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002778 (SFD)44 P.O. BOX 1504 No. 0 0 277 8 Building 53-5195 � 5 AJia 78-105 CA -LE ESTADO` Address LA QUINTA, CALIFORNIA 92253 Mailing Address City . � Zip [Te' - Contractor I Address 33 255 Date Palm Drive City . _.. Zip Tel.-. . State Lic. & Classif. 322460 Arch:, Engr., - Designer Address ICity Lic. # UILDING: TYPE CONST. • OCC: GRP. -- .P. Number. 774-103-016 egal Description ICt 4 roject Description family dwellim Sq. Ft. = 1493 Size . .. G . 460 -New Cac tux Add 0 M 200 No. No. Dw. Stories Units Alter ❑. Repair ❑ Demolition ❑ Tel. M axIlstruftim Of gE tym sh&U bo City Zip State Lic. # _ LICENSED CONTRACTOR'S DECLARATION l:i3 s 1 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. . ...... 11RE DATE OWNER -BUILDER DECLARATION' Stlmatl?d Valuation .}� +� I hereby affirm that I amexempt from the Contractors License Law for the following K7�g1��iid reason: (Sec. 7031.5,Business and Professions Code: Any .city or .county which requires a g� perm8 to construct, alter, improve, demolish, or repair any structure; prior to its issuance. also n requires the applicant forsuch permit to rile a signedzstatement that he is licensed pursuant to PERMIT - 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 7s exempt therefrom, and the basis for the alleged exemption. Any. violation of Section 7031.5 by 'any applicant for a permit - Plan Chk. Dep.. '230.00 t 1� ia♦ �—• ' subjects the applicant to a civil penalty of not more than five 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. If, however, ,the building - Plan Chk. Bal.. COr1St. Mech. ^ Electrical 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.) Plumbing ❑ 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 S.M.I. - 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.) - .❑ I am exempt under Sec: B. 8 P.C. for this reason Grading Driveway Enc. - Date Owner+� % 1.h - l 1 /�� --� Infrastructure Laws of California. 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.) NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become Policy No. Company ' - - BY: ❑ Copy is filed with the city. Q, Certified copy is hereby furnished.. . Minimum Setback Distances: - . TOTAL AMOUNT 302.00 36.50 76.73 93.40 5.78 20.0 20.00 1„214.39 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE ". ' (This section need not be completed if the permit is *for one hundred dollars (S 100)'valuation ^ or less.). _ ... I certify that in the performance of thg work for which this permit is issued, I shall not- - employ any persou� n 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 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, Civil 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 it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. Issued by: Date 1 23. 86Permit 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: r� } Signature of applicant + Date' Mailing Address Validation: City, State, Zip t r 1A07 /0 1Z 29 15 ).4,56 Cti HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. � SO. FT. POR. SO. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SQ. 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 STORAGE TANK FLOOR DRAIN MECHANICAL FEES DUCT WORK WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) _ APPLIANCE DRYER REINF. STEEL GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM INSP. 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 ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER SPARK ARRESTOR 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 ' R ND PLUM BI A S UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUM — rf ? BONDING 9 HEATING (ROUGH) STORAGE TANK FORMS 1114(//SEWER OR SEPTIC TAI ROUGH WIRING / / DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) aZEMP. POLE t I GROUT WATER HEATER SERVICEFINAL INSP. BOND BEAM WATER SYSTEM WINAL INSP.0 �, — INSP. C'�� 1 $ GRADING cu. yd. plus x$ =$ LUMBER GR. FRAMING G�-.JFINAL ROOFING y / 1 GPS 5 j.L �Y /� 0 � � L` V A'L !� 9• V7 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND G'�— FINISH GRADING FINAL INSPECTION INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNA I UNES/INITIAL5, GARDEN WALL FINAL tk%f1ED o i ! 0 a BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS ti PALM DESERT a %P LA OUINTA ',p IN DIO y� Desert Sands Unihed School District 82-879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5678 • (619) 347-8631 December 22, 1986 * City of La Quinta Department of Community Development 78-105 Calle Estado b La Quinta, CA 92253 n��17 Re: 53585 Juarez Gentlemen: The developer of the above referenced project has mitigated its impacts on our overcrowded schools by payment of the amount of $628 per unit. This amount is to be applied to the cost of additional district educational facilities made necessary by such new. development. Sincerely, John D. Brooks Assistant S• rin endent Business S,/ v' c f By: �. Richa .d M. Beck Facilities Planner JDB/vmm * This certification of payment of developer fees is valid for issuance of building permits only up to and including December 31, 1986. �1 Z O U W U) We Z O F_ U w U) 1 Y• ,Q 2 W Ir X Z O 1= U W U) COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION / PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM -7 �i— !Q� — !%�fn 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 $37Cis required whenithe application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # Name00er, Agent, Contractor, Etc.) Mailing Address , Yy, .e,v / � Job Property Address �--city-or ebimmuurTitO. ` Legal Description of Property. (Lot, PM, TR��� 'Assessor's Parcel No. - Water AgencyEor—Wefk �L ht(A.'TX..!' -,( C�„t� �r Lot Size Use of Perm .. l-� Plann�g Case N O� � � SFO, MH Site Preparation Etc. - CJ �-�- I_ � � --= Signature of.Applicant v `" " Date The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date p Certification of Existing S.D. System required.' ❑Yes �No�' WOCB Clearance required. ❑ Yes P,'No Soils feasibility report required. ❑Yes CN0,� Detailed boring report required. ❑ Yes �No," Detailed contour plot plans required. ❑ Yes ❑ No Staff Specialist approval required. ElYes Kio Lot Inspection Date Soils/boring report by/, /,/1 / Project # Date Soils Map PageYt� �r Soil Type 1 Approved by ICA Date 1/4/f Type of System: V / No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing Cl'New ❑ Additional ❑ Replacement Au-tj ,Gals. (2) beach line sq. ft. (Bottom-''tre tch area) Sidewall allowance - ft. rock/ Sq. Ft. Installers Lines) Ft. Long, Ft. wideawit'hh min. inches Leach bed Sq. Ft. , per running ft. ©dN/A rock below drain lines oNbottom area Leach lines/bed-special design for slope: Applicable r (3) Pit Diameter ' No. Pits Pit BI Seepage Pit total depth N/A !..���' Overburden factor 174-6/ Max. allowable depth fir% .I l�%Y^Q ..r ,.. �C..�. !_.. OI./,�v+a.•>_ rf+'w') �/Tii!(G f6' �- This application i's�ar o di' erjie.d for the design of a subsjrface disposal system as indicated on the accompanied plot plan using the requirements forthinSection B set above. A building permit is necessary for the installation of the a ove-designed system. , 1)/Septic tank and sewer lines must beA50' from any -wells q/ /0 �} 1.Gn �i `YL V-, � +->,.,a �� J- (2) Leach lines must be 100' min. from any wells including expansi7o�n area Seepage pits must be 150' min. from any wells including expansion areaV10,1/ Signature of Health Official `t / "� �, ,� �/�+•-�r /./ f�� Date / 6 RECEIPT NO. /,-,-33 Issued by _.Slk Date I "r- O District: ❑ Riverside ©`Indio ❑ Hernet ❑`Perri`s— ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) moi, 31 OFFICE OF AGRICULTURAL COMMISSIONER 4080 LEMON STREET, ROOM 19 RIVERSIDE, CALIFORNIA 92501 (7 14) 787.2561 Dear Developer/Landscaper: 46-209 Oasis Street, Room 14 Indio, CA .92201 (619) 342-8291 E. LEON SPAUGY COM.M1551ONFR JAMES O. WALLACE ASSISTANT COMMISSIONER Thank you for inquiring with the Agricultural Commissioner's Office regarding local quarantine laws. Any diseases or insects associated with the plants/landscaping material presented on your landscaping plans do not pose a threat to the Coachella Valley Citrus, Date, Grape, Vegetable, or Field Crop industry. We therefore approve your landscaping plans. If however, ,any substitutions of plants /landscaping materials within your plans occurs between now and the actual planting date, you must contact this office within 48 hours before delivery into the Coachella Valley, Also, the substituted plants/landscaping material must be held for inspection upon arrival. Any sub- stituted landscaping material found infected/infested with quarantine pests will be immmediately treated or shipped out of the Coachella Valley at the discretion of the Agricultural Commissioner's Office, Under penalty of perjury, 1 -the undersigned will comply with the above. Authorized Agent: Name P�Q_J\r Date_ Signature Permit Number(s) tZS / Z CJ / C Developer ' Address _ D. / AGRICULTURAL CO:MISSIO`;ER' S APPROVAL 3 go% `0�.� Date Authority cited Agricultural Code; Sections 6301, 6461, 6462, 6 6524 Q� cc: 2 Plan Check, Indio Office, Riverside Office APPROVED '� I BY:� 7t XDATE:1L:_/ Form A - 10/84 T&RAL C® cc BUENA ENGINEERS, INC. 1731-A Walter Street VENTURA. CAUFORN1A 93003 (805) 642-6727 TO J I�: THE FOLLOWING WAS NOTED: � f r • r• iY '�q%i r" //:' DATE .l i JOB NO. PROJECT /c LOCATION CONTRACTOR .VAR WEATHER TEMP. O at AM ° at PM PRESENT AT SITE Lp _ .0. COPIES TO�������� l ' SIGNED. i l' t • .. COPIES TO�������� l ' SIGNED.