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003529 (SFD)r ^^ t P.O. BOX 1504 No. 003529 Building 78-105 CALLE ESTADO Address 51-300 Juarez LA QUINTA, CALIFORNIA 92253 Owner Mailing The P�'"'�'cock . - . Radaker cdrp. - ' ' BUILDING: TYPE CONST. OCC: GRP. Address 247 R. Tahanitz .Wa — shite #2 A.P.,Number 773-043-005 City Zip Tel. Palm Springs92262 �32ZjI02101, � Legal Description Contractor Project Description Sins le F=ily DW611in4 Starr Construction eau _ Address 247 E. Tahquitz NaY# Suite ,2- CityZip - Tel. Palm. Spr3.ug; 92262 a 322-142£ State Lic. City & Classif. 387934 Lic. #.bis_ _ Si et' - - .. No. Arch., Engr., . . Designer New ❑ Add ❑ Alter ❑ Address . Tel. Side Setback from Property Line FINAL DATE 242' of 60 City Zip State Lic: # 572t Saram Validated by: LICENSED CONTRACTOR'S DECLARATION _. Validation: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Sections 7000) of Division'3 of the Business and Professions Code, -and my license is in full force and effect. .{ y? ! . j . yd "� , SIGNATURE'r DATE OWNER -BUILDER DECLARATION' I hereby affirm that 1 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, 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, Chapter9 (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, Bulsness and Professions Code: The Contractor's License Law does not apply to an owner of property .who Estimated Valuation -a• PERMIT - Plan Chk. Dep. Plan Chk. Bal. COnSt. , builds of 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 Mech. . or improvement is sold within one year or completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) Electrical O 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 builds or improves thereon, and who contracts for • such projects with a contractors) licensed pursuant to the Contractor's License Law.) D I am exempt under Sec B S P C for this reason S.M,I. • - Grading No. Dw. Units Repair ❑ Demolition ❑ AMOUNT 250.00 " 320.50 Driveway Eno. Date Owner Infrastructure 1,167.28 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 O Copy is filed with the city. O Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS OtWORKERS' COMPENSATION INSURANCE (This section need not be completed i1 the permit is for one hundred dollars ($100) valuation or less.) f _ - -I . . I certify that in the performance of thg work for which this permit is issued, I shall not ) % i +'y�.�i 7 =`; •1'i3yt �y� •-�r� IV 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 ZONE: BY: - subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. - - r Front Setback from Center Line 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. 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 ateMailing Address City, State, Zip HARD COPY Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR. 12/18/87 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CARP. SO. FT. WALL SO. FT. ® SO FT @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation o FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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. SO. FT. ® c BATH TUB BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/ac HOUSE SEWER FINAL INSP. ROOFING r 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 I SETBACK GROUND PL MBING UNDERGROUND A.C. UNIT COLL. AREA ) SLAB GRADE / -7 o ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ORS I ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. AS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE I GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING (r n FINAL INSP. ROOFING r REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES TO: City of La Quinta Department of Commu6ity Development 78-105 Calle Estado NOTICE: La Quinta, CA 92253 DATE: THIS DOCUMENT CANNtOJ' BE DUPLICATE®, This is to certify.t at , developer of which is located at within this District, has path schoo acility fees imposed pursuant to the authority generat d by 53qvernment Code Section 53080 in the amount of $ 3? a7 So covering a total of A square feet of ( 1,4 -"residential or ( ) indus-trial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. fi 1 4-- UU 11 White - Building Department • Yellow f r DESERT SANDS OIFIED SCHOOL DISTRICT Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 OUL "S. 01181010 ret►. ....�.w....•,..... �,.,-.,,..T �.,1�q...�� i r • 1 e J1 J�.IAes mems "M WIS red wooMay wt Corporrtlon Orwd Deed .ww m... t,...weM w ......n.. w18...r tf. nd" w4 VM2m1m) dwarml� om.�Mr.1 wMefw rim 6 d1 M4 jb V 1 ) emmowd M all game of pwpwry we 19 w 1 1 wetped on idl twl" Immo odmm of lkem td mmmtiowes rrbly r owe el eds. ( ) Udmmwpwe2d we, 1 ) Chi of 0114 FOR A VALUANUt o0plSLRATM, twrmlpk mf dlri Is bwe1r mritww4o4p4. The Pomwdr#dmkw aoep e mrtpwwbe wptdwa Mir dw Imtw of 60 !nr d 0a1lfarnis Mnti GRANT$ w 1R Sgnitiae, UA.. A Califtgr 1a Lladted VWrtMr*0 as `1tewba bmwlbi nd rw•nr is d• city of L wints Risamsib, 1102 of colt wo", Soba Sr�10,12,v,14,15,16, and 17 of Mack 47, Unit lb. 4 of Santa Cnarllta at Vale L oimirltal, r pmc mW raoomd 4 in book 11. pop 62, of req, in the office of the realty Reonedes of said Riverside O1e1ty. lob 3,5,7,1,9,11,12,13,14,15 wd 19 of WA* 41. Obit Rb. 4 of Septa Carmelite at Vkla Lf omirlta, as per alp rc*:da1 in Rods 12, pegs 62, of asq, in the office of the Ommty Aeaoede- of Bald Riverside ow+ty. lob 3,4,6,9,11,14,15,20 22,23 and 24 of Black 49, Uhit Ro. 4 of Santa Caralita K Vale L Qdnta, se per rseo[d 4 in bock 11, page 62, of req, in the office of the aoillty Reoeeder of said Riverside Caakanty. 5• Wbram Vbmmed. wY ewpwrlme W mmewl lb Mrpwor um wd ad is be S&W Swan ed Ri Yerw Rwemmne Realw+en or ..� dna. Psmaiemnt We /rmdl-Mer amp. Aellclirrt —RAmygmew � r �� eeeetrM W► w COLM" OF •' h 5 R. freii.rm OnAM 33 Wn ..r PR•��••,. /Mlw� mmorM ver w w M tK±Sia No of at Vice � P.O. am 3650 rL ft" Ana, m 92703 Rw n'j �r.ee�� hwwe r ILeL terve r.M - ��1/MwwbeW tAm wemwd dw WiA m merrwww r We J r tem r tri w •• 9R lvllitiaa. Lm. wrr Iwtrwwrte pwwwt 2 hm ►ri*rwm w r termletlme d Ir P.O. am 3450 bmd of dbww . 101ta be, CL 92703 OUL "S. 01181010 ret►. ....�.w....•,..... �,.,-.,,..T �.,1�q...�� i r • 1 e J1 J�.IAes mems "M WIS red wooMay wt Corporrtlon Orwd Deed .ww m... t,...weM w ......n.. w18...r tf. nd" w4 VM2m1m) dwarml� om.�Mr.1 wMefw rim 6 d1 M4 jb V 1 ) emmowd M all game of pwpwry we 19 w 1 1 wetped on idl twl" Immo odmm of lkem td mmmtiowes rrbly r owe el eds. ( ) Udmmwpwe2d we, 1 ) Chi of 0114 FOR A VALUANUt o0plSLRATM, twrmlpk mf dlri Is bwe1r mritww4o4p4. The Pomwdr#dmkw aoep e mrtpwwbe wptdwa Mir dw Imtw of 60 !nr d 0a1lfarnis Mnti GRANT$ w 1R Sgnitiae, UA.. A Califtgr 1a Lladted VWrtMr*0 as `1tewba bmwlbi nd rw•nr is d• city of L wints Risamsib, 1102 of colt wo", Soba Sr�10,12,v,14,15,16, and 17 of Mack 47, Unit lb. 4 of Santa Cnarllta at Vale L oimirltal, r pmc mW raoomd 4 in book 11. pop 62, of req, in the office of the realty Reonedes of said Riverside O1e1ty. lob 3,5,7,1,9,11,12,13,14,15 wd 19 of WA* 41. Obit Rb. 4 of Septa Carmelite at Vkla Lf omirlta, as per alp rc*:da1 in Rods 12, pegs 62, of asq, in the office of the Ommty Aeaoede- of Bald Riverside ow+ty. lob 3,4,6,9,11,14,15,20 22,23 and 24 of Black 49, Uhit Ro. 4 of Santa Caralita K Vale L Qdnta, se per rseo[d 4 in bock 11, page 62, of req, in the office of the aoillty Reoeeder of said Riverside Caakanty. 5• Wbram Vbmmed. wY ewpwrlme W mmewl lb Mrpwor um wd ad is be S&W Swan ed Ri Yerw num OR beetworawl by A- � ..� dna. Psmaiemnt p Jme 2]. 1917 TI! Aellclirrt —RAmygmew STATS OF CAUPORMLA COLM" OF •' h 5 R. freii.rm OnAM 33 Wn •DwJA L. Oottington >r� /Mlw� mmorM ver w w M tK±Sia No of at Vice � Iymiw oWdnw w M 6@p wbe nt18nmW &e wltmiA lbe mw Rw n'j �r.ee�� hwwe r terve r.M - ��1/MwwbeW tAm wemwd dw WiA m merrwww r We d On brpndw 60 mewwrml O:rl�ul SFAS ANN L KING Mf mrYemeblpf M t2 the mwb 0 M two memad.h kAr � w NnCO wrr Iwtrwwrte pwwwt 2 hm ►ri*rwm w r termletlme d Ir NCHV`A CANNfit G'yJN1Y OUNIa bmd of dbww . w cep l.o O[i it iMO WIT"m ver Arai ~ 221. T knrr er Go as" wrwtr w ma VAR I -1 Z O U W U) ^u Z O H U w C0 N COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES,DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM 773 - C�3 - ovr (,oG 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 of $3P is required when the application is submitted. Check must be made payable to the County of Riverside. 'bio Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) a Mailing Address a-47. -W 7A__ff47A1J i Z l�R� S✓i/o e City Lai rti State r G.� Zip CodeTelephone ��'z21�2 322-11�� Job Property Address'Cit f/- 5W J 16' I,;Qdl rl R 00 f+°fmm *y— Z114 ail/ 41 7 X Legal Description of Property. (Lot, PM, TR) dcb,.a"p� Lei 1 25 /3Lv_ ,1.7 x/,01 'Assessor's Parcel No. 7;73-4:z)071 3 w Q�� (Water Agenc) iir' 63t• / Use of Permit!�Gtr+�LCCJf- "'Planning Case # Lot Size �r��L-4"� SFD, MH Site Preparation Etc. Signal r 01 Applicant 1 Date 'The information above must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date �-ti✓� Certification of Existing S.D. System required. ❑ Yes ❑ No �' / Z I –� .10 ,{ WQCB Clearance required. ❑ Yes ❑D No i Soils feasibility 1:1Yes report required. 2No,---' Detailed boring report required. ❑Yes D No Detailed contour plot plans required. ❑ Yes ,2No-- No-Staff StaffSpecialist approval required. ❑ Yes 0 No Lot Inspection Date Soils/boring report by dd Project # Date Soils Map Page //gr19 Soil Type aCApproved by -��� '`"` Date 13 - / r S Type of System: v " No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing l] New ❑ Additional E)Replacement 6PAAe yv t, 5100 Gals. (2) Leach line sq. ft. (Bottom trench area) Sidewall allowance ft. Ft. Install N__Line(s) Ft. Long, rr r Leach bed Sq. rock/.Sq. running ft. ©N Ft. wide v�ith,, in. inches below drain lines Ft. of bottom per rock area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth Applicable ----_=- N/AOverburden factor !i'' �[ 6'�� Max. allowable depth 1 � o.�a C%al�..s-c..-.� t 1%2� 1. �„� lam/-+ ,yC,,...G�-t_f�-.G► v' U� + /Jo.. /7a-c./ems 7l`+ r _ '�` /(.1-„`;Z� ^ ";f �r�,•a tC.F" / /' rG-J �' � {P�i,�3L� c. .A-�ur���.-"°--�'1�1,J� �(/'�i.-� �.�t ��c�. This applicationi' a proved#ne'n'red'for the designofa subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section B above. A building permit isnecessaryfor the installation of the above-designed� _system. 1 n, .. / y �- n.C.�iJ ' / C.V �+�n Septic tank and sewer lines must bef50 from an wells'Y/�J��.�,.,,,r„�,,,,,...,,,� o+4c-�..� 1 ,.� (2) Leach lines must be 100' min. from any wells including expansion area (3)` Seepag"e� pits must be 150' min. from any wells including -,expansion area. / !p � Signature of Health Official Date r RECEIPT NO. C:I< `%/ Issued by 16&Vl? V Date I-V 'A 1� District: E) Riverside ❑Indio El Hemet (]-Perris E) Rancho Calif. ❑Blythe V Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) 1 y A 8 pF \ J Q\ O v , ,qf qr9, 189 OFFICE OF AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES 49-613 Hwy 86, Suite B-12 Coachella, CA 92236 619-342-8291 E. LEON SPAUGY COMMIS90NER JAMES 0. WALLACE ASS:StANT COMMISSIONEP. CLEMENT BENVENISTE SEALER DATE / 2 — , % S = 9'7 CASE NO. 0 04 - DEVELOPER'S NAME: ADDRESS: TELEPHONE: 3 2 2 — l & 20 S-/ 300 Dear Developer: 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 from plant material listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. Agricultural Courniss)brfer's Office cc: Indio and Riverside Office