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04116 (SFD)Building Address ss ' 52-445 olaisco • Addr Owner DayL4 ortAgia Mailing Address 50-0061 Ronner City Zip CoAohella 92236 Contractor Address P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA} 92253 BUILDING: TYPE CONST. OCC. GRP. A.P. Numbers,. Tel. Legal DescriptionPamily Well Ing . Project Description State Lic. I City & Classif. Lic. # Arch., Engr., Designer Address Tel. CityI Zip I 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. + .SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby-affirm,that I am exempt from the Contractor's License Law for the following reason: - (Sec: °703.1.5.Business and Professions Code: Any city or county which requires a Permit to construcL'•alter, . improve, demolish, or repair any structure, prior to its issuance also requires the applicant.lor 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 o/ Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500). O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Bussness and Professions Code: The Contiactor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, Provided . that such improvements are not intended or offered for sale I/ however the building Sq. Ft. X500 No. NO. DIN. Size Stories Units e New ❑ „ .Add ❑ Alter ❑ Repair ❑ .. .,,Demolition p - ;timated Valuation . PERMIT. Plan Chk. Dep. Plan Chk. Bal. Const. Mech.' •�1 '- AMOUNT or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) 'Electrical it , tl *. �.-•.- ` Plumbing103.00 �. O I, as owner of the property, am exclusively contracting with licensed contractors to con- doesstruct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) , O I am exempt under Sec. B. & P.C. for this reason S.M.I, - V', � "�' ? Grading -20 r00 Driveway Enc. .20 ,00 DateOwner Infrastructure T' . »«a 1,.795. 00 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. , - TOTAL t.. a� III,... 1& 41 d,*i ' CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE REMARKS - (This section need not be completed if the permit is for one hundred 'dollars.($ 100) valuation or less.) I certify that in the performance of 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. i>'`-�P•� '+9fta fi -� Y''"-1JVvI,'w iTl•.� 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 _ A Ihereby affirm that there is a construction lending agency for the performance of the. work forwhich this permit is issued. (Sec. 3097, Civil Code.) Lender's ' Name - - FINAL DATE Side Street Setback from Center Line Side Setback. from Property Line - • ++` INSPECTOR 6/13/88 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 informatiori 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. .. _ - Issued by , Validated by: Date Permit t r Signature of applicant Date ` - - Mailing Address .,Valldati6n: -City; State, Zip GOLDENROD - ASSESSOR'S OFFICE, -HARD COPY - FILE ?'r;.�rT C: ..t. 'h'3a.I ?S•Y_... dtiiri _ =!s�e'i-:.t r: '.. t•. .:h_: L. 4.. �. - _ - �. - • WHITE FINANCE PINK APPLICANT, GREEN 1 BUILDING, 3.t n, - �-.� FC��-T.' .A. �7ifi ....w.L�iiri•� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES ISI FL SO Fl y S UNITS COLL. AREA SLAB GRADE ROUGH PLUMB YARD SPKL-R SYSTEM 2ND FL SO FT. a HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR SO FT a DUCT WORK ROCK STORAGE FOUND. REINF. POWER OUTLET ROOF DRAINS GAR SO. FT. Ft HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SO FT. 6 GROUT WATER HEATER DRINKING FOUNTAIN WALL SO. FT. Q FINAL INSP. BOND BEAM WATER SYSTEM URINAL SO. FT. (I GRADING cu. yd. $ plus xE -$ 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.000L HOOD SIGN WASH ER(AUTOWISH) 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, 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 ( 1'A c ISEWAGE DISPOSAL INSULATIONISOUNL — SO.FT.GAR @ 3i.c HOUSE SEWER FINISH GRADING GAS PIPING PERMIT FEE FINAL INSPECTION 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 8 AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 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 APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus xE -$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUNL — FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES! NITIALS GARDEN WALL FINAL PF Desert Sands Unified School District NOTICE'THIS HIS (DOCUMENT /CM� 1TIOOF OF PAYMENT ����.�+: V SCHOOL FACILITY FEES TO: City of La Quinta DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 ILA [tom ((ZD This is to certify that developer of which is located at within this District, has paid school fa ility fees imposed pursu t to the authority genera ed by o rnment C d ectio 5308 in th a ougn covering a total of square feet of K) r. i ntia or C ) industrial/comme cial development and that building permits for this footage in this development may now be issued by your jurisdiction. U-46g�' r ESERT SANDS U IFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (1007 Q Z� O� U W U) Z O 1= U W U) U) `1 tr Q 2 W Cr COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH 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 specifications required on the attached check list. A non-refundable tiling fee of $40 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # Name (Owner. Agent. Contractor. Etc.) Mailing Address City State Zip Code Telephone `Jo dress '� , " �/ e Cit o Community- -� Legal Description of Property. (Lot PM. TFC G � !, • `v' L ��l RR4�{{. �/'i" da �'� �-f'a`d/ �� (���' � (. \��A �t+ ��• r/ -/' � C' K -j `�"\ y ..-�-,, "Assessor's Parcel No WaterC_ Agency_o& Well '" '------ -_',��p �+ ��y Ij s Lot Size - "p use of Permit Planrnng Case N �a — in f7I„' r Y K/ SFD. MH Site Preparation Etc. >> Y Signature of Applicant Dated 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial, Date Certification of Existing S.D. System required. ❑ Yes ❑ �No���� "'� � G WOCB Clearance required. ❑ Yes ❑ No pp " 1 Soils feasibility report required. ClYes []"NO//" U Special feasibility boring report required. ❑ Yes ❑ No Detailed contour plot plans required. ❑ Yes No Staff Specialist approval required. ❑ Yes © No Lot Inspection Date Soils/boring report by Project # Date Soils Map Pae ti' _ " Soil Type "� C Approved d 9—#�=�- YP PP oved by:�� � " Date Type of System: i° No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing C�'New ❑ Additional ❑ Replacement % (r ?� f MCI Gals. � �==" (2) Leach line sq. ft. Sidewall allowance Install Line(s)—Ft. Long, Leh bed Sq. (Bottom trench area) ft. rock/ Sq. Ft.—Ft.wld'ewvit min. inches Ft. of fb per running ft. ®,N/A rock below drain lines area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth Applicable <s © �( Max. allowable depth N/A fid Overburden factor This application is p4 rmd—t0nied=for the design of a subsurface disposal system as indicated on the accornpanied plot plan using the requirements set in Section B above. A building permit is necessary for the installation of the above -designed system. "forth (i Septic tank and sewer lines must be 50' from any wells Y lines must be 100' min. from any wells including expa sion areai GLeach 632Seepage pits must be 150' min. from any wells,,including expansion area 37, - Signature of Health Officialtea-- RECEIPT NO. K�a� Issued by �D- f Date�H / =H District: ❑ Riverside Oindio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH SAN 122 (Rev 8187) .1 F. �{ •. Q�! 1 ` OI F If E OF E. LEON SI nUGY AGRICULI URAL COMMISSIONER L _ In�IEs o wnLLncE AND �SS:S;a�t r,)'•1'.ucc�O�EP. 1VLIGI ITS S £i MEASURES CLEMENT QE`vENISiE V : ` T ► ) SEALER 49-613 IN 86, Suite 13-12 \,.�.,,,•'' 'Conchelln, CA 92236 Mq 619-342-829.1 DATE r 2. S'- 8 S' CASE M . DEVELOPER'S NAME: O ADDRESS: TELEPI IONE: 4t,Q�QA, Dear Developer: Qa / After reviewiig your landscaping plans, c-il.l plant m3Lerial listed -is not .in violation 'OE quarantine laws governing the Coachella Valleys if substitutions do occur and they differ fruit plant nuLerial listed, this office must be notified. it�mediately. " Thank you for protecting and, preserving the Coachella Valley's pest -free .elrvironment. lei Agricultural Comiussionet UC ice cc: Indio and Riverside Office v�ki�s.'w1,•yYP;'l•:a``y'''",,,,�'4;Ke,,��r..._-.�1. TOP .CEORD 2X4, SPP _42 ' • i FOT CF_ORJ , .2X4. _ SPF . X4 CONTINUOUS ?ATE_RA .B ACING_ ATTACH WITH 2- ED .YILS #2 WEBS_ 2X-4 SPP r Bottom chord checked for 10 psf live load_ v NO WANE 'OB LOOSE YN6TS . SHOULD OCCURIN T� ". PLATE 'CONTACT AR2ii_ ' ' COTE: 2x4 Continuous :lateral bottom chord bracin_77g ' . - - C 10 `—O" max..- o: c. reouired. Attach .iaitn (2) 'ibd nail s furless rigid ceiling .is attached d rectl,7 to bottom chord_ COTE:Special handling care. should be taken -during S=,1D?ing and erection of trusses. See "nA_`\ING" note below. ' •Bearing locations trust. be ,marked- or_ ;truss by _truss( -_ - `abricator to insure proper,erecton. - /SPT 3X5 ��n v; '�Sr XG i1 �a 3X 2' 7 '• j _ •2X'; 5X8 2. �X `; 5X3 i • �' 2X�� [./SPL ;.' p 0 5v TT/SPL _ 2173-0!21-3-0' U2 6-D I . s: 8-11525 R-664 R-685= 1 PLRTE •TYPE --ALPINE � 1-'�`'SEON--Z97D1'1 ' ' FURNISH RrCOPY OF.,THIS: DESIG+! "JO, ERECTiONCONTRRCTOR � - •• •• '�E - o:Isn h of "' UN -ESS TFESE SPECIFI�iT1ON5 - ' 'a_„TFE155ES REOUlRE” ExTFLR7E DESIGN CRIT REF - N�— s �;a Y T�1PDRTANT � Y -FOR LtX9ER ttiO:r ftviUE 11RRNING GIRE IN HWLINr. ERECTION = t mgr ises Fcuo._a q THE, TRIb5E5 eurriNcotF Tw+[E wa iMH[ItS. 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NCtINAL-..Iii S '.077M DIRO WITH RICIO rEIIIt,:.OR BRRCINC f. - �*� y F. •� .�S`r •�- O'-S1L.% STR�*Mn. vi -4 FPP`.7-31£ RT rtVcj t OF 10 FEAT e.C. CQ �T L•c� ?ti:?; '�•.`! �• t _ — LI* -ti -•a' .