05164 (SFD)F
4
P.O. BOX 1504 N o , 05164
BuilAddrdess 74'755 Westrw and HO LA QUINTA CALIFORNIA 92253 "AN ADTU'.,HLY SIZED DEBRIS ^Oi;`WNER
Owner IS RE(-1't;EI1 Gil: 3I �c !DB -SIT[ DURING
r/, �S D��+�hir.�R��r-TIONII
Mailing BUILDING: TYPE CONST. it J,�� CS81 GRp.
Address 79_811 Country Club Drive A.P. Number 617-111-001
City Zip Tel.
Bhrmuda Dune 92201 1 345-6228 Legal Description
Contractor Project Description S i1
Q .+
Address
City Zip Tel.
State Lic. City
& Classif. Lic. # Sq. Ft. No. No. Dw.
Arch., Engr., Size 1842 Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel. Garage 621'
City Zip j State / ir$Ace 195 t
f Lic. #1
LICENSED CONTRACT sQR'S DECLARATIQN
I hereby affirm that I am licensed under prov(sions of Chapter (commencing with Section
7000) of Division 3 of the Business afid Professions Code, and rz y license is in full force and
effect �//✓ f�7 i I' r f 9'//�. - L
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 cornstruct alter, improve, demoish, or repair any structure, Prior to its issuance also
requires Ore applicant for such permit to Ne a signed statement that he is licensed pursuant to
the provisions of the Contractors 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 vkNation of Section 7031.5 by 'any applicant for a permit
subjects Ore 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
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Bussness and
Professions Code: The Contractors 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 anprovements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not bold or iriarove for the purpose of sale.)
❑ 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 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. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Poling No company
❑ Copy is filed with the city. ❑ Certified copy is hereby fumished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i1 the perdt is for one hundred dollars ($100) valuation
or Mss.)
1 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
aliforniaDateOwner
Ce
NOTICE TO APPLICANT: Y, after mafog this dirrcate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this pemrt 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 Name
Lenders Address
This is a building permit when property 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.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby aulfmor¢e representatives -of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant— —Date—
Mailing
ateMailing Address
City, State, Zip
Estlmatea valuation
PERMIT
AMOUNT
Plan Chk. Dep.
9250. 00
Plan Chk. Bal.
5 86.71
Const.
430.00
Mech.
36.0f)
Electrical
}
Plumbing
ios.no
S.M.I.
6.9n
Grading
2n. n0
Driveway Enc.
20.00
Infrastructure
2.174.31
w «.TA
gtJqrA 68,87
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
12/24/88
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
gv
YARD SPKLR SYSTEM
E
2ND FL SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CARP. SQ. FT. ®
GAS (FINA �/
WALL SQ. FT.
DRINKING FOUNTAIN.
SQ FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROOFING
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.
SQ. FT. ® c
BATH TUB
SPARK ARRESTOR
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
LATHING t-ohilS
SO.FT.GAR ® V4c
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
ND PLUMBIN10
we—
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
gv
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TA -
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPIEQUIP.
REINF. STEEL
GAS (FINA �/
EMP. POLE�� S 9
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING ZSR
INAL INSP.
ROOFING
fin/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING t-ohilS
MESH
INSULATIONISOUND S 8 g
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
1
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
' . " OF C�9
S6001 FACILITY FEES
f�J 1k3,��+�1ra� •'�
1,
TO:% (�C-,%ty of,La!`Quinto DATE:
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
This is to certif that n�
developer of which is
located at — within
this District, has paid school facility fees imposed pursuant to the
authority generated by Governme t CodeZction 30 0 i rt, the amount of
covering a total of quare feet ( residential or
( ) industrial/commercial development and that bui"ding permits for
this footage in this development may now issued by your jurisdiction.
ior SERT SANDS UNIF ED SCHOOL DISTRICT
White -Building Department •
Yellow- Facilities Planning • Pink - Accounting • Gold - Developer
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COUNTY OF RIVERSIDE DEPARTMENT OF HEALTHAssessors Parcel No.
ENVIRONMENTAL HEALTH SERVICES L ,1 — It I — CIA
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.
VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'*
A . t, i t ctor, ContactPerson
Pla one,7
Address 8 Phone
Phone
Mailing Address
CityfState
Zip
Property
ion (P ,Tract, Lot)
Lot Size
Water Age /W II
rl]se of Permit P/P, CU; etc.---�-- -- ----�—
-Other
i
Dwelling, MH Site Prep, etc. r
Signature of Applicant
3+a,_ Date
CATEGORY: REV COD FEE
CATEGORY: REV CODE FEE
O SUBSURFACE DISPOSAL 1238 ,$45A0�
❑ SITE EVALUATION UPON REQUEST 7349 $42.00
O MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
LAND DIVISION
❑ SEWER/SEPTIC VERIFICATION 7348 $11.00
a. 1 at 4 Parcels (Each) i 1238 $45.00
(Less than 1 year)
b. Each Panel after 4 7344 $16.00
❑ PRELIMINARY ELECTIVE 7352 $45.00
❑ Rereview (2nd review same parcel) 7344 $16.00
EVALUATION (Attach DOH SAN 53)
❑ Site Evaluation In Conjunction with
O HOLDING TANK 7351 $45.00
Critical Area 7346 $86.00
O ALTERNATIVE/EXPERIMENTAL 7345 $13200
❑ She Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft. 7347 $86.00
INITIAL 1 DATE
t'���/
Holding Tank Agreements Completed ❑ Yes O No
Certification of Existing S.D. System Required ❑ Yes No 1
WQCB Clearance required. (Attach Form ❑ Yes No
DOH SAN 007, Santa Ana Region Only) I
Soils Percolation Report Required. ❑ Yes No
Special Feasibility Boring Report Required. ❑ Yes ID No
Detailed Contour Plot Plans Required (1 to 5 ft interval) ❑ Yes No 'II
Other ❑ Yes No 1
Staff Specialist Lot Inspection Required O Yes No
Lot Inspection Date
Soils boring report by C 1"' Project # Date
Soils Map Page Soft Type Approved by Date
d
No. of Systems
Type of System(s)
No. Dwelling Units
(1) Septic Tank
Soil Rate
GreaseA."
❑ Holding Tank ❑ Existing
tl' New ❑ Reptaoernent
Bedrooms, Fixture Units
Grease, Intcp
; Vti C � k
1 I J u l�Gal
Gal6-7
f
t'
(2) Leach Line Sq. Ft
Sidewall allowance/
Install Une(s) R long ft wide with
Leach Bedd dq. ft
Bottom trench area
ft rock/ sq. R
per running tt
min. t inches rock below drainlines or
of bottom area
���
❑ NA
Leachlines/bed special design for slope:
Applicable //
(3) Pit Dia/m eter
/
No. Pits
/
Pit Bel�ow
Inlet (6)
Seepage iPit Total Depth
Other.
Max: Allowable Depth
❑ 57 // ❑ 6
/
N/A Overburden factor
No. 2 System
REMARKS: ,\+(\�.l.(l1k1 1UL`�• �Y�c+\+C_,hk.+ (t1�(Ct
This application is APPROVED/DENIED for the catego y 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.
(6) Septic tank and sewer lines must be 50' minimum from any wells
( ), "' Leach lines must be 100'_minimum�fro.In any wells, in eluding expansion area?
(3) Seepage pits must be 150'trr inimum `from any wells, including expansion area
�1 L L �<""K
Signature of Health Official Date
LI \ -1 I
RECEIPT NO.
DISTRICT: ❑ Riverside, f�v Indio
DOH SAN 122 (Rev. 5/88) DISTRIBUTION:
Issued By ( Date
❑ Henet ❑ Perris ❑ Rancho Calif. ❑ Blythe
WHITE - Ofice file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records
UI I II.E U►
AGRICUI I URAL CU MISSIUMLit
ANU
jGj 11 S- b-1LASUHUS
49-611 Ilwy 116, eulte 11-12
'Cvnclrel ln, •CA 91116
619-34.1—a291
E: IEoI+ SPM;ry
Co•.r�n�:nr..in
IANIES U WALIACE
e�s�sia�� �.r..�•.nssnr�n
CEEME-41 N.NVENIS1E
SLAW
wit JL�-7 _� USC I IU. a�C
DEVEWPEll' S Wel
AWRESS -7 7
CA
%. 74
J
Dear Develuper I �-u �-wL� �
After reviewing your. lalilscfil)incl 1,101m, fill i►lent Material listed e
dU��`��utliolls
violation of yuar>antine lt)ws tluvetn)IIy III,, Cvacllella Valley.
do occur mil they ditler Imm 1110Th livsterial listed, tills office nN3t lx' notified
11111 ediately.
Thmik you Lor prvtectlily and Irteserviny We Coachella Valley's Lest -free envirolment.
11
— ra'
Agricul.tutal Calli3 ssioner" s VL [ice
CCO 11010 mil Riverside U1 [ ice
T-itT 4 4 Q"
78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 5642246
August 24, 1990
Mr. Don Howard
79-811 Country Club Drive
Bermuda Dunes, CA 92201
SUBJECT: COLLECTION OF FEES FOR.THE COACHELLA VALLEY
FRINGE -TOED LIZARD
Dear Mr. Howard:
Our records indicate that two single family homes were approved
for you at the following addresses:
7.9_-755 Westward Ho Drive, La Quinta CA - Permit 5164
79-780 Westward'Ho—Drive, La Quinta CA - Permit 5165
On July 7, 1989, letters were sent to you regarding unpaid fees
which were not properly collected by the City (see attached
copies). At present, we do not have any record of having
received payment for the amounts specified in the attached
letters, If you have any such to show these _.
payments have been made, please submit copies to the Planning &
Development Department. Otherwise, we would appreciate your
prompt remittance of the overdue amounts as described in our
previous letters.
Should you have any questions, please contact the undersigned.
Very truly yours,
JERRY HERMAN
PLANNING & DEVELOPMENT DIRECTOR
(W!IT-1
Wallace H. Nesbit
Associate Planner
WHN:ccs
cc: Finance Department
Tom Hartung; Building & Safety Director
Address�Fi-lei
CVFTL Mitigation File
C,V�
4UG ,`t0 1gtH "
CITV0F
MI.IMTVcq "'F;"
LTRWN.0/UIff ADDRESS - P.O. BOX 1504 - LA qL INTA, CALIFORNIA 92253