06598 (BLCK)T4hf 4 4 a"
AdddPc9 68-300 Vallejo
Owner
New Genesstion Builders
Address P. 0. Box 2401
City Zip
Palm Deser. . 9226
Contractor
City
Zip
State Lic.
City
& Classif.
I
352211
Lic.
#
P.O. BOX 1504
78-105 CALLE ESTADO
LA OUINTA, CALIFORNIA -92253
No. 06598
- ' BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 774-245.-003
346-464 _ Legal Description
Project Description X 501 Retaining well.
1230 Sq. Ft. _ No. No. Dw.
Size Stories Units
City I Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 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.
SIGNATURE DATE
OWN BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the following
reason: (Sec.. 7031.5,8usrness and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to Re 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 permitd
subjects the applicant to a chi"penally of not more than five hundred dollars ($500).
❑ 1, 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 Contractors 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 said 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 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.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATIONDECLARATION
I hereby affirm that 1 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. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ifthe 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
employ any penton in any manner so as to become subject to the Workers' Compensation
Laws of California
Date Owner
NOTICE TO APPLICANT. ff, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
amply with such provisions or this permit shalt 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
New 0 Add ❑ Alter ❑ Repair ❑ Demolition El
(Estimated valuation $916
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
w
AMOUNT
$25.00
TOTAL
REMARKS
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 Propert
Validated by:
Validation:
y Line
FINAL DATE INSPECTOR
Issued by: Date 10/25189 -Permit
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. ®
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SQ. FT. ®_.
FINAL INSP.
BOND BEAM A6.;
WATER SYSTEM
DRINKING FOUNTAIN.
WALL SQ. FT.
LUMBER GR.
FINAL INSP.
URINAL
SQ. FT. @
ROOFING
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
VENTILATION
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIREPLACE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
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.
SQ. FT. RESID ® 1+/* c
SEWAGE DISPOSAL
SQ.FT.GAR ® V/ao
HOUSE SEWER
CERT. OCC.
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
SEWER OR SEPTIC TANK
ROUGH 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 A6.;
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-X$-=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
'
t
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
NOTICE. T1 ppO^� F �� FACILITY FEES �
BE L)UPLICATED4 ���NOi ( -�
TO: City of La Quinta DATE: 1ggq
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
This is to certify that, ,L rkwlo 04m
developer of A 61 nL1 FLre which is
located at - c within
this District, has paid school facility fees qmposed pursuant to the,
autho{{ity generated by Go ernment Cod T�t'l 53080.in the amo nt of
SSS o�ro-5 0� l �-
covering a total of square feigt of (x) residential or
( ) industrial/commercial development and that building permits for
this footage in this development may now be issued by your jurisdiction.
XA J �J�-
C'K' -p- 139
/-" ow 0 - 8-p�
for DESERT SANDI UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
4
J .'N VC
WIPW P�
Z
0
CO
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assewra Parcel No.
ENVIRONMENTAL HEALTH SERVICES
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 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 a period not to exceed one year from date of approval.
VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'*
t, Contractor, Contact Person
*7 Ala
Phone
_Address & Phone
tj�;
(0
DA pm,"
Cr
.1-2A
Phone I
.3Z
4 7XI
. Mailing Address
city
State
Zip
11
JobyPropeytyAddr'e§d/eqXeA,- 42&d�
riptipriprop. (PM, Tract Lclt)
'" -U
.3
0 1 :?.1 66e 2
Z 5 ,4
Lot Size
Water Agency ell
Use at Permit P/P, CU, etc.
56
/<
DMre i_nC Site
Sig rgturfilo-t Applicant
bate I
CATEGORY: REV CODE FEE
CATEGORY: REV CODE FEE
2 EMSSURFACE DISPOSAL 1238
o SITE EVALUATION UPON REQUEST 7349 $42.00
• MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
LAND DIVISION
0 SEWER/SEPTIC VERIFICATION 7348 $11.00
a. 1 st 4 Parcels (Each) 1238 $45.00
(Less than I year)
b. Each Paroel after 4 7344 $16.00
0 PRELIMINARY ELECTIVE 7352 $45.00
• Rereview (2nd review same parcel) 7344 $16.00
EVALUATION (Attach DOH SAN 53)
0 Site Evaluation irf ' Conjunction with
0 HOLDING TANK 7361 $45.00
Critical Area 7346 $86.00
0 ALTERNATIVE/EXPERIMENTAL 7345 $132.00
.-0 Site Evaluation Lot 'Less than
SYSTEM,
10,000 Sq. Ft. 7347 $86.00
/INITIAL DATE
Holding Tank Agreements Completed 0 yes MIN -a
o
Certification of Existing S.D. System Required 0 Yes No,---
WQCB Clearance required. (Attach Form 13 Yes Er No
DOH SAN 007, Santa Ana Region Only)
Soils Percolation Report Required. 0 yes 0.10
Special Feasibility Boring Report Required. 0 Yes
Detailed Contour Plot Plans Required (1 to 5 ft. interval) 0 Yes Or N
Other 0 Yes No 0
0
Staff Specialist Lot Inspection Required 0 Yes. .0 No
Lot Inspection Date
N
Soils boring report by Project # Date
Soils Map Page SON Type Approved by Data
No. of S
_ysterns
Type of Sys"s)
0 Holding Tank 0 Existing
No. Dwelling U nitsf 1)
Bedrooms, Fa�nfts
(1) Septic Tank
Soil Rate
and
0 Replacement
A44 Y.
AM
I/qw/j /Wit
Gal
-Gal
,(4) Leach Line Sq. Ft
Sidewall allowance
4/ V
install - Lw*s) — It long it wide with
Leach Bed sq. ft.
Bottom trench am
It. rock/-- sq. It.
min. �belowongnftnes or
per running it
oroNA
Lea chlines/bed special design for slope:
(3) Pit Diameter
No. Pita
Pit Below
Inlet (BI)
Seepage Pit Total Depth
/Y /
Other.
ApplicaNe :11,
N/A factor
(h1`6 1
1 1—
I -
Max. AIlowabl� Depth
_Lz1_0V1brd9n
-,
No. 2 System N'
REMARKS:`'
I
This application for the category checked in SECTIONB above, regarding the design of a subsurface disposal system as indicated
on the accom the 'requirements set forth in SECTION C above. A building permit is necessary for the installation of the
above -designed system. 'No construction is permitted in the required reserved 100% expansion area.
101 Septic tank and sewer lines must be 50' minimum from any wells ,//6/_,f,
Leach lines must be 100' minimum'from any wells, including expansionarea
3) Seepage pits must be 150' minimum from any- wells, including expanston ar&�/
Y'
J 1�. zv
Signature of Health Official! te
RECEIPT NO.— /& Issued By Date—
DISTRICT: • 0 Riverside, 121 ndio 0 Hemet 17 Perris 0 Rancho Calif. 0 Blythe,
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: 'WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD. - Plans/Records
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CASC 1u._
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-77
sc
Dear 1)eveloperl
-11 Alter reviewllLy.your landsc�rlri.Ilc� IrIaII,, Isll Irlallt tiytVa.11e l,islCJsubst•itutllvns
vivlotivn UE yuaralltl.Ile 1(1+19 ovel,Iliny IIIc cvacllella Y
do occur tIIId they cllE[er [run 1118"tnc.Ilerlal llsteJ, tills v[[lce must be 1I0tiEied
y
�I�I>ediately .
Lvr rvtectLly at►J Irr eservltly IIIe cvuchella Valley's pest-[ree ettvirvllinllt.
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jBuena Engineers, Inc.
~� ~ 79-811 Country Club Drive, Suite 4
4y� Bermuda Dunes, CA 92201 • (619) 345-1588 / 328-9131
Client Name —
Client Address
Client Phorie
DATE
�aa199
JOB NO.
-7t (-P
PROJECT
LOCATION
REFERENCE CURVE
CONTRACTOR
OWNER
WEATHER
C.(156k0'�
TEMP.
o at AM
Dat PM
PRESENT AT SITE
MAXIMUM
MAXIMUM
OPTIMUM
NUMBER
FIELD REPORT
�u Q,,,,," A, �-c
CLIENT REPRESENTATIVE SIGNATURE i a �.•and•t}(�t a TECHNICIANS SIGNATURE -Q
;'O 3.5_..
`.FIELD TESTING
REFERENCE CURVE
TEST
TEST LOCATION
LOT
MOISTURE
DRY �6'
MAXIMUM
MAXIMUM
OPTIMUM
NUMBER
NO.
ELEVATION
CONTENT
DENSITY
lbs./Cu:�:ft,.
DRY
DRY
MOISTURE
SOQ
1%
DENSITY
%
DENSITY
IbsJcu..
CONTENT
-JCA1—$1
Tq
.., Vey-^•_
. �
P
y
REMARK 53 -ami 53-300 —
ff�Jc�
e�,� Pr
I i I 1
40 y
� Vtti ux �9^+ S S v w . •�.
Val�jp
coc o C t1- IP C( ke -C.
�yRt^f
VQc ,acs
(' t41) c109
FIELD REPORT
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CLIENT REPRESENTATIVE SIGNATURE i a �.•and•t}(�t a TECHNICIANS SIGNATURE -Q
;'O 3.5_..