9582 (SFD)P.O. BOX 1504 No. 9582
Building 78-105 CALLE ESTADO
Address 52-145 Cortez LA QUINTA, CALIFORNIA 92253
Owner
R. it. Armbruster BUILDING: TYPE CONST. OCC. GRP.
Address
A.P. Number
Legal Description
PDescription
Lot 12 Block 3.9-,Unit/S/of
Santa Cc3Y�elita
SFD
City
Contractor lroject
jj
A • � _der
Address
-
51850 Morales
City
Zip
Tel.'
La Quinta
92253
564-2043
State Lic.
City
& Classif. B
Lic. # 1919
Sq. Ft. 1540
Size
No. 1 No. Dw.
Stories Units 1
Arch., Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
Permit t does
not include block walls or
mol
City
Zip
State
Lic. #
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. _74
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, 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 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 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.)
❑ 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
Estimated Valuation
85,QQ0
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
249.41
Const.
576.50
Mech.
C f'1
55.50
Electrical
126.82
Plumbing
166.50
S.M.I.
8 .70
Grading
20. QO
Driveway Enc.
20.00
Date owner
Infrastructure
1874.25
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. 0 Certified copy is hereby furnished.
TOTAL
U`J tf • ��
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(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.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
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.)
Side Setback from Property Line
Lender's Name
FINAL DATE
Issued by:
Validated by:
INSPECTOR
Date Permit
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
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
BONDING
MOBILEHOME SVC.
BAR SINK
POR SO FT ®
1irmFmR SE C TANK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
DUCT WORK
ROCK STORAGE
DRAINAGE PIPING
CAR P. I SO. FT. ®
I
I
WALL SQ. FT.
DRINKING FOUNTAIN.
SQ FT ®
REINF. STEEL
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
7
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
WATER SYSTEM
LAUNDRYTRAY
AIR HANDLING UNIT CFM
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
SO. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1A c
SEWAGE DISPOSAL
FIRE ZONE ROOFING
SQ.FT.GAR ® VVic
HOUSE SEWER
FIREPLACE
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE 1
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK FAV"
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
1irmFmR SE C TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE .'
C (4
7
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING /
(
FINAL INSP
ROOFING
L
DlNN
L
/
1
�6
0
1
b
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING Q 91
MESH
Q
INSULATION/SOUND !�
FINISH GRADING�
FINAL INSPECTIO r� � O� �a
V`
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 6/3/91 Type of Permit I La Quinta
No. 10631 Permit #
owner Name R.H. Armbruster Log #
No. 52-145 street Cortez
city La Quinta zip 92253
Study Area 112
APN # I Tract # I = Lot # Square Footage 115C
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 of FL -5-81 X 11.540 or$ 2,43320 have been paid to D.S.U.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 Brent Armbruster Telephone
Name on the check
By Richard M. Beck
Director, Facilities Planning & Development
Fee collected /exempted by Shelley D. Bennett L a
Payment Received- F
Signature .Check No.,i•13 �
Collector: Attach a copy of county or city plan check application form to district copy7for all waivers. ,
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting _ ti
I
IV!
SR
3.7
41
aO
ut-tipnS
uthita-
IL
V
.7 !1',
f,..,
This Certiflc:6te issued oiitdnt`,i6*,�,i quirethent's 6�,Section 306 of Uniform "66Idin
Code certifying that at the;fifi*vf "iitddhce this structure wds In cdfnpl'idn'ce-.-"wi't'tWf'�'the "S.'.1.1
it f
ordinances of the City redifidt-64 building construction or use. For the 6116iWing
52"145 Cortez
BUILDING ADDRESS `
'9582
.Use Clas'slficbti6n Bldg. PermitNo.
Group R3, �VN
TyOd - -c6h tou.-C Are Zone Use Zone �- ,Si
-
Owne'rR.M.of Building R Atmb gfiBr�Address ~ r`evs�'
city
By: Lonnie Day
Wei 2/4/92
Building Official
W k
I
+ Of
0,Y
CALVIN C. KAMINSKAS : s DAN RILEY
Assistant Commissioner 0 ^• Sealer, Weights & Measures
(714) 275-3000 (714) 275.3030
OFFICE OF
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Commissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619) 342-8291.
DATE CASE NO. C (3S J
DEVELOPER'S NAME:
�
TELEPHONE:.
•' � � �- / � 1J l �c1c � �7 L(� i -�- � - �`�-/�'S i�lEN7p4 �Gy2T�2 -
Dear Developer:
After.reviewing your landscaping plans, all plant material listed is not in
is violation of quarantine laws governing the Coachella Valley. If substitutions
do occur and they differ from plant material listed, this office must be notified
iRmediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
Agricult Commissioner's Office
cc: Indio and Riverside
0
;� 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012
�'��.-,-.ti.; ,.:,�,r-.,-•.-.„� .r.. 1'_"�'y'�-"'7Ysr'i'" ..•.?,��... •.'�ti�°w.y�.�„' T*>•� b.ra rTy., �;,� r:..
""toi,.i�� ��,.,+ "Y”" �. '� �I�!•�'!+""df�•,�:::.r{`i.-'p>•V��rR�•x,.7'�'�'i� r�•kiy"`''�-t• .;ti
RECEIPT NO. 0 0 Issued By1,,L Date
DISTRICT: ❑ Riverside, ! dndro ❑ Hemet O Perris ❑ Rancho Calif. ❑ Blythe
DOH -SAN -122 (Rev. 3190) DISTRIBUTION: WHITE - Office fife YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records
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- COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH
r
ENVIRONMENTAL SERVICES DIVISION
-l;
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 IlaL
p�►rnop; efundabie�filing fee (see below) is required when the application is submitted. Check must be made payable to the County of
F7tAWide. •Approval of this application shall remain valid for a period not to exceed one year from date of approval.
go
8.at �p
d
VERIFY ITEMS (IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG #
co
.. 4;WEorrtractorContact , `""nl
Phone—K'O13 Address & Firm
Sl
? -7
UJOwner
U)
/
Toil ' 6 L 4 ,e
-- / Q (!7,,- Y-er
City ) State
;(14e--5
Zip
Job Property Address
Legal Description Prop. (PM, race. Loon) �r��
I G -C C�
S zs oT
el /a Nh ' k 4141
Lot Size
_
ter ~ ncy pwl
Use of Permit P/P, CU, etc
Other
�
/
H Site Prep?etc.
Signature of Applicant
>
Date
}
CATEGORY: REV CODE FEE)
CATEGORY: REV CODE FEE
SUBSURFACE DISPOSAL '7238'
Q O SITE EVALUATION UPON REQUEST 7349 $ 43.00
M
/,
❑ MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
LAND DMSION
❑ SEWER/SEPTIC VERIFICATION 7348 $ 17.00
Z
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
W
❑ Rereview (2nd review same parcel) 7344 $ 24.00
EVALUATION (Attach DOH SAN 53)
U)
❑ Site Evaluation in Conjunction with
❑ HOLDING TANK 7351 $ 47;00
Critical Area 7348 $111.00
O ALTERNATIVE/EXPERIMENTAL 7345 $222.00
❑ Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft. 7347 $ 87.00
NrTAL DATE
IT I
Holding Tank Agreements Completed ❑Yes I��'d' «uu `
i
Certification of Existing S.D. System Required ❑ Yes 17' N
WQCB Clearance required. (Attach Form ❑ Yes WINo
DOH SAN 007, Santa Ana Region Only)
Soils Percolation Report Required. ❑ Yes
Special Feasibility Boring Report Required. ❑ Yes s®NeOr
Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes @i Ng!
Other ❑ Yes
Staff Specialist Lot Inspection Required ❑ Yea No
Lot Inspection Date
Soils boring report by .—Project Date
Soils Map Page Sol Type Cd (�- Approved by � Date 3
U
No. of systems
Type of Syatem(s)
No. Dwelling Untis((
(1) Septi: Tank
Soil Rate
Grease/Sand
O
%%t
O�0Id I. Tank ❑ Existing
s New ❑ Replacement
Bedrooms, Fixture Unfs
/QQn�
A
�Grease."M
_
v �j� •
,.
�B'yv
p
�•
—A—
Gel
(iel
LU
-( Leach Line Sq. FL
Sk wail allowance
Install tL long wide with
LW Bed sq. fL
"IoVtrench area
ft mck/sq. R
per running fL
min. ' inchesodi b+yydrainl— n
of boiM aree""4—
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pits
PK Below
Inlet (BI)
(TD) Seepage Pillow Depth
Applicable
N/A Overburden factor
(�,
�(
Max�Al�lorrable Depth
11/I
No. 2 System 1
4
REMARKS:
This application i PPROVED E°NIED-for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
on the accompanied plot plan using the requirements set forth in SEC O -C--above. A buildin permit is necessary for the installation of the
Z
above -designed system. Nconstruction is permitted in the required reserved 100% expansion area.
O
Septic tank and sewer lines must be 50' minimum from any wellsQ�/r()
orZ
t
W''
Leach lines must be 100' minimum from any wells, including expansion
ells, including expansion ar o Ail
(3) Seepage pits must be 50' minimum from2"w
Signature of Health Official Date r r
Cud� ,��' 3
RECEIPT NO. 0 0 Issued By1,,L Date
DISTRICT: ❑ Riverside, ! dndro ❑ Hemet O Perris ❑ Rancho Calif. ❑ Blythe
DOH -SAN -122 (Rev. 3190) DISTRIBUTION: WHITE - Office fife YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records
a
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