11605 (SFD)Q
Building 51-620 Vallejo
Address
Owner W.S.S. Development
4
P.O. BOX 1504
78-105 CALLE ESTADO.
LA QUINTA, CALIFORNIA 92253
Mailing
Address 4102 Marble Ridge Rd.
City Zip TeShingbe 5 cis 95682 916) 576--3300
Stockman Fontes
Adaress I
same as above
Zip FBI.:
°State Lic. City
&`Classif. B1 54234$ Lic. # 2534
BArch., E " Studio 4
E Designerr
:�9 9 University #100 (916)920-1159
City Zip State
Sacra>rento Lic. # 22044-
LICENSED
2044.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 lice�n�sie� is in full force and
effect.
_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
Diwsloh 3 or 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.($500).
O 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
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.) -
❑ 1, as owner of the property, am exclusively contracting with licensedcontractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law -
does not apply to an owner of properly 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
Date Owner
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
❑ Copy is filed with the city. O 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.
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.
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 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 city to enter the above-.
mentioned property for Inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 11605
BUILDING: TYPE CONST. SFD OCC: GRP.
A.P. Number 773--132--005
Legal Description T+n+? ?n of Tklne-1G S-1
Project Description Plan 2 reversed
REMARKS
�rit r r Ll�a t'�I �v•'�ti �t, Ll ..t.l � ... �.j�) � - 1 j i
ZONE: BY:
Minimum Setback Distances:
Front Setback. from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setl.from Property Line
FINAL DATE INSPECTOR
Issued by: - Date Permit
Validated by:
Validation:
Sq. Ft. No
Size 1471 Stories 1
No. Dw.
Units 1
New 49 Add ❑ Alter ❑
Repair ❑ Demolition ❑
C
Estimated Valuation $85,042.90
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
494.63
Const.7r
.l?
Mech.
--62. nA
Electrical t
3111 _ 71
Plumbing
144. 04
S.M.I.
i . C50
Grading
2f3. 44
Driveway Enc.
Infrastructure
1 r 913.4.
TOTAL
REMARKS
�rit r r Ll�a t'�I �v•'�ti �t, Ll ..t.l � ... �.j�) � - 1 j i
ZONE: BY:
Minimum Setback Distances:
Front Setback. from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setl.from Property Line
FINAL DATE INSPECTOR
Issued by: - Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. @ $
UNITS
COLL. AREA
2ND FL. SQ. FT.
ROUGH PLUMB.
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ, FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
DUCT WORK
DRAINAGE PIPING
WALL SQ. FT.
GAS (ROUGH)
DRINKING FOUNTAIN.
SQ FT ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GAS (FINAL)
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER HEATER
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
$ plus x$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
—
FINAL INSP./6-3
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3Ac
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
ASEPTIC TANKJJ�j
UGH 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 GRJ
—
FINAL INSP./6-3
FRAMING �3
FINAL INSP-3 0 /13 % 1
ROOFING G l �
�N /j /
' i 7Vf
E
G!?i, `�
Nd
ppuw
s
//0'
7
REMARKS: �
VENTILATION
FIRE ZONE ROOFING
O
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
WING
MESH
INSULATIONISOUND Cr�
FINISH GRADING
FINAL INSPECTION-
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT -
82-879 Highway 111
NOTICE: " Indio, CA 92201
Document Cannot Be Duplicated
(619).3.47-8631
Date 11/19/92 Type of'Pen. it La Quinta
No. 11851 Permit #
Log
owner. Name. W.E.S. Development '
No. Street -See Below
F City La Quinta Zip 92253 Study Area 113
"N # Tract # Lot # 0 Square Footage 17564
Type of Development Single Family Residence No. of units 5�
Comments 51-940 Ramirez (IMO s_f.), 51-620 Valleix (1471 s_£), 52-440 ObrPgon (1 471 '_s,1.)
57-1 R1, HarrPra (1471 c f ��9=�R�i Na��arrn (1471 )
Q r s W Study area 117 3 Tet in study area 113)
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 pis exempt from paying school fees at this time due to the-
-following reason: f
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.58 x 7 564 or $ 11,951:12 have been paid to D.S.U.S.D. for
the property listed above and.that building -permits.: and/or Certificates of Occupancy for f
this square footage in this proposed project may now be issued.-
. �.
Fees Paid By-. W.E.S. Development Co. Telephone 564-5154
Name on the check
BY James F. Lively
Assistant Superintendent, Business Services
{
Fee collected /exempted by Marcia J. Ewart . 3
,/ Payment Received
Signature {il/1f,11 �WC(J1,?" Checf No". Cashiers'
Collector. Attach a copy of county or city plan check application form to district copy for all waivers.
4
Embossed Original, Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting .
FZ2L—,41V Ix -
COUNTY OF RIVERSIDE" HEALTH SERVICES AGENCY Assessors Parcel No.
DEPARTMENT OF ENVIRONMENTAL HEALTH
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Applloarit: Submit this form with four copies of a SCALED plot plan.(1-20 SCALE) drawn to County' speculations as indicated on the attached check list.
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 period not to exceed one year from date of approval.
LOG # ra Q VERIFY ITEMS IN SECTION A FROM A NON -FEE BUILDING & SAFETY (goldenrod) APPLICATION
Apopl, Con ractor, Contact Person
Phone
Address City State Zip
CA ,:. , cw - G'ZZS3
Owner
Phone
Address City State Zip
Job Property Address 0010A
City
State
Zip
Legal Description Prop. PM, Tract, Lot)
SI -(02o V4)1'e:10
Lry Cj' 'I A- h-
C �.
S22 -S3
Lo f 2 �
Lot Size
star Agency t•—
Use of Permit P/P, CU, etc.
Other Q A Q��TfI QT (IAC
57LX IV.O
C 1/W
Ili M Site Prep,
A QU/dTA
w g, etc.
Gd .
o- , s; ��
Lill l
Date
Signature of Applicant
CATEGORY ; REV CODE FEE
CATEGORY :•REV'CODE > FEE -
SUBSURFACE DISPOSAL (per'system) 1238rr 153.00 70—)0
SITE EVALUATION UPON REQUEST • - '7349 $120.00
❑ MULTIPLE PARCELS WITHIN SAME LAND.DIVISION ".
(NO PLOT PLAN)
❑ SEWER/SEPTIC VERIFICATION 7348 $ 58.00
a. 1st 4 Parcels (Each) 1238 .. $153.00
❑ PRELIMINARY ELECTIVE EVALUATION
b. Each Parcel after 4 7344 $ 55.00
(Attach DOH -SAN -53) 7352 $ 69.00
❑ REREVIEW (26d review same parcel) 7344 $ 55.00
❑ HOLDING TANK 7351 $119.00
❑ SITE EVALUATION In Con)uction with Critical Area 7346 $197.00
,lP
❑ ALTERNATIVE EXPERIMENTAL SYSTEM 7345 $656.00
.
❑. GRADING PLAN REVIEW DETAILED 1238' $104.00
(iSITE EVALUATION Lot Less than 10,000 Sq. Ft. 7347 $172.00
❑ GRADING'PLAN REVIEW CURSORY 1238 $ 55.00
❑ SECOND FIELD VISIT (SITE EVALUATION) 7346 • $ 85.00
❑' COPIES (LAND USE).7786-81 $ 50
ITIA DATE//
7
Holding Tank.Agreements Completed ❑ Yes. T—�
Certification of Existing S.D. System Required ❑ Yes C No
WQCB Clearance Required ❑ Yes No
(Attach Form DOH SAN 007, Santa Ana Region Only)
�N�o
Soils Percolation Report Required ❑ Yes .- ,
Special Feasibility Boring Report Required ❑ Yes
Detailed Contour Plot Plans Required (1 to 5 ft.. interval) ❑ Yes
Grading Handout Provided r ❑ Yes �Nq
Staff. Specialist Lot Inspection Required ❑ Yes
Maintenance .Booklet Provided ❑ Yes PAD Lot Inspection Date Initials '
C/42 / Soils Percolation Boring Report by c/Project # Date
["
Soils Map Paga Soil Type dy Approved By Date
No. of Systems
Type o System(s)
No. Dwelling Units . I
(1),Septic Tank
Soil Rate
Grease/Sand
❑ Wding Tank ❑ Replacement
Cis ❑Addition
Bedrooms, Faxttrre-Wvits�.
Gres s tcp/Lint Trap
❑Existing
3kr9F�X •A,4x
Gal.
a�.b�G1/'
I.
.
q. Ft.
B Om Area
Total Linear
Sidewall Allowance
ft. rock/ sq. ft. per running ft.
Install 'ne(s) It. Ion ft. wide with
Leach Bed sq. ft.
p Bottom Area
Inlet Tested'Depth
min. inches rocR+be drainlines or
Proposed Bottom Tested Depth
Leachlines/bed special design for slope:
g p
(3) Pit. Diameter a. `
' No: Pits
l
Pit Below
. Seepage Pit Total Depth
(TD)
her:
Applicable
Inlet (BI)
Max. Allowable Depth
� �
N/A rte' Overburden Factor
I
U
Well Review Approved: Signature Date Well Drilling Permit -iii-- �
Grading Plan Approved: Signature Date
REMARKS:
This application is /ED//DEED for the category checked in SECTION B above, regarding the design of a subsurface, disposal system as indicated
on the accompanied plot plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above -designed
system.
(1) Septic tank must be 100" minimum from any wells Cl//d . f>-eeo Nw4ir�� h1Q.r�,.
Leach lines must be 100' minimum from any wells, including i6xpansion area
(3 Seepage pits must be 150' minimum including expansion area
�from
/any
/wells,
Signature of:Health.Official
/// Date
El c CASH CYHECK NO. �!
RECEIPT NO. 30.3 Issued Byy, /'!� Date � 9
—'
DISTRICT ❑ Riverside 2- ladio° ❑ Hemet ❑ Perris F1 Ranchn Calif I-1 RMha '
DOH-SAN-122(Rev1/92) DISTRIBUTION: WHITE—Office file' YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD-Plans/Records
1—r.
>-
.-Mx
•%^1"3'= 132 00.5,E
51- Ca'LC� • t�3 0
LoT
�N�T S"Vim.
Z
RIVERMOS COUNN DEPARMO T OF PUMMV HMT24
DIVOCH OF 2 R PEW. , L HE S
Food Establishment X ftvan7 DEsposal
Trailer Park (uvv ON. SIVI,''ticT2nh
MoW, Apt., Hilpal Sq. Ft. plf Leach Une
E�nWng -)pl�Xw. M4k /— x vryit old o
Coumm-clal Bum IA -4 ' inn aAian to Seaver
Swimming its
. No on -oft eeVrarat ng %maga g;�isig d tms may Ndi;. harrml 1noto Oho i-Iait.-al mWfSP disposal
sy3tem hartawm appre=1 wichrrfd CII&I c r -ma 9rem tri , y c°;F; Q -T, , '.��y �•mtf� Bz r'd/.
Water y `. ml, LI' Irts',=�J'w'3�:<a Gra" l to 'iod3in. F.'A ^Zpp Amo " v. ��.V.Wli
n.ra .f4.. 7 .�i9Lrv'C
X All � d .z Ovi..ld . t .T rRAI aN:.,--db m W. tdi T WaI: ?e sats r,,I currant Ural orm tufftbirtg Code.
— AnY?�� or ff is ia, q m� �: ;^,err (�3) .t v NI �9�i'i��.: �r diw saI to a ova?.
Approval 'has bean obtcinad frees the rkaSZonal Wainr Qus'3y Control mrd for insUlla�yon of the sewage
dispowl MaWn.
Thio Is to aer* Vim? the Rive uds County Departm nt of Pubux t#ealth appros for oar, construction x
nstaMon the items) c-hwW absi'm. �, 3 1{
[tom.PMMA '` �'� EE OR SM -4 1 `v M. �k
%
N S 1 Y It as !�/T�L� .f/t C e ms.ao :,,, %
L? it tL L ;�{�'��`1 .... u��, ✓�� �1+'.; IJ'•�. .oP �r �. �� •^SQA � t^�y�
. - lhn.l..] :i.6:. 4 � i•J .'Si:C:1 .:Y.v.•� u•..yy. 7
=g at ner.ss $, nem fii. rab"Imm ftyn
waq was.
u 'S"F' •'Zc�„%'�ia`Ct:, ':'3';. `� . _ r @,; tea'
B9 a . .K �: •• rFI°'�'ej
� CU60 iN
'"APPOV0 of vaese P"ns t9 ti=e b0parilauj i; of V UUIJ.
HUM of Rj4e*do Comity (., es not relies e; the Eng; -
@ Arubt$get °g tkeT`�`S,�k3II8tIaiI.1�$ for the }S agin84T
kwetA '
.--
EARTH SYSTEMS CONSULTANTS S.C.
BUENA ENGINEERS DIV.
i
7"11B Country Club Drive
Bermuda Dunes, CA 92201 • (619) 345-1588
Client Name
.Client Address.
Client Phone
DATE
JOB NO.
FIELD TESTING
PROJECT
REFERENCE CURVE
ice• l�- -, .
�..-�
LOCATION
MAXIMUM
OPTIMUM
TEST
CONTRACTOR
LOT
OWNER,
NUMBER
NO,
ELEVATION
CONTENT
DENSITY
WEATHER
DRY
TEMP. oat AM
°at,, i PM
PRESENT AT SITE
%
IbsJCu: ft.
DENSITY
DENSITY
CONTENT
- FIELD REPORT
TECHNICIANS SIGNATURE
CLIENT REPRESENTATIVE SIGNATURE .� ��? ��
FIELD TESTING
REFERENCE CURVE
MOISTURE
DRY
MAXIMUM
MAXIMUM
OPTIMUM
TEST
TEST LOCATION.
LOT
NUMBER
NO,
ELEVATION
CONTENT
DENSITY
DRY
DRY
MOISTURE
%
IbsJCu: ft.
DENSITY
DENSITY
CONTENT
CylE -y �• ..
®
%
IbsJcu. ft.
%
Z
✓ ✓
f�
i � , u
` I �.,. �
A n
�
tf
IX
t
�
b
REMARKS:
i
"19
A _.
- FIELD REPORT
TECHNICIANS SIGNATURE
CLIENT REPRESENTATIVE SIGNATURE .� ��? ��
r - [
� e
1�MUM
4 1Ut*tbi in dfib afef 111 1*,�i1v4
This Certificate issued ursuant to the requirements.of Section 306 of he i