9759 (SFD)Building -165 Cortez
Address
Clifford & Nanette Snecht
• WAV
P.O. BOX 1504 No. 9759
78-105 CALLS
LA QUINTA, CALIFORNIAORNIA 92253
Address
Contractor
Clifford Specht
Address
City Zip I Tel.
State Lic. City
& Classif. 605418 Lic. # C�
Arch., Engr.,
Designer
Address Tel.
City IZip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
e7000) of Division 3 of the Business and Professions Code, and my license is in full force and
ffect r
SIGNATURE DATE
OWNER -BUILDER DECLARATION
1 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 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 a permit
subjects the applicant to a civil penalty of not more than five 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 that such improvements are not intended or offered for safe. If, however, the building
or Improvement is sold within one year of completion, the owner -builder ryill have the burden
of proving that he did not build or improve for the purpose of sale.) /r
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 contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
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
Copy is filed with the city. ❑ Certified copy is hereby furnished.
jf[\ 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 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.
Date Owner
NOTICE TO APPLICANT: 11, alter 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=firm 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 1 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
LDING: TYPE CONST. OCC. GRP.
P. Number
Description Lot 13 Block 39
t Description SPI)
REMARKS
10".1fI`MTAC'1
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 Permit
Validated by:
Validation:
Sq. Ft.
Size 1511
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Permit does
not include
block wall or
T3001
Estimated Valuation
87.440.40
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
2533.78
Const.
585.50
Mech.
49.00
Electrical
125.05
Plumbing
166.50
S.M.I.
8.84
Grading
20.00
Driveway Enc.
20.00
Infrastructure
—19-2 —9. 1 b
TOTAL
3407.79
3157.19
REMARKS
10".1fI`MTAC'1
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 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADElay
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
FOR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SQ. FT.
HEATING (FINAL)
DRAINAGE PIPING
WALL SQ. FT.
DRINKING FOUNTAIN
SQ FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP. !
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROOFING
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
I 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 ® 1% c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.FT.GAR ® 3/ic
HOUSE SEWER
LATHING {rI� as
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE JELECT.FEE
SMI FEE PLUMB. FEE
STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
Cz
GROUND PLUMBING
NDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADElay
ROUGH P UMB
1.46
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
sevtt SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REIN F
GAS (ROUGH) / 17 Ql
1 ( 66
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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 I l �� Q�
FINAL INSP. 1
O�
ROOFING
/
7f7 f
1
O
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING {rI� as
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
[[[
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
3Fs� .4iS•t%ca.Y'.kD�.9�'
1•C �i%��
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s'+�5`M?rFj 7 Y��u�1Y
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 7/9/91 1 Type of Permit I La Quinta
No. I 10714 Permit #
Log #
Owner Name Clifford & Nanette Specht
No. 52-165 street Cortez
City La Quinta zip 92253 study Area 112
APN # I Tract # I Lot # Square Footage 11511
Type of Development Single Family Residence No. of units
Comments
At the present time, the Desert Sands Unified School District does not collect fees on
garages/carports, covered patios/walkways, residential additions under 500 square feet,
detached accessory structures or replacement mobilehomes. It has been determined
the above-named owner is exempt from paying school fees at this time due to the
following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount ofFl—.5-8--1 X 11.511 or $ 2,387.38 have been paid to D.S.0 S.D. for
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By Cliff Specht Construction
Name on the check
Telephone (
By James E. Lively
Assistant Superintendent, Business Services ti
Fee collected /exempted by Shelley D. Bennett
Paynment R4ceived =
Signature
fes^ Check No. 135
_ j
Collector: Attach a copy of county or city plan check application form to district copy`s°fir all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy:- Acco-ar.0 n;'
CALVIN C. KAMINSKAS
Assistant Commissioner
(714) 2753000
DATE 61
`y Of R,r
J
p e
p\_
•os
pro
OFFICE OF .
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Commissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619) 342-8291
DAN RILEY
Sealer, Weights & Measures
(714) 275-3030
CASE NO. 9/04L
DEVELOPER'S NAME:
ADDRESS:
I !< 3 Ct
Dear Developer:
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 from plant material listed, this office must be notified
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
L
Agricultural Comniss'oner's Office
cc: Indio and Riverside
r>.
4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 - FAX (714) 275-3012
%\+--� -- �,••-•"'' :_:-.<-•,..-r:. �r.....�-•.>...-: -r"ar r.r -- - - =-�„-""ri"."'+"',,.-,. �.;7''L::,. i;-'s,:�•:�-.n'r�..a�-++��k-..•-:7'�"�-�'t.'•Y`""r'�'aty `r-
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i COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH A89856MPatcMNo.
I
"EN IRONMENTAL 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 speculations as indicated on the attached check Ilst
A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of
(Averside. Approval of this application shall remain valid for a period not to exceed one year from date of approval.
VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # -
r, /Cont � �7 �I %/
�dre_ s� 8 F-L-/C/D �Ce CT #e�AS
����D�-�9-F
Phone
Mailing Add
A C y'?>•�%,� _•
[Legal
City State
1LEti ANDS Gi4
Zip
Q Z37�
Job Pboperty Address
f? 0127 £� iE�
Description Prop. (PM, Tract Lot)
4-07 1-!>
Lot Size
g all
'
Use of Permh P/P, CU, etc.
Other Alfa � L /7-A
x90
v>
e'► /
V.4«C- c A Q0//jT A-
VvATCA V)ST
el i
Vtignature of Applicant
Date
CATEGORY: REV CODE FEE
- CATEGORY: REV CODE FEE
SUBSURFACE DISPOSAL 1238 y �Q�
® ❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00
O MULTIPLE PARCELS WITHIN SAME '
,� (NO PLOT PLAN)
LAND DMSION
❑ SEWER/SEPTIC VERIFICATION 7348 $ 17.00
a. 1 at 4 Parcels (Each) 1238 $ 57.00
(Less than 1 year)
b. Each Parcel after 4 7344 $ 24.00
❑ PRELIMINARY ELECTIVE 7352 $ 23.00
O Rereview (2nd review same parcel) 7344 $ 24.00
EVALUATION (Attach DOH SAN 53)
❑ Site Evaluation in Conjunction with
❑ HOLDING TANK 7351 $ 47.00
Critical Area 7348 $111.00
❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00
❑ Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft. 7347 $ 87.00
Holding Tank Agreements Completed ❑ Yes0 % � -9
CertNicat)on of Existing S.D. System Required ❑ Yes ;Ve'PN
WQCB Clearance required. (Attach Form ❑ Yes
DOH SAN 007, Santa Ana Region Only)
Solis Percolation Report Required. O Yes
Special Feasibility Boring Report Required. O Yes
Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes SIG
O
Other O Yes ❑�
Staff Specialist Lot Inspection Required ❑ Yes No
Lot Inspection Date
Solis boring report byData
Pro7W/__Z_
!�j ��1•
JSoils Map Page r r 1 Soil Type Approved by
Dame
No. of Systems
Type of Systems)
No. Dwelling Unitap
(1) Septic Tank
Soil Rate
Grease/Sand
'ding Tank ❑ Existing
�Bedrooms. xtare.la
-3
�greaea Ir�tcp
.,�
O Repfacemo nt
r� 04,k •
�f J
r� .
Gal
NQ teach Line Sq. Ft
Sidewail allowance
Ir�$tal Line(s) fl long it wide with
Leach Bad sq ft
trench area
ft rock/
min. %theaQDd below 1'nes or
a�
per running ft
C NA
Leachlinea/bed special design for slope:
(3) Pit Diameter
No. Pita
Pit Below
(TD) Seepaa / it,otel Depth
jj
Other
qe
�
r�{1 /r
6
Inlet ((139�
`(_L
Max. yrpble Depth
NJo
N/A Overburden factor1+
(`�'
`/
No. 2 System 1
REMARKS:
�.
This application is PPROVED/D�- NIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
on the accompanied plot an usnn the requirements set fO$EC�T�QN� rmit is necessary for the installation of the
above-desigried system. INO construction is permitted in the required reserved 100% expansion area.
1
1) Septic tank and sewer lines must be 50' minimum from any wells W /
Leach lines must be 100' minimum from any wells, including expansion rba:
(3) Seepage pits must be 150inimmum from any wells, including expansion area ',,'-Aae4 }/
Signature of Health Official
RECEIPT NO. /Q Issued By /k�iC/(� Date —9
DISTRICT: O Riverside, 6 dRd/igb ❑ Hemet D Perris ❑ Rancho Calif. ❑ Blythe
DOH -SAN -122 (Rev. 3/90) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records
of a ututa
.,�. r� �ltt��tu �u� �S'�i�P� �tk�t£�tuu '►
INS- Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
y..
Code, certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 52-165 AVENIDA CORTEZ
Use Classification SINGLE FAMILY DWELLING
Group R3 Type Construction VN Fre Zone
Owner of Building CLIFFORD & NANETTE SPECjArsss
City By; LONNIE DAY
` Dote: FEBRUARY 4, 1992
Building Official
POST IN A OON!!'ICUOu! PLACE