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9907-597 (SFD)14 LICENSED CONTRACTOR DECLARATION 11Tereb}i affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and FYofessi6nals Code, and my License is in full force and effect. License # Lic. Class Exp., Date Date Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following ,reason: ( ) 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, Business &.Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct "the project (Sec. 7044, Business & Professionals Code). () I am exempt under Section B&P.C. for this reason _ Date ZSignature of Owner • �`�' w� f" .d/ 'WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: () I have and will maintain a certificate of consent ,to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ' ( ) I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued., My workers' compensation insurance carrier & policy no. are: Carrier Policy No. i (This section need not be completed if the permit valuation is for $100.00 or less). (° 1 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, and agree that if I should become subject.to the workers' compensation provisions of Section 3700 of the Labor Coded shall forthwith comply with those provisions. ),Daie: i/ %,a� Applicant_- -'— _-!.1 V r Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to .the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this,applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree.to comply with all City, and State laws relating to the building constructionrand hereby authorize representatives of this City to enter upon the above mentioned property for inspection purposes. iS7gnature (Owner/Agent) �-!Y � ,• ,-r- •-�l%. � • A—";./Date PERMIT # BUILDING PERMIT "_ 07—sv7 R DATE ' 1 VALUATION ,S111,41JJ 7J) LOT 19 TRACT wl x_!2 JOB SITE! ADDRESS J1-416 CALIJi~..14 OIii�a APN OWNER CONTRACTOR / DESIGNER / ENGINEER . ami UPTltv1 cr4z.1,Nlit Itfri / USE OF PERMIT &3NO-iX .RAMILY U4 T:Li.d"Nz., t St—D - PIERMi.R DGES NOT INCLUDE RLOCK WAi., S OR .'6K)L Tis.ACT CONI S-Uc,UCTION i, 79104 , 1'+: IUSIii!%AiIO 195.00 SF GARAJWCAti.1 ORT 501.00 Sr 1' '4 1,11,114ATED MII�T CIA, PEICW.1 FEE 9tl1VBAli'AR CON3'EKLI :d10N k-79 tit', a N :.' fes:,'; i� FT� i'aS.3��'7�,'•i1��,�."f�1 � .iv�.'i��lu',�.f�•�3V -�ii.�lU tVE"Cl LANlt AL FEW, :10i -OW -421-000 �5 s H1.9(;1VIC:AL 111E4 „- $136 Pf.trffinrtrr viv 1(11-10-47b-t14f) $1S7 !'rIZONG IMOTIOJ ,' FTC - 3'.ES1D 101-000-241-000 U1 c:YitADINIU FEE 101400-423-000 s2f.3 AWFIN flfl3ii, C PLACES - RESIC 7014MI4 '55-©00 S13 0i+V!1-0NFR IMPACT T fTE SUA-s"OTAT CQN'.,; "KUMON %RNA n!.,AN C J4r-CK LESS PR -PAID PEES i? r s RECEIPT I DATE BYE DATE FINALED JINSPECTOR 111 t1S f� A AJ,j1.0 lel S3,4fiEi.?� 425 INSPECTION RECORD i OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR - BUILDING APPROVALS MECHANICAL APPROVALS Set Backs � Underground Ducts Forms & Footings Slab Grade �� Ducts Return Air Steel Combustion Air Roof Deck _ 33 @a 7, Exhaust Fans O.K. to Wrap / 57 F.A.U. Framing I&I — Compressor Insulation esao S7 Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wali Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath -1 Final Final BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping t9D Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test t8 Appliances hP"f[ G Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final ?. Utility Notice (Perm) COMMENTS: �� i rare a J; .Building / J Zip ress T4tyl 4 4 " P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 State Lic.I City & Classif. Lic. # Desigy, 1 ner Address CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 herebyy affirm Wat,l a�censed under provisions of Chapter 9 commencing with Section 7000) of Div'sir;3 of the Businessland Professions Code, aneffect/d,RI'y license is in full farce and lJGNATURF:� DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's Licensa Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or :ounty which requires a permit to construct, alter, improve, demolish, or repair any structure, ,odor to 'its issuance also requires the applicant for such permit to file a signed statement that le is licensed pursuant to the provisions of die Contractor's License Law, Chaplet 9 (commencirp with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for thealleged exemption. Any violation of Section 7031.5 by 'an_ applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I] 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. esec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to so 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-buifder will have the burden of proving that he did not build or improve for the purpose of sale.) Il I, as owner of the property, am exclusively contracting with licelsed 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.) 0 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self-irsure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company n Copy is filed with the city. ❑ 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 ($100) valuation or less.) I certify that in the performance of thg work for which this pernit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT., If, alter making this Certificate of Exemp ion you should become subject to the Workers' Compensation provisions of the Labor C+de, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for :he performance of the work for which this permit is issued. (Sec. 3 09 7, Civil Code.) Lender's Name ' Lender's Address This is a building permit when properly filled out, signed and vali.11ated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state lawsrelating to building construction, and hereby authorize representatives sof this city to enter the above. mentioned property for inspection purposes. Signature of a0plicant Date Mailing Address City, State, Zip gRU7-597 APPLICATION ONLY LDING: TYPE'CONST. OCC. GRP. Number �y rj�-) 14 1 Description�d f "I -$„ �9 3 Df z :ct Descriptions 14� ae ZONE: BY: i Minimum Setback Distancesi. 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: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Sq. Ft. Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep.3 V . o Plan Chk. Bal. Const. Mech. Electrical to Plumbing S.M.I. Grading v Driveway Enc. Infrastructure t- g r• �, oj�a , f TOTAL --r) REMARKS ZONE: BY: i Minimum Setback Distancesi. 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: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Notice:' t Document Cannot Be Duplicated Date 10/28/99 No. 19523 Owner NameEduardo Esquivel No. 51416 City La Quinta Tract # #S Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE Street Calle Iloilo Lot # 19 Type of Development Single Family Residence Comments APN # 769-115-006 Jurisdiction* La Quinta Permit # Log # Zip 92253 Study Area Square Footage 1792 No. of Units l 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 1.93 X 1,792 or $ 3,458.56 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 cc/Inland Community Bank/Escrow Mart, Inc. ; Telephone 1-800-821-9028 Name on the check V-_ By Dr. Doris Wilson Superintendent Fee collected /exempted by Juanita Green Payment Received $3,458.56 Check No. 020686 Signature NOTICE: Pursuant o ssembfy Bill 3081 (CHAP -549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to .from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the stricirs)(s) behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting 78-495 CALLE TAMPICO LA QUINTA, CA 92253 (760) 777-7075 APPLICATION FLOOD (PLAIN DEVELOPMENT PERMIT BUILDING SITE LOCATION FLOOD ZONE 'AO" - DEPTH 1 / 2� /N I`-' : ( fsLocy_ � �ji�/(! �B Tn c COMMUNITY- PANEL NUMBER 060709 0005 B Z Map Revised- 8/19/1991 APPLICANT INFORMATION SECTION APPLICANT NAME £DU fl P�C7 St52 Lt t�lF�. APPLICANT - ADDRESS (MAILING ADDRESS, NOT THE , BUILDING SITE) DAYTIME TELEPHONE NO. . INSTRUCTIONS 1. A Flood Plain Development Permit is required by LQMC Section 8.11.040(A). The Applicant should complete the Applicant Information portion of this application and submit it to the Engineering Department along with the required documentation noted hereon at the same time the Precise Grading Plan is submitted to the Building and Safety Department for plan checking. 2. Documentation required for STEP 1' OF 2 APPROVAL prior to receiving clearance for Building Permit issuance Copy of the proposed Precise Grading Plan for review and approval containing all information required by the checklist shown on the back of this application. 3. Documentation required for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain Development Permit approval. Note, this approval occurs after forms for the lowest habitable floor are set and before the Building & Safety Department authorizes foundation construction. . • Submit a completed FEMA "Elevation Certificate" form to the Engineering Department. • Submit 95% relative density soils compaction certification to the Engineering Department. STEP 1 OF 2 APPROVAL STEP 2 OF 2 APP ROVAL The Precise Grading Plan submitted for this application has been All requirements have been satisfied. This Flood Plain reviewed and found to contain all data required to satisfy the Development Permit is approved. requirements of LQMC 8.11 The proposed dwelling is eligible to receive a building permit upon satisfying all other Building & Safety Department requirements. AUT9bRIZED IGNA DATE AUTHORIZED SIGNATURE DATE La l uinta E ring Department La Quinta Engineering Department F090 REV -1 11/99 PUBLIC WORKS CLEARANCE LETTER FOR CUSTOM HOME LOTS Dear Builder: - Prior to issuance of a building permit, you will be required to obtain, clearance from the- Public Works 'Department. for one, or more, of. the following: 1. Verification that rough grading is complete, and the pad elevation certifications - preparedby a licensed surveyor, or engineer, are on file in the Public. Works Department. 2-. Verification that infrastructure improvements and other required tract -improvements.^ r ' are complete, or sufficiently advanced to warrant building permit issuance=1 .3. Prepare an engineered grading plan that provides for on -lot storm water retention,-,- and etention,:,and have it checked and approved by the Public Works Department: • Tract 26524 (Estancias) • Tract 26769 (Mountain View Estates) 4. Prepare an engineered grading plan that provides -for building pad grading rim accordance with the existing soils report and tract grading. plan, and . have it checked and approved by the Public Works Department. y; • Tract 28034 (South Valley Estates) # �Y FOR WTERNAL USE BY PUBLIC WORKS DEPARTMENT COMMENTS: TRACT: /jo LOT: 4� PUBLIC WO KS AUTH RATION DATE ' Yr5 F:%PWDbrOOCST-ORMS%PW CLEARANCE IETTBtu t RECORDING REQUESTED BY: " Fidelity National Title Company Edcrow No. 40620 -CB Title Order No. 00519944 When Recorded Mail Document and Tax Statement To: Mr. Eduardo Esquivel 78990 Miles Ave., #93 La Quinta, CA 92253 OOC 93 1999-268609 06/17/1999 08:00A Fee:6.00 Page 1 of 1 Doc*T Tax Paid Recorded in Official Records County of Riverside Gary L. Orso Assessor, County Clerk 8 Recorder i M i S U PAGE SIZE DA P R NOCORSMF Mlsc. A R L COPY LONG REFUND NCNG EXAM JS SNAUt AUvt Inca SE - - GRANT DEED �•� The undersigned grantor(s) declare(s) Documentary transfer tax is $13.20 �C [ X I computed on full value of property conveyed, or E l computed on full value less value of liens or encumbrances remaining at time of sale, [ ) Unincorporated Area City of La Quinta FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, L.A. Austin, A Married Woman as Sole and Separate Property hereby GRANT(S) to Eduardo Esquivel , an unmarried man the following described real property in the City of La Quinta County of Riverside, State of California: Lot 19 in Block 3 of Desert Club Tract Unit #2, as per map recorded in Book 20, Page 6 of Maps, in the Office of the County Recorder of said County. DATED: April 6, 1999 STATE OF CALIFORNIA COUNTY OF _IGS ON before me, L.A.Austin' G/%�f� M41,e/yQ�� lh�ely appeared r proved to me on the basis of satisfactory evidence) to be the person whose name(lyisll<subscribed to the within instrument and acknowledged to me that )<%she/tomexecuted the s::1me inKheqtN<authorized capacity(TKI, and that bl, her/ signatureK on the instrument the person(,, or the entity /upon behalf of which the person acted, exec a instrument. Witness my hand, and official sebl. Signatu i}NI) A N JSidKIY0 Commission # 1209727 z Notary Public -Calif OrniO `os Angeles County A/,ti Cc7nm. s N1Q 1.2003 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY ASSESSOR'S PARCEL NUMBER 7�� — DEPARTMENT OF ENVIRONMENTAL HE kLTH PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM APPLICANT. Submit this form with four copies of a SO ALED plot plan (1-20 SCALE) drawn to County specifications as indicated on the attached check list. A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this applica- tion shall remain valid for a period not to exceed one`vear from date of payment. LMS # Agent, _Contractor, Contact Person AdIress City State •• Zip Telephone Owner i� Address City / ' State Zip' 'Telephone ZO Job Property Address city Zi lU Lot Size' Water Agency/Well Use of Permit, P/P, SUP PUP, etc. Legal Description Dwslling MH Site Prep., etc. t (�� -p a c tL Signature of Applicant lr� Date CHECK BOX IF REQUIRED If any box is checked, this application shall be considered rejected until ❑ Detailed Contour Plot Plans Required (1 to 5 foot interval) the information is provided and the fee paid. Resubmittals later than 90 days after date noted below may require repayment of fees. ❑ Staff Specialist Lot Inspection Required m ❑ Holding Tank Agreements Completed Z Thomas Bros. Page Grid 0 ❑ Certification of Existing S.D. System Required ❑Date Lot Inspection Completed: Initials U ❑ WQCB Clearance Required � (Attach for DOH -SAN -007, Santa Ana Region Only) Remarks: ❑ Soils Percolation Report Required ❑ Maintenance Booklet Provided ❑ Special Feasibility Boring Report Required ❑ Final Inspection by Department of Environmental Health is required. ❑ Rereview Required Initials Date_ Please call 24 hours PRIOR to inspection. C/42 / Soils Percolation Boring Report by Lic/Project # Date Soils Map Page Soil Type Approved By f Date No of Systems T pe of System(s) No. Dwelling Units (1) Septic Tank Soil Rate Grease/Sand i Holding Tank ❑ Replacement ew ❑Addition Bedrooms, Fixture Units !a4 Grease Intcp/Lint Trap Existing —i_.Gal. n ' l' . Gal. Sq. Ft. Total Linear Sidewall Allowance Leach Bed sq. ft. of Bottom Area Ft. Bottom Area ft. rock/ sq. ft. running ft. Install Lines) ft. long ft. wide with Inlet Tested Depth- ❑ NA min. Inches rock below drainlines or U Proposed Bottom Tested Depth Z Leach lines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet (BI) Seepage Pit Maximum Other: O Applicable Total Depth Allowable Depth U �N/A Overburden Factor ❑ V TD�a -LJ O Well Review Approved: Date: Well Drilling Permit # SIGNATURE t : Grading Plan Approveds: Date: �t :' - A •IGNATURE Sewer Verification Approved: Date: (r 1 '� ' ' `Z ) C7' (� � 11�+'�';{•�,� ��11 � L�1r•�1 ��y FNv•I�s''rt'i� Plan Check Only Approved: Date: f• ` REMARKS: n^AC • 6%.. 0,3- ^NCt, b t:....► ...• •.t� ��1 v.,i , 1r'i-t.srtl �• 16iO�7� �. •i511oini (. s �•n }-� lift, t 1 •n{+ r3 i i -ic ( 1. r S 0 n 't ^� �' t O I v►G T �� 1 4 This application is APPROVED/, EN for the category checked in SECTION B FOR OFFICE USE ONLY above, regarding the'design`ooff a subsurface, disposal system as indicated on the f acompanied plot plan, using the requirements set forth in SECTION C:above. A build- , ing permit is necessary for the installation of the above-designedsystem.; No con. Is Revenue code r f� Fee $ struction permitted In the required reserved 100% expansion area. Septic (1) Tank must be 100' minimum from any wells. ❑ Check # 1 \ J (2) Leach lines must be 100' minimum from any wells, including expansion area. Date I[ = - S Initial Z O (3) Sewer lines must be 50' minimum from any wells. O 1-7 r�j ! �C F- LU (4) Seepage pits must be 15Y minimu fro `any wells, including expansion area. US �l Signature of Health Offibi I t �� Date t DEH -SAN -i22 (Rov proal unimuuuon: wnl i c--Onlce rue;YELLOW—Appucam; rmK—tilag. Dept.; GOLDENROL—Plans/Records J, ......... ..... . I... ,X .1 PRO JIN or"jrx .. ... ....... EDUARDO ESQUIVEL 78-990 MILES A VE. SA 93 LA QUINTA,CA.92253. 760 -345 -1204 - GENERAL PROPERTY. INFORMAZION: LEGAL DESR- LOT 19 OV. BLOCK 3 OF THE DESERT CLUB TRACT UNIT NO.2 AS SHOWN BY MAP ON FILE IN BOOK 209 PAGE 6 OF MAPS, RIVERSIDE COUNTY RECORDS X15 CsPJ. �VEQ�K�'► q5H - 3 . (��„• (TIP) 1:. 1. SPI 2. SPI 3. SPI NE 4. SPI WI S. PR wi 6. PRI FEI 7. ®. DH AT S q�E�e,✓Y., .:. Y OF Ri`jERSiJE HEALTH SERA .► L ' EALT ✓Ot1t�iTH <<, ► ' �� t A' /8 tp TMENT OFyiROly E R. _: aEPAR Sew a Disposa, A�41A-Gal. ePtic Tank' —_ '(`� �...-/0 • - .. Foo --Tr;i1Gr Park Sq. fit..- leach �.rn�10 3�MD S Pa _ �(j �1 Hotel nN .I �Plo.Dia81 3-v ci G 7 �' I V Ccn::act on to S@',%;La( c Lt`s C �D G �7 —Sf�IjC,reilingtt�X`? - -- �`,ommercial Surldin -JConnac46 ? io Ex sling S.S.D. • sat AN I- _ individual seu ° �C�RIGATr.0 Pool l;e dischargad into the l'�loQ f,� iS t7 dEViG6S (r�26 0. ty �''prQ1 Board. 1, 6 i t) cu,:.eratin ti�tater _c ce 4rosn :he 4 -atzr h tr i• VWIV Pio on site ra �. m,�,d v;r'7out cicG; r' ,^ra,,- s �C I ,robing Code. n here�,viti� 2prr ; be from an a+ ' �rfc"n P ; s ,PALLP��� P1�r s sta., t'ation rn��. �r; nt J;.' y ply Serv!n tn! {tl ,- ;„ , h' i11 re! l!ir8n p'lt5 CZ C, approval. r% Jrraier su f q 1,M- i musl c ). io ,,,2 feel �� til nullity seviace ai p';sal as `aLation of the sewage All sewac�® dish �., • n exco of tvr�, ) Any cu*t!nc, grading -or ,riling onai'r�ater Quality Control i;oar• for r � —�`- royal has been obtained from the Heg' a rovas the subsurface sewage °� PUBLIC. N�LT APP disposal system._ DtPART�EN ©NE (1) YEAR %EnvirOnmen Health Services ap �taconstruct This is to certify that the Riverside County , is VA��Ddisposal plot pian to obtain building p, 1�RD� DA.�E OF bR APPROVAL,,SY�✓ ���TE ®--- ►�O � Lt � eat os raeft MIN tE T€�E� :R MAIMe --u of OM ANl( if 5 rt (I etr r( to St it (, linils must be 50 It. I Irl o rse tn& by tbs I)W--L "th of vdCounty does not "U"s ho ' tact of the reDDW , ui >on or aAt otAAreh`mtural beais�~ from any vw 150 ft. minimum fromSeepage pitsmust be -y �.. �D� I nn d ._ �iVd.�. Lv►^��l ................... PR IEALTH S RVs S AC'iENC_ y VIRON EWAL: EALTH a Seer a Disposa� ; ,p Gal. eptic Tank' �. _.... Sq. F . of Leach �ine r �No. JDia_�BI "' •3 TD �3 ) MD Seepag Connection to Sewer w �` L ,D 5,�vtAt G Connect to Existing S.S.D,S• 'r I"� ` �5��' A1� ��A,,�n� d� f'3j uc--Fcc 4 0 G �jTU�1 12 nay be discharged into the itidividual se+�e-drt�sat � r the Water Q� lity�; ntrol Board. n an approv�'7� `u%o CC, IIU.1.D� l L �� U /Nll /. 3 h requirements of c��rrent tJr ito-^i pL;mbing Code. ��.f SA foot will nullify sewage disposal ap;fECPACE Pir later Oual•sty Control Eoarfl for �:;:>i_�flation of the sewage �}-1 n r ntal Health Services approves Ilia subsurface sewage tion, construct' _ J DEPARTMENT OF PUBLIC 7EA JJ LID FDR ONE (1)•iS VAFROM DATE OF APPROVA IN. �� VIELt 7bA�;?6 . WATER �MA+I !�i � tkW L)Wsrsment of Pnef rZAA �� '0�)�ral of tneee plans by [ r �� „ for f3T94 °f geslth of Riverside County on%IW itY forBe not relieve the oes or Architect of the reeD rang or Architesbu-61 design?' `/ SO f - K% t n um from C � _ tix.aaQ d` )oZt4/iej cam►-,�lce-'�/ COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY 06AssessgoR'S PARCEL NUMBER rlE DEPARTMENT OF ENVIRONMENTAL HEALTH PERMIT APPLICATION FOR AA'SUBSURFACE SEWAGE DISPOSAL SYSTEM APPLICANT. Submit this form with four copies of a SCALED plot plan (1-20 SCALE) drawn to County specifications as indicated on the attached check list. A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this applica- tion shall remain valid for a period not to exceed one year from date of pgvment. LMS # (' rIy or (g �Ull'WA Agent, Contractor, Contact Person Address City State Zip Telephone a Owner ! �. �� �G�.,U Address City State Zip i Telephone Z Job Property Address r '�1tcEC�lC.D� City/. l t�I/NrA Zip " U U)�Q/X Lot Size lU(1 Water Agency ell '/ u>cltuFivc 4 VA(c.Ev Use of Permit, P/P, SUP PUP, etc. �„fltrNG 4"#X 64,14(EUi/ Legal Description �� �%ffzw 'tab f G(��rE2/.�/�/(%` Dwelling, NH�Site=Rrep�eto /! tt %/(i' li%/f//f1 Signature of Applicant VC/1 f V/Apa A/( 006 rvlw " /t rc.1+, Date CHECK BOX IF REQUIRED If any box is checked, this application shall be considered rejected until , a❑ Detailed Contour Plot Plans Required (1 to 5 foot interval) _the information is provided and the fee paid. Resubmittals later than 90 days after date noted below may require repayment of fees. ❑ Staff Specialist Lot Inspection Required m ❑ Holding Tank Agreements Completed Thomas Bros. Page Grid Z 6 ❑ Certification of Existing S.D. System Required H U ❑ WQCB Clearance Required ❑ Date Lot Inspection Completed: Initials LU (Attach for DOH -SAN -007, Santa Ana Region Only) Remarks: ❑ Maintenance Booklet Provided ❑ Soils Percolation Report Required ❑ Special Feasibility Boring Report Required ❑ Rereview Required Initials Date ❑ Final Inspection by Department of Environmental Health is required. Please call 24 hours PRIOR to inspection. C/42 / Soils Percolations BoringReport by / / f� Uc/Project # Date Soils /� t I Map Page / ! Soil Type -TS" . I{�/' Approved By Date No of Systems Type of System(s) Molding Tank ❑ Replacement No. Dwelling Units /)A44y Bedrooms, Fixttrfe`UnitV�- (1) Septic Tank Soil Rate Grease/Sand "'%-,Grease Intcp/Lint Trap New ❑ Addition Existing 3 80A, A%{j 4#1 .r `•rir• 1 �DQ© Gal. A � 'T � � Gal. v ,S,q. Ft. Bb om Area Total Linear Ft. Sidewall Allowance \N ih rock/ sq. ft. running ft. Inlet Tested Depth EJ NA � Install Unq(s)—� ft. long ft. wide with .� min. inche rock below drainlines or ALeach Bed sq. ft. of Bottom Area U Proposed Bottom Tested Depth Z Q Leac lines/bed special design for slope: (3) Pit Diameter r, No. Pits Pit Below Inlet (BI) / Seepage Pit Total Depth Maximum Allowable Ottier.; U LU Applicable N/A Overburden Factor V5" V3� Depth TD.,, Well Review Approved: Date: Well Drilling Permit # SIGNATURE Grading Plan Approved: Date: sl Sewer Verification Approved: Date: Plan Check Only Approved: Date: 1 REMARKS: � � '� //old./ � ��.. /.IiF�G�.a /t/ 4aGv.-el _ d.16[./V VAA,1(/+�'!)%1�?/J ////y/A .�r4 ' •`i/ Y/ 1/Qi�r1Gy�S�A/1 I5AI7 R� �t lr R/ -'T[ �t This application i APPROVED/DENIED-forsthexcategory check6dain:SEGT B FOR OFFICE USE ONLY above, regarding the de� a subsurface disposal system as indicated on the acompanied plot plan, using the requirements set forth in SECTION C above. A build- ing permit is necessary for the installation of the above -designed system. No con. Revenue ( f Fee r d U struction Is permitted In the required reserved 100% expansion area. f . y� 91) Septic Tank must beetflminimum from any wells. cor^de $ . Check # 7772ECt (2) Leach lines must be 100' minimum from any wells, including expansion area. a -•�,1�i Date /VI "` lJ vV Initial / /' 7 Z(3) Sewer lines must be 50' minimum from any wells. �•� ,T, D / 7a w+•�•• LD (4) Seepage pits must be 11550-' minimum from any wells, including expansion area. U) Signature of Health Official / 1019 -- Date DEH -SAN -122 (Hev 9/se) uismomicin: vvrll I t—URICe rile; YtLLUW—Appllcam; FINK—tslag. uept.; UULUENHUL—Plans/Record$ TA'SQ4-CONTRACTOR LIS`; ­ CITY OF LA QtJ'IW 0 W N E F 2. Lk1d67 //)C� BUILDERd to work authorize JOB ADDRESS—,:_ PERMI c`IT NUMBER e job with the Building-lunection Card at all in a consiaimmalum Oqt*-,�-ersons appearing on this list or their employees are This fon prior to commencement of vqb�rk. Failure to comply will result in a stoppage Of work and/or the voidance on this job. Any changes to this list must be approved by the Building Division 1%0 r-nmnlatod y applicant. "On File" is not an acceptable res onse. of buildinermit. For each aDlicable trade, all information g p:) Trade, I Classification r-nntractoipolicy Company Name e. requested ow mus .7" License." Classification U Canso Number Exp Date (e.g. A. B. C-8) (XXXXXXI xx/X x1xx) C onset on nsurance 'Wotkori bino Number &p. Date Carrier Name P. Date x='xx0/xx'(Xxxx) (e.g. State Fund, CalComp) (Format Voris$) 13txlxx/xxl Cit ousiness License Business License Number License Num (xxxx) Exp. Date (xxixxixxl .......... akftWO01K (C4 21 1 U,4 0, ff- —0, "J C- IL 7/,5-6 414 1 3.0 op DC*1 tAAT't. 0S _AeQ 0,yA &r 07.0=00985 tA) 2 Op Scj(oAt 5' '2.-14-00 CONCRETE 1C -81A 0 A n4 0 N3 i7t. FRAMING IC -5) VI&A,�rjA)J Ld 112C 6 A .4 731 75�7 2/. EL IC,511 MXSONRYAC-291 (3?,U6dbQ 9,q -7-7,94,4 004 205_7-f3kod 2- 'T9 91 2 4 04 //-/8-0 PLUMBING (C-36) A 0 4,M5 7,3 73-3 17-rz 7_53,757 S2 2 7 11-31-00 73 2 5/z 331 -zoo 3 -31-2evI 3 j / 2,vl - 2 -2Bol a/Ait da Na T4 1,& C14,tea-JA a rl- 1AL5 c/ x- 1,c-A,.4j A;.4 r C q / / v.- ov/ 1-2ql PAO PLASTER (C-35 LATH.- P" A DA N'5 edAlA= . . . : . .:.., .. . - DRYWALL IC -9) Aomm-7 e'd'Q"5;7 HVAC (C-20) ELECTRICAL IC -101 C Or Ath!- ROOFING IC -391 1) Koo F/,Oa ILI C-20 el- A C __3 METAL (C-43) . . - ':.. . OLOORING ic- .. I . . 1'31 t' -6�J k el- - •C4 I 4-9 00 2. 70 Y/ (o / - 0,7 I / -.?a v F'AW L5 7 -0;r. -I. 7- A I/ 11,eA V,,rai Te- z S&L I Z -10 0 Z,'5- 0/ _�39 oov 3.7,q 03291 OWING IC -17t- K hm' 1"SuiAndN (C-21 C_/7 C-42) iAGE DiSPi--:J-'. h&4 XL5 _C6AJJ 7- PA2_�V6 WMNG:IC-;331 A X -3 -3 '73 3b -I 3 2. 330 3-31-g4ft 2- -0/ .5r.4 rZL A,1 d ERAM 1 0 ;T n.E.IC-54) 0,fga 777!� CABINETS IC41 HO /Ve- Oc 07 . fa ,& f 2' -AIJ --'eelbel 2w'. y1i 4 A oar .. .. . f FENCING IC -131 14, 4 A C., C -)u LANDSCAPING IC -271 G (f _/3 C 2- 27!Ya 1-1- IT 3-31-01 9-30 Ail onno Ir.kil ...... &M Certificate of Occupancy City Of La Quinta Building and Safety - This Certificate issued pursuant to the requirements of Section 109 of the Uniform BuiIding Code, certifying that, at the time ofissuance, thisstructure was in. compliance with the various ord*inan&es of the City regulating building construction or use. For the,.folloWing: BUILDING ADDRESS: 51-416 CALLE- ILOILO, Use Classification: S.FD Bldg. Permit No.: 9907-597 Occupancy Group: R 3 Type of Construction: VN Land Use Zone:.' RC Owner of Building: EDUARDO ESQUIVEL -Address: 51-416 CALLE ILOILO'' -City: 1A QUINTA, CA 92253 By: STEVE TRAXEL _7 Date. 03-29-01 Building Official POST IN A CONSPICUOUS -PLACE OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract,you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations; and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico - - -La Quinta, CA 92253 (760)777-7012 FAX: (760) 777-7011 OWNER'S SIGNATURE/DAfE PROPERTY ADDRESS 7c5 PE MIT NUMBER(s) �Nr SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE (SEE ROOFING NO ON REVERSE CONTINUOUS LEDGER (SAME SIZE AS RAFTERS) HEADED` 'C•.STRAPS ~ X - T' AND I 6"x6".x1"x1/8".WrTH I z I (4) 16d NAILS OR BOLT I U 't P: FTER't'SPAN:r141 P Sit O / O.H. wO.H. a - V `'OVERALLLENGTH:: a ` OVfJtAlslx D —DE 2000 P.S.I CONCRETE —�I -= � A— FIt85N GWlBE- I �_ MIN. FOOTING L_J I L— J 12' BELOW GRADE L— J L PROVIDE 1" CLEARANCE 'POST"AND" NOTE - _.... CONCRETE OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA 5 VIA ONE 1/4" x 5" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL U—STRAP OR ANGLE �._ _.. •. r' 3/8" x 5" LAG SCREWS INTO STUDS AT 16" O.C. NON—CORROSIVE PLATE =c G� w CONTINUOUS LEDGER (4)— 16d NAILS x r OR BOLT r - U—STRAP OR ANGLE — (4)— 16d NAILS'' OR BOLT JOIST HANGER OR SOLID BLOCKING }.=y NAIL RAFTER TO BLOCKING PROVIDE 1" CLEARANCE , BETWEETEPOST ANDCONCR II I. BUILDING DEPARTMENT APPROVAL BELOW �I II II I� II II• :_ ANCHOR BOLT (EMBED 7" MIN. INTO CONCRETE) QUINTA TYPICAL PATIO COVER G & SAFETY DEPT DATE OF APPLICATION PROVEDOWNER'S FD NAME STREET ADDRESSONSTRUCTION_.. CITY• ST ZIP BY TELEPHONE H.O.A. APPROVAL ". _ Q' Q• Q RAFTER SPAN. TABLE GRADING RULES l � S G' `z , PS 20-70 0 o ov' (FEET & INCHES) O°J�� JOJ�`'' OOJ��i vQ 11) rIv 4 o./ 2x4 16" O.C. 24" 10'-6" 9'-6" T-3 8'-9" 8'-6" 8'-0" 6'-0" T-3" SIZE SPAN 2x6 16" O.C. 2,C 32" 15'-0" 14'-0" 10'-9" 13'-0' 12'-6" 11'-6" 8'-9" 10'-6" 10'-0" 8'-6" N/A N/A 4x8 11'-0" 2x8 ` 16" O.C. 24" 32" 18'-0" 17'-0" 13'-6" 16'-0" 15'-6" 14'-6" 11'-0" 13'-0" 13'-0" 11'-6" N/A N/A t-, NOTES: 1. 32" RAFTER SPACING IS ALLOWABLE FOR OPEN LATTICE PATIO COVERS ONLY. 2. FOR SOLID PATIO COVERS (NOT LATTICE) RAFTER SPAN IS LIMITED TO 10'-0" USING THIS STANDARD. LATTICEuRObF , a4,4:BUILT-UP ROOF _ HEADERS, HEADERSl& DOUGLAS FIR NO. 1 DOUGLAS FIR NO. 1 SIZE SPAN SIZE SPAN 4x4 5'-0" 4x4 4'-0" 4x6 8'-0" 4z6 6'-0" 4x8 11'-0" 4x8 8'-0" 4x 10 14'-0" 4x',10 10'-0" 4x12 17'-0" 4x 1'2 12'-0" t-, 8 14'-0"* 6x8 12'-0" §x10 17'-0" 6x10 14'-0" ALL CONSTRUCTION SHALL CONFORM TO THE PROVISIONS OF THE:: 1998 CALIFORNIA BUILDING CODE. SUPPLEMENTAL NOTES: ROOFING NOTES: A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN. B. ROCK ROOF: 3/12 MAXIMUM PITCH.