9486 (SFD)Building
Address 52-150 Villa Ave.
Owner
Lucano S. Ct: ronel
Mailing
Address P. 0. BOX 1238
cityy �a� uta Zip 92253
-- di4i1£ir/Builder
Address
same
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Z4--1403
State Lic.
City
& Classif.
Lic. #
I
Arch., Engr.,
Designer
Address
Tel.
City
Zip
State
$27.00
Mech.
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 Contractors License Law for the following
reason: (Sec. 7031.5,Business and. Professions Code: Any city or county which requires a
permit to construct, atter, 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 (oommencing with Section 7000) of
Division 3 o/ the Business and Professions Code. or Mat. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
sub cis the applicant to a civil penalty o/ not more than five hundred do#= ($500).
0 , as owner of the property, or my employees with wages as their sole compensation, will
d000666'YYVVVthe 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 hsnseff or through his own employees,
provided that such improvements are not intended or offered for sale. H, however, the building
or improvement is sold within one year of completion, the owner -bulkier will have the burden
Qroving that he did not build or Improve for the purpose of sale.)
' s owner of the property, am exclusively contracting with licensed contractors to con-
stthe project. (Sec. 7044, Business and Professions Code: The Contractor's Ucense• Law
does not apply to an owner o/ property -who builds ormrproves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec. B. & P.C. for this reason
Date Owner f
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, ora certified copy thereof_ (Sec: 3800, Labor Code.)
Policy 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 if the permit is for one hundred dollars ($100) valuation
or less.). R -
I certify that in the performance work for whi l this permit is issued, I shall not
employ any erson in any manner so as to become subject to the Workers' Compensation
Laws of Ca ' drnj)j / / r r
Date ( G' -Owner f • Y / J r�r� t { >' { ' !
NOTICE TO APPLICANT: If, after' making this- Certificate of Exemption you should become
subject to the Workers' Compensation provfsions of the Labor Code, you must forthwith- -
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby rn
affirm that there is a construction lending agency for the perforanmof the
work for which this permit is jssued. (Sec. 3097, CW 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
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
No. 9486
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description not 15, $lads 93 Unit 11
Project Description SFD
Sq. Ft.13�� No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter O Repair ❑ Demolition ❑
Permit sloes not include block walls or
pool
Estimated Valuation
74,988.00
PERMIT
AMOUNT
Plan Chk. Dep'.'-
ep.'-Plan
PlanChk. Bal.
209.09
Const.
I
$27.00
Mech.
9.50
Electrical
119.10
Plumbing
-.160.50
S.M.I.
5.25
Grading
20.00
Driveway Enc.
20.00
Infrastructure
1648.98
TOTAL
3009.42
21 �9. X42
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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
2ND FL. SO. FT. ®
POR. SO. FT. ®
GAR. $O, 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 PLUM .
FLOOR DRAIN
MECHANICAL FEES
STORAGE TANK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROCK STORAGE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAS (ROUGH)
LAUNDRY TRAY
AIR HANDLING UNIT CFM
OTHER APP./EOUIP.
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 ® 1% c
SEWAGE DISPOSAL
FRAMING q��. ��/
SO.FT.GAR ® V4c
HOUSE SEWER
p
�U!', s
'A//�VENTILATION
/
r
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 PLUMBING7-! - ERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 3
�/
ROUGH PLUM .
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
//''1
SEWER OR #1A
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EOUIP.
REINF. STEEL
GAS (FINAL) 9171%11
EMP. POLE
s
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP. 7 1
FINAL INSP. ? 7
$
GRADING
cu. yd.
plus x$
=$
LUMBER GR.
FRAMING q��. ��/
ROOFING
v
p
�U!', s
'A//�VENTILATION
/
r
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING -f oiY/V
MESH
INSULATION/SOUND ?/
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA, 92201
Document Cannot Be Duplicated (619) 347-8631
Date 4/22/91 Type of Permit JLaQuinta
No. 10554 Permit #
4 Owner Name Lucano S. Coronel Log #
No. 52-150 street , Villa Avenue
city La Quinta zip 92253 study Ares 112
APN # Tract # Lot # Square Footage 11360
Type of Development Single Family Residence No. of units
':Comments NPw construction_
At the present time, the Desert Sands Unified School District does not collect fees on
garages/carports, covered patios/walkways, residential additions under 500 square feet,
detached accessory structures or replacement mobilehomes. It has been determined
the above-named, owner is exempt from paying school fees at this time due. to the
.following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of1.58 I X 11.360 1 or$ 2,148.80 have been paid to D;S.0 S.D, for
the property listed above and that building permits and/or Certificates -of Occupancy for
this square footage in this proposed project may now be issued.
Fees`Paid By Lucano S. Coronel
Telephone' .764-1403 .
Name on the check
4 s A.
B Richard M. Beck
Director, Facilities Planning & Developmentp
¢z
Fee collected /exe p d by Kathleen Emmerlin
Payment Ftcei ed "" y
Signature
k,' dko.' 278
�Gl
Collector: Attach a copy o county or city plan c eck application form.to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
+ � LoM fi0•Y i3= � �
COMMONWEALTH LARD tlTt + ,
'OflO?MAIL TOs
NMtN'p%COk
e. Luoasio Corona
tor. .fi' Xt t
1374 : fat IL
92236
Coachella• Ca z,
11.00
AWW
MAIL TAX STA"Num TO • +.7 • �! •'^� � *Vogel � �4 R •
*met I
GAANt Onto s::
'
M hN� ^Ow�"'
FOR A VALVA6Ll CONNDiRATION, ff*h 01 whtd� -
k..k-
#I-,. Mite v •
JACK R. McCL tZfW%+Pt' AND
MARYANN $0CLANkHAa1 hulibfiutft` Q,
hw*r G"71fa110
,.as,a�Kif�fao. �, oi.n
qL AND LURE CORCNBL, hufJbana
,... ,
LUCANO
is Quints Y M
• ��� . � �1sq el C111
d i COMM"Ift
•f jtiver� UNXTS15100.
yt� L2TA AT 'YJ►Ia LA' QUZNTA
Lot 1 n 71 .a3 lilaAtrT►-b0000k l8. pape' 7Sr_otyMape`f 'tacazds:^o!
ide-County'r California:'
• �'.. "',: Jnr yii _
6'
Ootobiz 31 198e
FOPATII
L'>aY Via:
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o. an • aa' an '•''� :+� • Qf11Ci�►L lam'. '
N :« «''VVW 'N'M r,— t/ My ii� i
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Ia >b tate 0rti�01 , ; :.. .
�ywriM
id M ! : ,
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. •.., ....'•:T�Tf..fNTA Afi;UI�RCYBD ABOVE
RECEIPT NO. / Issued By Date 7 .r
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DISTRICT: ❑ Riverside, Indio ❑ , Hemet. ❑ Perris ❑ Rancho Calif. ❑ Blythe
DOH -SAN -122 (Rev. 3/90) DISTRIBUTION: WHITE - Office file YELLOW Applicant PINK - Bldg. Dept GOLDENR DD - Plans/Records '
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COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH
ENVIRONMENTAL SERVICES DIVISION
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 nori-refundable filing fee (see below) is required when the application is submitted. Check must be nade.payable to the County of
V(]09ie I',',si4,0. *provalAf this application shall remain valid for a period not to exceed one year from date of approval..
Qad
/
ITEMS�INI,SECTION�A FROM BUILDING
VERIFY & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION _OG # t• /S�' `�' B
Can 645'
ne
Address•& Fi „ .
cr- S �e
Phone
6'r I Address L. ,�1 j.Vt/'VI
1�.0 C.e..�r�1�._r
Id!
to
Zi
X 2
J Prope Address
7• - l n � • Y"
Legal Description Prop. (PM, Tract. Lot)
OLc�T /5 l>3 k v^3i it
Lot Size ,.
Water C i✓. yell
�.�t�
Use of Permit P/P, CU, etc.
Other f of `Q��r`'-/
7
VV , ¢
Dwelling k1 Site Prep, etc.
Signature of Apdloant
Deft
CATEGORY: REV CODE FEE
CATEGORY: REV CODE . FEE
SUBSURFACE DISPOSAL 1238 5.7 U0'
❑ SITE EVALUATION UPON REQUEST 7349 .H $ 43.00
m
❑ MULTIPLE PARCELS WITHIN SAME v7• B0,
(NO PLOT PLAN)
LAND DMSION
❑ SEWER/SEPTIC VERIFICATION! 7348 $ 17.00
Z
O
a. 1 at 4 Parcels (Each) 1238 $ 57.00
(Less than 1 year)
b. Each Parcel after 4 7344 $ 24.00
❑ PRELIMINARY ELECTIVE 7352 $ 23.00
W
❑ Rerevfew (2nd review same parcel) 7344 $ 24.00
EVALUATION (Attach DOH SAN 53)
❑ Site Evaluation in Conjunction with
❑ HOLDING TANK 7351 $ 47.00
Critical Area 7346 $111.00
❑ ALTERNATIVE/EXPERIMENTAL • 7345. $222.00
❑ Site Evaluation tot Less than
SYSTEM
10,000 Sq. Ft. 7347 $ 87.00
\ t INITIAL DATE
!
Hdding'Tahli'Agceements Completed ❑ Yes No
I
Certification of Existing S.D. System Required ❑ Yes ❑ No Y
WOCB'Clearance required. (Attach Form ❑ Yes No
DOH SAN 007, Santa Ana Region Only)
Solis Percolatlon Report Required. . ❑ Yes No
Spedal Feasibility Boring Report Required. ❑Yes No
Detailed Contour Plot Plans Required (1 to 5 ft. interval) O Yes No . W
Other j' ❑ Yes NO
v -
Staff Specialtsl Lot Inspection Requires! 0 -'Yes No
t Lot Inspection Date
Soils. boring report by f r /Q_ . Project #t ` Date
wMap
Soils . Page Sol Type Apprmed by %il /J�( D. E/ 1
0
Z
0
No. of Systeme
Type of Systems)ailing
❑ Holding Tank ❑ Existing
Unite
8edr'�ooms, xture Units
(1) Septic Tank
Soil Rate
Grease/Send
Grease 1
New ❑ Replacertwnt
1a av�X�
Gal
W
(2) Leach. Ft
h area
Sidewali allowance
K rocW R sq.
Install Lk*s) � it wide wflh• +
Leach Bed
'
per running R
min. %/ wm-� ,�'bebw drakrlinea or
%�'^"�
a
� "'�' �
NA
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below
Seepage Pit Total Depth
(TD)
Other:
Applicable,
Inlet
Inlet (BI)
Max. Allowable Depth.
N/A �/�j'.• Overburden factor
6
/ d ` i
No. 2 System
a1
REMARKS:
0
This applications APPRO�VF /DENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system.as indicated
on the accompanled-'ptot plan, using the requirements set forth in SECTION C above. .A building permit is necessary for the installatiori',of the
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0
afx� signed system. No construction is permitted in the required reserved 100% expansion area.
1(-Y Septic tank and sewer lines must be 50' minimum from any wells
�
O. Leach lines must be 100' minimum from any wells, including expansion area
(3 Seepage pits must be 150' minimum from any wells, including expansion area
Signature of Health Official UA
RECEIPT NO. / Issued By Date 7 .r
r
DISTRICT: ❑ Riverside, Indio ❑ , Hemet. ❑ Perris ❑ Rancho Calif. ❑ Blythe
DOH -SAN -122 (Rev. 3/90) DISTRIBUTION: WHITE - Office file YELLOW Applicant PINK - Bldg. Dept GOLDENR DD - Plans/Records '
:C
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