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05339 (SFD)I T-iht 4 4 Q" Building Address 53-470 NAVARRQ Owner PAUL HOSS P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address P.O. BOX 4694 ` City Zip Tel. ._ PALL DESER 92260 364-1464 _ . . TAWG© I3 f` '2 INC Address. City lZip I Tel. State Lic. I City & Classif. Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7pD0) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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, after, 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) 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 penally 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 employees, provided Nat 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.) �0 I, as owner of the property, am exclusively contracting with licensed contractors to con- istluct 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 Date if Owner d L' 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'COMPENSATIONINSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation i or less.) Jg'k 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. t Date Owner NOTICE TO APPLICANT: ff. after making this Certificate of Exemption you should become subject to the Workers' Compensatton 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 certity 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. 05339 BUILDING: TYPE CONST. OCC: GRP.- A.P. Number 774-095-010 Legal Description T 15 mg. 215 Project Description Sq. Ft. 1360 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 73,378 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 171.1t? Const. 531.50 Mech. 53.5101 Electrical 106. Plumbing 166.543 S.M.I. 11.40 Grading 2 .00 Driveway Enc. 20.00 Infrastructure I,�61 • TOTAL REMARKS :'1 It { n A e A!) _ A_: _ r-ki 41 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback fron Rear Prop. Line Side Street Setba--k from Center Line Side Setback frors Property Line FINAL DATE INSPECTOR 217/€39 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ. FT. ® CARP. SQ. FT. WALL SQ. 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 6�6LAB GRAD • FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SEWER OR SEPTIC TANK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK LAUNDRY TRAY AIR HANDLING UNIT CFM 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 Vi c SEWAGE DISPOSAL BOND BEAM SQ.FT.GAR ® 3/ic HOUSE SEWER 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 PLUMBIIeL7�2) UNDERGROUND A.C. UNIT COLL. AREA 6�6LAB GRAD • ROUGH PLUMB. r — BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK OUGH WIRING 3//i . ✓ V DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL)/ EMP. POLF� L GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $/ plus x$ -$ LUMBER GR. FINAL INSP. / F MING FINAL INSP. GROOFING ` �� /c, �� 7 /� w CJ l� r- v ( �" REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUNI ??/5 FINISH GRADING JFINAL INSPECTION << CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS k. GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT B SC®�� :• FEES L y�it.: v " 1�f iv y (K2141 `w C'N TO: City of La Quinta DATE: t Department of Community Development 78-105 Calle-Estado La Quinta, CA 92253 This is to certify that developer of which is located at � =G���AJA✓MNI) within this District, has paid school facility fees imposed pursuant to the authority generated b� Governme t Cod ectiott 53080 it the amount of s _Z0 ��. - covering a total of square feet of( ) residential or ( ) industrial/commercial development and that bui�Irg permits for this footage in this development may no issu y your jurisdiction. or DESERT SA PS UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 ,• . —AL COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES RECEIPT �'760 E 'NO. ' PERMIT APPLICATION FORA SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: 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 rrEmsAN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPUCATION LOG'* Z 60H SAN 122 (Rev. 5/88) DISTRIBUTION: 0 Agent, Contractor, Contact Person Phone Address & Phone _fAy-L 0cS3' U.1 OwnerP Mailing Address - TAIL ffiUSS -,7(,o -I tz 0 Y 40 city State zip Job Property Address (PM,. Tract, Legal DescriptionProp. rwt, Lot) T-, (A • CA LoT is LIC2iVVM? 3 Lot Size fir -A -1, Use of Permit P/P, cu, etc. 44 Oc-l�,vrA Other X I o 'r-0, Dwelling, Signature of Applicant Date CATEGORY:, REV CODE FEE. -.,1N CATEGORY: REV CODE FEE B'' SUBSURFACE DISPOSAL 1238 C'$45.00 J 0 SITE EVALUATION UPON REQUEST 7349 $42.00 0 MULTIPLE PARCELS WITHIN SAME - (NO PLOT PLAN) LAND DMS40N 0 SEWER/SEPTIC VERIFICATION' -!348'4`;.4*-'$1'1.00 z 0 a. I at 4 Parcels (Each) 1238 $45.00 (Less than 1 year) b. Each Parcel after 4 7344 $16.00 ­: 0 PRELIMINARY ELECTIVE �7-t54500 U.1 0 Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) 0 Site Evaluation in Conjunction with 0 HOLDING TANK 73517 CrfticaJ Area 7346 $86.00 0- ALTERNATIVE/EXPERIMENIAL 7345 1 $132.00 0 Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $86.00 INITIA�C DATE Holding Tank Agreements Completed 0 Yes 0- No., '13 Certification of Existing S.D. System Required 0 Yes 0 No �oZl W6CB Clearance required. (Attach Form 0 Yes IN DOH SAN 007, Santa Ana Region Only) : Solis Percolation Report Required. 0 Yes 0 N% ' Special Feasibility Boring Report Required. 0 Yes Detailed Contour Plot Plans Required (11 to 5 ft. interval) 0 Yes Other �N�6 0 Yes Staff Specialist Lot Inspection Required 0 Yes Ll/hlo Lot inspecom bate Solis boring report by Project # Date Soils Map PagelTSON Type Approved by/' ,.r'�. --_ bete No. of Syslerns T* of Systern(s) No. Dwelling Unffa 0 (1) Septic Tank Soil Rate Grease/Send Z 0 0 Holding Tank 0 Existing 0 Replacement Bedroom, fbdureedrifts- Grbase Intop God (2) Leach Una Sq. Ft Sidewall alkywarik* install Lines) It. kxig____ft wide with beach Bed sq. ft. Bottom trench area It. rock/— sq. It. min. inches rack below dratnilnes or of bott___ per rurming It. Leachlines/bed special design for slope:, (3) Pit Diameter . No. Pits Pit Below Seepage Pit Total Depth Ot Applicable -G1 0 6 Inlet (BI) f N/A _S!!!f '-Overburden factor W5-. Max. Aillowable Depth 77_7__< NM No. 2 System' REMARKS: x This application isLAPPROVED/ -DENIE-D for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompEnM—prorp-l-a"n" using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the Z 0 above -designed system. No construction is permitted in the required reserved- 100% expansion area. Septic tank,and'sewer lines must be 50' minimum from any well (2) Leach lines must be 100' minimum from any wells, including ex ,W in Seepage pits must be,,150' minimum from any wells, including expa si DR) area k V Signature of Heafth,Official A�6(j - e,- /0 ,• . —AL RECEIPT �'760 E 'NO. ' Is.ed ac—A. — e DISTRICT: 0 Riverside, 001'lndio 0 Hemet 17 Perris ❑0 RanchoCalif. ❑0 BlZe 60H SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW Applicant PINK-Bidg.Dept *GOLDENR-OD -Plans/Records { �, �" ' o,� �� Of f ICE OF E LEON SPAUGY AGRICUL'I URAL COMMISSIONER co++Isao.ER �I �� )NwIES 0 WALLACE o SA.N UASS-;AM COMMISSIUI-EP. V j '" &' MEASURES CLUAE`1T $ENVE-NIS1E �f J WEIGHTS SEALER 49-613 Ilwy 86, Suite 11712 'Coacliella, CA 92236 q Y q Sq 619=342-8.291 - DATE ] Z y CASE NO. DEVELOPER'S NAME: ADDRESSt D. ax �6 !'Y Paz TELEPHONE: (4/0 340 la All& Dear •Developer: i 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 frun plant material listed, this office must be notified imnediately. Thank you for protecting and preserving the Coachella Valley's pest-free environment. PJa,%A000( Agricultural' ommission s OL-.f ice cc: Indio and Riverside Office