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05577 (SFD)Building 53-365 DIAZ Owner Coachella. Valley Lattd P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address 247'e',TahquitZ I -lay #2 c"Palm Spring$ Zip 9226 Contractor I Starr Construction same city State Lic. City & Classif. 387934 Lic. # 895 Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivision 3 of the Business and Professions Code, and my license is in full to and effect ri (�!/ ro SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirin that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.S. iciness and Professions Code: Any city or county which requires a permit to construct, alter. krprove, demolish, or repair any structure, prior to its issuance also requires the appicart for such Perim it to lie a signed statement that he is licensed pursuant to the provisions of the Conbacto'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 civilpenalty of rot 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, Uuisness and Professions Code: The Contractors License Law does not apply to an owner of property who bolds 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 improvements sold within one year of completion, the owner -builder will have the burden of proving that he did not brad or improve for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con• struct the projecL (Sec. 7044, Business and Professions Code: The Contractor's License Law does no apply to an owner of property who bultds or inproveS thereon, and who contracts for such prciects wth a contractWs) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Ser B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereo/(Se f c. 3800, Labor Code.) Policy No Company e ' 4K ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be eonpteted it the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of RV 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 aliforniaDateOwner NOTICE TO APPLICANT: /, after maAfg this Certificate of Exemption you should become subject to the Rlarkers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or Itis perm 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.) Lenders Nam Lenders Address This is abuilding permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certity 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. 45577 BUILDING: TYPE CONST. -OCC ' ONST.OCC. GRP.- A.P. Number 774-071-018 Legal Description lot fi BU 183 Unit 18 Project Description SFU Sq. Ft. 1409 No. 1 No. Dw. Size Stories Units New)] Add ❑ Alter ❑ Repair ❑ Demolition ❑ 430 squaws 4oet Carage 170 feet 6 -foot Wood Fence Estimated Valuation $76,360.00 PERMIT AMOUNT Plan Chk. Dep. 250.013 Plan Chk. Bal. • Const. 536 Mech. 4 •J15 Electrical 10b .41 Plumbing ! • au S.M.I. • Grading tY . VV Driveway Enc. WU.UU Infrastructure t b TOTAL REMARKS r ..l .; Iyr,c. t t:'i. t ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date 3j311$ Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA eme SLAB GRADE l f ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL SO. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. I SO. FT. GAS (FINAL) TEMP. POLE WALL SO. FT. DRINKING FOUNTAIN GROUT WATER HEATER URINAL SO FT ® FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation GRADING cu. yd. $ plus x$ FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER �� / C(�p GFrA'jt 5 CCCO00 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. SO. FT. ® c BATH TUB GAR. FIREWALL SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® Wic 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 09 SETBACK - U 4 0- OLIND PLUMBIN J UNDERGROUND A.C. UNIT COLL. AREA eme SLAB GRADE l f ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPT ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (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$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. L_ ROOFING �� / C(�p GFrA'jt 5 CCCO00 r w . �.A--1REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 7— �p ` MESH `INSULATION/SOUND7-5-61 FINISH GRADING gifFINAL INSPECTION q CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL t Building Address Owner 4 4 Qum& P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address o2 y 7 Lc 1,q 1.t. Q cJ r 7-7 tV A City C Zip Tel. F/,7 /-,w 5 2lrxs Z <r z Contractor City State Lic. City & Classif. 38 7 F3 Lic. # Arch., Engr., Designer Address Tel. City I Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed underrpiovisions of Chapter 9 (commencing with Section 7000) of Divisi 3 of the Business%d/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,Busfness and Professions Code: Any city or county which requires a Permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor'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 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. ff, however, the building or improvement is sold within one year of completion, Ore 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 improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. R- & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent o selbinsur , or a certificate of Worker's Compensation Insurance, or a certified copy th of c 3 0, 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 of less.) I certify that in the performance of the work for which this permit is issued, 1 shall not employ anyperson in any manner so as to become subject to the Workers' Compensation Laws of c1 ornia. Date Owner NOTICE TO APPLICANT: If, atter makhg 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 1hereby 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 - 1 certify 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 BUILDING*DIVISION BUILDING: TYPE CONST.' OCC. GRP. A.P. Number 7 741 iIg ;z / — O 1A Legal Description GL,, ,r / 8 Project Description Sq. Ft. No. No. Dw. Size Iia 9 Stories Units New 19- Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 77us 40 PERMIT AMOUNT Plan Chk. Dep. (, a c� Plan Chk. Bal. - Const. Mech. Electrical Plumbing S.M.I. Grading t7� Driveway Enc. e Infrastructure f Gs�M )v ss.v TOTAL? D REMARKS ,, .,;� ?194_03--21-89 _ _ __10 1-9 ,�- jl 1 Y I Ll I r1L J. i:. t _3i. VU 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: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. . SO. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. GROUT WATER HEATER WALL SO. FT: ® - - - DRINKING FOUNTAIN BOND BEAM WATER SYSTEM URINAL SO. FT. ® =$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ - WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DIS H) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRY TRAY AIR HANDLING UNIT CFM FIREPLACE 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 ® 11/. c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic 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 APPJEOUIP. 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 INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Arq�g9 OIFICE OF AGRICUL'I URAL COMMISSIONER AND WEIGHTS & MEASURES 49-613 Ilwy 86, Suite B-12 'Coachella, CA 92236 619-342-8291 E. LEON SPAUGY CO�nnSaO�ER JAMES O WALLACE ASS;STANE (:')*4M1SSIU%tP. CLEMENT BE`rVENISTE SEALER DATE il/Lq-wc �'-f l4�`� _. CASE M. L- E DEVELOPER'S NAME t S % fL,Q 2 Cm 3 r2Ua ri o ADDRESS t -2'y 7 ?Af/Qa / T'L v&;I ' Y TEL,EPLIONE t ( Dear Developers 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 fran plaint material listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free enviromient. P_ A I L A icultural Cannissioner's Of f ice ccs Indio and Riverside Office S3 Sys- r/fr/_GE"/o 'e. m r 3 -Q4- *�' z a 774,/1 /2.Z- o/j" 0 I AO f COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel Hoff% 7#L c7l _ d / y ENVIRONMENTAL HEALTH SERVICES 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 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. Q VERIFY ITEMS IN SECTION A FROM BUILDING 3 SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'* Z O Agent, Contractor, Contact Person(r Phone Address 8 Phone U 6 �GixJS4 do AJ 3 ZZ=JOzo W Owner Phone * Mailing Address V) I 2W `7 .f_t' 7A) ottzV el o I - r— uJ 4 -J '� Z Soils boring report by i �/ Project # Date r Soils Map Page ' A W Type �)�" Approved by "' e' JI'L Date rr U No. of Systems Type of System(.) No. Dwelling Units (/) (1) Septic Tank Soil Rate .,presse/Sand Z ❑ Holding Tank ❑ Existing Bedmome, fbdw.r. lnitit ,,y !/' - / •Gftase Intcp J :7'14ew ❑ ReplaoertreMD�/j � T "��� � fff �''j Gal U _ v v to (2 trenchftttom t Sidewall allowance Install— L, Une(s) ft. 101V fr wide with -.Leach Bed sq. ft. area ft rock/ sq. R min. .rches rocik dremlines or of per running ft. �_ O!NA Leachlines/bed special design for slope: (3) . Pit Diameter No. Pits Pit Below Seepage Pit Total Depth r Applicable,/ Inlet (BI) ti�t� / N/A Overburden factor 4ON5* I'9" 8/ r Max. towable Depth No. 2 System IV jl.!• yREMARKS: �Y�1''t✓''i„�-�,'i ,/J�'J/ryGc.t,,y/w�tC/L.-ter. 4_0-v, i1� /:Jl%v �'j/,•7dv-�J-c-.c� C�a.(J�/.�- . This appl'icatiorLrs�AP RP OVED NIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompan pan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the Z above -designed system. No construction is permitted in.the required reserved 100% expansion area. _ S 1) Septic tank and sewer lines must be 50' minimum from anywells / i� >, U j Leach lines must be 100' minimum from any wells, including expansion rea rl f Seepage pits must be, 150' minimum from any wells, including /expansion area Sianahvw of Hwa Rh CNfirial � /�t/LU.'z" 3.2V41 J RECEIPT NO. 5_0 c:;Zy Issued By ,� Date 3' -X L4e 9 DISTRICT: ❑ Riverside, &o ❑ Hemet Q Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records City State Zip Job Property Add Legal Legal Description Prop. (PM, Tract, Lot) oxL SRO,/t) C, -s �A 97,4 s-331,4-J!'/Az. Gare i 83 _aAl Lot Size d_% ter_Agenc /Well- 4 lr&/'c. Use of Permit P/P, CU, etc Other I rY, Dwelling H Site Prep, etc. i c.c r 3 %..3 f >�9 I Signature of Applicant � Date CATEGORY:. REV CODE FEE CATEGORY: REV CODE FEE ET SUBSURFACE DISPOSAL 1238 $45.00 ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME k, (NO PLOT PLAN) m LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 Z 0 a. 1 st 4 Parcels (Each) 1238 $45.00 (Less than 1 year) b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 u W ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) to ❑ Site Evaluation 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 �• INfTI,AL DATE y !1 Holding Tank Agreements Completed ❑ Yes ✓�T �. ❑ Noo�, Certification of Existing S.D. System Required ❑ Yes / t WOCB Clearance required. (Attach Form ❑ Yes s" ❑ No DOH SAN 007, Santa Ana Region Only) Solis Percolation Report Required. Special Feasibility Boring Report Required. ` ❑ Yes ❑Yes No m"No r �' Detailed Contour Plot Plans Required.(1.to 5 fL.interva)- _ ❑ Yes o.", Other ❑ Yes OrN/Os Staff Specialist Lot Inspection Required ❑ Yes O Lot Inspection Date Soils boring report by i �/ Project # Date r Soils Map Page ' A W Type �)�" Approved by "' e' JI'L Date rr U No. of Systems Type of System(.) No. Dwelling Units (/) (1) Septic Tank Soil Rate .,presse/Sand Z ❑ Holding Tank ❑ Existing Bedmome, fbdw.r. lnitit ,,y !/' - / •Gftase Intcp J :7'14ew ❑ ReplaoertreMD�/j � T "��� � fff �''j Gal U _ v v to (2 trenchftttom t Sidewall allowance Install— L, Une(s) ft. 101V fr wide with -.Leach Bed sq. ft. area ft rock/ sq. R min. .rches rocik dremlines or of per running ft. �_ O!NA Leachlines/bed special design for slope: (3) . Pit Diameter No. Pits Pit Below Seepage Pit Total Depth r Applicable,/ Inlet (BI) ti�t� / N/A Overburden factor 4ON5* I'9" 8/ r Max. towable Depth No. 2 System IV jl.!• yREMARKS: �Y�1''t✓''i„�-�,'i ,/J�'J/ryGc.t,,y/w�tC/L.-ter. 4_0-v, i1� /:Jl%v �'j/,•7dv-�J-c-.c� C�a.(J�/.�- . This appl'icatiorLrs�AP RP OVED NIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompan pan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the Z above -designed system. No construction is permitted in.the required reserved 100% expansion area. _ S 1) Septic tank and sewer lines must be 50' minimum from anywells / i� >, U j Leach lines must be 100' minimum from any wells, including expansion rea rl f Seepage pits must be, 150' minimum from any wells, including /expansion area Sianahvw of Hwa Rh CNfirial � /�t/LU.'z" 3.2V41 J RECEIPT NO. 5_0 c:;Zy Issued By ,� Date 3' -X L4e 9 DISTRICT: ❑ Riverside, &o ❑ Hemet Q Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records