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003550 (SFD)13 P.O. BOX 1504 No. 003550 Building a" 78-105 CALLE ESTADO Addrdss gld�.. vallinin LA QUINTA, CALIFORNIA 92253 Owner Golden West Homs BUILDING: TYPE CONST. OCC: GRP. Mailing Address 1P n v d A.P. Number 77A-7AA_a?n City Zip Tel. ' ' - ..00%1eA n 01^0}.. Q93Q'il 14—AAIIA Legal Description Contractor Project Description T A,?xr4 i v, Tw4^41E 4 "er Tom Giadint4 - Address 52--'760 Middler,idge City "" Zip Tel.' Tdv%lwidd 902345 71.4-659-4511 State Lic. City & Classif. Lic. # Sq. Ft. 1484 No. No. Dw. Arch., Engr., - .. .- - Size Stories Units Designer New ❑ Add ❑ Alter ❑ 'Repair ❑ Demolition ❑ Address Tel. r. 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. SIGNATURE''" - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for the following reason: (Sec. 703 1.5, Business and Professions Code: Any city or county which requires a n 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 -PERMITAMOUNT the provisions of the Contractor's License Law, Chapter•9 (commencing with Section 7000) of 'Division 3 of ttie'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 applicantfora permit Plan Chk. Dep. �f!'� - subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ^' Plari Chk. Bal. - d 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 Const. Professions Code: The Contractor's License Law does not apply to.an owner of property who AID , builds or improves theieon and who does such work himself or through his own employees, Mech. 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 ' Electrical " _ of proving that he did not build or improve for the purpose of sale.) O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing i fil AIN 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. -agrill such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ❑ I am exempt under Sec. B. 8 P.C. for this reason - 3A (I f% Driveway Enc. n, na Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION ['hereby affirm that l have a certificate of consent to self -insure, or a certificate of i Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. _ TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS Y 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 �)f3t"i 4 fi 7 a t t 04 RA A i - i A. OQ ti ^ 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 ZONE: BY: " sLbject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: ' Front Setback from Center Line Rear Setback from.Rear Prop.. Line CONSTRUCTION LENDING AGENcv, 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 Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR 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. 12129/87 I certify that I have read this application and state that the above information is correct: -ordinances Issued by: Date Permit I agree to comply with all city and county and state laws relating to building construction, and hereby authorize representatives sof this city to 'enter the above-. mentioned property for inspection purposes. Validated by: Signature of applicant Date Mailing Address Val,ldat on: City, State, Zip HARD COPY �� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES r IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. . SQ. FT. ® GAR. SO. FT. ® CARP. SQ. FT. WALL SO. FT. ® SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK I ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) 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. SQ. FT. ® c BATH TUB BOND BEAM SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL GR. SQ.FT.GAR ® 3/ac HOUSE SEWER FINAL INSP. ROOFING GAS PIPING ' PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE��E ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK ROUND PLUMBING -� UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE D ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SM G� ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. �7 O !� GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _ $ GR. FINAL INSP. //LUMBER ' !� FRAMING,71/J (((---iii VV�4 FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH �SULATION/SOUND— r S' FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL r 1 Desert Sands Unified School District CERTIFICATION OF PAYMENT 1N®TICE: THIS DOCUMA� �JJOF FEES BE DUPLICATED, TO: City of La Quinta DATE: / d ONI Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to • er.tify that l d' developer of i��ich is �� located a t 3-705 i// 'D S`f a� tai i t( this District, has paid schoo facility fees impo ed pursuant to the author,it�g9er(te _ G vernment ode W�tion53,080 •n the a ount of co eying a total o square feet of'Z residential or ( ) industrial/commercial development and that building permits for this footage in this development may n be issued by your jurisdiction.. for ESERT SANDS UNIFY D SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 z O U w U) :9" z O H U LU U) U) Y Cr Q W Cr L z O U W U) .a a— 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 0.20 scale) drawn to County specifications required on the attached check list. A non-refundable filing fee of $40 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.) , 5` r,4,0/2. C, �5,c.� ST 2 U(Z- - 0� �e Mailing Address � ) � 'rf ? G 7-A-1 4P0 � TZ w�'� City /1 j G i•JG S State � R Zip Code �f Z Z Telephone 9 Z 2 -/r- z a -Job Property Address l Z-I/a/J- 1lr=CASCD 'City or. Community 1�4 aU/�7"A 'Legal Description of Property. (Lot. PM. TR) 4-0 - /O &4<-:Z%� 1,1A.1 /I- d4 'Assessor's Parcel No Water Agency or W�ely Lot Size Cc�1akFLtAVaLL>;.y us, of Permit Planning Case p AM ZV /J SFDf MH Site Preparation Etc. Z9? - Stpp Pure 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 WOCB Clearance required. ] Yes © No Soils feasibility report required. D Yes d] No Special feasibility boring report required. D Yes U No Detailed contour plot plans required. ❑ Yes No Staff Specialist approval required. Yes Q No Lot Inspection Date Soils/boring report by Project # Date Soils Map Page Soil Type g • 1 Approved by r S Date Type of System: Nc. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing ❑`New ❑ Additional ❑ Replacement 'T F" t '� Gals. (2) Leach line sq. ft. Sidewall allowance Install—Line(s)-Ft. Long, Leach bed Sq. (Bottom trenc ,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 ❑ 5' Z' E' a evr y' Max. allowable depth N/A Overburden factor A j! _ (' , r l / . / i i7 ., .�.+grriw.r r� f -r 1-�i ,v r..� ir..� Ll / 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)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 ((3j Seepage must be 150' min. from -any including pits wells expansion area Signature of Health Official Date RECEIPT NO. -1 ya % Issued by f i;1. Date District: ❑ Riverside r Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE -Office file YELLOW -Applicant PINK -Bldg. Dept. GOLDENROD -Pending File DOH SAN 122 (Rev 8/87) I .. O of rICE OF E. LEON SPAUGY r AGRICUL'I URAL COMMISSIONER J 1) s JAMES 0' W.ALUNCE O I C AND ASS:S:A.%tCI)NI ISSIONEP. 1 , j '" ' CLEMENT 3Eh VEhISTEWEIGS b.. MEASURES SCALER , 49-6131hoy 86, Suite 1i-12 �\,M.,,.•' Coachella, CA 92236 Mq r. 6 q� 619-342-8291 "- DATE 3 - 2 .9 _ ��' CASE NO. k DEVELOPER'S NAME: (7�a/v�. ADDRESS: 2.V7 E ' 2-- 10 Are i �t 9 2 Z6 Z TELENUIE: ( 6/9) 3 ZL —/O 2G _ • s y -pis d4 -e - 1/ a- Dear Developer: i After reviewing your landscaping plans, all plant material listed; is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ from plain material listed, this office niust be notified ijurediately. Thank you for protecting and -preserving the Coachella Valley's pest -free environunent. � - 4 Agriculturall/Coutni-s rer's Off ice cc: "Indio and Riverside Office