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003067 (BLCK)
44 P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 54--880 Avenida Vgjllejo LA,QUINTA, CALIFORNIA 92253 Owner - .. Mailing Address 732 William tRoad City Zip Tel. Palm . Springs ..... .. 92252 _ .322-t!Q20 Contractor suer constru ion co, - - - Address City Pa3m s State Lic. & Classif.. Arch., Engr:; Designer Address Zip Tel...... _... .. s 92252 322- - !10 City 37934 Lic. # 751 el. No. 003467 BUILDING: TYPE•CONST. - OCC: GRP A.P. Number • 774-302-0.06-18 Legal Description Project Description P11411 A Sq. Ft. , 2410 MG No. Size -_A. =,,,p. Stories . New O. Add ❑ Alter -El * No. Dw. Units . • . Repair ❑% Demolition ❑ City ZipState Lic. # .LICENSED CONTRACTOFS DECLARATION I hereby affirm that I am licensed under provisions of, Chapter 9 (commencing with Section 70 OO) Division ! of 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION EStlmated Valuation 1 -hereby affirm that I am exempt from the Contractor's License Law for the following*~ 'Any eos • �� n . l 3 reason:,(Sec. 7031.5,Buslness and Professions. Code: city or county which requires a -permit to construct, atter, Improve, demolish, or repair any structure, prior to its issuance also •V - e requires the applicant. for such permit to file a signed 'statement. that he is licensed pursuant to -PERMIT - - AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of. er- `Division 3 of the' Business and Professions 'Code, or .that. he is'exempt'therefrom, - and the basis•- for the Any Section 7031:5 by 'any for Plan Chk. Dep. $2SO.00 •� - alleged exemption. violation.of applicant a permit subjects the applicant to a civil penalty of not more than five•hundred dollars ($500): r as _ - .. - ,,. ' Plan .Chk. Bal. ^� 55.20 ❑ I, owner, of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or-offeredfor.sale. (Sec..7044, Buisness and. Const. - 358.00 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, g�'e 'Mach. 3'V - provided that' such improvements are not intended or offered for sale. df, however, the building - or improveme•nt is sold within one year of completion,- the owner -builder will have the, burden 'Electricals'� of proving that. he did not build or improve for the purpose of sale.) .. _ 0 I, as owner of the property, am exclusively contracting with licensed contractors to con-: Plumbing ��� • 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. (hereon, and who contracts for ... - S.M.I. - - 5.22 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Grading 20.00 11.I am exempt under Sec. - B. 8 P.C. for this reason - Driveway Enc. 20.00 Date owner Infrastructure 1€393.88 WORKERS' COMPENSATION DECLARATION I herebyaffirm that I have a cetlificate 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. �w p TOTAL $2V06s46 $1755.46 CERTIFICATE OF EXEMPTION FROM REMARKS .WORKERS' COMPENSATION INSURANCE (This•section need not be completed if the permit is for one hundred dollars ($100)' valuation ' or less.) - - - - certify that in the performance of the work for which this permit is issued, I shall riot 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 �y,,y.::� i tv; -r .. 7 ..:. ZONE: BY: 6 ml + f �- • � subject 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 AGENCY = Side Street Setback from Center Line I hereby'affirni 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. I certify that I have read this application and state that the above information is correct. Issued by:' Date �2j�ipermit I agree to comply'with all'city and county ordinances and slate laws relating to building' . construction, and hereby authorize representatives .-of . this city to enter the -above•. mentioned property for in purposes. Validated by: Signature.of applicant Date - Mailing.Addres's Validation: City, State, zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. -SO. FT. ® $ UNITS COLL. AREA 2ND FL. SQ. FT. ROUGH PLUMB. YARD SPKLR SYSTEM ' FOR. 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 SO 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.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. plus x$ 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 ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 ae ROUND PLUMBIN f -j UNDERGROUND A.C. UNIT COLL. AREA B GRADE (i S ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK ORMS G �/ EWER OR SEPTI AN& -79 ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. �� GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ _ $ LUMBER GR. FINAL INSP. / ?` FRAMING G%� �Q -� 11 FINAL INSP. ROOFING it �./� //„/ (,� /,CL �//� 16 -oZ.(� -�� �(/ r IlUv�. A%" d ASIC Uj REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL e ��MESH��/ ( // INSULATION/SOUND /0zt3-S_)` FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS, GARDEN WALL FINAL 4 Desert Sands Undied School O.sttn:t CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES W 1aJ y TO: .Cit of La Quinta DATE: T/ Department of Community Development ' �78-105 Calle Estado La Quinta, CA 92253 I This is to certify that developer of :2, which is located at .54V '-within this District, has paid school facility fees imposea pursuant to the authority__generated by �GGo�vernment Code S coon 3080 in the amount of 5/309 � (7PZ6r<1.1,z�e� i / -" - e.v�. �> covering a total of /-11P 4 PV6 3 0* square feet of( residential or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. fo D�ND -UN IED SCHOOL DISTRICT ,nWhite - Building DepenmeGm • Yellow - Facilities Planning • Pink - Accounting ' • Gold - Developer * [. l / 001.37 Desert Sands Unified School District CERTIFICATION OF PAYMENT OF W SCHOOL FACILITY FEES. W tGPU TO: City .of La Quinta DATE: xl—,AAD Department of Community Development - 78-105 Calle Estado La Quinta, CA 92253 A i This is to certify that developer of which is located at �" - f Y l within this District, has.paid schod4 facility fees impos d pursuant to the authorily generatedby Government Cocje Section 53080 in the amount of $:Y9 c2. xncul.L �ya /.�.t,G covering a total of i1 square feet 6f (� residential or ( ) industrial/commercial development and that building permits for this footage in this development may ino. be issued by your jurisdiction. Cor DESERT SANDS t IFIED';, SCHOOL DISTRICT yWhile -Building Department • Yellow - Faciliues Planning • Pink - Accounting • Gold - Developer 0007 . Z O U LU to DO Z O H U w U) Y Q W rr U Z O U w U) P. Ak RECEIPT N0. Ih Issued by 5� r Date y District: ❑ Riverside ❑ Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) R COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALT RVICES DIVISION 7t f— — GG 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.) 5i/� �.!'L� C4/l/ �� Mailing Address 732- $ r- City State C.A. Zip Code �Z?4Z Telephone 32�-.azo Job Property Address �4.`� �y r>Gommunity�--•• � �1 /Legal Descriptiioon of Property. (Lot, PM, TR) /,A 31Z ��/� ZGJ 1-(— A V civ r/a) L+C7� -CSG r �T *Assessor's Parcel No. �.4RCEL r Water Agency orrWe117_ Lot Size Ge�c Ac?/ e_e_4 e of PermitS�V Planning Case # [SFO O Sx 774n . , MH Site Preparation Etc. �� p �• 'KZ1(, � 7 Signature- pplicant Date r ` *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 0o- ,+- I1r:- y G WQCB Clearance required. ❑ Yes 12"No- t `1 Soils feasibility report required. ❑ Yes b No f Detailed boring report required. ❑ Yes No Detailed contour plot plans required. ❑ Yes LJ'No i Staff Specialist approval required. ❑ Yes ❑ No Lot Inspection Date Soils/boring report byr Project # Date c� Soils Map Page 1 / ! r Soil Type Approved by Date` C r 7 fi Type of System: L No. of Bedrooms (1) Septic Tank Rate Required ❑ Existing ❑>New El Additional Additional ❑ Replacement 3 I1^ a - ic� Gals. tS�oil 7 (2)\Leach line Sq. ft. Sidewall allowance Install# Line(s)—Ft. Long, Leach bed Sq. Attom trench area) \� ft. rock/ Sq. Ft. per running ft. ®~N/A Fede with min. inches rock below drain lines Fi of-bo_tfom area Leach lines/bed-special design for slope: Applicable (3) Pit Diameter No. Pits Pit BI / Seepage Pit total depth �� g /A Overburden factor ®b_4 © 6' H Max. allowable depth U �N,, w! ,O�LI ! � J moi' /"r " � .. �� * r ii .f-!' •'-y- ►,c:.•rr.• 1 /(/ . � Ys .' ^c� �r�•ti/}..c...� f. This application is a prove 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 perm���necessary for the installation of the above -designed system. 1) Septic tank and sewer lines must be 50' from any wells o-'/10 +� i tt j , ,/`7/�- 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 / /U l �x c e1z2�C.� r-� t.. �� +�• Signature Health Official v of - Date P,,., t,. a Lf ?l X 7 RECEIPT N0. Ih Issued by 5� r Date y District: ❑ Riverside ❑ Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) R ST.E:WART, TITLE COMPANY OF RIVERSIDE COUNTY 700 E. TAHOUITZ-McCALLUM, SUITE H • PALM SPRINGS, CALIFORNIA 92262 (619) 320-1101 April 21, 1987 City of La Quinta P.O. .Box 1504 La Quinta, California 92253 ATTENTION: Jerry Herman Dear Jerry, As per'our conversation this date, please be advised that a search of the records reveals.that none of the adjoining dots included on the attached Exhibit "A" have ever. been merged and there should be no problem issuing.building'permits on each lot. Very Tru Yours, /.R. "Sy" DANIELS President - Desert Division EXHI:IT "A" PARCEL A: Lots 11 and 12, Block 207 of SANTA CARMELITA AT VALE LA QUINTA UNIT N0. 20, as shown by Map on file in Book 19 page 38, of Maps, Records of Riverside County, California. PARCEL B: Lots 1 and 2, Block 223 of SANTA CARMELITA.AT VALE LA QUINTA UNIT N0. 21, as shown by Map on file in Book 20 page 22, of Maps, Records of Riverside County, California. PARCEL C: Lots 1 and 2, Block 254 of SANTA CARMELITA AT. VALE LA QUINTA UNIT N0. 24, as„ shown by Map on file :;ci Book 19 page 44 -and -45" of Maps, Records of. Riverside County, California. PARCEL D: Lots l and 2, Block 308 of SANTA CARMELITA AT VALE LA QUINTA UNIT N0. 28, as'shown by Map on file.in Book 19 page 59 and 60, of Maps, Records of'Riverside County, California. PARCEL -E: Lots 23 and 24, Block 261 of SANT:. CARMELITA AT VALE LA QUINTA UNIT N0. 24, as shown by Map on file in Book 19 page 44 and 45, of Maps, Records of Riverside County, Calif'ornia. PARCEL F: Lots 17 and 18, Block 312 of SANTA CARMELITA AT VALE LA QUINTA UNIT N0. 28, as shown by Map on file in Book 19 page 59 and 60, of Maps, Records of Riverside County, California. PARCEL G: Lots 4 and 5, Block 190 of SANTA CARMELITA AT VALE LA QUINTA UNIT N0. 19, as shown by Map on file in. Book 19 page 33 and 34, of Maps, Records of Riverside County, California. PARCEL H: Lots 5 and 6, Block 157 of SANTA CARMELITA AT VALE LA QUINTA UNIT N0. 16, as shown by Map on file it Book 18 page 99, of Maps, Records*of Riverside County, California. 'i�<1:f!Z' t r. -.:�,;.:? ,1.� .t �r<.'i.'`i:t%n4::!{;.i:'•')..-.`:�F�i�n t-�a�'ti� ���°•, °' i��3.�4" �'a•1,:.,r:/.7jL' . h - i Ar:t-:. .. � f. •�.._' '1,.� �, P2�'::, •i,'..}`„� .,�.� f.. ��\�Wy;,. li ���: �'' ,'6.: ..• - ,1.. , i.` ,. _ ,tib- `'' ��"r. ,e�ai- ,.'fr 451007 W; WOO �'~,• ZAMBIA;, .1''%`I'l•'fW .N Vit.'. .f ..C!"f. .. ' � "l..' .) `•j. •• ''J:c?' :V'A ..}. 'yi:�:'ti 1'%�rnE�iP'�".}..?% i'' _it'}. �:i;: mar'.., {li. ll•. • l l i(t;i:, i.'., '.ifJ :�y.�, �/'' �i?. Y.l.: ;�b. }at C•S•'i.2 r..,7; :<'_',�: .:.:.. ._. -�'. ._... .. ;(•,1.°j}.,..Id......�,Lr"i ;lY.-%.'_.,,';'�..C. ..,. :.. id', }-^��' _„_.., .ea•