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003002 (SFD)P.O. BOX 1504 No. 003002 Building 78-105 CALLE ESTADO Address 53-148 AVS MaZ LA QUINTA, CALIFORNIA 92253 Owner ache Blalx BUILDING: TYPE CONST. OCC. GRP. Mailing, Address A.P. Number 774-042-007 City Zip Tel. Legal Description Wt Z • �77� rpt 10 Contractor RiCba'LTd GaVVEW0MIStrUCUM Address ... 73—M Hicdwmv 1U Pala * CA 92260 341-1266 State Lic. City & Classif. 473053 Lic. # 784 Arch.; Engr., • - Designer Address Tel. City T (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 1 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,Business and Professions Code: Any city or county which requires a permit to constiuct, after, improve, demolish, or repair any structure, prior to its issuance also ,r requires the applicant for such permit to rile 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 penalty of not more than five hundred dollars ($500). 0 1, 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, i provided that, such improvements are not intended or offered for sale. If, however,. the building, orimprovement is sold within one year of completion,. the owner -builder will have the burden i 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.) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner .} }� WORKERS' COMPENSATION DECLARATION I hereby affirm that l have a certificate of con ant to self -insure, of 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. Q 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 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 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 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. 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 Project Description -216 UnXt. -of WDod Tbwe Validation: B7590 3 24 2- 9J.,.77 it HARD COPY Sq. Ft. �G�aW9�rj 420! No. No. Dw. Size D0 1725 Stories - Units NewJDC Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation S 89060.t3A PERMIT AMOUNT Plan Chk. Dep. $ 250.60 Plan Chk. Bal. 96.00 Const. 403.00 Mech. 42.00 Electrical Plumbing 103„00 S.M.I. 6.27 Grading 2n.w . Driveway Enc. 20.00 Infrastructure1.31.8„ Opt::, precdw .,,. �]cc }�finn TOTAL �i 4341.77 1 1; 2,091.77 REMARKS - .ZONE: E: 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 3/23!87 Permit Validated by: Validation: B7590 3 24 2- 9J.,.77 it HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMB�_4G FEES+ 7UNDERGROUND 1ST FL. S0. FT. $ UNITS SLAB GRADE GaH PLUMB. YARD SPKLR SYSTEM 2ND FL. SO. FT. ® HEATING(ROUGH) STORAGE TANK MOBILEHOME SVC. BAR SINK POR. S0. FT. ® ROUGH WIRING GAR. SO. FT. ® POWER OUTLET ROOF DRAINS ROUGH) DRAINAGE PIPING CAR P. SO. FT. ® HEATING (FINAL) WALL SO. Ff. ® REINF. STEEL DRINKING FOUNTAIN SO. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation WATER HEATER FLOOR DRAIN MECHANICAL FEES SERVICE 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 GR. 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. Ff. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ VA c SEWAGE DISPOSAL SO.Ff.GAR ® ?44c 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 � %kj 97 DLND PLUMBI 7UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE GaH PLUMB. BONDING HEATING(ROUGH) STORAGE TANK FORMS R OR SEPT CrT ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. �'/ � ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _ -$ GR. FINAL INSP. lLUMBER �%CtRAMING —�/°' �? FINAL INSP. ROOFING S VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING � DEC Q 7 1007 u 9 rpt+ �� 27JS G ) 6 — � ! � � / RKS: REMARKS: 11' FINAL INSPECTION CERT. OCC. FENCE FINAL GARDEN WALL FINAL T4'y,,, 4 Qum& P.O. BOX 1504 APPLICATION ONLY Building 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner BUILDING: TYPE CONST. OCC. GRP. A.P. Number Mailing Address City Zip Tel. Legal Description Project Description Contractor Address City Zip Tel. State Lic. & Classif. City - Lic. # 7 -->S?' Sq.Size Z— Stories UniNo. Dw. Arch., Engr., Designer New,❑ Add Alter ❑ Repair Demolition ❑ Address Tel. ;?— 16 7' r � /(� O �(�Cf'' Cs, e<4 I t N C,1Q,9d 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. SKQNATUHE — — DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: fSec. 7031.5,8usklass and Professions Coda: Any city or county which requlres a permit to construct, altar, improve. demcAsh, or repa)r any structure, pdor to Its Issuance also requlres the app4cm7t for such permit to file a signed statement that he is lic5nsed pursuant to the provisions of the Contractor's Licanxe Law, Chapfar 9 [commencing with Section 7000) of Chrisfon 3 of the Business and Prolesatons Coda. or that. he Is exempt therefrom. and file 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 Xrovements are not intended or offered for sale. If, however, the building or improvement is sutd 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 ) u I, as owner of the property, am exclusively contracting with licensed contractors to con- strucl the project. fSec- 7044, Business and Professions Cade-, The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such ptojocts with a contraclorfs) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner 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 O 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 ]n the performance of thg work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT., It, 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 permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. 1 certify that I have read this application and state that the above information Is correct. agree to comply with all city and county ordinances and state laws relating fa 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 itlmated Valuation �1 PERMIT a Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 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: A 7 3 0 8 275.00 R 121 111 nI\I/] M1110Il161 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL 7— SQ. FT. ® r 2ND FL. SQ. FT. POR. SQ. FT, CN GAR. SQ. FT. ® r CAR P. I SQ. FT. WALL a16 Lieu�T SQ FT ® CN LW SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ r UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK a POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING Z NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) — APPLIANCE DRYER GARBAGE DISPOSAL L� — FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T U. TEMP USE PERMIT SVC WATER CLOSET g ,COMPRESSOR HIP POLE,TEMIPERM Q LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT O SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. 1JI SQ. FT. RESID ® 11A c / ,C/ — SEWAGE DISPOSAL C] SQ.FT.GAR ® 3/ac — HOUSE SEWER GAS PIPING PERMIT FEE Ci �' PERMIT FEE PERMIT FEE A DBL TOTAL FEES MICRO FEE MECH.FEE yZ- PL.CK.FEE y" CONST. FEE tea- ELECT. FEE S y` SMI FEE - � PLUMB. FEE 103 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 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 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC FENCE FINAL INSPECTOR'S SIG NATURESIINITEALS GARDEN WALL FINAL '�� ���� ° �����u������ �� u���������u����u�^� . P.O. BOX l443' PALM SPRINGS, CALIFORNIA 92263 (619)324-1731 *************************************************************** THIS PROPOSED RESIDENTIAL PROJECT HAS BEEN REVIEWED FOR COMPLIANCE WITH THE STATE OF CALIFORNIA ENERGY C0NSERVATI0N STANDARDS REVISED TITLE 24 BY MADLIN`S ENTERPRISES. THE BUILDING DESIGN DESCRIBED IN THIS C0MPLIANCE PORTFOLIO IS IN SUBSTANTIAL C0NF0RMANCE WITH THE STANDARDS. *************************************************************** JOE NUMBER: DATE: 02/09/87 PREPARED FOR". RICHARD GLOVER C0NSTRUCTI0N |.. OWNER' 49M -16 - PROJECT." LOT 18 PROJECT L0CATI0N: LA UUINTA METHOD 0F COMPLIANCE" POINTS CALCULATION 0RIENTATI0N 0F ENTRY: WEST Al Cathy Madl in L i c e n s .'�- Desert Sands Unified School District CERTIFICATION OF PAYMENT OF ; SCHOOL FACILITY FEES TO: City of La Quinta DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to certify thatWell". ce- developer of welch is located at 3—e within this District, has paid school facility fee imposed pursuarfft to the authority generaed by Go ernment Code S ctioll 5308 in th mou t of covering a total of 17��14 /, T,2 -'y 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 bNIFIED SCHOOL DISTRICT White -�Building fDepartment • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer 0 (10)-37 3 „ E 0 z O F- U W 0 W z O F_ U w U) CO V rr Q W rr N z O U LL1 to COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION •-7 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 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, Etc.)/ Mailing Address f City _ L ' { St r. State Zip Code Telephonef' 'Job Property Address , City r•Community. _ Legal Description of Property. (Lot, ` 'Assessor's Parcel No. Wa er Agency oMWell: ft q� t ( Use of Perm - • 'Planning Case # SFD, MH Site Preparation Etc, i r I d Signature of Applicant - bate 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date Certification of Existing S.D. System required, ❑ Yes ❑ No { r WQCB Clearance required. ❑ Yes ❑ No Soils feasibility report required. ❑ Yes ❑ No Detailed boring report required. ❑ Yes Er No ft Detailed contour plot plans required. ❑ Yes ❑ No Staff Specialist approval required. ❑ Yes •❑ No Lot Inspection Date Soils/boring report by Project # Date .1 Soils Map Page f.f �`1 ��Soil Type f �� C Approved by Date % ; .� Type of System: U No- of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing E N2W ❑ Additional ❑ Replacement Gals- (2) Leach line sq. ft. Sidewall allowance Install Line(s) Ft. Long, Leach bed Sq- (Bo�tto trenqh area) ft. rock/--Sq. Ft. !'Ft�-wide�with min, inches Ft.'of-bottom per running ft. D.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 Applicable - - �.5r ©..gam f r.,: Max. allowable depth N/A Overburden factor f 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 B above. A building permit is necessary for the installation of the above -designed system. ,(1).)Septic tank and sewer lines must be7,50' from any wells (2) Leach lines must be 100' min. from any wells including expansion area 3 Seepage its must be 150' min, from an wells including expansion area�Cv - rn �M T t'• �- r` ' m)p y g p Y^ Signature of Health Official r , — f RECEIPT NO. � .� Issued dy District: ❑ Riverside ❑ Indio ❑ Hemet ❑ Perris ❑ Rancho Calif: Distribution: WHITE —Office file YELLOW —Applicant PINK —Bldg. Dept, DOH-SAN-122 (Rev. 6/86) pate —) I ❑ Blythe GOLDENROD —Pending File •aC