07896 (RPL)P.O. BOX 1504 N o . 07896
Building 78-105 CALLE ESTADO
Address 77-400 Calle Yncatm _ LA QUINTA, CALIFORNIA 92253
Owner
""" °' LMt_1__' S CA
Mailing
BUILDING: TYPE CONST. OCC: GRP.:
Address 13341 ' Sara0ga Dr. ° " _ _
A.P.,Number -
iia -046-416
City
Zip
Tel.
THS -tin
926M
7314 -
Legal Description
Description
P;01 ~
ContractorProject
R. D. Pfnanit
Address
2PAP . V
City
61a.r&n Gmye
Zip
92540
Tel.:
State Lic:
City~
& Classif. 0"73
�r
Lic. #
Sq. Ft.
Size
No. No. Dw.
Stories Units
Arch., Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ -Demolition ❑
Address
Tel.
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.
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 construct, alter, 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 Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or thathe 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 building30
or improvement is sold 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.)
'
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
t
strucl he 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.)
❑ 1 am exempt under Sec. B. 8 P.C. for this reason -
Estimated Valuation
�/f�iA
Am
PERMIT
AMOUNT
Plan Chk. De p
Plan Chk. Bal.
Const.
Mech.
n
Electrical
a .A a F A N A A
Plumbing
. .++� 2sv aW
..Vv"1
¢ { l� y�,
S•M•1.
.
63
Grading
Driveway Enc. -
Date 4 :4 wne�� � ' ---J
Infrastructure
WOR ERS' COMPENSATION DECLARATION
kehereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worr'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.
TOTAL
'7
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 if 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
REMARKS r�
11AC;40'1, a!t AAkc; ft1tZ_4X_,:)t* 8
�`°� ---CASA i TOT AL i- . `235'.5:x.*
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 5116190Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
2N0 FL. SO. FT.
POR. SO. FT. ®
GAR. SO, FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAS (ROUGH)
LAUNDRYTRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSP.
ROOFING
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
FINAL INSP.
$
GRADING
cu. yd.
plus—x$—
lusx$ROOFING
LUMBER GR.
FRAMING
FINAL INSP.
ROOFING
/J� _ j �
V
000,
/
/I� _
��-
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
t kms C i 7.7.44 C,aU' ATAtJ
Order No. _
Escrow.No. 89-1874.
Loan No. d
DD N c.
Ic
IC
Cr Lam.
IM
M S >- a) c
z
:WHEN RECORDED MAIL T0: as b
C-4
w
'hBSA DEVELOPERS
�. f— 8 Q e
12882 Jay St., Ste. A < g S
Garden Grove, CA 92640
MAIL TAX STATEMENTS TO: 39 OS
DOCUMENTARY TRANSFER TAX $..._......'... .... :...... :..................
same as abOVe R.•. Computed on the consideration or valug of property conveyed; OR
...... Computed on the consideration or value less liens or encumbrances
remaining at time of sale. -
Signature of Declarent or Agent detenrining tax — Firm Name
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt if which is hereby acknowledged, BRUCE D. ROBINSON and.
CYNTHIA. A. ROBINSON, Husband and Wife
hereby GRANT(S) to MESA 'DEVELOPERS, a General Partnership
the real property in the City of La Quinta
County of Riverside State of California, described, as.
Lot.20 in Block 45, Santa Carmelita at Vale La Quinta, Unit 4, as per map -recorded in Book
l8, Page 62 of maps in the office of the county Recorder of said County.
Portions of Lots 21, 22, 23 and 24 as completely described in "Exhibit A' attached hereto and
made a part hereof -by this reference. - -
March 13 ,c. i----�,_
Dated • 1989---
BRU�IA
ROB/I? �/� _
STATE OF CALIF I Iss 1 ti=s _-_�I �,�l�l�
COUNTY`OF I CYN. ROBINSON
On 12
before me, ttAevnders shed, a Notary Pub/lJ�►/� an=_i4dlate, per -
j
7_0
ally a eared _ —.-- — ----
_-1%Z
personally known to me (or proved to me on the basis of satisfactory • OFFICIAL SAL
DIANA C. TNJNEY
evidence) to be the person(s) whose name(s) is/are subscribed to the NOTARY PUBLIC • CALIFORNIA
within instrument and acknowledged to me that he/she/they executed RIVERSIDE COUNTY . 5
My Comm. Expires Aug.31, 1991
the same.
WITNESS my h a official seal. ;
' '(This . area for official notarial seal)
Signature —1---
t 002 (6/82)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
y
RECEIPT NO.�,�,,..��^ Issued By Date�1U
DISTRICT: ❑ Riverside, ® I'�ndio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
_r
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records
1
-G-ptz'
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No.
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 checklist.
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 & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG #^-
. Z
0
Agent, Contractor, Contact Person
f � L'I.Air-we r
Phone Address & Phone r
7/`/(:53L7 497 /z i3o 2 ,iz )f S r &.-+,,r r /v G,'/> v A
J]
Owner
171 --/`!
Phone Mailing Address
sly, 1-0 SZ-*7tL&- 9Z 6, Z/U
City
4/-11"1 UE ill 6• yo ✓E
State
C �1
Zip
1'2 �f�
Job rope ';Address
� rA� CSI PtrS„�
Legal Description Prop. (PM, Tract, Lot)
t.�-T 2 19,1 -
_0J
Lot Size
ater A enc .ell
Use of Permit P/P, CU, etc.
Other A41!3�M°jlrf
/
�
,Dwe qMSite Prep, etc.a4Yw
1
{^ Signature of Applicant
Date
r,
` CATEGORY: REV CODE FEES — CATEGORY: REV CODE FEE
O SUBSURFACE DISPOSAL 1238 +$45:00 !` ( 1C) ❑ SITE EVALUATION UPON REQUEST 7349 $42.00
❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN)
m
Z
LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00
0
a. 1 st 4 Parcels (Each) 1238 $45.00 (Less than 1 year)
U
b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00
lL
❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53)
U)
❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $45.00
Critical Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $132.00
❑ Site Evaluation Lot Less than SYSTEM
10,000 Sq. Ft. 7347 $86.00
l
INITIAL DAT r
Holding Tank Agreements Completed ❑ Yes
Certification of Existing S.D. System Required ❑ Yes W Ns�' f l
WQCB Clearance required. (Attach Form 11 Yes ❑ No
DOH SAN 007, Santa Ana Region Only) f
Soils Percolation Report Required. ❑ Yes
/� I
Special Feasibility Boring Report Required. ❑ Yes 7 No t
Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes _7 No
Other ❑ Yes - 0� t 1
Staff Specialist Lot Inspection Required ❑ Yes No '
Lot Inspection Date
Soils boring report by Project # Date
/„{�/' y
Soils Map Page Type c C.! tom' �� J,
Soil Approved by Date e� `
U
No. of Systems
Type of'System(s)
No. Dwelling Units i t
(1) Septic Tank
Soil Rate
Z
❑ Folding Tank ❑Existing
New ❑Replacement4,.,e,,�C
Bedrooms*tj wits 1
ci
�f
�ty�Gyl
�9
s�!•�l�•�
;G6',�rkase/Sand
ntcp0
��Q—Gal
,tom
�
'(2),Leach Line Sq. Ft.
. trench area
Blb
Sidewall allowance
ft rock/sq. ft
Instaf Line(s) ft long ft wide with
min. inches Jebw drainlines or
'Leach Bed sq. ft.
ott'
of boarea
per running ft.
11s+NA
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below
Seepage Pit Total Depth
Other:
Applicable
�
inlet (81)
l
N/A Overburden factor
�
Yl
Max. AllowableDepth
No. 2 System /V ” A
REMARKS: •,
/,��?/.!,_ii'h... ��,p�T E'��s>r,�
,� ,o^�/��..-i-/ l"i.-f-'%� „f.^ -P r-,t.2�.
-„q..e ,,'�7�F�,{r✓o'�':Z•G(.,���-�G,
,-r��'
Ef��ay/jk_:.;`' i -,F'
iqs/eI✓{.i:%��*]
rf;...•�%
`�fL
�•ys/,.t;
�4q_.-...t?'�Tp..-+�7c
j� JJ
f •,'A .4- .l / � ••T f (.{ C,uS/ �[..1o�'z'F^7L�,y /G.+ rv+ '�fi.G�i:!-��/�3 0 ,�-�L/�yj.l�HVfL•' /��•�t� �+�.Y �i.P.d
ldisposal
This application is`APPROVED ,E TED for the category checked in SEC/TION B above, regarding the design of a subsurface system as indicated
on the accomparne o 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:
`
0
1:=
4'Q5
.. { ?...- •"�+ / ��4 i+-•. cel r»
Septic tank and sewer lines must be 50' minimum from any wells°
2) Leach lines must be 100' minimum from any wells, including expansion (,areatw”
y{ f
3)) Seepage pits must be 1:50' minimum from any wells, including expansion.,,a�rr`ea`rfll�
���///—Signature
..(�
el
of Health Official 4 �� DateE
RECEIPT NO.�,�,,..��^ Issued By Date�1U
DISTRICT: ❑ Riverside, ® I'�ndio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
_r
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records
1
-G-ptz'
. oar OFFICE OF
AGRICULTURAL COMMISSIONER
AND
►�;;: -WEIGHTS &'MEASURES
CALVIN C. KAMINSKAS
' JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 Assistant Commissioner ..
Agricultural Commissioner RIVERSIDE. CALIFORNIA 92501 CLEMENT BENVENISTE
Olrector'of Weights d Measures Sewer
(714) 787.2561
49613 Highway 86, .Suite B12
E Coachella, Ca. 92236 ,
/
(619)1342-8291
DATE AV 7 CASE No.
DEVELOPER'S NAME: e .c. J .e �0 00 r' S
f
ADDRESS: o
f. Al' (r tro V e
TELEPHONE : ( 714) S 3Cr 2. 7 32,
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
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
Agricultural Commission Is. Office. ,
cc: Indio and Riverside Office