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003708 (SFD)4 P.O. BOX 1504 No. 003708 Building., 51-295 Diaz78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Coachella Valley land Company Mailing BUILDING: TYPE CONST. -OCC. GRP. Address 247 E. Tahquitz Way $2 A.P. Number 773-043-017-018 City Zip Tel. Palm Sringse3 9225.2 322--1020 Legal.Description Contractor Project Description S.F.D. Address City Zip Tel. State Lic. City & Classif. 387934 Lic. # 1395 Sq. Ft. 2485 No. No. Dw. Arch., Engr., Size Stories Units - - Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 2421 of wood fence x: City Zip State 572 garage 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 Busi/p�ese'and Professions Code, and my license is in full force and effect• r �iJ'�r'��i'•,�6". � ;fy.,..�,.rR''� � ./it••.�-�C,�; SIGNATURE° DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractors License Law for the following $128.041 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 AMOUNT requires the applicant for such permit to rile 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 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 Plan Chk. Dep. $250.00 subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk.. Bal. 38.50do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 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, 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.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con. Plumbing strucl-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, .50 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading O I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date Owner Infrastructure 1,440.46 WORKERS' COMPENSATION DECLARATION I hereby affirm that Ihave a certificate of consent,to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof JSec. 3800, Labor Code.) Policy No. Company„ 5�� 4!.❑ Copy is filed with the city. ❑ Certified, c pyis hereby furnished. TOTAL ,fd 14Z'1V. •j/1,,, CERTIFICATE OF EXEMPTION FROM REMARKS 7 WORKERS''jCOMPENSATION 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 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: 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. Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY 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 This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR - / 41 INSPECTOR expiration if work thereunder is suspended for 180 days. 9 1 certify that I have read this application and state that the above information is correct. Issued by: Date Permit 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. Validated by: Signature of applicant _ -Date- Me ate Mailing Address Validation: City, State, Zip HARD COPY T , CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. a $ UNITS COLL. AREA SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. @ DUCT WORK ROCK STORAGE GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. I SQ. FT. GAS (FINAL) TEMP. POLE WALL SO. FT. DRINKING FOUNTAIN SQ. FT. @ WATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER ROOFING 3 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM VENTILATION 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 SO.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 / i ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLU B 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.yMETER (ROUGH) LOOPfAS 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 '�/ FINAL INSP. ROOFING 3 / ®(f✓�o Cr REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUN FINISH GRADING FINAL INSPECTIO CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS. GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF (UQ SCHOOL FACILITY FEES (LA -S!1- TO: City of La Quinta DATE: a7 �� fid Department of Community Development �� ���� 78-105 Calle Estado f �4�� La Quinta, CA 92253, 00 "^qq parr %01 DUPUCes This is to certify that �d����� ' developer of _ which is located at ♦y- within this District, has paid sch of acility f-ees imposed pursuant to the authority generated by Government Cod Sec ion 53080 in the amou t of covering a total of �7 4Q' square feet of ( r`sidential or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. for DESERT SANDS•UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - /Accounting • Gold - Developer (fit : 2_% 7 (10)-37 8q7 Off ICE OF AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES 49-613 Ilwy 86, Suite B-12 Coachella, CA 92236 619-342-8291 E. LEON Sf AUGY CO%t%nS;iO`ER JAMES 0 WALLACE ASS�StA�t �7u'•uSSIO�ER CLEMENT BE`VENISTE SEALER DATE 2- 2-3-8-2 CASE NO. R $'$ le, S 1 2 3 DEVELOPER'S NAME: ADDRESS: TELEPHONE- Dear ELEPI TONE: Dear Developer: c6/9� 322— 1024 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 immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. Agricultural Coimi.ssio► r s Office cc: Indio and Riverside Office r. �,-" � = r�: "v,'�r e: Sr. -�, � S 1M- ��I' r..• -"t :.ii Y� ti ..� r `r � - � .r • ' r 1 1�t�'-y-�� ,•'{`"1 '! `� v lh(,j'' �l + .r �}.., r • yfe., • -r .� '±;. �, f ♦., J. 7','WI i) �1�j )! $ 't _ . �T .: 1•M •'t+i •'� f / rr y� � ;r r i � l L � j i tri �� t •�. ;: � �r • x'11 State G'� I �. �.. � - •.r•�' ,fir �'' City ox Community 'Legal Description of Property (Lot. PM. TR) �y�.,- r!.•�+� ' ✓� q Z �rt r , r 4,v 3� ,GL LG,u/T 'Assessor's Parcel No ('Water E1 Z O /J H U w U) DO Z O U LU U) U) `1 LL Q w Cr U' SFO JAr U W rn COUNTY OF_RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION SEWAGE DISPOSAL SYSTEM %7� -�03 — 0/7 01if PERMIT APPLICATION FOR A SUBSURFACE 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 $40 is required when the application is submitted. Check must be made payable to the County of Riverside. 1 Building Department Application Log # Name (Owner. Agent. Contractor. Etc) �0 Mailing Address/l/ ..e GyflY S ' 0.)v, QuoTrnJ 2y7 TpN6)u/TZ City /-),I .f/'�/,JG-S State G'� Zip Code y'2 2 4 71 Telephone 3 2 2- /o Z o 'Job Property Address ,f City ox Community 'Legal Description of Property (Lot. PM. TR) �y�.,- r!.•�+� ' ✓� q Z �rt r , r 4,v 3� ,GL LG,u/T 'Assessor's Parcel No ('Water Agenc3_P49r Well �•1'�M /,1�r ! // .�j,,�t- / / use of Perm,,ff// 1/ 6 Planning Case N Lot Size 7%73 - d'13 - of 7.0',0/8 W �y kl� � SFD. MH Site Preparation Etc/�l'.O r fL�l Y it), / r � n 6r - -of App6 I Date / 'The above information must be verified from Building Application STAFF USE —.DO NOT WRITE BELOW THIS LINE Initial Date �00jy Certification of Existing S.D. System required. ❑ Yes C2 �o� _';2 1 3 %Q WOCB Clearance required. 1:1 Yes ❑" r Soils feasibility report required. ❑ Yes ©/Nom Special feasibility boring report required. ❑ Yes ©�No J IJ / Detailed contour plot plans required. ❑ Yes NO Staff Specialist approval required. ❑ Yes No Lot Inspection Date Soils/boring report by� ' ! Project # Date � Soils Map Page _L.L•qSoil Type 0/0 Approved by Date rf � Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required .' ❑ Existing ❑"New ❑ Additional ❑ Replacement j Tavtry �-,,'4 4tw fsB4tM� ) ✓ �!� Gals. (2),L`ch line sq. ft. Sidewall allowance Install-- Line(s)—Ft. Long, V.4 i Leach bed Sq. (Bot►otrer>1 nch area) ft. rock/.Sq. Ft. Ft. wide with min. inches Ft. of bottom per running ft. 0*N/A rock below drain lines area Leach lines/bed-special design for slope: Applicable (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth �- �" l �!5' O 6' Max. allowable depthya N/A + burdenffCactor �%' � y2`fi f','. R % • �•v(e •ti..� /L�: -'?" � .� ..C�) r' i'Ti�� J �1���✓,1(� -L� /, /J 1 /lJ+ .i�a �•,a rX .. n.--•-, � 1' J1 � ,�' �1✓ �.+ .: ,f O a� �. 3� /1 „ n !/� . A ' �f�ffPy..✓ yam.. 411121, i 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`s above A building permit is necessary for the installation of the above -designed system. � Septic tank and sewer lines must Ile 5r!�0' from any wells/v. ((2 Leach lines must be 100' min. from any wells including expansion area /}Seepage pits must be 150' mein. from any wells including expansion areae 'ri �i Signature of Health Official RECEIPT NO. J Issued by �+ y District: ❑ Riverside ©•Indo ❑ Hemet ❑ Perris ❑ Rancho Calif. Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. DOH SAN 122 (Rev 8187) / Date -42 -2 3 — Plzr ❑ Blythe GOLDENROD—Pending File an .j'a`m