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003320 (SFD)4 4 J 3 P.O. BOX 1504 Buildingx--754 �rt�,1asco LA QUINTA, CALIFORNIA92253 Address � _ Owner Deseret Humes, Ltd. e Mailing Address 7220 Trade St„ St1tite 10n A. City Zip Tel. ,*R? N�t3 2� �3-^+�--2�• FI Contractor t Pr . Address Zip State Lic. & Classif. 330551 Arch., Engr., Designer Address No. 003320 UILDING: TYPE CONST. OCC: GRP. P. Number 7741--165—AIDI . egal Description oject Description :Z4 no -T1 1» stns# 1 it t'11•4s0 14 vNev Tel. r City �Sfili"G 1338 Lic. # 859 Sq. Ft. ;„No. No. Dw. Size GAR 42.6tories Units Tel. New EAdd ❑ Alter ❑' Repair ❑ Demolition ❑ 177 City Zip - State Lic. # BY: Minimum Setback Distances: Front Setback from Center Line LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) t. of Division 3 of the Business and Professions Code, and my license is in full force and Rear Setback from Rear Prop. Line Side Street Setback from Center Line SIGNATURE DATE OWNER -BUILDER DECLARATION 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, 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 the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Divisrdn 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 subjects the'applicant to a civil penally of not more than rive hundred dollars ($500). property, rty, or my employees with wages as their sole compensation, will O I, as owner of the roe do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and 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, 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 o/ proving that he did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- 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 such projects with a contractor(s) licensed pursuant to the Contractor's License -Law.) 0 1 am exempt under Sec.. B. & P.C. for this reason Estimated Valuation $70• , r PERMIT AMOUNT Plan Chk. Dep. a Plan Chk. Bal. ms'sf CDn$t. 3, A Ain Mech. 7 >}�'. Electrical 7 i 10 Plumbing S.M.I. - QA Grading an Driveway Enc. • M nA 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. CERTIFICATE OF EXEMPTION FROM 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 the work for which this permit is issued, I shall not TOTAL 91 0A1 'Rid A 1 AA t:A REMARKS y employ any person in any manner so as to become subject to the Workers' Compensation Laws of California Date Owner —' NOTICE TO APPUCANT: If, after making this Certificate or 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 debmed revoked. CONSTRUCTION LENDING AGENCY 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.) Lender's Name Lender's Address 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. I certify that I have read this application and state that the above information 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. Signature of applicant Date Mailing Address City, State, Zip HARD COPY } f BiIJ',�_iJ�tA9 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 Issued by: Date 8/19/87Permit Validated by: Validation: t CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ 2ND FL. SQ. FT. FOR. SO. FT. @ GAR. SO. FT. @ CAR P. SQ. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 @ 1+/a c SEWAGE DISPOSAL c / SO.FT.GAR @ 3/ac HOUSE SEWER REMARKS: VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FE7 WECH.FEE 111PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING �_l , '7 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADEI( ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER R SE I ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. //3�l 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.Y d. $ plus x$ =$ LUMBER GR. FINAL INSP•3 ( FRAMING(2 I b e id,` FINAL INSP. CROOFING i/_ 2 5/ U c / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL t7iTHINGI— MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESANITIALS, GARDEN WALL FINAL Z O F— U W U) 100 Z O H U W U) U) Y W Q W cr U Z O F— C) W rn Ah i COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 77�- W_ -00- 00wApPERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM plicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County specifications required on the attached check list. Applicant: A non-refundable filing fee of $37 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # r ' aaft(Owner, Age t, Contract, , Etc.) i " M � �—� Mailing Address %l7, Za I CityStat Zip Code Telephone Jo Propert! A dre7J"t`ss's ,.,, t \� C � 'Cit�or Qm un ty Legal Description of Property. (Lot, PM, TR) `' �u a•th— x7' I INOC r� 213 ` 'Assessor's Parcel No. ioWa"fer Agencyan.Well_% f U f "� /)(} �./ 11 .. y use of PermittPlanning Case # Cot Size G s F eMH Site Preparation Etc. X VU -74 t� �/ .� -7 Signature f� Icep Date 'The above information must be verified from Building Application l r �`~ STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date Certification of Existing S.D. System ❑ Yes No ' /�(,{/� - if / required. ��' ,l WOCB Clearance required. ❑Yes ❑��o�. f Soils feasibility report.m�(ired. ❑ Yes O No � )4r /(N �rein4S/btrteA -©et�letl boring report re�(uired. El Yes No Detailed contour plot plans required. ❑ Yes ❑ No, I / No Staff Specialist approval required. ❑ Yes e12 Lot Inspection Date Soils/boring report by j ^ Project # Date Soils Map Pag��rSoil Type/J C1 Approved by �'*� K-1311, Date Type of System: / No. of Bedrooms (1) Septic Tank (Soil Rate �/ ❑ Existing 9 ew ❑ Additional ❑ Replacement 11'� f� • �j Gals. lequiirrreedd 7 ��!/ a`i .,, . 1 2 hLeach lines ft. O `�� q• Sidewall allowance v V rr, Lrv.vrtf j InstallLine(s) Ft. Long, � d r Lea bed Sq. (BOttOm trench area) ft. rock/ Sq. Ft. running ft. ®fN/A Ft. widegw'th min.inches below drain lines Ft. of bottom,` per rock area Leach lines/bed-special design for slope: (3) Pit DiameterNo. Pits Pit BI Seepage Pit total depth __V/1F Applicably �-- N/A_ Overburden factor ❑t5' � 6' i / Max. allowable depth yA �'.l`ilrC�c..r+�,�i ,iY`/�c rr.�r:�r__:_ /�.•S�7L /Fj�'/U ,c�l>�s�c.t�-��.a_. v This application isapro ed'deraied.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 building permit is necessary for the installation of the above -designed system. �! (1) Septic tank and sewer lines must be N' from any wellsc( 10�f+ &,, y►.(2) ?f-3 Leach lines must'be 100' min. fromany wells including expansion area ®r 30 Seepage pits must be 150 min, from any wells including expansion area -fir o6`-�-� -13-x' 7 Signature of Health Official p RECEIPT NO. c�4 -5 W) Issued by� �� Date A� -P% U r District: ❑ Riverside IJ Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE -Office file YELLOW -Applicant PINK -Bldg. Dept. GOLDENROD -Pending File DOH -SAN -122 (Rev. 6/86) 4 �{ IFN V IoN CA it 3 q Dear Developer/Landscaper: r OFFICE OF AGRICULTURAL COMMISSIONER 4080 LEMON STREET, ROOM 19 RIVERSIDE, CALIFORNIA' 92501 (714) 787.2561 49-613 Hwy 86, Suite B-12 Coachella, CA 92236 (619) 342-8291 E. LEON SPAUGY COMMISSIONER JAMES O. WALLACE ASSISTANT COMMISSIONER Thank you for inquiring with the Agricultural Commissioner's'Office regarding local quarantine laws. Any diseases or insects associated with the plants/landscaping material presented on your landscaping plans do not pose a threat to the.Coachells. Valley Citrus, Date, Grape, Vegetable, or Field Crop industry. We therefore approve your landscaping plans. If however, any substitutions of plants/landscaping materials within your plans occurs between now and the actual planting date, you must contact this office . within 48 hours before delivery into the Coachella Valley. Also, the substituted plants/landscaping-material must be held for inspection upon arrival .Any sub- stituted landscaping material found infected/infested with quarantine pests will be immediately treated or shipped out of the Coachella Valley at the discretion of the Agricultural Commissioner's Office. Under penalty of perjury, I the undersigned will comply with the above. Authorized Signa Date n1- 11 Y Permit Number (s)1..(s - T r - L 3 . D (,p -ti j g toe- XL N Q4LJ�v�o��v �.-t e[a Develope��_t,_;-ULaddress AGRICULTURAL COMMISSIONER'S APPROVAL _ r Date Authority cited: Agricultural Code; Sections 6301, 6461, 6462, 6464, 6501, 6521- 6524 cc: 2 Plan Check, Indio Office, Riverside Office