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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 �� te=err arr nGill(:UL E. IcEoU.�w at ut t iI,E Ur )n�LS U�n;Sa;uI'rnn..utt;nr nvt F °I LMAL C�4 ��StS�A�.r r7Y..t•.ussn���r. ANO taEMEvI M.NVENISIE• M W lat,l I I S% MEASUI IL• S sr qua r : �i�11l 49-(rlJ Iiay I16r -mate II-IZ - n 'VA 9ZZ36 .. � 'l:vnclrell. r • Aj°'I'-'!±.iL',eq.� 619--J4 Z-U'l9l _ • . -4 � e CASC 1u._ �rre� pj t ; �� ll UEVCwroi' 5 I W i� �' -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. 1•I 'o ►k you . p ti ng cul (araC Cgiiitssviier s VL [ ice cci llldlo vild Riverside v[[Ice { 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 �u Q,,,,," A, �-c CLIENT REPRESENTATIVE SIGNATURE i a �.•and•t}(�t a TECHNICIANS SIGNATURE -Q ;'O 3.5_..