001989 (SFD)c' P.O. BOX 1504 N O . 001989
Buildingr 78-105 CALLE ESTADO
Address .52-Q5 AVS Vwasc i LA QUINTA, CALIFORNIA 92253
Owner
T MITiS BUILDING: TYPE CONST. moi' • - OCC: GRP. -
Mailing
Address 7Trxxmil+mia Cli• AT -Number 7T3-294-018
City Zip Tel.
-, . 92210 Legal Description.
Contractor
- .' ..... - Project Description �.�`..�.
Address.. ...
City ]Zip Tela
State Lic. City
DWI ?
& Classif. Lic. # Sq. Ft. - . No. No. Dw.
Arch., Engr., • _ _ ._
Size -CM.- 484 Stories 1 .-Units I
Designer New •O - Add ❑ Alter ❑ ' Repair ❑• Demolition ❑
Address Tel.
CityZip State ;
... Lic: #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70 OO) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. .
SIGNATURE DATE _
OWNER -BUILDER DECLARATION
Estimated Valuation
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,. 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 -PERMIT. AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Dfvision'3•ofthe Business and'Professions Code, or that.he is'exempt•therefrom, and the basis" �t - -
• for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for. a' permit Plan Chk. Dep. `orf �T
subjects the applicant to a civil penalty of not more than'five hundred dollars -($500):'
O I; as owner of the property, or my employees with wages as their'sole compensation, will Plan Chk.,Bal.
do the work, and the structure is not intended or of for sale. (Sec. 7044; Buisness and COf1St. }�
Professions Code: The Contractor's License'Law does not-apply'to. an'owner of property who 334.00
builds or "improves thereon and who does such work himself or through his -own employees,y,� w
provided that such improvements are. not intended or offered 'for sale. If, however, the building'. - Mech.. !Fi
or improvement is sold- within one year of completion, the owner -builder will have the. burden Electrical - CC4
of proving that he.did not_ buildpr,improve for the purpose of sale.). _ - - 61.04
O' 1, as owner of the property, am exclusively contracting with licensed contractors to con- ' Plumbing' !�`�
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 S.M•I, 4.66
•such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) -
Grading
O 1 am exempt under Sec. B. & P.C. for this reason .
Driveway Enc.
Date #T owner V1 .*--- • , Infrastructure 1' : 4.69
WORKERS' COMPENSATION DECLARATION
I'hereby affirm that I have's certificate of consent to self -insure, or a certificate of '
Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. ' -'Company - ..
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. .
TOTAL
CERTIFICATE OF EXEMPTION FROM REMARKS'
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit. is for one hundred dollars ($100) valuation..-
.. or less.) - Y
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers''Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become 'ZONE:'' BY: _
subject to the Woikeis` Compensation provisions of the Labor Code, you. must forthwith -
complywithsuchprovisionsorthispermitshallbedeemedrevoked. Minimum Setback Distances.-
Front.
istances:Front. Setback from.Center Line
Rear Setback from Reaf Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)-Property$Ide:Setback from
Line
Lender's Name
Lender's Address , 1
This is a building permit when properly' filled out, signed and.validated, and is subject to FINAL DATE INSPECTOR -
expiration it work thereunder is suspended for 180 days. 1 ��t
I certify that I have read this application and state that -the above information is correct.. Issued by:` Date l V Permit
I agree to comply with all city -and county ordinances and state laws relating to building
const ruction, and hereby authorize representatives -of this city to- 'enter the above-. ' :_.+ �,
mentioned property for inspection putposes.. ^¢Validated by:
Signature of applicantabate 4- e
Mailing Address :2 Validation:
City, State, State, Zip'
A 3 7 7 9 l 9 i58.b62 D,
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CARP. SO. FT.
WALL SO. FT.
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
I ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
/SLAB
t. H FORMS G
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GA (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP./EQUIP.
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
FRAMING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
REMARKS:
SO.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
HECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
-,�,OUND PLU Ne
UNDERGROUND
A.C. UNIT
COLL. AREA
GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
/SLAB
t. H FORMS G
O P
GH WIRING:Z IW
U WORK /ay
ROCK STORAGE
FOUND. REINF.
GA (ROUGH)
ETER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL) �-T&P. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
•FIN L INSP.
FRAMING
FINAL INSP.
�i/
t(i00FINGi ��p
VENTILATION
pp
A/ / Li1=�
Al
f��� j ,-
�f1
��Q v�
/
/12=17
/7!�
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR���CCCJJJ
GAR. FIREWALL
LATHING
MESH
SULATION/SOUND 'ZZ/ Z
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS.
GARDEN WALL FINAL
Z
0
U
W
to
N
M
Z
O
F
U
W
(n
U
Z
O
H
.W
y
172`
COUNTY OF ,RIVERSIDE, DEPARTMENT OF HEALTH
PERMIT APPLICATION FOR A SUBSURFACE DISPOSAL SYSTEM
Applicant: Submit this form with three copies of a scaled plot plan drawn to county specifications required on the
attached check list. A non refundable filing fee of $15 is required when the application is submitted. Check must be
made payable to County of Riverside.
< 77- 0 6 2.. 1 R 0 0 i 's
Name '
Mailing Address
City
State
Zip Code
Phone
V e. Vi.
L A Q u H S A ,-1-of
c Loc - /-.r/1,P,
__ :, r414 ,, Aga
`Property Address l
`City or Community
iLegal Description of Property (Lot, Parcel'Map, Tract),,(..
`Assessors Parcel No.
Water Serving Property From
C, V, ��► �-e
Lot size
6-a ��
ApA)l3-a9s/-o%�
ASfi
/too
Signatureo' Applicant Date -
'The above information must be verified from Building Application
Staff Use — Do Not Write Below This Line
/Initial/ Date r
WQCB Clearance required . Yes ❑_ No
Soils feasibility report required Yes ❑ No
Detailed boring report required Yes ❑ No
I i
Detailed contour plot required Yes ❑ No[
Comments:
Soils or boring report by Date
Approved by- / ;f Date
�� e��� /�� %r4 ,
Soils Map Page Soil Type Tract File N`o i �� ''� Other
Number of Bedrooms
Septic Tank Size (gallons)
]
Rate Required, r
Type of System
NeEw-- Add❑ition Replacement
Leach line sq. ft. of bottom area trench
LeaccH bed (sq. ft. cf bottom area bed)
Seepage Pit Diameter
5WEI 6' O
Number of Pits
Seepage Pit Depth B.I. l
Total Depth of Pit
Location of System
A
Additional,Requirement _ - yyiLL,rza� o. .�.' Gfi v'
A permit,is appro ed`/dee 4ed=for the design of a subsurface disposal system as Indicated on the accompanied plot plan
using the requirements set forth in Section B above. A binding permit is necessary for the installation of the above
designed system. ,
/
Signature of Health Official Date
Receipt No. . ` / Issued By -
District: Riverside ❑ Indio [],-----Hemet ❑ Date. L/
DISTRIBUTION: WHITE - Office File YELLOW - Applicant PINK - Building Dept. GOLDENROD - Pending File
DOH SAN 122 (Rev IO!� �-,_
r
Cca
i
yo3
Tit�l -'4
78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 (619) 564-2246
November 27, 1985
110W 7/3
Mr. Roy D. Morris.
77-062 Iroquois Street
Indian Wells, CA 92210
RE: PLOT PLAN NO. 85-219, Approval to Construct a Single -Family Dwelling on
the.West Side of Avenida Velasco, 294' South of Calle Ensenada
Dear 'Mr., Morris:
,This letter is -to report approval of your application to build a single-
family house at the location described_ above. This approval is subject
to the conditions listed on'the attached sheet.
Now that you have Planning Commission approval for construction of your
single-family hare, the next step is to. submit plans to' the CcmTunity
Development Department, Building.Division, for.plan checking. An
instruction sheet is attached explaining the,requirements that must be
completed prior to acceptance of the plans for consideration of approval:
Please contact the Building Division if you have any further questions
regarding fees, etc.
Very truly yours,
COMMUNITY DEVELOPMENT DEPARTMENT
PLANNING DIVISION
Wallace H. Nesbit
Planning Assistant
WHN: dray
Enclsc '1. Conditions of Approval
2. Instructions for Submitting
Plans for Plan Check
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
2MS APPFOIAL I S SL Mr 7V 7-mE Fainwim Comma
1. the develapmmt of the site shall be in omdarmw-oe with the Exhibits A,
B and C contained in the file for Plot Plan No. 85-219 , unless otherwise
amended by the following oanditior s.
2. The approved plot plan shall be used within two years of the approval date;
otherwise, it shall become null and void and of no affect whatsoever. 8y
"use" is meant the beginning of substantial construction, not including
grading, contetplated by this approval which is begun with the two-year
period and is thereafter diligently pursued to ampletion.
3. 11ater and sewage disposal facilities shall be installed in a000zdance with
the requirements of the Riverside County Health Department.
4. Fire protection shall be provided in a000rdanoe with the standards of the
Uniform Fire Code as adopted by the City of la Quinta.
5. Prior to the issuance of a building pe=dt, the developer shall submit
and have approved,, a detailed landscape plan for the front yard showing
the species, size, location and spacing of all planting materials, including
a minimum of two (2), 15 -gallon, street trees. 7he plan shall indicate the
irrigation system and the location of the required three (3) outdoor water
spigots. Prior to the issuance of a Certificate of Occupancy, the Applicant
shall install landscaping in accordance with the approved landscape plan.
All trees and plants shall be maintained in viable vocxdition for the life of
the approved use.
6. The heating and cooling mechanical eguipnent shall be ground mounted, or
screened entirely bv the roof structure.
7. Refuse containers and bottled gas containers shall be concealed by fencing
or landscaping.
B. the driveway shall be surfaced with concrete and have asphaltic concrete
connecting pavement (a 2" x 4" header) to the existing street pavement.
9. The Applicant shall obtain clearances and/or permits fram the following
agencies prior to submitting these plans to the Building Department for
plan check:
o Riverside County Health Department
° City Fire Marshal
° O=mv ty Developnent Department, Planning Division
° Desert Sands Unified School District
10. The Applicant shall pay a school development fee as determined by the Desert
Sands Unified School District in acoordance with the school mitigation agree-
ment as approved by the City Council and in effect at the time of issuance of
a building permit. A letter from Desert Sands Unified School District stating
that these fees have been paid shall be presented to the ccmmmity Development
Department, Building Division, prior to issuance of a building permit.
11. The structure shall have a Class "A" roof covering.
? O
Desert Sands Unified School District
N BERMUDA DUNES r
RANCHO MIRAGE
82-879 HIGHWAY 111 a INDIO, CALIFORNIA 92201.5678 • (619) 347-8631
INDIAN WELLS H
PALM DESERT a
dP LA OUINTA
'gyp
INDIO y�
January 9, 1986
City of La Quinta
Department of Community
Development
78-105 Calle Estado
La Quinta, CA 92253
Re: 52-625 Avenida Velasco
Gentlemen:
The developer of the
above referenced lot
has mitigated i=ts i=mpacts on our overcrow:de.d schools by payment
of the amount of $628
per unit to be applied to the cost of
district educational
facilities made necessary by such new
development.
Sincerely,
John D. Brooks
Assistant Supe.ri.ntende.nt
-- Business Servi=ces
JDB/crm