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003715 (SFD)Building Address 53--275 Navaxro Owner Mailing _ Address 247 E. TAhquitz Wa City Zip Palm Springs ..92262 Contractor Starr Construction Co Address. .. . . . . . . City • IZip State Lic. & Classif: 389934 Arch., Engr., Designer Address P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 ty ., Tel. .322-1020 el: ' City Lic. # No.. €303715 �t BUILDING: TYPE CONST: - -OCC,.-GRP A.P. Number » 774"094-!-014 Legal Description Project Description•"• 895 Sq. Ft. .410 No. No. Dw. Size Stories Units. New ❑ . Add ❑ Alter ❑ Repair ❑ 170" of -V wood fence Demolition ❑ Y HARD COP _ . 4281 Carace City .. Zip State Lic. # LICENSED CONTRACTOR'S DEC.LARATJON hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section,- 70 00) of Division 3 bf the Business and;Prof_essions Code,.and: my license'is in full force and effect. Vic° rimes ✓p` i ;> '>J Cj% .. ... . .. .. SIGNATURE 7 ��_.. _ .. -- .. � -: DATE f OWNER -BUILDER DECLARATION /Estimated 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, 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 for apermit subjects the applicant to a civil penalty'of not more than five hundred dollars ($500): - O. 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,7pply. to an owner of.property. who Valuation w 'MM4 - - - PERMIT 'AMOUNT ' Plan Chk.. Dep. 1250.00 . . [� t Plan ChkBalS. 39 014 Const. ��� �� • . Mebh. 33 s 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. 11, 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.)' � Electrical °'- .17 Plumbing 4 ❑ 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 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.)- - ' .. .O I am exempt under Sec. B. 8 P.C. for this reason S.M.I: 5 _ .176 - Grading 2i.IQ Driveway Enc. 2 • Date Owner Infrastructure •7.• 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. - Q Certified copy is hereby furnished: TOTAL tit. 'x7®r .59 f/ CERTIFICATE OF EXEMPTION FROM - WORKERS' COMPENSATION INSURANCE REMARKS - - �•, r•, �;, 4�} { ,r} ��±�,(}. ,r)�• >; ,+ _ r1U {, (This section need not be completed if the permit is for one hundred dollars IS 100) valuation or less.) -. .. . I-certifythat in the performance of lhg work for which this permit is issued, I shall not - employany person in any manner so as to become subject to the Workers' Compensation Laws of California. _ _f+{'f•.i i` .� ;•:3 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. -. ZONE: - BY: - Minimum Setback Distances: - - Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.,(Sec. 3097, Civilcode.) Side Street Setback from Center Line Side Setback from Property Line Lender's Name ' Lender's Address 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., 'FINAL DATE INSPECTOR ' I certify that I have read this application and state that the above information is correct. I' agree to comply with a11'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. Issued by: Date Permit Validated by: Signature of applicant Date Mailing Address Validation: city, State, Zip Y HARD COP _ . CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. ® POR. SQ. 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 lax valuation SLAB GRADE �V-Z FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SE ER OR SE TA 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. SO. FT. ®c BATH TUB SO. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL BOND BEAM SQ.FT.GAR ® 3/ac 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 :-y GROUND PLU BINGUNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �V-Z moo ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SE ER OR SE TA ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. 2 / !� GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. ' BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING Z� Q/ FINAL INSP. ROOFING �® / / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING ,A MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL ��''.�, ^si.K�'"'"r`�4•"'r+'•'y:+�,'"'�r�y-r. '*"rY�"�' f �•���,��,�wl•^ �;•.. . �"ti.- j^--i,r`-''-- ;� �,r � .��, •.i„_...-, .,,.� Ei z O H U W U) z O U w U) rV) Y CC Q W 01 gj" U W V) COUNTY- OFeRIVERSIDE, ENVIRONMENTALsHEALTH SERVICES DIVISION �Y—C - / PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM J. yl 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 Applica'ion Log # Name (Owner. Agent. Contractor. Etc.) ♦ S7' Mailing Address 2'/7 &cf Ir-AN'Qa r -z Wqy City AW-Im SAe"1J Gr. 5 State G'A Zip Code 'f2 z 4., zr Telephone a 2 z - /o zO 'Job Properly Address Aut�NID14 'Cit_•or "'Wriirly ! 'Legal Description et Pnpeny. (Lot. PM. �3-x.75 �AVA�r2Q ` �4 4V&/41 Xa7 2 4/1 UAPI-;ZZ 'Assessors Parcel No 'Water Agei r -Well» � ''''''� JJ -yam -� � �Plannint Lot Size 7�-6-7,1— /lC<,c1 VidLLF_�f it, Use of Permit 1./!t Af��'/.<f% w 9 Ca-�e # " " — ! -1.ra41 XJ 3, SFD, MH Site Preparation Etc. �� 6- 7:7— Z X Signature df Applicant Dale 'The above information must be verified from, Building Application x STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date ��, El 1 1 Certification of Existing S.D. System required. Yes USC, o� WOCB Clearance required. ❑ Yes © moo Y( , Soils feasibility report required. ❑ Yes N, I I Special feasibility boring report required. ❑ Yes J y�lo FN Detailed contour plot plans required. El Yes No Staff Specialist approval required. ❑ Yes eNo Lot Irspection Date Soils/boring report by /1 Project # Date Soils Map Page `Soil Type�Approved by Date a ' Type of System: No. of Bedrooms (1) Septic Tank Soil RateRequired ❑ Existing New ❑ Additional ❑ Replacement 3 h"'a)"- fM Gals. (2),Leeaa-ch line sq. ft. trench Sidewall allowance ft. Sq. Ft. Install. -� Line(s) Ft. Long, Ft. wide inches Leaach'bed Sq. Ft. of'bopo- m (Bofto area) rock/ ©*N%A with In. lines "�+, "�� per running ft. rock below drain , 4 area Leach lines/bed-special design for slope: Applicable (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth 0��, ©6' /(¢ Max. allowable depth T N/A Overburden factor. 12 �r This application i�pprove d niedAor 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 permitisnecessary for the installation of the above -designed system. 10) Septic tank lines must be 50' from C / fi�"r�'' r, '. and sewer any wells (2) Leach lines must be 100' min. from any wells including expansion area J'-' (3� See,,aa�ggepii�tsm� ust be 150'' mina from/ any wefrllls inclu%ddiingexp{p}ansi/oryyn area, � /�, _ , y/ � �Z- _4iSooCA/' yr�-,4 /R✓✓ \. ./T ,/f� �s'!� Cf AKi•6��M i-.i�A ...A ,- / ~�� � �7 VY i+v' �'- ' M `'y�1J"� / �T�.T _ ?1""�. 1 Signature of `Health Official RECEIPT NO._ 33 Issued by S� Oate •3 District: ❑ Riverside (]`Ind oo ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH SAN 122 (Rev 8/87) Of FIC_E OF E. LEON SPAUGY AGRICULTURAL CUNIMISSIONER °""i51O`ER i�� �� s -,'f1 JAM=S 0 WALLACE `• �) C _ , A� V V ' . ASS;S "ANT COMMISSIONER +� `� WEIGHTS S b.. MEASURES CLEMENT BENVENISTE j� SEALER 49-613 Ilwy 86, Suite B-12 ,�`��..,..;.e•'' CoacLella, CA 92236 3 qy A q� 619-342-8291 DATE 3 -' /&-1 CASE No. to .IQ 5 d 3 i 10 DEVELOPER'S NAME: ADDRESS: TELEPf [oNE : (6 /9) 312 Dear Developer: After reviewing your landscaping plans, all plant-rnateriial.�'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 imnediately. 4. , Thank. you for protecting and preserving the Coachella Valley's pest -free environment.? d Agricultural *Coutn ssiol 's Office cc: Indio and Riverside Office