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002788 (SFD)1. P.O. BOX 1504 No.. 00278 8 Building 78.555 AWDA& ta78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner r . �: J{71�'i= 0=94t. Mailing Address V.0. SM, 2288 City Zip Tel.. ... 92"2 5W2228 Contractor UILDING: TYPE CONST. OCC: GRP. .P. Number 769-061-005 egal Description 10t 9 roject Description e 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. ' 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 he authorize representatives of this city to enter the above- mentioned property for inspection purp�orses. /� Signature of applicant Y t Date Mailing Address /� City, State, . Zip J HARD COPY ZONE: BY: Minimum Setback Distances: City Zip Tela Side Street Setback from Center Line State Lic. Classif. 397169 CityDM Lic. # 282 1835& Sq. Ft. Size - _ No. Stories No. Dw. Units Arch. Engr., -DesignerNew © � AAVEY Alter El- Repair ❑- Demolition ❑ - Address Tel. A 7 0 0 9 City « Zip 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. .• . y,. ~ SIGNATURE DATE ' OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for 'the following reason: (Sec. 7031.5,13usiness 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 rthe applicant for such permit to file a signed statement. that he is licensed pursuant to theprovisions 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 live hundred dollars ($500). 0,1, as owner of the property, or my employees with wages as their sole compensation, will . a 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 lmproves 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 of 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.) ❑ I am exempt under Sec. B. 8 P.C. for this reason - ES1lftlate(f Valuation - g ry 9 !2® 9 , f a PERMIT_ - r, - AMOUNT - - e• Plan.Chk•. Dep. 20000 .. -Plan Chk. Bal. l.�.rLsaVJ COnst. !►(•i. Vis Mech. py Electrical' - , 29 Plumbing 107.00 S,M:I, - -6.69 •6 - � Grading 2.00 Driveway Enc. _ 20.M Date Owner = . rrY� S*`l+�' Infrastructure�2. WORKERS' COMPENSATION DECLARATION I hereby'affi rm 'that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.) - Policy No. Company ❑ 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 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. Dat ' " TOTAL 2,.450.22 2,200." REMARKS e 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. ' 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 he authorize representatives of this city to enter the above- mentioned property for inspection purp�orses. /� Signature of applicant Y t Date Mailing Address /� City, State, . Zip J HARD COPY 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 1272"6Permit Val idated. by: Validation: A 7 0 0 9 12 30 22b5.22 .0 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SO. 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 OUGH PLUMBA/-j- F% FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED AS (ROUGH) V-1—ft? LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c ISEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR ® 3/4c HOUSE SEWER FRAMING FINAL INSP. GAS PIPING PERMIT FEE REMARKS: 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 471 A54OUND PLUMBING3 V- UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE OUGH PLUMBA/-j- F% BONDING HEATING (ROUGH) STORAGE TANK W �ORMS EWER OR SEPTICF/ TA 3 OUSGH WIRING&/ 1 r 7 DUCT WORK ROCK STORAGE FOUND. REINF. AS (ROUGH) V-1—ft? METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) LrdFMP. POLE 3 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. —Plus—X$—=$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. n�00FING 3�3 11`` G'TQ Uj4-,ato 3" 1 DEC 17 REMARKS: VENTILATION) FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH PINSULATION/SOUND y-3- S 7 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATUREJINITIALS GARDEN WALL FINAL txNfIEO y 2 � O y BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS H � PALM DESERT a %P LA OUINTA �0 INDIO y� Desert Sands Unified School District 82-879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5678 • (619) 347-8631 December 23, 1986 * City of La Quinta Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 Re: 78555 Ultimo Gentlemen: The developer of the above referenced project has mitigated its impacts on our overcrowded schools by payment of the amount of $628 per unit. This amount is. .to be applied to the cost of additional district educational facilities made necessary by.such new development. Sincerely, John D. Brooks Assistant S erintendent Business ce By: Richard M. Ireck Facilities Planner JDB/vmm This certification of payment of developer fees is valid for issuance of building permits only up to and including December 31, 1986. Z O f— U W U) V Z O U W U) U) Y Q W Ir U Z O I— U W Cl) t COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH 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 specifications required on the attached check list. 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 # Name (Owner, Agent, Contractor, Etc.) Mailing Address 5-/:— slVr. /�X 2l s cif City State Zip Code Telephone Job Property Address 'City or Community Legal Description of Property. (Lot, PM, TR) eel 7'i� > ,r'° !/-,� 'Assessor's Parcel No. Water Agency or Well Lot Size y Use of Permit Planning Case # c' �S D MH Site Preparation Etc. L/ Signature of Applicant Date 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date Certification of Existing S.D. System required. ❑ Yes No t WQCB Clearance required. ❑ Yes © No Soils feasibility report required. ' / ❑. Yes No �❑► nI J Detailed boring report required. ) u� � ❑ Yes No Detailed contour plot plans required. El Yes No Staff Specialist approval required. ❑ Yes © No Lot Inspection Date Soils/boring report by Project # Date Soils Map Page Soil Type,,-' Approved by Date Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing Q,New ❑ Additional ❑ Replacement "7 ,_„ .A - - Gals. (2) Leach line sq. ft. Sidewall allowance . Install Line(s)—Ft. Long, Leach bed Sq. (Bottom trench area) ft. rock/ Sq. Ft. Ft. wide with min. inches Ft. of bottom per running ft. ❑ N/A rock below drain lines area Leach lines/bed-special design for slope: (3) Pit Diameter ,''No,. Pits Pit BI Seepage Pit total depth ` Applicable Overburden factor N/A_ El 5' 11,6' O Max. allowable depth This application is approved/denied 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 50' from any wells (2) Leach lines must be 100' min. from any wells including expansion area (3). Seepage pits must be 150' min. from any wells including expansion area Signature of Health Official- Date RECEIPT NO. IJV 'Y District: ❑ Riverside EI.Indio Distribution: WHITE—Office file DOH -SAN -122 (Rev. 6/86) Issued Date ' 1n ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File ��F �;};• 78-105 CALLE- ESTADO — --LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 FAX (619). 564-5617 August 5, 1991 • N To whom It May Concern: ' The property located at 78-555 Avenida Ultimo in La- Quinta (A.P.N. #769-061-005) is being, served by- a septic system installed per Riverside County Health Report -Standards and inspected by the' City of . Quinta -in April of 1987. It.can reasonably be expected to function satisfactorily until such a time that sanitary sewage system becomes available to the.aforementioned property. Sincerely, BUILDING AND SAFETY DEPARTMENT Tom Hartung Building and Safety Director TH.es LTRTH43 MAILING ADDRESS P.O. BOX 1504 - LA. QUINTA, CALIFORNIA 92253, J. OFFICE OF AGRICULTURAL, COMMISSIONER 4080 LEMON STREET, ROOM 19 RIVERSIDE, CALIFORNIA 92501 (714) 787.2561 46-209 Oasis Street, Room 14 Indio, CA 92201 (619) 342-8291 . Dear Developer/Landscaper: 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 Coachella 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 Agent: Name/''i/ Date 3 S' Signat -re_�.�—.�C Permit Numbers) Developer &-,' /�e�i�o;J�' Address AGRICULTURAL COMMISSIONER'S APPROVAL %' �.//% Date '2--2-9 � Authority cited: Agricultural Code; Sections 6301, 6461, 6524 cc: 2 Plan Check, Indio Office, Riverside Office F5 Form A - 10/84 R1%u9E69 y�1, 6521- APPROVED BY: ' o DATE? cc �T�HAL CO,