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05690 (SFD)Building 52-570DIAZ AAA- Owner SUNCROWN Com. Mailing Address WX 844 City Zip LA QUIMA 92253 Contractor Ot0M/BUME$ City Tityl 4 Q911AM P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No. 11LDING: TYPE CONST. P. Number 773-282-004 el. 619/322-3266 Legal Description_ Project Description State Lic.I City & Classif. Lic. # Designer Address Tel. City IZip I State Lic. # LICENSED CONTRACTOR'S DECLARATION hereby affirm that I am licensed udder 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 SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8usi ness and Rotessions Code: Any city or county which requires a pemif to construct, alter, improve, demolish. or repair any structure, prior to its issuance also requires the applicant for such permit to fie a sorted 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 applicatt to a civilpenally of rat 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. (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 said 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 safe.) ❑ 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 knproves thereon, and who contracts for such projects with a contractor fs) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec �. B. S P.C. for this reason Date 7 ! 1 Lr owner .••+ • •. r yr/. i . ! jl . . f `', ...( C 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 ❑ 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 the work for which this permit is issued, I shall not employ any pperson In any manner so as to become subject to the Workers' Compensation Laws of California. Date_owner ; NOTICE TO APPLICANT. 8, ager -mater 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 Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. fSec. 3097, Cowl Code.) Lender's Name Lender's Address This is abuilding permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 100 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 Addres City, State, Zip OCC. GRP. LOT 20 — BLX 265 SFD 05690 st2(i� 1'!'r! 1.41r ♦.t.wL�(Y� :4�'�-N!%-�11J .'`I !A S.? ZONE: BY: Minimum Setback Distances: Sq. Ft. 2466 No. 1 Size Stories No. Dw. Units Newm Add ❑ Alter ❑ Repair ❑ Demolition ❑ Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR 5/1/89 Issued by: Date Permit Estimated Valuation $82,363.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 132• 76 63"U Mech. 53.50 Electrical x.83 Plumbing 157.50 S.M.I. 5.81 Grading 20.00 Driveway Enc. 20.00 Infrastructure 1,814.92 TOTAL REMARKS st2(i� 1'!'r! 1.41r ♦.t.wL�(Y� :4�'�-N!%-�11J .'`I !A S.? 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 5/1/89 Issued by: Date Permit Validated by: Validation: _ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS - B GRADE y ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. ® FORMS SEWER OR SEPTIC��- ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) EMP. POLE S-•/S�- `SERVICE DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WATER HEATER WALL SQ. FT. ®' FINAL INSP. DRINKING FOUNTAIN. SO FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/e c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER GRADING 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 ETBACK �� CC GROUND PLUMBING�S't0 UNDERGROUND A.C. UNIT COLL. AREA - B GRADE y ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC��- ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) EMP. POLE S-•/S�- `SERVICE GROUT WATER HEATER FINAL INSP. BOND BEAM WATER SYSTEM GRADING Cu. yd. $ -plus-x$-=$- LUMBER GR. FINAL INSP. FRAMING �j FINAL INSP. 1� , ROOFING - / /� ,N. •«� - Z,( (J % l 0 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING MESH rf/INSULATIONISOUND 6' b GRADING I�FINISH ' I INAL INSPECTION/ CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL �4�����`., �..., ,__.�ay"1�W�'+F.y"-e,�`' A _y �A,�,Qtfiii"s'r; �,iy"��a �+iF'if""V,'°�n.,'`.{ �Sr, � F�qj �'� •��Y���{~It�t'c�'AL'. 5 �,�„�.y��y,�? s4 ...,i►'1jj.� ''.a+. Ri�j� "y a.�JTi"?ct7'wr+ -rfr` �`.� .r �a•.le i, iY'�Mr4''��,��,� � ��`.i}r��i.+�'�ti^Ar.J!M��"�`�''�39�+�' ,'hi,r I� COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM ApplI ant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County speculations as indicated on the attached check list 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 8 SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'* Agent, Contractor, Contact Person Phone Address & Phone 3zz-��24r; Owner Ti 'Duff: Phone , Mailing Address Cityj „} p� N I• N tom+ Y � State C a". t Zip G�.+J•��/., Job Property Address � �i G�i.cc.,�� Legal Description Prop. (PM, Tract, Lot) µ �l.aa °f�` � �• ,st. • £•�, . ,;, visa •G! Std . � s.l,t./1;.;/ Lot Size `Water Age e11 Use of Permit P/P, CU, etc. Other 5-0 Y, (O () �% Gli ���� ! f�.fi �O ri s�17...+a .,s _ f cx+'! C.•� .,t rt{ ' Dwelling, MH Site Prep, etc. 01 r r { 7 Date J' Signature of Applicant CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE SUBSURFACE DISPOSAL 1238 (`00. ❑ SITE EVALUATION UPON REQUEST 734.8 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME ° ��. (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 a. 1 at 4 Parcels (Each) 1238 $45.00 (Less than 1 year) b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) ❑ Site Evaluatlon in Conjunction with ❑ HOLDING TANK 7351 $45.00 Critical Area 7346 $86.00 ❑ . ALTERNATIVE/EXPERIMENTAL 7345 $13200 , ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $86.00 INITIAL DATE Holding Tank Agreements Completed ❑ Yes 9 o ?41 Certification of Existing S.D. System Required ❑ Yes©�NNo� WQCB Clearance required. (Attach Form ❑ Yes �"No DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes ` Special Feasibli ty Boring Report Required. ❑ Yes 137 P betalled Contour Plot Plans Required (1 to 5 ft interval) ❑ Yes Other ❑ Yes VD , Inspection Required ❑ Yes ❑ No Staff Specialist Lot Lot Inspection Date Soils boring report by Project # Data Sons Map Page / Solt Type C. Fi''/ b"` Approved by Data 2- 2 f -,f • AL i No. of Systems Typerof System(.) No. Dwelling Unilst l i (1) Septic Tank Soil Rate Grease/Sand Holding Tank ❑ Existing ❑ '� New ❑- Replacement Bedrrrooms, nxigre,�,Mnits Grease Intcp ,��Gel � .-J 11 /t M . s`� (. t`�`i��/pa% ! �' r✓ rl Gal f (2) Leach Line Sq. Ft Sidewall allowance Install �,. Lk*s) R long R wide with leach Bed sq. R Bottom R rock/ sq. R per running ft min. irxlres` r k of bottorn.wa' :NA Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pic Below Seepage Pit Total Depth Other. Applicable r ! InBI let (l% / "^+� N/A !!5`0verburden factor E[05` ❑►' 6 Max. Allowable Depth No. 2 System 4 , REMARKS: ii�f .0 L / t c r. c.. N•G%`. -w•.// /Z,� ? Y =»s" }�J�� /}�s_�'G.sx ,�+, e'�Z.•-e P.� G�t.r This application is APPROVED NIEB for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanied plot plan, 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. (1 Septic tank and sewer lines must be 50' minimum from any wellsc�/4) - �nOPq� '4, (2) Leach lines must be 100' minimum from any wells, including expansion areal (3 Seepage pits must /bef%150' minimum from any wells{, including expansion afea AJ 6(• ( Z � � �..�• r Signature of Health OfficZ( 6(4 Date � RECEIPT NO. ` Issued ByF -'V, ._ Date DISTRICT: ❑ Riverside, O"' Indio ❑ Hemet Q Perris ❑ Rancho Calif. ❑ Blythe ' DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records .r" I)) 11(.E of A6RICUL i MAI. COMMISSIONLIt Ayu WI:IGI I S ii. hILASUBES 49-617 IIwy 116, O"Ite I1-12 Cvnchelllt, (;A 92276 619-142-0'l91 E. LEOn SPAICGY Cva�uS �nr..[n JAMES 0 WALLACE ASSISIAM QY-I"I IU'A! CEEME;II UNVEhISiE sumn DUE 1���-c,� ��- Iq� C CASE ADDRESS I P, o u d`' ') -23 �A , J 1/Li r t 4 2 Z7� IYELUIIIIOWEr l lg 1 3 — 3 L L �rr-f av Rtoc-[(- al)I- l,7 Dear Developer) Mer reviewing your 181105c714"tj pians, till Itltlnt material •listed is not 3.11 violation o[ quarantine ltMs 9oveinlny tlln Coachella Valley. 1E subst•itutiolls do occur tend they ditler frau 111011t "'Iterlal listed, tills OLEice must be notified ilul>vdlately . • 'fllal k you Lor protectitly 010 l►ieservilty 11gt 1 luralCulmdsslotierl s uC C ice cc, Indio autd Itiverside UEfice the Coachella Valley's lest -free envirolnellt. T iht 4 " P.O. BOX 1504 APPLICATION ONLY Building 78-105 CALLE ESTADO Address S Z — / ✓F Z LA QUINTA, CALIFORNIA 92253 Owner own/ wAz A BUILDING:..TYPE CONST. OCC. GRP. Mailing - ' I? _ . — Address 3o x Q.0 A.P. Number -7 Z, — Z Z — O D Li City Zip Tel. [_.A Q u f ,`; i -q Legal Description i3< e fG 51 Contractor Project Description Address City Zip Tel.. State Lic. City & Classif. Lic. # Sq. Ft. No. No. Dw. Size Stories / Units Arch., Engr., r Designer 1471 A."C New 12 Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Yu<zr�a City uc r Zip State ' J 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 SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation2 I hereby affirm that I am exempt from the Contractors License Law for the following J reason: (Sec. 7031.5.6uthass and Professions Code: Any city or county which requires a 7 pm* to construct, after irprove, derm6sh, or repair any structure, prior to its issuance also requires the applicant for suxth pemuit to Ida a signed statement that he is licensed pursuant to PERMIT AMOUNT the provisions of the Contraolor�s License taw, 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 exenptim. Arty violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. —2-5-0.0 a y subjects the applicant to a civil penally 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. 2 3 2 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractors License Law does not apply to an owner of property who Const. 63. d47 b(Ids of improves thereon and who does such work himself or through his own employees, Mech. _ C� '30, C-0 provided that with improvements are not intended or offered for sale. ff, however, the building or improvement is sold w&dn one year of completion, the owner -builder will have the burden Electrical of proving that he did not build or rWove for the purpose of sale.) . ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing % . S0 struct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who bulls or improves thereon, and who contracts for S.M.I. g� such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading Zv . OC---> ❑ 1 am exempt under Sea n. & P.C. for this reason Driveway Enc. 2,0 . Date/2--Zowner 4L �%1 E S Infrastructure ( 19" y �Z rGZ �vu WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of WoAcers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is filed with the city_ ❑ Certified copy is hereby furnished. TOTAL — CERTIFICATE OF EXEMPTION FROM REMARKS n ant 4 On n c 7C A 04-40—Po 4,1, WORKERS' COMPENSATION INSURANCE anZ w v _ 4-vA r— (This section need not be completed if the permit is for one hundred dollars (5100) valuation 1� CAi 10TAL 1- 275.00 or less_) certify that in the performance of the work for which this permit is issued, I shall not employ arty person in any manner so as to become subject to the Workers' Compensation Laws of CalrfomM Date Owner N077CE TO APPLICANT: B, after malmg this Certificate of Exemption you should become ZONE: BY: subject to the workers' Compensation provisions of the Labor Code, you must forthwith oorlplywith such Provisions orthis pem*shallbedomed 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 affirm that there is a construction lending agency for the performance of the work for which this pe rt is issued. (sea 30x7, CivBCode.) Side Setback from Property Line Lenders 'Name �ct �"> D �� �.Tl /Y.4e Tra✓/.J L `?? n74 Lenders Address 4 �Y T " FINAL DATE INSPECTOR This is a building permit when properly filled o 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 A 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 ofapplicanLL/�J/`7th %�'�j Date:/a��/ Mailing Address �ff 9> -A 5'6'Al ' Validation: City, State, Zip LjJ Qtr /.�%N t . BUILDING DIVISION CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ, FT. ® $ UNITS •1 ROUGH PLUMB. BONDING YARD SVILR SY�iEM 2ND FL. SO. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR 4,NK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. GROUT WATER HEATER WALL SQ. FT. ' DRINKING FOUNTAIN SO. FT. ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/. 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 PLUMBING 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. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL • 4(4j 78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 FAX (619) 564-5617 June 5, 1991 To Whom It May Concern: The structure located at 52-570 Avenida Diaz will be located in a "B" flood zone per the revised Y.I.R.M. (panels 060709 005 A and 0010 A) for La Quinta. This change will be effective August 13, 1991. The property -is currently designated as zone AO (depth two (2) feet). If you have any.questions,.feel.free to contact me. Sincerely, BUILDING AND SAFETY Tom Hartung Director of Building and Safety TH/lc MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253