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002402 (SFD)44 QUO& r P.O. BOX 1504 N o... B%ilding 106 3i& VeLaSI :3 78 105 CALLE ORNIAESTAD9..002402 Address LA QUINTA, CALIFORNIA 92253 Owner 3s ` BUILDING: TYPE CONST. OCC,. GRP. Mailing Address 5 --625 Hi.Selatia 'D•� A.P. Number City Zip Tel. - �. � 92253. 5?8-' Uz ' . - Legal Description lot 4 ContractorProject Description mle family > l�. 1 ..Address ... City. ""_ _ Zip ' Tel.. State Lic. ...City g 1452 & Classif. Lic. # Sq.- Ft. im, 422 No. No. Dw. -Arch., Engr:, Size Stories Units - - -- Designer._ New ❑X""Add 6" 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 7000) 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 1 hereby affirm that I am exempt from the Contractor's License Law for the following ISA75'000 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 rile 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 - 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' Plan Chk..Dep... °'Ir �-Il*f -subjects the applicant to a civil penalty of not more tharrfive hundred dollars ,($500). - - - Bal. Chk. a. ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan do the work, and the structure is not intended or offered for sale. (Sec.' 7044, Buisness and Cionst. ' Professions Code:The Contractor's License Law doesnot apply to an owner of property •who builds or improves thereon and who does such work himself or through his own employees, - ' Mech. V) f 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 Electrical of proving that he did not build or improve for the.purpose or sale.) _ _�-- . . ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing^ struct the project. (Seca 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.1. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - - - Grading " ❑Iain exempt under Seca. B. t. P.C.- for -this reason ' Driveway Enc. 20.00 Date owner Infrastructure.��' 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 O, Copy is filed with the city. ❑ Certified.copy is hereby furnished. �7 TOTAL ,RUiE 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.) " - .. ...- .. 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. rvvn — A—LI ANI: If, aner maxing rms uenmcate or exemption you should become subject to the Workers' Compensation provisions oV the 'Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) . . Lender's Name 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•cit 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 City, State, Zip HARD COP ZONE: BY: Minimum"Setback Distances: 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 'Permit Issued b Date Validated by: Validation: A5]45 6 10 181,"4,76 U CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING 2ND FL. SO. FT. HEATING (ROUGH) YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. HEATING (FINAL) DRINKING FOUNTAIN SO. FT. ® GAS (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation WATER HEATER FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GRADING cu. yd. $ plus x$ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP. 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER GAR. FIREWALL GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE NECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING r✓� UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK SEWE OF R ANj%� ROUGH WIRING DUCTWORK ROCKSTORAGE ````--FORMS ' OUND. REINF. /y O� GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING DEC• 4 N` REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING�-- MESH INSULATIONISOUND r FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL '06�f1E0 = = Desert Sands Unified School District w BERMUDA DUNES r RANCHO MIRAGE 82.879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5878 • (819) 347-8831 INDIAN WELLS PALM DESERT DESERT a %P'LA QUINTA "O INDIO June 4, 1986 City of La Quinta Department of Community Development 78-105 Calle Estado La Qui'nta, CA 92253 Re: Parcel # 7740550040, Lot 4 Block 216, Unit 21 Gentlemen: The developer of the above referencedlot has mi.ti'gated i:ts impacts on our overcrow:de.d schools by payment of the amount of $628 per unit to be applied to th.e'cost of district educational faci'li.ties made necessary by such new development. Sincerely, J, �. John D. Brooks Assistant Superintendent Business Services JDB/crm COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION _ PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM "- (QW4 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 filing fee of 30 is required when the application is submitted. Check must be made payable to the ounty of Riverside rts Building Department Application Log b a 0 0 H H U w ame (Owner, Agent, Contractor, Etc.) STAFF USE - DO NOT WHITE Mailing,Address =k t n n kl� V C \ter -A . P(i City State Zip Code Telephone *Sob -Property Addres's }} *City ­ or Community *hegnh Descriptioi, of{P'rpty.—(Lot, PM, TR) \ ,�• �» "7 �� r r. ` l _^ !z) e'. t+ it 4V U '4- --j \ f- 1 *Assessor's Parcel No.jWater Agency ("Or-Wel3 Use of Permit •+ �, ° Lot Size Yes J Ido[ I SFD, MH Site Prep' Etc. , Detailed boring report. reqd. Yes C Planning Case N r w %" �Q 1 zDetailed contour plot plans reqd. Yes[ I J Nof. J P, Date I *The above information must be verified from Building Application Fn Soils/boring report by r) n � ,�0 Proj. k Date Soils Map Page Soil Type Approved by Date U z 0 H coH U w Type of System: No. of Bedrooms) (1) Septic Tank Soil Rate Reauired Existing New Addition Replacement Gals. ' (2) Leach line sq. ft. Sidewall allowance Install Line(s)Leach bed (Bottom trench area) ft. rock/ Sq. Ft. Ft. Long, Ft. wide Sq. Ft. of per running ft. with Min. inches rock bottom N/A C J below drain lines area Leach lines/bed-special design' Diameter No. Pit Seepage Pit total depth for slope: Applicable C J 6'[)(J Pits BI N/A Overburden factor! I Max. allowable depth I� KACkh An k.X 100 %;—,,PA%.A it. n -°,Pf I Ct)' N .w+ fk .< c.0 P` t This application is approv'e`d%denied for the design of a subsurface disposal s; -stem as indicated on the accompanied plot plan using the requirements set forth in Section B above. A building permit is necessary for the installation of the above -designed system. ((l D Septic tank and sewer lines must be 50' from any wells (2) Leach lines must be 100' min. from any wells including expansion area (39) Seepage pits must. be 150' min. from any wells including expansion area Signature of Health Official Date. ' RECEIPT NO. Issued by l /*, Date i 1� •, 1s / District: Riverside [I Indio C,] Hemet [ J Perris [ J Rancho Calif. C J Blythe[ J K Distribution: WHITE -Office file YELLOW -Applicant PINK -Bldg. Dept. GOLDENROD -Pending File DOH SAN 122 (Rev. 2/86) STAFF USE - DO NOT WHITE BELOW THIS LINE Initial Date Certification of Existing S.D. System reqd. Yes[ J No C kJ }} WQCB Clearance reqd. Yes[ J No[ Soils feasibility report reqd. Yes J Ido[ I Detailed boring report. reqd. Yes C J No.1 zDetailed contour plot plans reqd. Yes[ I J Nof. J o \ P Staff Specialist approval reqd. Yes[ J IIo[ J Lot Inspection Date Fn Soils/boring report by r) n � ,�0 Proj. k Date Soils Map Page Soil Type Approved by Date U z 0 H coH U w Type of System: No. of Bedrooms) (1) Septic Tank Soil Rate Reauired Existing New Addition Replacement Gals. ' (2) Leach line sq. ft. Sidewall allowance Install Line(s)Leach bed (Bottom trench area) ft. rock/ Sq. Ft. Ft. Long, Ft. wide Sq. Ft. of per running ft. with Min. inches rock bottom N/A C J below drain lines area Leach lines/bed-special design' Diameter No. Pit Seepage Pit total depth for slope: Applicable C J 6'[)(J Pits BI N/A Overburden factor! I Max. allowable depth I� KACkh An k.X 100 %;—,,PA%.A it. n -°,Pf I Ct)' N .w+ fk .< c.0 P` t This application is approv'e`d%denied for the design of a subsurface disposal s; -stem as indicated on the accompanied plot plan using the requirements set forth in Section B above. A building permit is necessary for the installation of the above -designed system. ((l D Septic tank and sewer lines must be 50' from any wells (2) Leach lines must be 100' min. from any wells including expansion area (39) Seepage pits must. be 150' min. from any wells including expansion area Signature of Health Official Date. ' RECEIPT NO. Issued by l /*, Date i 1� •, 1s / District: Riverside [I Indio C,] Hemet [ J Perris [ J Rancho Calif. C J Blythe[ J K Distribution: WHITE -Office file YELLOW -Applicant PINK -Bldg. Dept. GOLDENROD -Pending File DOH SAN 122 (Rev. 2/86)