002803 (SFD)4 �:
Building
Address 53-300 ft _i;& NaVarW
Owner
Brc= HIM=
nn�ilinn
Address 5538 Rrcd'� VkV
City Zip Tel.
Contractor
. . .Ridtord CiCrvex c t.
Address
City
Palm Desert
State Lic.
& Classif. - 473053
Arch:, Engr.,
Designer
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Zip 9220.1 Tela ` 341-1266
City
Lic. # 784
No. 002803.
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 774"`095"002
Legal Description lat 23
Project Description-=' GvfT3Q
1452 = 100
Sq. Ft: No.
Size Stories
New Ad916 Alter 0
No. Dw.
Units
Repair O Demolition O
Address
Tel.
Minimum Setback Distances:
Front Setback fro n Centerline
Rear Setback fron Rear. Prop. Line
City
Zip
State
_
Lic. #.
Issued by:
Date 12 30-86Permit
LICENSED CONTRACT,OR'.3 DECLARATION
hereby affirm that I am licensed under Provv si s of Chapter 9 (commencing with -Section'
7000) of Division 3 of the,Business and -Professions Code, and my license is in full force and
V
A%U3.1
effect. �j .. . ,{
iv`Y J/�I f Of fae/
SIGNATUREiz - - i. DATE
/f OWNER -BUILDER DECLARATION
Estimated Valuation
I hereby affirm that I am exempt from the Contractors License Law for the following
A •s� 28 fR-
$
,reason:
reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a
! s .4l''
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
PERMIT°
AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
is .
Division 3 of the Business and Professions Code, or that -he is exempt therefrom, and the -basis
for the Any Section 7031.5 by 'any for
q�� n
Plan Chk. Dep. ••Fd7%i'r:!
'
alleged exemption. violation of applicant a permit-
subjects 4he applicant to a civil penalty of not more than five hundred dollars ($500). -
Plan Chk. BBI.
6L5+9
0 I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure -is not intended oroffered for sale. (Sec. 7044, Buisness and
Const.-
�$
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,
Mech-
g0isii
3 V
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
Electrical - -
76.00
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-
Plumbing
�ry
strucl 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
S.M.I. -
5.23
such projects with acontractor(s) licensed pursuant to the Contractor's License Law.)
Grading
20. 00
• ❑ I am exempt under Sec. B. 8• P.C. for this reason
Driveway Enc.
20.00
- 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
0 Copy is filed with_the city. 0 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. 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.) . .
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 authorizer
_ repesentatiivees'off-this7`city to enter the above- -
mentioned property for inspection. ptirposes�`^�/ _�' '
Signature of applicant /, -+� l�' aero Date /4�ft
Mailing Address F _T T
City, State, Zip /t
f
HARD COPY
Infrastructure L#J_3.L,;J7
TOTAL 2.033:0 1,833.00
REMARKS
ZONE:
BY:
Minimum Setback Distances:
Front Setback fro n Centerline
Rear Setback fron Rear. Prop. Line
Side Street Setba* from Center Line
Side Setback frorr, Property Line
FINAL DATE
INSPECTOR
Issued by:
Date 12 30-86Permit
Validated by:
Validation:
A%U3.1
1.2 31 i 833,06 Ck_.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
A.C. UNIT
2ND FL. SO. FT. ®
` LAB RADE
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ, FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. ®
DRAINAGE PIPING
WALL SO. FT. ®
DUCT WORK
DRINKING FOUNTAIN
SQ. FT. ®
GAS (ROUGH)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
WATER PIPING
NOTE: Not to be used as property tax valuation
e.EMP. POLE
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
LUMBER GR.
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
FIREPLACE
SQ.FT.GAR p 3/ac
HOUSE SEWER
SPARK ARRESTOR
GAS PIPING
PERMIT FEE
GAR. FIREWALL
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
D PLUMBING
UNDERGROUND
A.C. UNIT
COLL.' AREA
` LAB RADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
,OOPFORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
e.EMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
41 FRAMING
FINAL INSP.
FING '3717'
dlC rto www P
'
t�, 5
/zat_
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
��//..
?'/( LATHING vI �� ar %
MESH
L ULATIONISOUND tl
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INZWtU I VH'J WUNA I UHGD/I W I1 IALb.
GARDEN WALL FINAL
RECEIVED
DEC 171986
CITY Of to QUWTA
COMMUNITY DEVELOPMENT DEPT
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COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION
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 $37 is required when the application is submitted. Check must be made payable to the County of Riverside.
Building Department Application Log #
Name (O 'er, Agent, Contract/or, Etc.)) `a,
r
Mailing Address �y
/<%Jl/� <'"�'louel7 c moi!% �/'(�
.��
City
C4
St ,
�
Zip Code
. 0 .
Telephone °
- /zG
,
'Job Property Address
('City oorr community- t
�....
'
Legal Description of Property. (Lot, PM, TR)
eq"02.3- Oce'
f:a1 /Z 2, Q
►.c.. t 1n +
.i
'Assessor's Parcel No.
Water Agency or,Welf
I l
''""y��
Use of Permit 7L,'Af 14"'I1t"3 �Cone,,,'n�Planning Case! #
Lot Size-'
�
SFD. MH Site Preparation Elc. 11
g^ W
S� &v
YSignature
of Applicant Date
'The above information must be verified from Building Application
STAFF USE — DO NOT WRITE BELOW THIS LINE
hitial Date
Certification of Existing S.D. System required. ❑ Yes ❑`No 1�✓l l�'-X�
WQCB Clearance required. ❑ Yes El -No i
Soils feasibility report required. ❑ Yes ❑'No #
Detailed boring report required. ❑ Yes 12 -No
No
Detailed contour plot plans required. ❑ Yes O
Staff Specialist approval required. ❑ Yes Z No Lot Inspection Date
Soils/boring report by Project # Date
Soils Map Page Soil Type CP Approved by �'� .4/V Date
Type of System:
No. of Bedrooms
(1) Septic Tank
Soil Rate Required
❑ Existing ®'`New ❑ Additional ❑ Replacement
/0 Gals-
q0W; 6 1411�
(2) Leach line sq. ft.
o7nktrehc�
Sidewall allowance
Install �.�w.�—Line(s)—Ft. Long, ~
Leach bed Sq.
(B
ft. rock/ Sq. Ft.
Ft. wide4,ith min. inches
Ft. of bottom
per running ft. I]1N%4
rock below drain lines__"_area
Leach,,llines/bed-special design for slope:
(3) Pit Diameter /
No. Pits
Pit BI
Seepage Pit total depth
Applicable_
N/A L. _ Overburden factor
g EA 6'
..
Max. allowable depth0
This application is app d%denied. for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements
set forth in Section B above. A building permit is necessary for the installationofthe above -designed system.
(G1 /
Septic tank and sewer lines must be 50' from any wells q 1 U,1 ,f Zt�,� �e,%, / I 1� y y, Gv'Z,k_ &140
(2) Leach lines must be 100 min. from any wells including expansionsarea t
(3)) Seepage pits must be 150' min. from any wells including expansion area, j Is'
Signature of Health Official^`L �' t/� (,�,/. �` (4,,,,•G 1�, r ,,,j Date '/"
i�
RECEIPT NO. 4 !?91 Issued by 5,44- Cate
District: ❑ Riverside ❑O,Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
c
Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending Fie
DOH -SAN -122 (Rev. 6/86)
,%fI10
r = %0
o
N BERMUDA DUNES r
RANCHOMIRAGE�.
d INDIAN WELLS w
PALM DESERT a
Q` LA OUINTA
',Q INDIO ti
Desert Sands Unified School District
82879 HIGHWAY 111 * INDIO. CALIFORNIA 92201.5678 4 (f19).347.8631
December 31, 1986
*
City -of La Quinta
Departme.nt.of Community Development
78-105 Calle Estado
La Quinta, CA 92253.
Re: 53-290 Navarro, LaWnta:,-.CA.
ntaCA - l unit
53-300 Navarro, La - 1 unit (2 units total)
Gentlemen:
The developer of'the above referenced'projes-2t 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 facilitiesmmade necessary by such new
development.
Sincerely,
John D. -Brooks
Assistant Superintendent
Bus'Service
zt
By:
Kenneth Meberg
Superintendent
JDB/vmm
* This certification of payment of developer fees is valid
for issuance of building permits only up to and including
December 31, 1986.
Departmont of Commmity Developent.
78-105 Call* sstado
„�.. La Quint., W 9Z53
o }
JOTICI OF Stellar
10: Secretary for lesouroes
1416 Ninth Street, Nor. 1311
Saorasento, California 9581h
County Clerk
Cognty of Riverside
P. O. Banc 431
Riverside, M 92502
Project ?itlot Precise Plan No. a& -03 Z
Project Looation-Spocifio: _ 5.3 -?0t"3 1UAvAx�lzc:.)
Project LooatieD-Citys la Quinta. CA 92253
Description of Nature, Parposs and Noasfioiaries of lrojost:.
Canstnrt Single-TWTdly Dwelling
Name of Public Agency Approving Pftjoat: Ln Quint,a Planr:.ing Department
Dano of Person or Agency Carrying Out Projoats
Ibmpt Status: (Check Ono)
Kiaistorial (Seo. 15073)
Declared Raerpnay (Mc. 15071(a) )
Categorical Szaaption. State type snod Motion N:abers 15303, Class 3
_Other
Reasons it7 projnet is ezaapt: Omistruction of one single-family house in an
urbanized area; a site within a subdivided area and is serviced by paved road
and.utilities.
Contact Person: \�L«�E_ /U�i i . (619) 564-,2246
Cod* ?9lo1
ignature
OFFICE OF
AGRICULTURAL C01MMISSIONER
4080 LEMOV STREET, ROOti1 19
RIVERSID17. CALIFORNIA 92501
(714) 787.2561
Deer Developer/Landscaper:
46-209 Oasis Street, Froom 14
Indio, CA 92201
(619) 342-8291
E. LEON SPAUGY
COMM)S510t+FA
MMES 0. WALLACE
ASSISTANT COMMISSIONER
-hank you for inquirir_g with the Agricultura
local quarantine laws. l Commissioner's Office regarding
Any diseases or insects associated with the plantshandscaping caterial presented
on your landscaping plans do not pose a threat to the Coachella Malley Citrus,
Date, Grape, Vegetable, or Field Crop.industry, We therefore a�erove your
I plans,
i
ho -,-ever., any substitutions of plants/landscaping 'm-aterials within your plans
occurs bet -wee;; now and the actual planting date, y0:.! L' -St contact c: C1, t:ilS Off1Ce
�:'-th=.n i8 hours before del -very into the Coachella Valley, Also, t`'-= Substituted:
Plc: it%S/Lrn:ISLaping material must be held for inspection up o on arrival. Any
s.titLtc x landscaping rateri_al found infected/infested with quairarti'n'e_ pests Will,
.be ir:-ediately treated or shipped out of the Coachella .Valley at the discretion
o"... the Agrir_u.ltura1. Co�.mi_.siorer''s Office,
Lader penalty of perjury, 1. the undersigned vill cO,::ply with the zbotie.
:uthorized Agent:
f
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1V a rae
Dat tl
;,....ex ✓,% l�
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= t'•_. =?' ten A;L.i.^;.rltu'a� C:, ;`.
_ =� ,
JC,r..i_.(, ns '630.i..
L
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._ .
652
n iii -.ivorslde Office