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07497 (SFD)Buildin Address 78-740 to Fcmda Owner T4tyl 4 4 QUWA P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 mailing Address PO Box 514 City Zip Tel. La Quinta' 92253 Contractor vwsavr� Address ' lZip Tel. State Lic. City & Classif. Lic. # Arch., Engr., Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 70 130) 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 Contractors License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to lila' 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 permit subjects the applicant to a civil penally of not more than'/ive hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot intended or offered for sale. (Sec. 7044, Buisness and 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, 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 of proving that he did not,build.or improve for the purpose of sale.) ❑ 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.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date c WORKERS' COMP SATION DECLARATION I hereby affirm that I 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 0 Copy is filed with the city. . ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM 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 employ any person in any manner so aas` to..bpcome subjectf�h Workers' Compensation Date a eLaws of ( f inia+f� er ✓ w� i NOTICE TO APPLICANT: If, after `rn'aking this C fficate of emption you should become subject to the Workers' Compensation provisi s of the Ca Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby 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 No. 07497 BUILDING: TYPE CONST. A.P. Number 769-136.-011 ,Legal Description Project Description OCC: GRP. Sq. Ft. No. Size 2175 Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 6araee - 675 i tl1 - 300' Estimated Valuation $125,317 PERMIT AMOUNT Plan Chk. Dep. M.011 Plan Chk. Bal. 360.59 Const.' 730.50 Mech. 53.51D Electrical 1 BIZ Plumbing 181.50 S.M.I. 8.82 Grading 20.00 Driveway Enc. 20.00 Infrastructure 2*650.89 IUTAL \,1 . s"l 9y'iif�.yL REMARKS W Lf"t-IF4 A, RIVIV791. Y '0100 4,r&; ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR 4/4/94 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEE$ , 1ST FL. SO. FT. ® $ UNITS COLL. AREA 2ND FL. SO. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. DUCT WORK DRAINAGE PIPING WALL SO. Ff. GAS (ROUGH)g �L� Lir/ 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.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. -Plus-X$-=$ LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP.GZ /9 lga 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 ® 1 Vi c SEWAGE DISPOSAL LATHING SO.FT.GAR ® 3/ic HOUSE SEWER GAS PIPING PERMIT FEE FEE PERMIT FEE DBL TOTAL FEES MICRO FEE EPERMIT MECH.FEE CONST. FEE ELECT. FEE SMI FEF' -7 PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK 61 2-P Gd Aza OUND PLUMBIN `� UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE L0 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANKOl( 0 F�b19H WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH)g �L� Lir/ METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL ` � fe GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM ;f $ GRADING cu. yd. -Plus-X$-=$ LUMBER GR. FINAL INSP.GZ /9 lga FRAMING 7 16 10 A1411 FINAL INSP. 2/ ROOFING����j/'�7�©Q��'�yA��, /,71 _ ' ` D_ _ / G!%' _ I rAlApp /G�G V/�L� �J 7 �(+/ G%/%�, repNT��� ` �C �• l REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTORi6x/�O GAR. FIREWALL LATHING MESH INSULATION/SOUND '03 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Ll I Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES fkA -7 MAD TO: City of La Quinta DATE: a' Department of Community Development 78-105 Calle Estado NOTICE: THIS DOCU&&ENT CANNOT La Quinta, CA 92253 BE DUPLICATED, This is to certify that , developer of which is located at 2 K - within this District, has paid school facility fees imposed pursuant to the authority generated by Government Code ction,53080 in the amount � / s'T393.9� ( /LI.Ln /off covering a total of square feet of k ) reside ial or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. (, 7 932 for DESERT SANDS•UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 rD Z O U W" tn' U Z O b W U) 0 Z _O 8 W U) COUNTY OF RIVERSIDE ENVIRONMENTAL Ass"mm PorW Nm HEALTH SERVICES DIVISION 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 IIsL 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 # Agent, Contractor, Contact Person Phone Address & Firm Owner Phone Mailing Address - �/ - City State Zip Job Property Address Legal Description Prop. (PM, Tract, Lot) //V%✓� Gv4-Zz,' CI -4-"" _ c Li4AoniD/f Lo S UCsrti�6/_ cit - Lot Size Water Agency/Well Use of Permit P/P, CU, etc. Other /30 ' X/&8 co w Dwelling, H Site Prep, etc. -3 Signature -3i6jplicant Data CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE M SUBSURFACE DISPOSAL 1238 $ 57.00 ❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $ 17.00 a. 1 at 4 Parcels (Each) 1238 $ 57.00 (Less than 1 year) b. Each Parcel after 4 7344 $ 24.00 ❑ PRELIMINARY ELECTIVE 7352 $ 23.00 ❑ Rerevlew (2nd review same parcel) 7344 $"24.00 EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $ 47.00 Critical Area 7348 $111.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 ❑ Site Evaluation Lot Leas than SYSTEM 10,000 Sq. Ft. 7347 $.87.00 INITIAL DATE Holding Tank Agreements Completed ❑ Yes C No Certification of Existing S.D. System Required ❑ Yes E No W0CB Clearance required. (Attach Form ❑ Yes E No DOH SAN 007, Santa Ana Region Only) Solis Percolation Report Required. ❑ Yes E No Special Feasibility Boring Report Required. ❑ Yes No Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes No OU1er ❑ Yes No Staff Specialist Lot Inspection Requ red ❑ Yes No Lot Inspection Date Soils boring report by /" ��i Project Date Soils Map Page Soil Type To Approved by 4.0 Date No. of Systems Type of Systen(s) ❑ Holding Tank ❑ Existing No. -Dwelling Units Fixture Units (1) Septic TankSoil Rate Grease/Send ❑ Replacement Graeae Intop Lf Nt �X Z Oo Gel l - Gd (2) Leach Line Sq. Ft Bottom trench area Sidewall allowance install Lines) it long 8 wide with Leach Bed sq ft it. rock/ sq• it per running R min. inches rock below dreinlinea or of bottom 0 NA Leachtines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth (TO) Other: Applicable Inlet (BI) !✓ i Max. Allowable Depth ' N/A Overburden factor ❑ 5 bole yO A No. 2 System REMARKS: This application is O_V.E�D� IEO for the category checked in SECTION B above, regarding the design of a subsurface disposal �PPRK system as indicated on the accompanied pb�pIan, using 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. Septic tank and sewer lines must be 50' minimum from any wells 2) Leach lines must be 100' minimum from any wells, including expansion area Seepage pits must be 1{550'' minimum from any wells, including expansion area Signature of Health Official z\/o- — 2 /0�, Date RECEIPT NO. Issued By V ?-'•Date - %D DISTRICT: ❑ Riverside, ❑ Indio ❑ Hemet • q Perris ❑ Rancho Calif. ❑ Blythe DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records o ` ,`,•eOFFICE OF AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES CALVIN C. KAMINSKAS JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 Assistant Commissioner Agricultural Commissioner RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISTE Director of Weights A Measures - (714) 787-2561 Sealer 49613 Highway 86, Suite B12 Coachella, Ca. 92236 DATE j�%l,- � , 196 (619) 342- CASE INO. PC kCi 30(?90 Q DEVELOPER'S ' NAME: ®lac. Al N T ADDRESS: k Ag Ct.t� tiJ�R TELEPHONE: ( L -Ar �z6A4-A Dear Developer: 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 plant material listed, this office must be notified- imnediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. AgricuOWal Commissioner's Office cc: Indio and Riverside Office M 3 PF Tib f E (OUT-ut This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building! Code certifying that at the time of issuance this structure wa in compliance with the various, ordinances of the City regulating building, construction or use. For.,the. following: 1, .4 BUILDING ADDRESS 78-740 La Fonda Use Classification Single Family Dwelling 07497 R3 VN Single Residem Qroup —Type Construction Fire Zons. Use Zone Owner of Buildihn DANNY DAY Address 52-790'Avenida Rubio City LA QUIETA, CA By. Mgr k Harold Dates December 19, 1990 Building Official POST IN A CONtMCUOUS PLACE III