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003517 (SFD)44a P.O. BOX 1504 No. .003517 Building Z> 78-105 CALLE ESTADO Address 79—%46 W'eaturard - Ho LA QUINTA, CALIFORNIA 92253 Owner BUILDING:. TYPE -CONST. OCC: GRP. Mailin Address 617-121-003 P.. �e � - + A.P. Number CityZip Tel. Zr6t#1Y323 3 —414 Legal,Desc'iption Contractor milY 3LProject Description g�£ £ g . Address. _. City Zip - Tel. State Lic. City & Classif. Lic. # Sq. Ft. No. No. Dw. Arch., Engr., _ Size - - -2440 - Stories - Units Designer New• ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 21-ar, age 484 City Zip State 80' -Of 3' Wal.i Lic: # _ LICENSED CONTRACTOR'S DECLARATION 13411- iif 59 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.. -0. WORKERS' COMPENSATION INSURANCE SIGNATURE DATE- (This section need not be completed if the permit is' for one hundred dollars ($100) valuation ' 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, 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 or 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 rive hundred.dollars ($500). - ❑ 1, as.owner of, the property, or my employees with wages as. their sole compensation, will H • 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 EStlhldted,V3lUatlOrl y. y�g 29 567, �:� - ' - .. PERMIT' - - • - AMOUNT Plan Chk.,.Dep.. ?. $250.00. . - Plan Chk. Bal. 145.2 Const,�- Mech. - m builds or improves ihereon 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 sold within one year of completion, the owner -builder willhave the burden of proving that he did not build or improve for the purpose or sale.) - Electrical ��, s �' Plumbing 105.0 ❑ 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 • doesnotapply to an owner of property who builds or improves thereon, -and who contracts for - such projects with a contractor(s) licensed pursuant l6the Contractor's License Law.) - O 1 am exempt under Seca • B. & P�C. for this reason ,.-'I - S•M`t. :. d Grading 20 s Driveway Enc. 20.0 ' !' ,t` r . !' ,�,r �� • P' �,.•t�r a' Date �.� /z , i t p ' owner / Infrastructure 2 s 807 2 • Vr4 nfSP_,—TnAd L. Lzard hereby affirm that there is a'construction lending agency for the performance of the WORKERS' COMPENSATION DECLARATION .l hereby affirm that Ihave a'certificate'of consent to self -insure; or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Side'Setback from. Property Line Lender's Name Policy No. Company Lender's Address ' O.Copy is filed.with the city. 0 Certified copy is hereby furnished. INSPECTOR This' is a building permit when properly filled out, signed and validated, and is subject to TOTAL expiration if work thereunder is suspended for 180 days.. CERTIFICATE OF EXEMPTION FROM' REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is' for one hundred dollars ($100) valuation t, x =+i Br ' ii•A6—ti Ji—f31�;f-77 or less-) _ .. .. . _. .. .._... ... - - 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 LL'_Owner' NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become 'subject ZONE: ..By: ' to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. - ' ' -Minimum Setback Distances: - Front.Setback from Center Line Rear Setback from Rear.Prop. Line CONSTRUCTION LENDING AGENCY . Side Street Setback from Center Line ' 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:) - - ,' Side'Setback from. Property Line Lender's Name Lender's Address ' FINAL DATE INSPECTOR 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.. +'Issued I certify'.that I have read this application and state that the above'information•is correct. by: a Datel2/0/8 ermit •"- 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. Validated by: Signature of applicant Date Mailing Address Validation: city,, state, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ. FT. ® CARP. SQ. FT. WALL SO. FT. ® SQ 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 STORAGE TANK FLOOR DRAIN MECHANICAL FEES DUCT WORK WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER STEEL -1 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM FINAL INSP. 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/e c SEWAGE DISPOSAL FIRE ZONE ROOFING SQ.FT.GAR ® 3/ac HOUSE SEWER FIREPLACE 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 F — -46 OUND PLUMBING ;jd UNDERGROUND A.C. UNIT COLL. AREA -, T± B GRADE �' / — ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC T ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. STEEL -1 GAS (FINAL)4 9% `(� P. POLE GROUT WATER HEATER I SERVICE FINAL INSP. BOND BEAM Sf 2 r -A fER SYSTEM GRADING cu. yd. $ plus x$ _$ LU BERG FINAL INSP. rw � AMING :3' (T —c 491 FINAL INSP. — ROOFING ('(/ /_ 9 a/ r �d d f I� 3-/3��� IL REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING �%% °'� /�J/y3� MESH INSULATION/SOUND 7 Q FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL \ Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES NOTICE: TBHIS DOCUMENT ' CANNOT � TO: City ofLa Quuinnta DATE: 1��t� I `�l (0) Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 ?I—ft This is to certify that developer of which is located at within this District, has paid school facility fees imposed pursuant to the autho t gene ated by Government Co ,Sec i n 530 0 'n h amount of $ c 0 ,,� ��'i e�Dv cov�a total of s are feet of YKVVegideniial or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. 16160417c:9,00 k 7S% for DESERT S DS•UNIFIED SCHOOL DISTRICT White/- Building Department • Yellow- Facilities Planning • Pink - Accounting • Gold, - Developer (10)-37 2 47 Z O H U W U) .o Z O H U W U) VJ Y-, Q LU Ir X Z O U W U) mss*. ti -N a .s, '�'+�'a +licya;Y- it s:,-aH, 'c'Fw .f 7',,;,;�i'•i-=,a:,.:-'4�iTt,::w.Vf�'�w`- -tia Yc,.- i .. A COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM r Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County specifications -equired on the attached check list. A non-refundable filing fee of required when the application is submitted. Check must be made payable to the County of Riverside. f$8:ris 7 Building Department Applicaion Log # Name (Owner, Agent, Contractor, Etc.) Mail ng Address City State Zip Code Telephonee'/� Job Property Address C,Qy.Br GommunityoM a- 'Legal Description of Paperty. (Lot, PM, TR) AU f 'Assessor's Parcel No. Water Agency or-wdlJ, _ f. . _ R iJA C✓t F �.¢� Use of Permit�+`�/ ���c,+ •�`�' Planning Coe N _ Lot Size t % if j �i�i 01 I -" ^ 3 SFD, MH Site Preparation Etc..l� 1,�4 'I'/ ''Signattlre of Applicant Date 'The above information must be verified from Building Application STAFF USE -DO NOT WRITE BELOW THIS LINE e`Ihitial Date .0, Certification Certification Existing System ❑ ❑2' of S.D. required. Yes WOCB Clearance required. ,_ ❑ Yes 9 No Soils feasibility report required: El Yes 12 N` ,J Detailed boring report required. ❑ Yes ❑ No Detailed contour plot plans required. ❑ Yes �0 No % Staff Specialist approval required. ❑ Yes © No Lot nspection Date r Soils/boring report by tt- / Project # Date Soils Map age �`/ 1 Soil Type Approved by le�4 Date P r l7 I Type of System: V ❑ Existing ®"New ❑ Additional ❑ Replacementy�G FNof Bedrooms ®917- ,r;l: /2„gin{pt ��� r j f R , (1) Septic Tank my 419 Gals. Soil Rate.Required p c (2) Leach line sq. ft. o Sidewall allowance � Install _ Line(s)—F;.. Long, 1i r LeachZeclSq. (e : trench area) ft. rock/ Sq. Ft. ft.. Q=N/A Fit w�i'de+wi. min. ^ inches below drain lines Ft. o bottom " per running _ rock _ area ,a Leach lines/bed-special design for slope: Applicable_5' (3) Pit. Diameter i 66 r No. Pits Pit BI ` Seepac:e.Pit total depthd`c+U J Max. a'lowable depth U f N/Overburden factor �f 6 GIC.rG�' � %��"� Q:,+tr3✓�i�..�.�.-z... :✓.� �r.�'�+r^�.. :erT---'Pi -,l J�/G`"J �1 �'�/.ir�.i�.v�: +4a�-. , r� �`T,i!?. ./G..F-.Y.�..r-4...Si%•� .FM” iy..-'.Jb•+- /'4..4 aY/ H'S� *. fil::. Aye C;•�r+'°.J6. - e�_-K,4.�.%i-.J-u•"'y e/S 'i G✓L"f�• w'�.w ^ ;-•r•-�.'..rtl.� ,�� ,•�: �P'�., .�.�. �! 1'�'%f F-�,.e.-� f��.r-A' ...� �'�.•�.a.[Jt.°..G�.Jr'�.e,:,} �✓"I Gt/G�../�J�il t This application is ais apprr?ved/d_enied=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 be 50' from any wellsC1- /0.&./ws 4AUI/1&&pq�'� '� -q../ 4. (2) Leach lines must be 100' min. from any wells including expanslon� area rz L t' 3)) Seepage pits must be 15W min. from any wells including expansion area e /o /(lI-`"•''� s" 14 �GC. /`. / fc .Q Signature of Healih Official "r a / . g.•-!gp�yte, ,,�' t fL,yf , - $� f� !!� J RECEIPT NO. _ ,,�' Issued by Date— District: ate District: F-1RiversideQ' ndl" io ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/66) 2 A �� R, Is-� OFFICE OF E.. LEON SPAUGY J? �� s AGRICULTURAL COti1MISSIONER O I v 1AMt=5 0 WALLACE AND ASS:S;A.%f COMMISSIONER �.} '" WEIGHTS & MEASURES CLEMENT BENVE^+is1E . SEALER 49-613 Ilwy 86, Suite B-12 \,,`J.•'� ' Coachella, CA 92236 qr9 tSq 619-342-8291 DATE CASE NO. 82 12S % / e,4 DEVELOPER'S NAPE:.:, ADDRESS TELEPHONE: -Dear Developer: ''t 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 inmediately. Thank you for protecting and preserving the,Coachella Valley's pest -free environment. Agricultural Conmi ioner's Office cc: Indio and Riverside Office