05529 (SFD)P.O. BOX 1504 N o i 0552
t7
Building cJ ,,4 r� ��� 7&105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner ;
Robert G. Kretech>er
Mailing BUILDING: • TYPE CONST. OCC: GRP.-
Address 9202 Walter St. A.P. Number 773-i3ffiS-'i3�'w
f
City.",Z1,90630
p Tel.
Cypress 1714/026-2969 Legal Description Lot 17 SM 64 unit 6
Contractor^
Ownex/EuildeT _ Project Description
Address
City Zip
State Lic. City
8 Classif_ Lic. #Sq. Ft. No.-No..D
i49w. '
Size- Stories Units
Arch:; Engr.,
Designer New ❑ Add ❑ Alter ❑ Repair ❑ ". Demolition ❑
Address Tel.
State ;
Lic. #
LICIENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7001n of Division 3 of the Business and Professions Code, and my license is in full force and
effect
SIGNATURE DATE
OWNER -BUILDER DECLARATION r�r�
I hereby affirm that 1 am exempt from the Contractors License Law for the following Estimated Valuation -
reason: (Sec.-7031-5,Brrskhess and Profession$83,052,.00
��
Professions Code: Any .city or county which requires a 0
��aWV
Permit to Construct, alte, 6rwrove, dernofah, or repair any structure., prior to its issuance also AMOUNT .
• requires the lip- I I for such permit to fife a signed statement that he is licensed pursuant to ' PERMIT '
the provisions of the Lbubactor'S License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Brstwss and Professions Code, or that. he is exempt therefrom; and the basis - - ��ff �^1 Ff
for the alleged exenWtwn_ Any vkMation of Section 7031.5 by any applicant for a permit Plan Chk. Dep.. J =` 250*'_W ,
subjects the applicad to a ciW penally of not more than rive hundred dollars .(8500).
❑ 1, as owner of the properly, or my employees with wages as their sole compensation, will Plan Chk., Bal. f .236.54
do the work, and.the structure is not intended or offered for sale. (Sec. 7044, Buisness and' Const.: 56�:i> _
Professions Code- The Contractors Lfcense 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. 3�.•r • -
,Provided that such i are not intended or offered for sale.. If, however, the building of Improvement i5 solid wilydh one year of completion, the owner -builder will have the burden Electrical I
of proving that he did not build of improve for the purpose of sale.) -
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 157.
slruct the project (Sec-, 7044, Buskress and Professions Code: The. Contractor's License Law
does riot appy to art owner of property who builds or improves thereon, and who contracts for S.M.I. - -- ?
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) •
❑ 1 am exempt uncle B. & P.C. for this reason
�,,,,.,�.
Grading � • '
// =4 Driveway Enc.
A
Oat - •' f- q honer ` �s �= �� ��� � � �" Infrastructure a��• Z i> '
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No —Corn I pany
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM REMARKS ? 7{ti k•LR!R >rn°1=t'.t £1e.`efik �35�i?Si .n + ,jii
WORKERS' COMPENSATION INSURANCE
$'F1'-'"'Y.Firi._.'1" S`;'i^ h.YY :a x'- -sur er•.q;_... ar...� -.
(nulls section freed not 6e Completed H the Permit is for one hundred dollars ($ 100) valuation -
'or less.)
certify that in the performance of thg work for which this permit is issued, I shall not
employ arty person in any maturer so:a"s to become subject to the Workers' Compensation
of California
Date
NOTICE TO APPLICANT.. 9, after nakhg this Certitiwate. of Exemption you should become ZONE: BY:—
subject to the HbrheW Comps salon provisions of the Labor Code, you must forthwith
Comply wmhSuch provsiosorOtsPermit shall bedeemed revoked. - -^ Minimum Setback Distances: 1. ,
Front Setback fromCenter 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 isissued_-(Sec. 3097, Civil Code.) - .,x- Side Setback from Property Line - -
Lenders Name ^
Lenders Address -
This is abuilding permit when property filled out, signed and validated, and is subject to FINAL DATE-INSPECTOR-
expiration
INSPECTOR -
expiration if work thtweunder s suspended for 180 days." .3116/89
I certify that I have read this.appliration and state that llhe•above information is correct. Issued by: ' Date Permit
I agree to comply with all city and county ordinances and state laws .relating to building -
constructiork and hereby authorize representatives: -ot this' city to enter the -above•.
mentioned property for inspection purposes f - Validated by:
Signature of applicarht Date
Mailing Address Validation:
City,. State, Zip .
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE G/i/C/i
[ `
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SQ. FT. @
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH) �
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ, FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SQ. FT. ®
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN.
WALL SO. FT.
_$
LUMBER GR.
FINAL INSPcu.
URINAL
SO FT ®
ROOFING
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
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
LAUNDRYTRAY
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/. c
SEWAGE DISPOSAL
FINAL INSPECTION
SQ.FT.GAR ® 3/ac
HOUSE SEWER
CERT. OCC.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
M-=CH.FEE PL.CK.FEE
CONST. FEE JELECT.FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK "lG
GROUND PLUMB -6-47
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE G/i/C/i
[ `
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) �
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
+.GRADING
yd.
plus x$
_$
LUMBER GR.
FINAL INSPcu.
FRAMING
FINAL INSP.
ROOFING
lel ? �� �! _) �pJ�,/
V (O
�/!/��
Ap%4 /��TJ/�//,'
�
REMARKS
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING (o
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURE/INITIALS
GARDEN WALL FINAL
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
SCHOOL FACILIU FEESI
t1®TICE: THIS DOCUMENT CA
TO: City 0SE N DitICA EDS DATE: ���U
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
This is to certify that / i ,
developer of .4�pq t which is
located at —I , within
this District, has paid school facility fees imposed pursuant to the
$uth��t�ge�t� a,�Ad�by �vernment ode Se tiojt 3080 in the amount of'
covering a total of square feet of ( re id✓ntial or
( ) industrial/commercial development and that building permits for
this footage in this development may now be issued by your jurisdiction.
G1� ) DC7'
for SERI S DS UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
0007
RECORDING REQUESTED BY
l�
AND WHEN RECORDED MAIL TO
r
Name Mr. Robert G. Kretschmer
Street 9202 Walker
Address Cypress, CA 90630
City &
State L_
F_
Name
Street
Address
City &
state L
MAIL TAX STATEMENTS TO
SAME AS ABOVE
CAT. NO. NNO0582
TO 1923 CA (2-83)
J
7
J O8S -G2Y
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Individual Grant Deed
THIS FORM FURNISHED BY TICOR TITLE INSURERS
iThe undersigned grantor(s) declare(s):
Z Documentary transfer tax is $ 24.20
a a (XXX) computed on full value. of property conveyed, or
( ) computed on full value less value of liens and encumbrances remaining at time of sale.
( ) Unincorporated area: ( x ) City ofT_A QiTTNTA - , and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
ALFRED F. WARD and JEANNETTE L. WARD, husband and wife
hereby GRANT(S) to
ROBERT GARY KRETSCHMER, a single man
the following described real property in the City of La Quinta
County of Riverside , State of California:
Zre
in Block 64, Unit No. 6, Santa Carmelita at Vale Ld Quinta, as per Map
Page 67 of Maps, in the office of the County Recorder of
said County.
PARCEL 2:
Lot 1 in Block 169 of Unit No. 17 of Santa Carmelita at Valle La Quinta, as per
Map recorded in Book 19, Pages 19 and 20 of Maps,'in the office of the County
Recorder of said County.
Dated: December 27, 1988
STATE OF ydA5h; Nq r
COUNTY OF Y-geu)j S }SS' iI^
On / - 3- Ig R 9 before + -
.me, the undersigned, a Notary Public in and for said State, \
personally appeared R v- -
IY A L I tP L. i# ),4,2
personally known to me or.proved• to•.me on the basis of sat-
isfactory evidence to be the persons i+tiose;nam . S
subscribed to the within , insrr*V*rkt) and:. `-,acknowledged
that-TIAeW executed.the.same.= ; :-.t ,
WITNESS`my h d and officia)s 1:A
Signature
Title Order No.
fred
�eannette L. W
(This area for official notarial seal)
Escrow or Loan No.
MAIL TAX STATEMENTS AS DIRECTED ABOVE
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$
%
V
J O8S -G2Y
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Individual Grant Deed
THIS FORM FURNISHED BY TICOR TITLE INSURERS
iThe undersigned grantor(s) declare(s):
Z Documentary transfer tax is $ 24.20
a a (XXX) computed on full value. of property conveyed, or
( ) computed on full value less value of liens and encumbrances remaining at time of sale.
( ) Unincorporated area: ( x ) City ofT_A QiTTNTA - , and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
ALFRED F. WARD and JEANNETTE L. WARD, husband and wife
hereby GRANT(S) to
ROBERT GARY KRETSCHMER, a single man
the following described real property in the City of La Quinta
County of Riverside , State of California:
Zre
in Block 64, Unit No. 6, Santa Carmelita at Vale Ld Quinta, as per Map
Page 67 of Maps, in the office of the County Recorder of
said County.
PARCEL 2:
Lot 1 in Block 169 of Unit No. 17 of Santa Carmelita at Valle La Quinta, as per
Map recorded in Book 19, Pages 19 and 20 of Maps,'in the office of the County
Recorder of said County.
Dated: December 27, 1988
STATE OF ydA5h; Nq r
COUNTY OF Y-geu)j S }SS' iI^
On / - 3- Ig R 9 before + -
.me, the undersigned, a Notary Public in and for said State, \
personally appeared R v- -
IY A L I tP L. i# ),4,2
personally known to me or.proved• to•.me on the basis of sat-
isfactory evidence to be the persons i+tiose;nam . S
subscribed to the within , insrr*V*rkt) and:. `-,acknowledged
that-TIAeW executed.the.same.= ; :-.t ,
WITNESS`my h d and officia)s 1:A
Signature
Title Order No.
fred
�eannette L. W
(This area for official notarial seal)
Escrow or Loan No.
MAIL TAX STATEMENTS AS DIRECTED ABOVE
S
�,.,:. •"'. V- ,J�.T.. F'A' �""' ^. J' ,.^rY �i.Yr :'tf,�. � ���ts? �^"L 'X'iF'�"'�Y'^�' "iy�:�W!`\r'i�+1C) �.t}!'�y�;f'.'L�yy�'[3Y 7:;*Y�r„F*'�i�f4 _• ,y
RECEIPT NO. /� Issued By 1� t� r Date
DISTRICT: ❑ Riverside, 21 Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records
o,
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH A°°°'°Of° Panw NO'
ENVIRONMENTAL HEALTH SERVICES
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 list
A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of
Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval.
Q
VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'* I
Z
O
Agent, Contractor, Contact Person
f f-
Phone
Address & Phone
l�2 C� P?Es 9
R01,1& x (�, ftRY IC
LY_
'
lL
Owner.-
Phone i/�
Maili Address
City
State
1
Zip
Job Property Address At/.i' it%j sJ
Legal Description Prop. (PM, Tract, Lot►
C.\F S
64
S - , 5 VnA
60 )2 L.00 rL (n
Lot Size
Water Agency/Well
Use of Permh P/P, CU, etc. Lq QU h/i
Other
/
Date
Signature of Applicant
CATEGORY:
CATEGORY: REV CODE FEE ----,CATEGORY:
REV CODE FEE
SUBSURFACE DISPOSAL 1238 .00
❑ SITE EVALUATION UPON REQUEST 7349 $42.00
MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
m❑
Z
LAND DIVISION
❑ SEWER/SEPTIC VERIFICATION 7348 $11.00
p
a. 1 st 4 Parcels (Each) 1238 $45.00
(Less than 1 year)
U
b. Each Parcel after 4 7344 $16.00
❑ PRELIMINARY ELECTIVE 7352 $45.00
tL
❑ Rereview (2nd review same parcel) 7344 $16.00
EVALUATION (Attach DOH SAN 53)
N
❑ Site Evaluation in Conjunction with
❑ HOLDING TANK 7351 $45.00
Critical Area 7346 $86.00
❑ ALTERNATIVE/EXPERIMENTAL 7345 $13200
❑ Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft. 7347 $86.00
CACcD Pf-0r Ac 4e/ �l: zp,vr„��cd 9 6 :rKP/tod��t��n/1r � f DATE
/INITIAL
G
Holding Tank Agreements Completed ��^lOSC�iDtNG ❑ Yes .EI N'” o s`�
Certification of Existing,". System Required ❑ Yes 0 j r
N
WQCB Clearance required. (Attach Form ❑ Yes o
DOH SAN 007, Santa. Ana Region Only)
Soils Percolation Report Required. ❑. Yes m
Special Feasibility Boring Report Required. ❑ Yes C3 r
Detailed Contour Plot Plans Required (1 to 5 it interval) ❑ Yes Nff
tc f!yc4no i 'gyp dKes ' I
O"r(E0TirfC,gz"n1 or r_.X/STin1G (.tl
�RO0S Sh'r F/j
Staff Specialist Lot Inspection Required Loca77o•+f"'ujr s^�✓ ❑Yes !] No
Lot lnspe..Date
/ r st_*n,7A o J SCI. naol/A amt
Soils boring report by k Project # Date
Soils Map Page / Soil Type / , (�� Approved by Date
U
Z
No. of Syslems
T401 Systems)
Tank ❑ Existing
No. Dwelling Units
Bedmo/m�s,+-ixture:Unita.
(1) Septic Tank
Soil Rate
Greeae/Sand
Meese
0
/�
❑Holding
New ❑ Replacement
//�
,,�/ �a%
/ 0,
Intcp
.t'"
f? 2i►� . ,v�1}!
�,,,
�//__C_/_(L(ial
'�
'
Gal
U
(2) Leach Line Sq. Ft
Sidewali allowance
Install Lines) It. long R wide with
Leach Bed sq. ft
�4oPbcgto
Bgttom trench area
R rock/ sq. R
min. orches :below, dreinlines or
m area
per running ft
� I"M
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pita
Ph Below
Seepage Pit Total Depth
Other,/
Applicable . e
N/A 10'000'-
❑/6 I
Inlet (BI)
l ( o'
Max. Allowable Depth
Overburden factor
1
No. 2 System
REMARKS: C• .^ ` C t t. t U ca /. �{ `' S `L.
z ��� �`r
This application isl PPROVED/DENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
on the accompani6d plot plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the
Z
above -designed system. No construction is permitted in the required reserved 100% expansion area.
C (1) Septic tank and sewer lines must be 50' minimum from any wells
IU
(2) Leach lines must be 100' minimum from any wells, including expansion area I
e--' r s ., �., 1 Li. r�
((3).> Seepage be 150' from ( ` r t �'' Wit' �U G `'' r.
pits must minimum expansion area G �. l
an wells, including �,� .
�. y
�g
I
Signature of Health Official Date
RECEIPT NO. /� Issued By 1� t� r Date
DISTRICT: ❑ Riverside, 21 Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records
o,
A0 I hk
Buena Engineers, Inc.
79-811 Country Club Drive, Suite 4
Bermuda Dunes, CA 92201 • (619) 345-1588 / 328-9131
Client
Client Address
Client Phone
DATE
q ! 1 , j(37.
JOB NO.
1312 - P1
PROJECT
51 - (l9S AVE r\ ve C/1S'rc�
LOCATION
L c -
CONTRACTOR
OWNER
WEATHER
CLCAZ
TEMP. o at AM
0 a PM
PRESENT AT SITE
DRY
DENSITY
IbslCu. ft.
MAXIMUM
DRY
DENSITY
%
TEST
NUMBER
TEST LOCATION
LOT
NO.
ELEVATION
FIELD TESTING
REFERENCE CURVE
MOISTURE
CONTENT
%
DRY
DENSITY
IbslCu. ft.
MAXIMUM
DRY
DENSITY
%
MAXIMUM
DRY
DENSITY
IbsJcu. ft.
OPTIMUM
MOISTURE
CONTENT
%
91
, 1
Q- G&G
6,b
(v3.1
90
REMARKS: �C 12 �C) 1� i� F_ 2E't"�- S S O f-AC� US (; Pt\ �.
1307--1 TT- S7
t-1 A
D V E -TD �"'JATr- Z S F `"j l: tz c I N z: . -T-9Z E: c
( JQe V,S J 0 F>tZr L)i= z 1
&"'�
5274 CLIENT REPRESENTATIVE SIGNATURE
FIELD REPORT
TECHNICIANS SIGNATURE