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9701 (SFD)Building ddress J '�0�-520 i'uui2 . Owner A 6 M Builders Mailing Address' `P. 0. BOX '366 City Zip Contractor A & Ta guilders „Address R.O. BOX -11504_Nio 9701 7&105 CALLE ESTADO -..LA QUINTA, CALIFORNIA 92253 .' E BUILDING: - TYPE CONST: OCC: GRP. A.P. Number 769-'061-009-6 Tel. 564-4832 Legal Description Lot 16 ' DP-ss✓rt Club #5 Project Description ' 'M) sate City Zip Tel.: State Lic. City & Classif. 487584 Lic. # 626 Sq. Ft. 22No. Dw.. ^. Size Stories Units Arch., Engr., Designer New'❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address - Tela y Permit. r; des nbt include block wall or,. ,City ` ' Zip State b0 Lic. # 71, LICENSED CONTRACTOR'S DECLARATION. + "- reby affirm that I am licensed under provisions of Chapter 9 (commencing with Section . • of Division 3 of the Business_ Profes'sions-Code, and my license is in full force and tffe /an�d S ATURE / DATE r OWNER -BUILDER DECLARATION Valuation I herebyaffirm that I am exempt from the Contractor's License Law for the followingEstimated Pro/esslons 114,331.00 r .,,,.reason: Se. 7031.5,Business and Code: An city. or county which r ( Y Y tY squires a permit to construct, atter, Improve, demolish, or. repair. any to its issuance .PERMIT .. ' AMOUNT ,structure, prior also :-`repulres the applicant /or such permH'to rile a signed statement that he is licensed pursuant to 1 .the provisions-ol the Contractor'sUcense Law, Chapter.9'(commencing with Section 7000) of _ yl;'Divlslon 3 0/ theBusiness and Pro/esslons Code,'or•thaLhe is exempt4heretrom, and. the basis' ;'/or. the allegedexemptlon.•.Any. vlolatkn•ol Section 7031.5 Dy 'any applicant lor,.a permit Plan Chk. Dep.. - -•250..`Q0_. ';��'"subjects the applicant to acivifpenaRy olnot more than rive hundred dollars.($500). " '' ' ' ..'Plan Chk. BBI. � t A ! 33 4 •. 79 ❑ I, as owner of the property, or my employees with wages as their sole compensation; will, ^� do the :work, and the structure isnot intended or offered for sale. (Sec. 7044; Buisness and L ^' ' )� ' Pro/esslons Code: The Contractor's. Ucense Law does not .appty town owner o/ property who Const.- •- �./ _ CO ,r,.• Mech. �->,1' • ,�� -.� a�. 07 builds or improves thereon and who does sucA work htmsel! 'or through his own employees, provided tha('such improvements are not Intended or•ollered-forsale: ll, -however, the building Electrical- : ,� \ r '.r'15i�.. 0� ' • 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 o/ sale.)' Plumbing ❑ 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 S.M.I. - Ii„ , •JL...f?0... '• such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) . - Grading 20 0 00 ❑ I am exempt under Sec. B. ti• P.C. for this reason Driveway Enc. . 20.00 Date Owner Infrastructure 2534.21D Arts -in PUblic° WORKERS' COMPENSATION DECLARATION I hereby] ffirm that I nave a certificate'of consent to self -insure, ora certificate of ' Worker's Co ensation Insurance,.or•a•certf ' copy thereof. (Sec. 3800, Labor Code.) Policy No. if l .. _Z—_p n e r s} ❑j spy is�fileltrwith the city. ❑ Certified copy is hereby furnished. , \ N `� v TOTAL 4289.44 ` -4014 6 44' ^ r l CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE . . (This section need not .be completed i/ the permit is for one hundred dollars ($100) valuation or less.)' 1 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 _ s ry& x r� 0 Laws of California. Date owner NOTICE TO APPLICANT: 1!, after making. this Certificate o/ Exemption you should become ZONE: BY � t "'ASH SH 1 UtAL i 1v10 44 4.4 subject to (tie Workers' Compensation provisions of the. Labor' Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. • y Minimum Setback Distances:' ' - J r _ 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 Prop@rty Line A Lender's Name - 0 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. I certify that I have read this application and state that the above information is correct. ' Issued by: Date Permit -h . 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: u City, State, Zip + CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE jai' 2ND FL. SO. FT. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. GAS (ROUGH) $//� �D METER LOOP l 1 DRAINAGE PIPING WALL SO. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN. SO FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM. FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FRAMING lf�� R� GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED l l L . S O c� LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEWPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. ' SO. FT. RESID ® IV4 cSEWAGE DISPOSAL 99 G'7 Cn 0 '/ SO.FT.GAR ® 44cJELECT.FEE HOUSE SEWER I S GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL, TOTAL FEES MICRO FEE MECH.FEE IPL-CKFEE CONST. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR - SETBACK GROUND PLUMBINCL NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE jai' ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK L / ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) $//� �D METER LOOP l 1 HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL ; GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INS q / FRAMING lf�� R� FINAL INSP. f� �/ 9 ROOFING 2" l q<% l l L . S O c� REMARKS. VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL 99 G'7 Cn 0 '/ I S INSULATIONISOUND/,As (1 r FINISH GRADING FINAL INSPECTION- /a CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Building Address Owner �� g t� l f_ h Elf✓% Mailing Address b -j City G Qj f N � zipgZ 7153 1 Contractor km s3 L) r_DEM P.O. BOX 1504 APPLICATION, ONLY 78.105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: ,TYPEGGO7NSTT--- --.= - OCC GRP:- - -- - - — A.P. Number / b f" l —�TotyNq fE Legal Description LV j �Q,AUtY�C���S `• _ _ _t Project Description NE-ROVAIE ^ S � �-E-'_ . Address.__....------ 7 ,. :City. C.� _- • Zip---' - Tel.. Qv, �; cj 2Z5�i �tt'trY�Q- State Lic. City I . & Classif. Lic. # t K ",,Arch,, Engr: Designer_ ^ft-kY\ - Address Tel. City I hereby affirm that I am 7000) of Division 3 of the I effect.. - . . Zip State _. ..._ .. .- Lic.•#�- - CONTRACTOR'S DECLARATION ,.. I under provisions of Chapter 9 (commencing with Section and Profosions Code; and my license is in full force and Sq. Ft. �� 2 � No. Size. 7 Stories- Add_0. Alter ❑ No. Dw. Units - I • Repair ❑ .. 4 .Demolition p V - _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 file a signed statement that he is. licensed pursuant to 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 - subjects the applicant to a civil penalty of not more than five hundred dollars (5500). ❑ I, as owner of the 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 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 Estimated Valuation " -- - PERMIT - - - -- -- -AMOUNT Plan Chk. Dep. _ -" - - +-- ©,- Plan Chk. Bal. Const. - - Mech. - - - -- -- — ' Electrical or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) _' _ . . _ Plumbing w ❑ 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 S.M:I. - - - - - does not apply town owner of property who builds or improvesthereon, and who contracts for' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. - B. 8 P.C. for this reason Grading t - - Driveway Enc. Date Owner A Infrastruct&e - WORKERS' COMPENSA �ON DECLARATION Ric 0 ic1loWnIA°o , I hereby -affirm that I have a certificate f consent to self -insure, or a Se ificate of Worker's Compensation Insurance, or a certifie cop thereof. (Sec. 3 00- oiCode. Policy No. Company -- ❑ Copy is filed with the city. ❑ Certified eby furnished. ` - 005.82 10 -2561 0b—i3-9i i4 TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS - - -- - (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.. - Date Owner NOTICE TO APPLICANT: If, after making this Certificate of 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 deemed revoked. ZONE: BY:� t Minimum Setback Distances: - _ Front Setback from Center Line Rear.Setback from Rear Prop. Line — - — - - 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 Side Street Setback from Center Line - - Side Setback from Property Line Lend Address Thisis 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 city and county ordinances and state laws relating to building construction, and • hereby authorize • representatives -of this i city to enter the above-. mentioned property for Inspection purposes. _ FINAL DATE Issued by: Validated by: INSPECTOR - - -- Date Permit . . - - Signature of applicant Date- .Mailing.Address Validation: City, State, Zip — - BUILDING DIVISION CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. GROUT WATER HEATER WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN SO FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ j WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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. SO. FT. ® c BATH TUB LATHING SO. FT. ®c IWATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/+ c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac 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 (ROJGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu yd. $ plu x$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING 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 DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 6/13/91 Type of Permit La Quinta No: 110664. Permit # Log # Owner Name A & M Builders No. 78-520 street Tujunga City La Quinta zip 92253 study Area 0 APN # 769-061-009-6 Tract # I Lot # Square Footage 12235 Type of Development. Single; Family Residence No. of units 0 Comments 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 Meet, 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: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080' in the amount of 1.58 XI© or$ 3,531.30 have been paid'to D.S.0 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 - A & M Construction Telephone 564483E Name on the check By Richard M. Beck Director, Facilities Planning & Development R Fee collected /exempted b p y Shelley D. Bennett �� ��-• -'�= -�, Payment Received �t Signature-47012& �✓ v L o: .. a t .t L�� +1 s t Check No. 1530; Collector: Attach a copy of county or city plan check'application form to district c4y for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting, f t ' _tjUM ffl,U- 1VVt/iLI I1 LHIMU I I I LC UU: Order No.. 16719 Escrow No: A & M 16 t ,.'Loan No. A & M 16 -WHEN RECORDED MAIL T0: cc r o :QUA & M'Construction o m >•P 0. Box 266: { ,Q La Quints, CA 92253 i W u. SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: A & M Construction TRANSFER TAX ,.P.O. 266 - �/�ENTARY A. Computed on the consideration or value of proper conv OR , op y •.BOX Quinta: CA.:92253., n tees Its eiic mL arks Cgmpyted on.:thceoroldsretb'' otv`ahia '" iir remaining at time o sale. f Signature of Declarant or Agent determining tax — Firm Name GRANT DEED - FOR A VALUABLE CONSIDERATION, receipt of which 'is hereby, acknowledged, A & M Construction,a California General Partnership, which acquired title as =.:A & M Construction, a 'California Corporation' hereby GRANTS) to vJ A &.M Construction, a California General Partnership, • •. the realproperty in the City of La Quinta County of Riverside State of California, described as Lots 14, 16, 29, and 105 of Desert Club Tract No. 5, as per map recorded in 2I,Pages 6.1. and 62 of- Maps'; in the -Of of 5the County Recorder" of A &M Construction, a California 'General Partnership Dated May 14, .19 91 BY: Ma uel Aba;Caca, General Partner STATE OF CALIFORNIA COUNTy.OF I R ck Morris, General Partner . On -- before me, the undersigned, a Notary Public In and for said State, per - 4 eorially appeared personally known to me (or proved to me on the basis of satisfactory •:evidence) to be the person(s) whose name(s) Is/are subscribed' to the k within Instrument and acknowledged to me that he/she/they executed ,:.the same' WIT ESS my hand and of ictal seal. i � � A,. Sfure �., . =: Fo ,3195 MAIL TAX STATEMENTS AS DIRECTED ABOVE . ry .. l--/lllll- — -- 11 NO.203 tate of On this the thday of — May 1991 ,before me, f SS. County of Riverside Leslie Jean Moosavi I , the undersigned Notary Public, personally appeared Rick Morris and Manuel Abarca i LESLIE JEAN MOOSAVI NOTARY PUBLIC X)o Personally known tome RIVERSIDE COUNTY ❑ proved to me on the basis of satisfactory evidence Y °��,� pN• CALIPORNIA to be the person(s) who executed the within instrument on behalf of the My Commission Expires January 21, 1992 partnership, and acknowledged to me that the partnership executed it. WITNESS y hand and o icial seal. 9 ` I 1 I i Notary's Signature ATTENTION NOTARY: Although the information requested below is OPTIONAL, it could 4.4nt fraudulent attachment of this certificate to another document. THIS CERTIFICATE Title or Type of Document Grant Deed MUST BE ATTACHED Number of Pages 1 Date of Document May 4 , 199 Y TO THE DOCUMENT DESCRIBED AT RIGHT: Signer(s) Other Than Named Above None i I 7100-109 O NATIONAL NOTARY ASSOCIATION • 8236 Remmet Ave. • P -O. Box 7184 Canoga Park, G 91304-7184 a S 0%j W CO M Z _O W C/) U Z _O b U.1 U) 5.2 COUNTY SOF .RIVERSIDE DEPARTMENT OF HEALTH."""°0" P.ro.t �O' - dl�l -�” .ENVIRONMENTAL SERVICES' DIVISION PERMIT APPLICATION FORA SUBSURFACE SEWAGE DISPOSAL SYSTEM , _ Applicant: Submit this form with four dies of a scaled'plot plan (1=20 scale) drawn to Coda-ty speculations afi Indicated.on the attached check lint Anon refundable filing fee (see below) is required when the application ls-submitted. Check must be made payable to the County of EOO<Riv''ecside. }Appioyal}of this application shall remain valid for a.pedod not to exceed one year. from date,of.'approval. VERIFY ITEMS IN NFROM BUILDING, & SAFETY APPLICATION BUILDING DEPARTMENT- APPLICATION LOG-# SECTIOoN r. Agent. Contract4i n f,�, , / Phone Address & F' � � Owner Phone Mailing Address City to Zi Job Property Address Legal Description Prop. (PM, Tenet Lot) fv L h` 6 c�/ a!� .4Z'7y? . ''Z?o tea`, `Mrs LU —#I i;,, CL" Lot Size JY ter Agenc ` ell Use of Permit P/P, CU, etc. , �� � Other I ! `/old U GtJ Dwelling, Site Prep, etc. i Signature of Applicant - Date CATEGORY: • REV CODE FEE ' CATEGORY: REV CODE FEE ©SUBSURFACE DISPOSAL "12 r$�57.f00 SITE EVALUATION UPON REQUEST 7349 $. 43.00 h N P P ❑ _MULTIPLE PARCELS WITHIN SAME ( O LOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION-' 7348 $ 17.00 a 1 at 4 Parcels (Each) 1238 $ 57.00 (less than 1 year) b. Each Parcel. after 4 17344 $ 24.00 ❑ PRELIMINARY ELECTIVE 7352 $ 23.00 ❑ Rereview (2nd review same parcel) 7344 $ 24.00 "` EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 ' $ 47.00. Crttical Area 7348 $111.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $ 87.00 - 7 INITIAL ' DATE qq Holding Tank Agreements Completed ❑ Yes J No - Certification Existing 9 Certification of S.D. System Required ❑ Yes No w WOCB Clearance required. (Attach Form ❑ Yes [VNo DOH SAN 007, Santa Ana Region Only) - Sails Percolation Report Required. ❑ Yes Y Nom! + Special Feasibility Boring Report Required. ❑ Yes - Detailed Contour Plot Plans Required (1 to 5 ft interval) ❑ Yes a Ng�o, Other ❑ Yes MOW)- Spedaliat Lot Inspection Required " 0 ❑ YesNo Lot Inspection Date Saila boxing report by Project Date 1 Soils . Map Page Sail Type t1 L"T Approved by .y� [' - Date f No. of Systems Type of Syatem(s) /No. DwellingUnits(r l (1)/Septic Tank Soil Rate Rareasa/Sand ❑,FloldlnpTank Existing Greaselntc� O l:rd�ic1 !G� 7i�1:�%pc r (2) Leech Line Sq. Ft . Sidewall allowance Install s) ft. long ft wide wllh Leech Bed sq. fL $Bottan trend, aBa.. sq. R mir. � rock below dralnl'mes or of Doltofi,arsa__ per runningfL � Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Ph Total Depth 'Other • • Inlet (TD) ", � (Bp , t 05� /j Max. Allowable/Depth NNA Overburden factor No. 2 System y REMARKS: -.d���0 .''r,�,! .: J �' .N/`^fi .SYilro.dS�swr z•ri(J .��Cr� eZst... .� ,.�i_•aG� //�dZ•.C'�1�� <��'"�• This is AP- for the in -6 application P,D/DENIED category checked SECTION B above, ding regarding the design of a subsurface disposal system as indicated on the accompanied plot plan, using the uirements set forth in SECTION C above. A�tiuilding rmit is necessary for the installation of the' above -designed system. Nlo construction is permitted in the required reserved 100% expansion area. `J (1) .Septic tank and sewer lines must be 50' minimum from any wellsq it) "(2 Leach. lines must, be 100' minimum from any wells, including expansion area' v �) Seepage pits'.must be 150 -minimum 'from any wells including expansion area_' �© y Si re Of' Healt ! Y f rRECEIPT �� NO c ;` Issued By f Date r. DISTRICT ❑ Rnrerstde ©Indio Hemet O Peens ❑ Rancho Calif. O Blythe r, r- ' .: ' r '• "S •J fig. yz• _ .1 _ .1-1 � ,s �. i `' Y _ �c jr •: i` .!'t fir, S - .. � DOH -SAN 122 (Rev 3190) DISTRIBUTION; _,. WHITE Office file „YELLOW - Applicant, PINK Bldg. Dept- GOLDENROD : Plans/Records tv ,-r.'-.. _.✓ �ir-,..-�- ., y c;.,.. -_...,T ,-, ti.. :;r__r,. ,r •,�� i;;,�t... .....s„ .'fix,_. . ._ _mss ",r.. .--„,,.-,:.-. r:. .r, �^.d-. �.... - .. _r .2 .s .. . �i� � h ,Official ,A�J.:�,C:_ Date= Y 5.2 COUNTY SOF .RIVERSIDE DEPARTMENT OF HEALTH."""°0" P.ro.t �O' - dl�l -�” .ENVIRONMENTAL SERVICES' DIVISION PERMIT APPLICATION FORA SUBSURFACE SEWAGE DISPOSAL SYSTEM , _ Applicant: Submit this form with four dies of a scaled'plot plan (1=20 scale) drawn to Coda-ty speculations afi Indicated.on the attached check lint Anon refundable filing fee (see below) is required when the application ls-submitted. Check must be made payable to the County of EOO<Riv''ecside. }Appioyal}of this application shall remain valid for a.pedod not to exceed one year. from date,of.'approval. VERIFY ITEMS IN NFROM BUILDING, & SAFETY APPLICATION BUILDING DEPARTMENT- APPLICATION LOG-# SECTIOoN r. Agent. Contract4i n f,�, , / Phone Address & F' � � Owner Phone Mailing Address City to Zi Job Property Address Legal Description Prop. (PM, Tenet Lot) fv L h` 6 c�/ a!� .4Z'7y? . ''Z?o tea`, `Mrs LU —#I i;,, CL" Lot Size JY ter Agenc ` ell Use of Permit P/P, CU, etc. , �� � Other I ! `/old U GtJ Dwelling, Site Prep, etc. i Signature of Applicant - Date CATEGORY: • REV CODE FEE ' CATEGORY: REV CODE FEE ©SUBSURFACE DISPOSAL "12 r$�57.f00 SITE EVALUATION UPON REQUEST 7349 $. 43.00 h N P P ❑ _MULTIPLE PARCELS WITHIN SAME ( O LOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION-' 7348 $ 17.00 a 1 at 4 Parcels (Each) 1238 $ 57.00 (less than 1 year) b. Each Parcel. after 4 17344 $ 24.00 ❑ PRELIMINARY ELECTIVE 7352 $ 23.00 ❑ Rereview (2nd review same parcel) 7344 $ 24.00 "` EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 ' $ 47.00. Crttical Area 7348 $111.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $ 87.00 - 7 INITIAL ' DATE qq Holding Tank Agreements Completed ❑ Yes J No - Certification Existing 9 Certification of S.D. System Required ❑ Yes No w WOCB Clearance required. (Attach Form ❑ Yes [VNo DOH SAN 007, Santa Ana Region Only) - Sails Percolation Report Required. ❑ Yes Y Nom! + Special Feasibility Boring Report Required. ❑ Yes - Detailed Contour Plot Plans Required (1 to 5 ft interval) ❑ Yes a Ng�o, Other ❑ Yes MOW)- Spedaliat Lot Inspection Required " 0 ❑ YesNo Lot Inspection Date Saila boxing report by Project Date 1 Soils . Map Page Sail Type t1 L"T Approved by .y� [' - Date f No. of Systems Type of Syatem(s) /No. DwellingUnits(r l (1)/Septic Tank Soil Rate Rareasa/Sand ❑,FloldlnpTank Existing Greaselntc� O l:rd�ic1 !G� 7i�1:�%pc r (2) Leech Line Sq. Ft . Sidewall allowance Install s) ft. long ft wide wllh Leech Bed sq. fL $Bottan trend, aBa.. sq. R mir. � rock below dralnl'mes or of Doltofi,arsa__ per runningfL � Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Ph Total Depth 'Other • • Inlet (TD) ", � (Bp , t 05� /j Max. Allowable/Depth NNA Overburden factor No. 2 System y REMARKS: -.d���0 .''r,�,! .: J �' .N/`^fi .SYilro.dS�swr z•ri(J .��Cr� eZst... .� ,.�i_•aG� //�dZ•.C'�1�� <��'"�• This is AP- for the in -6 application P,D/DENIED category checked SECTION B above, ding regarding the design of a subsurface disposal system as indicated on the accompanied plot plan, using the uirements set forth in SECTION C above. A�tiuilding rmit is necessary for the installation of the' above -designed system. Nlo construction is permitted in the required reserved 100% expansion area. `J (1) .Septic tank and sewer lines must be 50' minimum from any wellsq it) "(2 Leach. lines must, be 100' minimum from any wells, including expansion area' v �) Seepage pits'.must be 150 -minimum 'from any wells including expansion area_' �© y Si re Of' Healt ! Y f rRECEIPT �� NO c ;` Issued By f Date r. DISTRICT ❑ Rnrerstde ©Indio Hemet O Peens ❑ Rancho Calif. O Blythe r, r- ' .: ' r '• "S •J fig. yz• _ .1 _ .1-1 � ,s �. i `' Y _ �c jr •: i` .!'t fir, S - .. � DOH -SAN 122 (Rev 3190) DISTRIBUTION; _,. WHITE Office file „YELLOW - Applicant, PINK Bldg. Dept- GOLDENROD : Plans/Records tv ,-r.'-.. _.✓ �ir-,..-�- ., y c;.,.. -_...,T ,-, ti.. :;r__r,. ,r •,�� i;;,�t... .....s„ .'fix,_. . ._ _mss ",r.. .--„,,.-,:.-. r:. .r, �^.d-. �.... - .. _r .2 .s .. . 78-105 CALLE ESTADO LA OLI NTA, CALIFORNIA 92253 - (619) 564-2246 May r29, 1991 �• ti TO ALL BUILDERS: " Effective, immediately the City--of F La Quinta will' require=' all builders' to provide the names, license numbers and verificatfion"of current workman's compensation 'policy for ..•the :following trades prior , issuance of any permit:' r - 1). Electrical "P 2) Plumbing �d0 PG1 3 ). „Mechanical • i? r The sub-contractors will:'not be'required"to obtain 'a permit, but must-have current State license and City busi�ness"license. „If the' building permit•,is being obtained by a licensed'General=Contractor, offering workman's compto-, cover the entire job; theH. sub=contractor could then work'undei-that policy:. An owner builder obtaining a'per>mitjor an,owner',occupied dwelling —must provide " 'a workman's J,,'comp ,,poTicy - or, ; A list of ..licensed' sub-contractors with a current wor'kman's comp;xpolicy. An owner ' builder obtaining a ;permit, for a'dwelling that is- ;intended. •for. sale = must ` provide 'a. complete list ; of licensed sub-contractors; •license,..'number-,, City business license number and workman's comp: number' for .each sub=contractor: The list, must• be posted, with ,; the •job card on, site at . all-* times, during construction. The City will;°however,.issue4'the permit" once the following trade • li'st is ,prov,ided:` 1,-' 4'. Plumbing 2 . concrete .i .5." .Mechanical' 3. Ele`ctrical' 6 Framing - 4 ~.. )♦ i -rY' ' . • ' of ,* - _' � 1 +A 'MAILING ADDRESS"- P.O.- BOX 1504- =SLA QUINTAL CALIFORNIA' 92253 =� TO ALL BUILDERS- UILDERS ' .PAGE .PAGE TWO" - Upon completing framing, ,"no further inspections would be •given prior to •completion 'of' the °remaining list of' trades: 1. ", Glass & Glazing 8 ,..I,nsulation 2.,' Mirrors . 9'. Tile ? ' 3. Sewage Disposal 10...,,Paint - 4. Lathing- x,11. Cabinets' 5. Drywall Landscape 6. Masonry 13`.• Carpet. 7. Masonry . Should any builder-obtain;a permit for 'an owner, occupied dwelling nand. place that dwelling for-sale during construction according' to -Ca 1ifornia`Contractor,;Law; tfie. City, would reserve the .right to ..void the building _'permit, and stop construction due.. to falsification" of information.: Work" could -not begin.. -again until a. new permit hadobtained. Thanking you in, ;advance for .,your cooperation. BUILD AND AFETY nFRARTMENT yG� Tom-Hartung Director of Building.°and Safety TH/lc L = "�c���`' 'moi. VA; . 4- pan & T 7il- OF s:.utl tit veitin 2 This Certificate'issued,-p-ursuant to th6 requirements of Section 306,of the'Unifor M.' Building Code' certifyirig that at the time of issuance this structure was in compliance with the various ordinances of the City,rpgulating building construction I 'or -us&.'. -For- the -following: BUILDING, ADDRESS',, '78—,520-AVEN.IDA TUJUNGA SINGLE FAMILY. DWELLING*. 9701 ' UseClassification Bldg. Permit. No. R 3 VN SR 4- Grolip Type Constru�tion Mrs'Zons, Use Zone - .1 --Ownsr 'of Building A-& M BUILDER Address", P • 0 'BOX' 366 -Ccityityn U IN A' CA tONN , 9 i E 'DAY - BY. bate; DECEMBER �51991 Building Official POST IN A CONSPICUOUS PLACE