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10631 (SFD)1 5 � P.O. BOX 1504 N o . 10631 Building 52-055 F3 &Z 7&105 CALLE ESTADO i Address LA QUINTA, CALIFORNIA 92253 1 Owner Sterling fro ies BUILDING: TYPE CONST. OCC: GRP. Mailing Address 7220 Trade St 0285 A.P. Number 773-211'--815 City Zip Tel. ' San Diego 92121 533-8444 Legal Description Lot 4 Block 5 Contractor Project Description SFD Lendel Corrioration Address Same City Zip Tel.: State Lic. City & Classif. B 330551 Lic. # 859 Sq. Ft. 153 No. No. Dw. Size Stories Units - Arch., Engr., Designer Urbi11c"t. & Assoc. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 6370 Anvil Lake Ave 459--3168 Permit does not include block wall City Zip State or pool San Dtego,, 92119 Lic. # C13333 LICEN§Eb CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under/provision of Chapter 9 (commencing with Sectiod 7000) Of Division 3 of the %B/usineLss, nd Professions Code, and my license is i�jfuull f rce I'd effect.,//��,J`•li!y ��i �f SIGNATUREP-� - � r .r.- t.f%►-`� b'r�"�'✓ i `/ DATE - . % OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License -Law for the following Estimated Valuation reason: (Sec. 7031.5,BusinesS and Professions Code: Any city or county which requires, a Sg' $830 permit to construct, after, improve, demolish, or repair any structure,. prior to its issuance also requires the applicant for such permit to rile a signed statementUhat he is licensed pursuant to - - PERMIT AMOUNT the provisions or the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 or 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 rive hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 259. 12 do the work, and the structure is not intended or offered for sale. (Sec: 7044, Suisness and , -594. 5 Q Professions Code: The Contractor's License Law does not apply to an owner of property who. Const. 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 42 s 50 or improvement is sold within one year of completion, the owner -builder will have the burden Electrical 127. IR 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 1166 . 50 struet 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. 9.00 such projects with a contractor(s) licensed- pursuant to the Contractor's License Law.) Grading 2G. 00• ❑ I am exempt under Sec. B. & P.C. for this reason I Driveway Enc. 20.00 Date owner Infrastructure 1984.07 WORKERS' COMPENSATION 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 n(Copy is filed with the city. 0 Certified copy is hereby furnished. TOTAL 3472.87 3222.87 CERTIFICATE EXEMPTION FROM ' + REMARKS WOgKERSERS'COMPENSATION INSURANCE (Tris section need not be completed if the permit is for. one hundred dollars ($100) valuation c' 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. 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 t Rear Setback from Rear Prop. Lilie ION LENDING AGENCY CONSTRUCTSide 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 Lenders Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to expiration it 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 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 Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES`" - IST FL. 5Q. FT. ® $ UNITS a 2ND FL. 5Q. FT. HEATING (ROUGH) YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK ' GAR. 5Q• FT. ® POWER OUTLET ROOF DRAINS CAR P. 5Q. FT. ® HEATING (FINAL) DRAINAGE PIPING WALL 5D• Ff. GAS (FINAL) TEMP. POLEelz DRINKING FOUNTAIN. 5Q FT ® GROUT URINAL ." ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation GRADING cu. yd. $ plus x$ FLOOR DRAIN MECHANICAL FEES FRAMING ct G / WATER SOFTENER VENT SYSTEM. FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER 1 MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® v1/a 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 GROUND PLUMBING36ptUp UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE a ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS R SEPTIC'TANK ROUGH WIRING. DUCT WORK i ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EOUIP. REINF. STEEL GAS (FINAL) TEMP. POLEelz T` GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. 1// `l FINAL INSP. G 7 � VC l GRADING cu. yd. $ plus x$ =$ LUMBER GR,n FRAMING ct G / ROOFING ' 2 /- l 7 �DI GcS REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LAING 5A MESH INSULATION/SOUND (� FINISH GRADING FINAL INSPECTIOI� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL ARROWN PRINTING. INDIO 2700 TIYO 263822•CJ 4 P.O. BOX 1504 APPLICATION ONLY Building 78-105 CALLE ESTADO Address 52055 AVENIDA DIAZ LA QUINTA, CALIFORNIA 92253 Owner STERLING HOMES BUILDING: TYPE CONST. OCC. GRP. A.P. Number 773-211-015 Legal Description LOT 4 BLOCK 5 Project Description SFD Mailing Address 7220 TRADE ST., 4205 City SAN DIEGO, CA Zip 92121 Tel. 693-8444 Contractor THE LENDEL CORPORATION Address SAME City Zip Tei. State Lic. City & Classif. B330551 Lic. # 859 Sq. Ft. Size 1536 No. No. Dw. Stories 1 Units 1 Arch., Engr., Designer URBINA & ASSOC. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address 6370 ANVIL LAKE AVE. Tel. 469-3168 PERMIT DOES NOT INCLUDE BLOCK WALL OR POOL City Zip State SAN DIEGO CA 1 92119 Lic. # THE LENDE LICENSED CONTRACTOR'S DECLARATION CORPORATION I hereby affirm t am licensed under pro sof Chapte 9 (commencing with Section 70pp) of Dlvislon o e Business and Pro sslons Code, and y license Is In full force and effect. 1/28/92 SIGNATURE DATE OWNER -BUILDER DECLARAT N I hereby firm that I am exempt from the Contract s License Law for the. following reason: (S 7031.5,Buslness and Professions Code: A y city or county which requires a permit to c sbuct, ager, Improve, demolish, or repair an structure, prior to its issuance also requires the applicant for such permit to rile a signed stai4ment that he is licensed pursuant to the provisions or the Contractor's License law, Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code, or Nat. 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 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 do the work, and the structure is not 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 or completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) Estimated Valuation p� 0 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 259.12 Const. 594.50 Mech. 42 , 50 Electrical 127.18 Plumbing 166.50 O 1, 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 or property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason S.M.I. 9.00 Grading 20.00 Driveway Enc. 20.00 Date Owner Infrastructure 1984.07 WORKERS' COMPENSATION DECLARATION I herebyaffirm�tthat I have a certificate of consent to self -insure, or a certificate of Workers0 !Lu erept.(Sac. 3800, Labor Code.) No. 11 i3 /t9li mpa ycertifigd.CpRy PolDopy Is filed with the city. ❑ Certified copy Is hereby furnished. TOTAL 3472,81 3MA7 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 the work for which this permit is issued, I shall not employ any pparson in any manner so as to become subject to the Workers' Compensation laws of Callf0 nla. Date Owner NOTICE TO APPLICANT: d, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 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.) Lender's Name Lender's Address This Is a building perrnit when properly filled out, signed and validated, and is subject to expiration It work thereunder Is suspended for 180 days. I ceAlty that I have read this application and state that the above Information Is correct. 1 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 REMARKS 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 Issued by: Date Permit Validated by: Validation: DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 2/27/92 1 Type of Permit I La Quinta No. 111215 Permit # Log # Owner Name Sterling Homes No. 52055 street Avenida Diaz city La Quinta zip 92253 Study Area 113 APN # 773-211-015 Tract # I ILot # ® Square Footage 115W Type of Development Single Family Residence No. of units 0 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.58 X 11.536 7 or $ 2,426.88 have been paid to D.S.0 S.D. for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By Sterling Homes Telephone' Name on the check ` By James E. Lively � Assistant Superintendent, Business Services Fee collected /exempted by Vickie J. Durrett Signature Payment Received Check. No. 0619 Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting 1. DAN RILEY CALVIN C. KAMINSKAS. Seoler. Welghls & Meosures Asslslonl Commissioner p "f (714) 275.3030 (714) 275.3000 M�►�, ,0 OFFICE OF . AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612.Avenue 45 Suite 7 Indio, CA 92201 (619) 342-8291 DATE CASE ND. P _ 01 - aq - y z DEVELOPER'S NAME2 ADDRESS!' �% `LZ 6 . TELEPI LONE: (lei /) 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 ihmediately. 'Thank you for protecting and preserving the Coachella Valley's pest -free environment. Ag 'cultural Col issioner's Office cc: Indio and Riverside 40gO LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012 0 Z O U W U) CD Z O I- U W W A Z O U W Cl) ^. � �..�.,. .��r., ..lJ•-• -..p `� •1 'rel' _ .. ... j` ... .. •i.,+t -+ Assessors Parcel No. GAO@NT , OF RIVERSIDE DEPARTMENT OF HEALTH ,�� _ �� **' 15iVVIRONMENTAL SERVICES DIVISION . PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this fof-4 with four copies of a SCALED plot plan (1-20 SCALE) drawn to County speculations as indicated on the attached check list. A 6A)-refunda�f3le filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Ap roval o0his application shall remain valid for a period not to exceed one year from date of approval. ca x in, -r LOG # VERIFY ITEMS IN SECTION A FROM A NON -FEE BUILDING & SAFETY (goldenrod) APPLICATION Agent, Contractor,ntact Penson Phone Address City State Zip Eye/`/ Owner Cl, -1 Phone Gig' Address City State Zip t��i v�//E� �/y %TJtJ Tiles 5% Job Property Addrgss City/ 714 Startle Zip Legal Description Prop. (PM, Tract, Lot) f 2 0S S ill/ /A^ /r/iiv, /� �TZS3 /G Lot Size Water Agency/Well Use of Permit P/P, CU, etc. Other Dwelling, H Site Prep, etc. l / _ G , 9girlature of Applicant Date i CATEGORY REV CODE FEE CATEGORY REV CODE FEE SUBSURFACE DISPOSAL (per system) 1238 $153.00 ❑ SITE EVALUATION UPON REQUEST 7349 $120.00 ❑ MULTIPLE PARCELS WITHIN SAME LAND DIVISION (NO PLOT PLAN) ❑ SEWER/SEPTIC VERIFICATION 7348 $ 58.00 a. 1 st 4 Parcels (Each) 1238 $153.00 ❑ PRELIMINARY ELECTIVE EVALUATION b. Each Parcel after 4 7344 $ 55.00 (Attach DOH -SAN -53) 7352 $ 69.00 ❑ REREVIEW (2nd review same parcel) 7344 $ 55.00 ❑ HOLDING TANK 7351 $119.00 ❑ SITE EVALUATION In Conjuction with Critical Area 7346 $197.00 ❑ ALTERNATIVE EXPERIMENTAL SYSTEM 7345 $656.00 ❑ GRADING PLAN REVIEW DETAILED 1238 $104.00 ❑ SITE EVALUATION Lot Less than 10,000 Sq. Ft. 7347 $172.00 ❑ GRADING PLAN REVIEW CURSORY 1238 $ 55.00 ❑ SECOND FIELD VISIT (SITE EVALUATION) 7346 $ 85.00 ❑ COPIES (LAND USE) 7786-81 $ .50 INITIAL DATE Holding Tank Agreements Completed O Yes I No Certification of Existing S.D. System Required ❑ Yes I I No WQCB Clearance Required O Yes I No (Attach Form DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required ❑ Yes I I No Special Feasibility Boring Report Required O Yes No Detailed Contour Plot Pians Required (1 to 5 ft. interval) ❑ Yes No Grading Handout Provided ❑ Yes No Staff Specialist Lot Inspection Required ❑ Yes No Maintenance Booklet Provided ❑ Yes No Lot Inspection Date Initials / C/42 / Soils Percolation Boring Report by �1 r Lic/Project # Date ...- Soils Map Page Soil Type Approved By 1. T Date No. of Systems Type of System(s) No. Dwelling Units (1) Septic Tank Soil Rate Grease/Sand ❑ Holding Tank ❑ReplacementBedrooms, ❑ Addition Fixture Units Greaselntcp/LintTrap `New ❑Existing "" (JUU Gal. I / Gal. 1 Sq. Ft. Total Linear Sidewall Allowance ,� Leach Bed„sq-. ft. Bottom Area Ft. ft. rock/—�,,..��'"" sq. ft.. per running (t. Install Line(s) ft. long ft. wide wit _� of Bottom Area 5U ,,+�� InIe /„;,Test' De<i p 13NA min. inches rock beloay drairdtn s otr _.- ^''_'_._„�^ ^^� �r Proposed Bottom Tested Depth Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet Seepage Pit Total/Depth (TD) 1-7 Other: Applicable ❑ 5 Yi 6 Y� (BI) / Max. Allowable Depth N/A_ Overburden Factor 9-01 Well Review Approved: Signature Date Well Drilling Permit # Grading Plan Approved: Signature Date REMARKS: This application is APPROVED ENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanie plot pl , using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above -designed syste No construction is permitted in the required reserved 100% expansion area (1) Septic tank must be 100' minimum from any wells 2) Leach lines must be 100' minimum from any wells, including expansion area (3) Seepage pits must be 150' inimum from any wells, including expansions area / -2, Signature of Health Official /�-� Date --,A C! '� ❑ CASH ® CHECK NO. 060, RECEIPT NO. ' Issued By I �Q ` �Gv— Date �liy/9 // Z DISTRICT: ❑ Riverside ❑ Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe A DOH -SAN -122 (Rev 6/91) DISTRIBUTION: WHITE--Mce file YELLOW—Applicant . PINK—Bldg. Dept. GOLDENROD—Plans/Records , Client Name Client Address Client EARTH SYSTEMS CONSULTANTS S.C. BUENA ENGINEERS DIV. 79-811 B Country Club Drive Bermuda Dunes, CA 92201 �! (619) 345-1588 DATE JOB NO. X37- 3 7//-1'/ PROJECT S72-0:5-5 pvf,c%v�► l�ipL LOCATION �A QU/NTA REFERENCE CURVE CONTRACTOR 'S�c'7 OWNER WEATHER )& /'4 TEMP. U at AM c at PM PRESENT AT SITE AN /3,9 /OG5 TEST NUMBER TEST LOCATION // Q/i NOUSe y:iQ O LOT NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY Ibs./Cu. ft. MAXIMUM DRY DENSITY MAXIMUM DRY DENSITY lbs./cu. ft. OPTIMUM MOISTURE CONTENT % /3,9 /OG5 /07,� 93 it 4 /l60 VACPPI Loss ,q EXISTM/G f�arvlES z N REMARKS: �'G /Z �0l1 �f /.� .1� � /�S / Tf 5 7S Q �✓ i4 G 2�-� FO �a c. sE �.��/si �/C Dq /N)f'y 01: //5•U 66-rH j 573" Qf/1� CLIENT REPRESENTATIVE SIGNATURE FIELD REPORT TECHNICIANS SIGNATURE A°o0 0 0 A