUCT WORK ROCK STORAGE Z YARD SPKLtSYSTEN,� GAS (ROUGH) 2ND FL. SQ. FT. HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE q / 3-2-0 GROUT MOBILEHOME SVC. SERVICE FINAL INSP. BAR SINK — POR. SQ FT ® / GRADING cu. yd. $ plus—x$—=$ LUMBER GR. FINAL INSP. GAR. SO. FT. ®/ 00 '! POWER OUTLET' ROOFING ROOF DRAINS 46 REMARKS: VENTILATION DRAINAGE PIPING CAR P. SO. FT. ® FIREPLACE WALL SQ. Ff. ® SPARK ARRESTOR - GAR. FIREWALL DRINKING FOUNTAIN SQ. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ r FINISH GRADING WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSPECTION FLOOR DRAIN MECHANICAL FEES FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS WATER SOFTENER VENTSYSTEM FANS' EVAP.000L HOOD 3 Z SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY -� AIR HANDLING UNIT CFM KITCHEN SINK C>� ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET 2 COMPRESSOR 2 HP 3 POLE, TEMIPERM LAVATORY Z HEATING SYSTEM Z FORCED GRAVITY Z AMPERES SERV ENT -7 d 3 SHOWER BOILER B.T.U. SQ. FT. ®c BATH TUB SO. FT. ®c 2WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/. c SEWAGE DISPOSAL 6f — SQ.FT.GAR ® 3/ac 17 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE r PERMIT FEE DBL TOTAL FEES MICRO FEE MECHHO PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE Ito 2. �q I, 3st 2,31, °tv' STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB 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 APP./EQUIP. 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 FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES NOTICE; THIS DOCUMENT CANNC ` TO: City of LaWRiMPLICATED, DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 CA to This is to certify that �Cs2 developer of which is located at within this District, has paid school facility fees imposed pidrsuant to the au hor' y enera d by vernment ode S ct' 530 0 •n the amount qf/ $ i ( �j covering a total of square feet o ( ) tesid.n.tial or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. Com. -0- b ��� f), for DESERT SAN S•UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer - (10)-37 �"�"`�`•� ya`,+r�-� � ...•' � L�`!'r� °�""� �' �t � �.Z, ,. i %t[.r, v. _,,�y� . -x ��y"'p�`..',5 "" "�lf-��r � ^,r . r `<r '��`„ v Q Z 0 W V) M Z O H U W V) T 0 Z O H U W to COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH10� AssessorsParcelNo. -3 2 — 006 ENVIRONMENTAL HEALTH SERVICES PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Appkicant: 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 8 SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG* Agent gCont ctor, Coptact Person Phone Address & Phone :55 %� 1��✓2-- hone ing Address SIT / 07 LCA a t'Z C c ,� /State Zip G Job Property dress `4 !lagel pescriptan Prop. (PM, Trect Lot) 7`�" C.✓f' / ��� � 200 EL �Id Q Lot Size Water Agency/Well Use of Permit P/P, CU, etc. Other t I `� �° •" 160' well$ , MH Site Prep, etc. �I't7 S15 'bate Sig re of Apt CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE a SUBSURFACE DISPOSAL 1238 $45.00 ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DMSION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 a. 1 at 4 Parcels (Each) 1238 $45.00 (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 INITIAL DATE Holding Tank Agreements Completed ❑ Yes No Certification of Existing S.D. System Required ❑ Yes No WQCB Clearance required. (Attach Form ❑ Yes No DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes No Special Feasibility Boring Report Required. ❑ Yes No Detailed Contour Plot Plans Required (1 to 5 ft interval) ❑ Yes No Otter ❑ Yes No Staff Specialist Lot Inspection Required ❑ Yes No Lot Inspection Date Soils boring report by rCi �� Project Date Soils Map Page - Soll Type S /1" Approved by Date No. of Syslams Type of System(s) No__Dweliing Unita (1) Septic Tank Soil Rate Grease/Sand ❑ Ho ding Tank ❑ Existing �roome, xture Units Iniap N L g�� ❑ Replacement -3 M 4)': �p C�0 / q./"P/Grease /' / Gal ✓ Gal (2) Leach Line Sq. Ft '� Skiewall allowance Install Llne(s) ft song R wide with Leach Bed sq. ft Bottom trench area — It. rock/_ s4 fl pef Nrml min. inches rO . /M drahll'u>ae or / of bcpwr6ea ❑ .NA kirk leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth Other. Applicable 1-1 Inlet (BI) if -3 ' Max. Allowable Depth N/A rden factor 115 &-16 0 "`� k 4o' No. 2 System REMARKS: This application is APP OVEN ENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accomp�, using the requirements set 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. C( Septic tank and sewer lines must be 50' minimum from any wells Leach lines must be 100' minimum from any wells, including expansion area (3), Seepage pits must be minimum from any wells, includi expansion area %1 � J � v — f Signature of Health Official �b'�� Date RECEIPT NO. �_ 2 2 Issued By 'S'K Date P DISTRICT: ❑ Riverside, t- radio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records La Quinta Golf Estates Community Association P. O. Box 162 La Quinta, Ca 92233 619/564-2177 April 14, 1989 CITY OF LA QUINTA Plannin Department P. 0. Box 1504 La Quinta Ca 92253 RE: Architectural Committee Approval New Construction - Lot #126 MR. & MRS. M. B. BUETTNER Gentlemen: The Architectural Committee of La Quinta Golf Estates Community Associ- ation has reviewed the plans submitted for above referenced residence. The Committee has approved these plans and the contractor, Tom Kennedy, has signed the necessary Indemnity Agreement and has deposited with the Association the required fees. If you have any questions, please contact me. Sincerely, WILLIAM 0. THAGARD Architectural Committee WOT/at cc: Mr. & Mrs. M. B. Buettner Tom Kennedy Construction