Loading...
06694 (SFD)4 P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 7 Ei8E3 TAss im LA QUINTA, CALIFORNIA 92253 Owner No. 06694 a & isWMZrIactio 2 BUILDING-. TYPE CONST. OCC: GRP. Mailing Address 6 A.P. Number 769-077-008 CityZip Tel. La Quinta 192253 564-4832 Legal Description Contractor SWIM Project Description y SFA Address. City Zip Tel.' State Lic. & Classif. 487584 City Lic. # , .. Sq. Ft. 2300 4 .No. a No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. NO IWAM City Zip State 1 Lic. # DCENSED CONTRACTOR'S DECLARATION I hereby affirm that I an licensed under provisions of Chapter 9 (commencing with Section 7(100) of Division 3 of 016 Business and Professlo`ns`Code, and my license is in full force and effect. ,V�.�";�..�"+°►'z - � j SIGNATURE A DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following Estimated Valuation $325,5.26 reason: (Sec. 7031.5,Bus-mess and Professions Code: Any city or county which requires a permit to construct, after, Improve. demolish, or repair any structure, pdor 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. 5230•,00 subjects the applicant to a chd penalty of not more than rive hundred dollars ($500). ❑ I, the Plan Chk. Bal. 359.79 as owner of 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who Const. • builds or approves thereon and who does such work himself or through his own employees, that anprovements intended Mech. r33• SU Provided such are not or offered for sale. If, however, the building or improvement is said within one year of completion, the owner -builder wig have the burden Electrical 1 t�� of proving that he did not build or approve for the purpose of sale.) C3 .8 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing �57 50 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. 8.83 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - Grading ❑ I am exempt under Sec B. & P.C. for this reason 20.00 Driveway Enc. 20.00 Date Owner Infrastructure 2.673,53 It �- WORKERS' COMPENSATION DECLARATION I hereby -affirm that I have a certifi4tefof cogsen`t�tn elfin u?e, or a certificate of Workers Compensation Insurance, or a certified^copyhe treof. (Sec. 3800, Labor Code.) Policy No company t ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 44*4 1Z •Yu - CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE(This section section need not be completed if the permit is for one hundred dollars ($100) valuation .1 � �'E'• .� `*+ kyr i+ttt' �`' Y'" ' 'i L '" '"��` .s • or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California Date Owner NOTICE TO APPLICANT: 8, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such Provisions of this Permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civilcode.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE I PECTOR 9 " This is a building permit when properly filled out, signed and validated, and is subject tog/$n 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. ' Issued by: Date Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip 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 TAN_ ,/ WIRING !� MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® TEMP. POLE I GROUT DRAINAGE PIPING CAR P. SO. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL SQ. FT. =$ LUMBER GR. FINAL INSP. FRAMING i URINAL SOFT ® _ y ESTIMATED CONSTRUCTION VALUATION $ REMARKS: WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES FIRE ZONE ROOFING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM 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. SO. FT. RESID ® IY4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3Ac HOUSE SEWER FENCE FINAL 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 GOND. SOLAR SETBACK LUMBING860 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TAN_ ,/ 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 i FINAL INSP. S 9UQ ROOFING 1-2,�, � VENTILATION _ y REMARKS: 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 I DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 11/9/95 Type of Permit I La Quinta No. 113863 Permit # Log Owner Name Janet Diemen No. 78680 Street Tampico City La Quinta _ Zip 92253 Study Area 118 APN # Tract # I I Lot # 0 Square Footage 1168 Type of Development Residential Addition No. of units 0 Comments Addition of 12 x 14 bedroom and installation of gas piTg to kitchen At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less . EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 0.00 x 168 or $ 0.00 have been paid to D.S.U.S.D. for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By N/A Telephone Name on the check By Dolores A. Ballesteros =l Superintendent Fee collected /exempted by Pauline Pearson Signature 0—a,, i 2-j -AIAA pM $0.00 Check No. N/A Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./A-pplicant Copy - Applicant/Receipt Copy - Accounting Order No. 156436 Escrow No. Loan No. A M Lot 120 f WHEN RECORDED "MAIL TO:. Palm Desert National "Bank. P.O. Box 1717 ' Palm Desert, CA 92261 Att R b n. o ert M. Cross, SVP SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: A & M Construction,. DOCUIVENTARY TRANSFER TAX S..» P . 0 . Box 366 .. Computed on the considers' tlon or value of property, cowveyed; OF La Quinta, CA 92253 •••••• Computed anthe Consideration Orvalue IMlions orencumbrance remaining at time of gale. Signature o Declarant Or ANnt detuminlne tare —Flim Name- -GRANT. DEED FOR A VALUABLE CONSIDEI �IATION,'treceipt of which Is hereby acknowledged, John P. Ginsbach and Maria C. Ginsbach, husband and wife as joint tenants hereby GRANTIS) to A & M Construction,.aCalifornia General.Partnership the real property in the City of.' La Quinta County of Riverside o Lot 120 -of Desert Club Tract Unit 5,. as shown by Map on file. in Booke2lf California, des:ribed as Pages -61 and 62, of Maps, Records of Riverside County, California. t j \ • a Dated October 24 1989 STATE OF CALIFORNIA GCUNTrOF Riverside. On October 24, 1989 before me, the undersigned a Notary Public In and for said State, per. sonanyappear ed—John P. Ginsbach and Maria C. Ginsbach Personally known to me (or proved to me on the baNi of satiatectory evidence) to bathe person(g) whose nams(si ls7ve iubet dbed to the within Inetfumellt and ecktgwledotad tome Ihet hWetw/they executed the same. F WITNESS my hand and official seal Form 3195 ohn P'. -G!ns ac 1. Maria, U. GiLIOUCLU11 -OFFICIAL SEAL LESLIE JEAN N100SAVI NOTARY PUBLIC- CALIFORNIA RIVERSIDE COUNTY Mr comm. explrea JAN 21, 1992 (Thea area for official notarial seal) . E.lEptl51'�1tr,Y IIII1t,EUt to+�'�oln+;•tn ' V;nE1 ACT. �^ AGIUCUL l Ullnl. ICU'%' U 1v1�lEtt )A. ILS << , M.0 LLEMENI UOVE"S'E '. b. hIEASUIIIiS s�••uh t+q -GIJ IIvY IIG+ Ilalte II -12 ��ll�� 1;vucl+elln+ CA WIG to 2-0191 r l Vl;YG1Al'L•"Il' g 1 W11js Ti '1r:LL1�11�11Cs i 1 .SCO _ 4 Dear Uevelvherl 11a1m till 1111u1t I1Valer lal 115tec1 in ItltutllUlls Atter >reviewlliy your lullcisct!IlllltI 1 et1 tills vCElce nluut be 11orlEied lull vl: uarantlnp 1u',�g titrveEll)ny llln Cvaclt`lla Valley-* it suUs violat y do occur wid they �11E[er [tun 1+1u11t u�:lterlul i g , �nl�dlatety . `�1J tteselrvllty ills Coachella Valley 's l.�esl 110& you LUK 11CU -[]Lee ellvllrvinel�`-• 'lectLly - -- c;Uutag etr' n 'vi [ Ice nyKlcuLfural CCI llldiv allcl Itivetelcle U11 ice ,j I firri^�� ` f '•y �.{' ,r! Yt T""ttY i4s 4 • !}}1^ • ,d' F !'v .!r. ,•}�. 1^ k.� I " COUNTY OF RIVERSIDE ENVIRONMENTAL, AsfNeorsPOMW NO'HEALTH �1bf- o? -J- OD 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 speculations as indicated on the attached check IIsL: A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. Q VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING'DEPARTMENT APPLICATION LOG # (X& 004 04tAlw / Z O Agent, Contractor, Contact Pe //]/� "" ` �np Address & Pn Owner W !� Phone Mailing Addre"PO 3 (o 41 ,/t%%/� U) // v City State 7,io_ (��ZJ�3 J _ I Desc 'pt• Prop. (PM, Trect Lot) �*s ICT C r'cv G Lot Size Water Ager /Well Use of Permit P/P, CU, etc. e : Other G00(<C v �� % Dwelling111 Site P ,�� plioant Date CATEGORY: �•' ��� REV CODE _ CATEGORY: REV CODE FEE C� SUBSURFACE DISPOSAL 12 $ 57.00 ❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00 co ❑ MULTIPLE PARCELS WITHIN SAME , (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION ' 7348• $ 17.00. ZO a. 1 at 4 Parcels (Each) 1238 $ 57.00 (Less than 1 year) b. Each Parcel after 4 7344 $ 24.00 ❑ PRELIMINARY ELECTIVE 7352 $ 23.00 W ❑ Rereview (2nd review same parcel) 7344 $ 24.00 EVALUATION (Attach DOH SAN 53) UY ❑ Site Evaluation in Coniunction with " U ❑ HOLDING TANK 7351 $ 47.00 _,t Crttical Area 7346 $111.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 0 Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $ 87.00 "~ INIT7�p/�� DATE Holding Tank Agreements Completed ❑ Yes N Certification of Existing S.D. System Required ❑ YesNo I WQCB Clearance required. (Attach Form Yes No DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes , Special Feasibility Boring Report Required. ❑ Yes Detailed Contour Plot Plans Required (1 to 5 R interval) ❑ Yes Other ❑ Yes No I Staff Specialist Lot Inspection Required ❑ Yes A No, Lot Inspection Daae Soils boring report by / Project it ' n, Date Soils Map Page r Solt Type Approved by -` 'w -_ Date & 7" Z Z No. of Systems T of Systems) No. Dwelling Unrls( 1) (1) Septic Tank So;;/Wl- r� " O��F ding Tank ❑ Exiating ❑ Replacertwnt Bedrooms, Fi re Units G IntopU p - QQ1l,blp� aBQi1/ ��q _gLeechr GalI Gd LU Cf) � Line Sq. Ft Sidewall allowance Install Line(s) tL long it wide with LbaetyBed sq. it � _ ft sq. R min. �trpdSbelow drainlines or of boltom�eree'�� — . perrunning K -"'�.r — Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below (TD) Seepage P/ Total Depth 441) Applicable ,j tZ N/A Overburden factor � 6 f (B) Max NAI gble Depth v v / No. 2 SystemN/-4 r REMARK This application i PPROVED ,ENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicates on the accompan' p t p n, using the requirements set forth in SECTION C above. A building permit • is necessary for the installation of the Z. above -designed system. No construction is permitted in the required reserved 100% expansion area. O 0 Septic tank and sewer lines must be 50' minimum from any wells (y/Q Tti2Q/J U(2 W Leach lines must be 100' minimum from any wells, including expansion rea (3 Seepage pits must 150' minimum from any wells, including expansio area �Q -'XX__J � // , / cid Ic I Signature of Health'Official w Date --_7 Z �.. ' Jj RECEIPT NO. / 7 r 44 .9� 0 Issued By 0 � � Date DISTRICT: ❑ Riverside, • 60Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE - Office file YELLOW • Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records I� 00 . /