Loading...
002022 (SFD)P.O. BOX 1504 No: �� Building f ,� .�w�,� 78-105 CALLE ESTADO 2022 Address 53-520 Merida Vebl� LA QUINTA, CALIFORNIA 92253 Mailing' Address 145 V. QlitiM St. City Zip Fuller=92632 Contractor Address.. _...City _ State Lic. &' Classif.9,,,1 181440 Arch., Engr.,- Designer Address BUILDING: TYPE CONST. -- V OCC: GRP.- R—Z• A.P.Number 774—x.23 �... Tel. ..... ... .... �• � , Legal Description dill '11J1!29 Project Description 9:11�M .*.' and vale :. Zip , Tela 92632 525-SW6 City Lic. # Tel. City Zip State �y Lic. # • •�• _ . LICENSED'CONTRACTOR'S DECLARATION I hereby affirm that I Provisions am licensed under ProvisionChapter 9'(commencing with -Sec! 7000) of Division 3 of the Business¢and Profe'ssions-C6c!F/, aIid my license is/in'full force effect., '/ -,r a? l !�?� ✓ / °L :�; DIM 1344 Sq. Ft. Ga ,A$() No. No. Dw. i Size • -• Stories Units. New Add ❑ Alter ❑ Repair ❑ Demolition ❑ SLGNATURE r - ' .r" / DATE +^""-OVIIN&40ILDER DECLARATION r""'�~ - -- Estimated Valuation 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�gr,,county .which requires' a . - S 72 0' permit to construct, alter, impTove;'demolish,'^o� repair-eny�structure, prior to its issuance also requires the applicant for such permit.to file a signed statement that he is licensed pursuant to . PERMIT the provisions of the Contractor's License.Law, Chapter 9 (commencing with Section 7000J•. ' Division' 3 o/ the Business and Professions Code, or that. he is exempt therefrom, and the basiso/ for the alleged -exemption. Any violation of Section 7031.5 'by 'any applicant for .a permit - Plan 'Chk. Dep. - subjects the applicant to a civil penalty of not'more than'five' hundred dollars ($500). O I; as owner of the property, or employees with wages as their sole compensation, will Flan Chk. Bal. do the work, and the structure is not intended or offered for sale. (Sec. 7044, Bwsness and Professions Code: .The Contractor's License Law does not apply to an owner of property who "work Const. ' ' builds or improves .thereon and who does such himself or through his own employees, Mech.'. ' - . provided that such improvements are not intended or offered /or sale. I!; however, the building Infrastructure 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 of sale.):_ - '- 0 I; 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 o1 property who builds or improves thereon, and who contracts for - such -projects with a contractor(s) licensed pursuant to the Contractor's License Law.) • • -• . .OI am exempt under Sec. 8.8 P.C. for this reason S.M.1. Grading Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION ' I hereby affirm'that I have a certificate of consent to self -insure, ora certificate of ' Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed-wilhfhe city. 0. Certified copy is hereby furnished: CERTIFICATE OF EXEMPTION FROM WORKERS', COMPENSATION INSURANCE (This section need not be completed 9 the permit is for one hundred dollars ($100) -valuation ' or less.) - I certify that in the performance of tha 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 TOTAL 1, REMARKS AMOUNT ' 51;00 352.00' 34.00' /4.25 $9.00 5.0E 20.00 200..00 ltO89.13 NOTICE TO APPLICANT:1!, alter making this Certificate of Exemption you should become ZONE: ' BY: ' subject to the' Workers' Compensation' provisions of the Labor Code, you must forthwith ' comply with such provisions or this permit shall be deemed revoked. - Minimum Setback Distances: ' Front Setback from Center, Line Rear Setback from Rear. 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.) , Side Setback from- Property Line Lender's Name _ Lender's Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated,;and is subject to expiration it work.thereunder is suspended for 180 days. r� I certify•that I have read this application and state that the above information Js correct. Issued by:. Date Permit I agree to comply with all'city and county ordinances and state laws'relatingao building construction, and hereby authorize,,.represenlatives ot.thisi city' totenter the above- mentioned property,for inspection purposesll—�-----'`'. -�j'j*+j/f� f / !� r 1t. �r Validated by: Signature of applican"r ! " �'r�•!f_J�/ate' Mailing Address = - Validation: City, State;'Zip 1 / A 4 0 0 0 1...28 I %.4.46 Ck _. HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. p POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SO. FT. WALL SQ. FT. ® SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation SLAB GRADE FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROUGH WIRING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK LAUNDRY TRAY AIR HANDLING UNIT CFM GAS (ROUGH) 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. SQ. FT. ®c 1BATH TUB WATER HEATER SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 VA c SEWAGE DISPOSAL BOND BEAM SQ.FT.GAR ® 3/ac HOUSE SEWER $ GRADING cu. yd. plus x$ GAS PIPING PERMIT FEE 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 & 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 APPJEQUIP. 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 DEC19 C ; `9 1NI ! R� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL :d P.O. BOX 1504„ . - u r_Building 78-105 CALLE ESTADO 153-450APPLICATION ONLY Address LA QUINTA, CALIFORNIA 92253 Owner U L' r<�� r ^ BUILDING: TYPE CONST. - `� OCC. GRP" - Mailing - , Address`YS -� . ��. riff,! .TJA/ L - A.P. Number 22%2.� - 00 If - . - City Zip { .a Tel. S Z.5 -,)5;F0 Legal Description 2- =-'Z- 2/� Contractor Project Description �/✓ l.CdS G��,sST LrJcT/:�./ Address . % � � � � �/ • tri%%� % ?/.�/ % �, ... ... City Gtr r Zip - Tel.. State Lic. s , City, _ & Classif. _� y �g/41 i Lic. # : Sq. Ft. f No. No. Dw. Arch., Engr.; Size - % 2 8 Stories - Units - Designer New ❑`; Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel: City - Zip' - State Lic. # LICENSED CONTRACTOR'S DECLARATION - I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section S -7000) of Division 3 of the Business and Professions Code, and my license is in full force and - - effect. :rff/. if� ..0 /�� /— 7 - r,/2, SIGNATURE /�' •*'- `DATE - - •.i ' 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,Buslness 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 - -- - AMOUNT requires the applicant for such permit to file a signed statement that he is licensed pursuant to 'PERMIT _ _ the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions' Coda, 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. subjects the applicant to a civil penalty of not more than live hundred dollars.($500). a 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 offered for sale. (Sec.' 7044, Bulsness and Const. Professions Code: The Contractor'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, Mech. .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 of sale.) „ _ - r O I, 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 or 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.) Grading ❑ 1 am exempt under Sec. - 8. & P.C. for this reason ' Driveway Enc. 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. I '.Company ❑ Copy is filed with the city. ❑ Certified.copy is hereby furnished. - _ TOTAL CERTIFICATE OF EXEMPTION FROM WREMARKS ORKERS' 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 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. Date Owner ' NOTICE TO. APPLICANT: 1i, after making this Certificate of.,Exemption you should become ZONE: BY: - - • ' subject to the Workers' Compensation provisions of the Labor Code, you must forthwith - - comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: - .. Front Setback from Center,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 is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line - Lender's 'Name - - Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to ,.FINAL DATE INSPECTOR expiration if work thereunder is suspended for 180 days. ' ` ,- I certify that,l have read this application and state that the above information is correct. Issued by: Date Permit I.agree to comply with all city and county ordinances and state laws relating to building L construction, and hereby authorize representatives sof • this, city to enter the above-. — - mentioned property for inspection purposes. Validated by: - Signature of applicant Date — .Mailing Address - - - - - Validation: f City, State, Zip '5 - - -A 3••765 1-_ _9, 25a00_, CK BUILDING DIVISION CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 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 GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WATER HEATER WALL SQ. Ff. FINAL INSP. DRINKING FOUNTAIN SQ. FT. ® WATER SYSTEM URINAL 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.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/.c HOUSE SEWER FINISH GRADING GAS PIPING PERMIT FEE 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 & 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.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 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL ��FIEp r -o H BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS H PALM DESERT a ,P LA OUINTA 'gyp INDIO Desert Sands Unified . School District 82.879 HIGHWAY 11 1 • INDIO. CALIFORNIA 92201-5678 • 1619) 347.8631 January 7, 1986 c ' City of.La Quinta Department of'Community Development 78-105 Calle Estado La Quinta, CA 92253 Re: Lot 2, Blk 228, Unit 22 Gentlemen: The developer,of the above referenced lot has mitigated its impacts on our overcrowded schools by paymeni 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 Superintendent Business Services JD6/crm �%; y- ,�.+-^--r�'R-,.�..-...k,.4+w,.e+'h*nwir.:yY��...,.+�'�a-�.-,-„,•s..-... ..J.,q.. r.,...-..�, .....y. -.✓rod .r ..�,,.�;� ..�, ^�''•-_i`,.v'r.^,-^-..,nci-vK^,:r�-.'.�Y'�-�'rrs..-...>-..-.,r-c�---' �^.-....�-y�.r..,,t;. 1,07- all Z O i— W N m Z O H U W to 'U Z O P U W _ N 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. t h Sin CoYF'i (Me 1 P, o. Go Y, 5 4Torg rah A' -V Name I Mailing Address T i { z S ty\ ti q kf lie !^ f C'0 y P � , 0, City State Zip Code Phone � iJcle.Yfio� e- 11 T w 3 -71Y M 5 a �© G 'Property Address `, 'City or Comrnunity �uL 'Legal Description of Property (Lot, Parcel Map, Tract) 'Assessors Parcel No. Water Serving Property From J Lot size © 0 0 004-Z W;gre,;�4ta� i�%c% rt�„Mrzt'fi�n / Q/*aq Signature of Applicant Date 'The above information must be verified from Building Application Staff Use — Do Not Write Below This Line Initial /J /Date WQCB Clearance required Yes ❑ No ❑ / `— % -3.0 -rI— Soils feasibility report required Yes ❑ No © % ❑ Detailed boring report required Yes No Detailed contour plot required Yes ❑ No © ' Comments: ' Soils or boring report by Date Approved by 9 / Date '7 l/ Soils Map Page Soil Type Tract File Number of Bedrooms Septic Tank Size (gallons) Rate Required �' �Wlay(ld Type of System New Addition Replacement oma`'” ❑ ❑ Leach line sq. ft. of bottom area trench Leach teed (sq. ft. of bottom area bed) Seepage Pit Diameter Number of Pits Seepage Pit Depth B.I. Total Depth of Pit Location of System Additione uirements q A permit is app" o d%den-c46forthe design of a subsurface disposal system as indicated on the'accompanied plot plan 'in using the requirements set forth Section B above. A building permit is necessary for the installation of the above `designed system. / Signature of Health Official Y ' Date 172-72 Receipt No. v District: Riverside -El Indio!❑ Hemet ❑ DISTRIBUTION: WHITE - Office File YELLOW - Applicant DOH SAN 122 (Rev 10/84) Issued By� Date r PINK - Building Dept. GOLDENROD' Pending File CA