Loading...
003823 (SFD)TA hf 4 4a QUM&� P.O. BOX 1504 N o . Building 78-105 CALLE ESTADO 003823 Address 54-375 Juarez. LA QUINTA, CALIFORNIA 92253 Owner : maning Address City Contractor Zip . . lZip State Lia & Classif.. 387934 Arch En T BUILDING: -TYPE CONST. -OCG: GRP. 3aa 42 A.P. Number 774-232-016 Tel. - ... - .�� Legal Description Project Description sa� cr Tel.- - City Lic. # 895 Sq. Ft. 2410 No. No. Dw. Size Stories Units 9 •, Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address - Tel. 190, of 6' wood fans© City Zip State Lic. # 4281 Garacr8 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 11 / /, ~�"- .. 4f " r `- -. !Ssr 'orf.. %' - SIGNATUREG7.....:... - _ E J- .P -. DATE. OWNER -BUILDER DECLARATION hh by affirm that I am exempt from the Contractors 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, 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 fora. permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 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 builds or improves proves 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.) O 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 704.4, 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.) . 0.1 am exempt under Sec.. B. ti P.C. for this reason Estimated Valuation i - PERMIT - AMOUNT Plan Chk. Dep. $25-0000' PIan.Chk. Bal. 39.14 . COr1StI� • V _ Mech. • I► Electrical' �% x`j • • . Plumbing- 105.00 ' S.M.I.•'� Grading 20 •00 Driveway Enc. 20.00 Date . Owner Infrastructure 1,698.66 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 thereofilSec. 3800, Labor Code.) Policy No. Y Com an f fc" i P _ ❑ Copy is filed with the city. ❑ Certt_ifie_d copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COM PENSATIO N INSURANCE (This section need not be completed if the permit is for one hundred dollars (8100) valuation or less:) I certify that in the performance of tha 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.) - Lenders 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 HARD COPY TOTAL $2.609.53 REMARKS ' .(..�.i r. z t*+y. n�M•/� t1 ,14 s �l •. .:•l fF„ A . L.! Y- ..`Yp.� T t •7 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by:Date 4112/$•$Permit Validated by: Validation:_ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING.FEES .1ST FL. SO. FT. ® $ 2ND FL. SO. FT. ®' POR. SO. FT. ® GAR.. SO. FT. ® CAR P. Q. 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 FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(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, TEM/PERM 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 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 OUND PLUMBINSg7 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR T � ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM DING �cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING / Z FINAL INSP. ROOFING ® %G REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING �f ��� MESH INSULATION/SOUND 6 ,7 FINISH GRADING FINAL INSPECTION _ CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL 20 z O F- 0 W z O U w CO (n `L Q W U z O U W (n .,�.nn+;+ry.y..,•-•,�r•r�y�yn�rer�� ����K��„=���'„i���',�•uJTiY�YN�+��L����"F�>{'�1'f'n,��E�ii�t'il����'� t�s� rir COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION „7 �I _ �--y_ C) 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 of $40 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # Name (Owner. Agent. Contractor, Etc.) (C2 e4lv 4zo Mailing Address .2417 4 )1r`gcarrx Wq%l Cay 1041, n4 Sf�w1la'ci s' Stale (:?,47 Zip Code 2 ZG L Telephone ,3Z -2- "'tea z/d 'Job Property Address 'City or. Community 'Legal Description of Property. (Lot. PM. TR) 3 7��,44cie r' Z �,h 61J.,ur,4 •loT � .QL�c:.� a�/ L(,�r�Z 'Assessor's Parcel No Water Agency or Well - Lot Size Z>,4 ?,&, A,:' use of Permit Planning Case # -774/-23 74/-23 — 014. SFD. MH Site Preparation Etc. ry�too Signature of Applicant Date 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initiali, Date Certification of Existing S.D. System required. ❑Yes No h t_�L WOCB Clearance required: ❑ Yes I No, Soils feasibility report required. ❑ Yes No Special feasibility boring report required. ❑ Yes ❑ No Detailed contour plot plans required. El Ell IN Staff Specialist approval required. ❑ Yes ❑ No Lot Inspection Date rr Soils/boring report by \ Project # Date Soils Map Page Soil Type Approved by it r` Date Type of System: No. of Bedrooms (1) Septic Tank Soil Rate ❑ Existing O,New ❑ Additional ❑ Replacement ' it t"•(,..Q Cf �Required, (2) Leach line sq. ft. Sidewall allowance f Install L/ne(s) Ft. Long, Leach bed Sq/ (Bottom trench,area) ft. rock/ �/ Sq. Ft. Ft. wide with min. inches Ft. of bottom !` per running ft. ❑ N/A rock below drain lines area Leach lines/bed-special design. for slope: (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth (� Applicable /! El 5' ❑ 6, ` l Ll Max. allowable depth N/A Overburden factor (1 (1,6) 10Li /• CXPC+L(rr� � I , �� ,,� �,.s�G I) Ul,��l.�- ,t,r r��t L,,,,, S �,�t.{ t.�r•l� s, • I r 2 (t,vl,l.r J.) lC,� 1, I Y f , '.:S� �llt� `4V r t` fal fC �U1. (t.a��r,- �it�l iv''7 �`.� 'C•_ �r(�` f l� (<r, )C i This application is approved /denied for the design of a subsurface disposal system as indicated on the accotnpanied plot plan using the requirements set forth Section B above. A building permit is necessary for the installation of the above -designed system. (1) Septic tank and sewer lines must be 50' from any wells (2) Leach lines must be 100' min. from any wells including expansion area ((3)�Seepage pits must be 150' rpin. fro , any wells including expansion area Signature of Health Official Date RECEIPT NO. "7 t, y 15 District: ❑ Riverside Indio Distribution: WHITE—Office file DOH SAN 122 (Rev 8187) Issued by Date `I `J ❑ Hemet ❑.Perris ❑ Rancho Calif. ❑ Blythe YELLOW—Applicant. PINK—Bldg. Dept. GOLDENROD—Pending File oft 1(.E OF E. LEON SPAVGY `r\ AGRICULI URAL COMMISSIONER b !I �)) AND )ARIES O WALLACE 0 ASSIVAr1 CI)MMISSIUNEp v .,---�=+'� .�CLENIEV1 BENVENISTE MEA WEIGI ITS & SURES • � � ' !�'� SE�IEII — 49-613 Ilwy 86, Sulte II -12 4f�`,�_J.•'� 'Coachel..ln, CA 92236 4 r 9 I sq 619-342-8291 DATE y" 6— 1 I off CASE W._X S 4 y 04 ,D DEVELOPER'S NAME s .�v(.e✓�n- C '�'"� ADDRESS: 2 q % Way, 2 TELEPIIONE: 2—/O 20 - Dear Developer: After reviewing your landscapilig plans, all plant nr3terial listed is not in violation of quarantine laws governi(ig Lhe Coachella Valley. If substitutions do occur and they differ fran plant nviLerial listed, this office must be notified itnlediately. Thmik you for protecting and preserving the Coachella Valley's pest -free enviroiu»ent. Agricult all CamEissi i is Office ccs Indio and Riverside Office