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003066 (BLCK)TA-tyl 4 P.O. BOX 1504 NO: 4� . Address Building 54-900 ,�e'Venidi ValleJO LA QUINTA, CALIFORNIA 92253 _ Owner Coachella Valley Land Co. R ,,Ltd. r .. UILDING: TYPE CONST. OCC: GRP: - Mailing' B Address 732 Williams Road A.P. Number 774-302-006-17 City Zip Tel. PaLm •Springs . 92262 ..'.322-4-020, Legal Description Contractor Project Description V ma= Construction Co. Address . ..City -.. .. .� � = ..--.----ZIp---._-__ -_--_- Tel:-. tai Lra Springs 92262 _ .-32�-i$i2J„ State Lic. & Classif.' A-307934 -Arch., Engr., Designer Address City Lic. # _ w . Sq. Ft. Size New G Tel. 1410 DWCNo. No. Dw. • -28. GARStories• Units Add ❑ Alter ❑ :...:..Repair ❑ 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. SGNATUnrz DATE ' OWNER -BUILDER DECLARATION 51 +.;; I hereby affirm that I am exempt from the Contractor's License Law',fr othe following. Estimated Valuation reason: (Sec. 7031.5, Business and Professions -Code: Any. city or countywhich requires' a » a permit to construct; aliei,..impiove, 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 -- �. PERMIT : the provisions of the Contractor's License Law, Chapter 9 .(commencing with Section '7000) of .-Divlslon'3-of the Business and Profession's Code, or thathe is"exempt-therefrom, and the basis yfor 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 ($500). O.I, as owner of the property, or my,employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Seca 7044, Buisness and Professions Code. The Contractor's License Law does not apply to an. owner of property who . , ,r •• PIan Chk..Dep. .$^Aso. 00 Plan Chk. Bal. Cont. • 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 • MBCh . ' Electrical - - ' or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not budd•oc improve for the purpose of sale.) Plumbing ❑ I, 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.) O I am exempt under Sec.. B. 8 P.C. for this reason Grading Driveway Enc. Date owner Infrastructure WORKERS' COMPENSATION DECLARATION .I hereby affirm that I have a certificate of consent to self -insure, be 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.. TOTAL $ 20,064 • CERTIFICATE EXEMPTION FROM .. ;WORKERS' COMPENSATION INSURANCE `REMARKS ' (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) _ . .. I certify that. in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. c - - Date Owner Demolition ❑', 358,00 74.22 99.00 5-.22 20.00 20.00 1093082 NOTICE TO APPLICANT: If, after making this Certificate of E)iemptlon'you should become ZONE: BY: subject to the Workers' Compensation provisions of the' Labor Code, you must forthwith Minimum Setback Distances: - comply with such provisions or this permit shall be deemed'revoked. 8%; �� �. ,�J, ��,• •.rye, ,�� s„s Front Setbacklfrom Cente (�L "-723— r�r-1 ,A ,t, f i CONSTRUCTION LENDING AGENCY I heieby`affirm that there is a construction lending agency for the performance of the -work for which this permit is.issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This' is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. - I certify .that I have read this application and state that.the above•information is correct. I agree to comply with'all'city and county ordinances ind state laws relating to building construction, and hereby authorize representatives -of • this city to enter the •above-. mentioned property for inspection purposes. Signature of applicant' Date Mailing Address City, State, Zip HARD COPY .. . ._,_..,f _ . ine = _ Rear Setback from Rear Prop, Line Side Street Setback from Center Line Side Setback from Property Line, FINAL DATE INSPECTOR Issued by: Date 41221$Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FUS 1ST FL. SO. FT. ® $ UNITS SLAB GRADE •Olt ( g 2ND FL. SO. FT. BONDING YARD SPKLR SYSTEM r POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET I ROOF DRAINS CAR P. SO. FT. GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. ® OTHER APP.IEOUIP. DRINKING FOUNTAIN SO. FT. ® D i MP. POLE0'0-497 URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) . APPLIANCE DRYER ffIC/FRAMING ��G—� GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED f A " 7f t U 0 LAUNDRY TRAY AIR HANDLING UNIT CFM REMARKS: 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 cSEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER MESH GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE M=CH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND LUM ING%, 7 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE •Olt ( g ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 8/�/ { //�( �WER OR SEPTIC NTT ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. / / GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) D i MP. POLE0'0-497 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING —cu. yd. $ —plus—x$_=$ LUMBER GR. FINAL INSP. ffIC/FRAMING ��G—� FINAL INSP. ROOFING O //�� ,�% l !3 y f A " 7f t U 0 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR)�Doy GAR. FIREWALL ` �-�LATHING MESH IC INSULATION/SOUND ' _ FINISH GRADING 01-1 F L INSPECTION �.� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS. GARDEN WALL FINAL Desert Sands Undted School District CERTIFICATION OF PAYMENT ' OF �J SCHOOL FACILITY FEES T0: City of La Quints - DATE: T oZ2 i Ip '\ Department of Community Development - t 78-105 Calle Estado _ t La Quinta, CA 92253 - r ' This is to certify that , developer of �2' which is 4wLPJ, within located at 5 7�.T k. + - this District, has paid school facility fees impose6 pursuant to the authority_. generated by Government Code 5 coon 3080 in the amount of - covering a total of J yrp 4 / yb3 rot 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. #� .2 R7.3 -4-irt-0 ' FoV DESERT SAND)i-UN IED:SCHOOL DISTRICT " - Building Department • Yellow • Facilities Planning • Pink - Accounting • Gold - Developer - AAWhite *c. /L6• ,a1C� y (10)-37 Desert Sands Unified School District CERTIFICATION OF PAYMENT ' OF LTJ - SCHOOL FACILITY FEES ,. . rLPC - TO: City..of La Quinta DATE: Department of. Community Development - 78-105 Calle Estado La Quinta, CA 92253 " i This is to certify that - - developer of which is located at ,S- - P>~ 7 within this District, has paid scho6i facility fees impos d pursuant to the - authorj,�y generated by Government Code/ Section 53080 in the amount of ' $S/�3o � ( �g.�ruecc.L! •�ry? %vEcn.Gi.,C.7�;.._� 5- �i;• �Q�� J� ) covering a total of a1 /4/U=98?U square feet 6f (k' residential or ( ) industrial/commercial development and that building permits for . this footage in this development may no. be issued by,your jurisdiction. _ for DESERT SANDS lIFIED SCHOOL DISTRICT White-ABuilding Department. • .Yellow - Facilities Planning • Pink - Accounting • Gold - Developer 110137 111 i Z O F_ U W W DO Z O U W rn CO V Ir Q W cr N Z O F_ U W U) COUNTY OF RIVERSIDE, ENVIRONMENTAL HENT SSERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM ,%� r 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, Et/c.)a Mailing Address City .�- State CA—. ( Zip Code %7 Z E- 2 Telephone 3 Z z 'Job Property Address / � ' 'cityror,Gommunity—' 'Legal Description of Property. (Lot, PM, TR) 'Assessor's Parcel No.Water %,i42 e� G. Agency or Well G.0^ C F/ � �.rl Use of Permit S � 43 Planning Case # Lot Size 774 - 30Z- C"- -/7 !./,q c.,t' SPD, MH Site Preparation Etc. �f A6 7 Signature of Applicant Date 'The information be from Building a above must verified Application STAFF USE — DO NOT WRITE BELOW THIS LINE � Initial Date C ❑ o' Certification of Existing S.D. System required. Yes O WQCB Clearance required. ❑ Yes ❑ No tI 11) ❑ No Soils feasibility report required. Yes ® ) t Detailed boring report required. ❑ Yes © No' No Detailed contour plot plans required. ❑ Yes O Staff Specialist approval required. El ❑/No Lot Inspection Date Soils/boring report by /Project # Date Oc! Soils Map Page be? Soil Type t r� �— Approved by Date Type of System: r' No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing New ❑Additional ❑Replacement IriQ�}G . i7J Gals. (2)Leach line sq. ft. Sidewall allowance Install . a� Line(s) Ft. Long, Leach bed Sq. (Bottom trench ft. rock/ Sq. Ft. Ft. Wide;with min. inches Ft. of bottom per running ft. E—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 1' Applicable N/A Overburden factor [ ❑, Max. allowable depth i0 r .� % ty` This application is approved enied. for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section � above. A building permit is necessary for the installation of the above -designed system. A A (fit) Septic tank and sewer lines must b�te50 from any wells i/!#~ - L l. (2) 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 i Signature of Health Official .� pate 1 :. r �C a RECEIPT NO. I ZeSO' Issued by 754< r Date C/ ' 87 District: ❑ Riverside 1]Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) Q__ r f .•, STEWART TITLE - COMPANY OF RIVERSIDE COUNTY 700`E. TAHQUITZ-McCALLUM, SUITE H • PALM SPRINGS, CALIFORNIA 92262 (619) 320-1101 t April. 21.,. 1987 City of La Quinta ti P.O: .Box 1504 ' La Qui_ nta.,.. California 92253 ATTENTION:' Jerr'-Herman Dear Jerry,.., ' As per our.conversation this date, please be advised that asearch-- -of the records .reveals that none of the adjoining lots 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 A , y �.14iY4�r.7hft:4"l4cWF,�f EXHItslT "A" PARCEL A: Lots 11 and 12,'Block 207 of SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 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 NO. 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 NO. 24, as;;,shown by Map on ..f.ite in 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 NO. 28, as'shown by Map on file in Book 19 page 59 and 60s, of Maps, Records of;Riverside County;.California. PARCEL E: Lots 23 and 24, Block 261 of SANT:: CARMELITA AT VALE LA QUINTA UNIT NO. 24, as shown by Map on filed' Book 19 page 44 and 45, of Maps, Records'of Riverside County, Cal_fornia. PARCEL F: r Lots 17 and 18, Block 312 of SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 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 NO. 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 NO. 16, as shown'by Map on file in Book 18 page 99, of Maps, Records of Riverside County, California.