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05729 (SFD)•4 �� yo FiE P.O. BOX 1504 No. 05729 Building Q278-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner CMOKIM 1 o"M Mailing BUILDING: TYPE CONST. OCC. GRP. Address 79-811 COUN RY CLUB DR* B8 617-112-011 A.P.,Number City Zip Tel. WT 42 BMIUDA DUNES 92201 619/345-6225 Legal Description Contractor SAIM Project Description sF Address Tela State Lic.I City & Classif. Lic. # Designer' ' Address Tel. City P Zi State 1 Lic. # LICENSED CONTRACTOR'S DECLARATION /) I hereby affirm that I am licensed under provis'lons of Chapter 9 (commencing with Section 70pp) of Division 3 of.the Business and Professions Code, and my licens9; is in full force and effect. SIGNATURE :�"A" r_ W�"" 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, after, improve, demaish, or repair any structure, prior to its issuance also requires the applicant for such permit to Ne 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 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). ❑ 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, Buisness and Professions Code: The Contractors License Law does not appy 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 building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or irprove for the purpose of sale.) O 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.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be completed it 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: 8, after makig 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 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. 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 ateMailing Address City, State, Zip ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Sq. Ft. 2450 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ FINAL DATE INSPECTOR 5/11/%9 Issued by: Date Permit Validated by: Validation: Estimated Valuation $128:502.04 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. S Const. 741.00 Mech. Electrical - +145.93 Plumbing 1134.50 S.M.I. 19-35 Grading 20.00 Driveway Eric. 20.00 Infrastructure • • i f 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 5/11/%9 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES t 1ST FL. SQ. FT. ® $ UNITS f SLAB GRADE S �G ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE FOUND. REINF. POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SQ. FT. @ WALL SQ. FT. WATER HEATER DRINKING FOUNTAIN. FINAL INSP. URINAL SQ FT ® WATER SYSTEM ESTIMATED CONSTRUCTION VALUATION $ GRADING cu. yd. $ plus x$ WATER PIPING NOTE: Not to be used as property lax valuation - FLOOR DRAIN MECHANICAL FEES � S U WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.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 GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE S �G ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS ER OR SE /T ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) �0 ER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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. /� 2 fj%J� Q FRAMING % �/ FINAL INSP. s ROOFING L% VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING �/ 7 2l�9 MESH INSULATION/SOUND -71(l FINISH GRADING FINAL INSPECTION- A 1. N Q c ' � S U 7 REMARKS: i CERT. OCC. FENCE FINAL INSPECTOR'S SIGNA GARDEN WALL FINAL r� r� Building 4r o Address Owner CHEROKEE HHMES •4 4 " P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 maning Address 79-811 COUNTRY CLUB DR, B8 City Zip Tel. BERMUDA DUNES 92201 1(619) 345-6225 Contractor CHEROKEE 79-811 COUNTRY CLUB DR, B8 City Izip —622 ; State Lic.I City & Classif. B Lic. # Arch., Engr., I Designer BILL FITCH Address Tel. City P Zi State BERMUDA IRONES 1 92201 Lic. # / / LICENSED CONTRACTOR'S DECLARATION j 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, 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 (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). 0 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 building 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- 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 I hereby affirm that I have a certificate of consent to self -Insure, or a certificate of Worker'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. 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 thg work for which this permit is issued, I shall not employ anyparson in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, alter 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 BUILDING DIVISION SINGLE BUILDING: TYPE CONST. 14011SF OCC. GRP. A.P. Number 617-112-011 Legal Description TRArT 7190 Project Description MB 41-37-39 LOT 42 Sq. Ft. 2,450 450 SQ. F'1No. No. Dw. Size Stories Units Ne Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation -f �, c PERMIT AMOUNT Plan Chk. Dep. ;7-D Plan Chk. Bal. Const. Mech. 6,v .00 Electrical 1145. 1 Plumbing l D S.M.I. 1, Grading ,.pv Driveway Enc. a ao Infrastructure 21(7 3:51 TOTAL n REMARKS >, �.. nr r r, r.. co _r,�- ua i is CASH I 'j 01 001 i ,r�O. OL 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 Perm Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. Z�JMSO. FT. aa2-0-7< 1171 — UNITS SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS YARD SPKLR SYSTEM ROUGH WIRING 2ND FL. SO. FT. ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) MOBILEHOME SVC. REINF. STEEL BAR SINK TEMP. POLE POR. S0. FT. ® GROUT WATER HEATER SERVICE GARS SO. FT. ® POWER OUTLET BOND BEAM ROOF DRAINS GRADING cu. yd. $ plus x$ _$ LUMBER GR. DRAINAGE PIPING FINAL INSP. CAR P. SO. FT. ® FINAL INSP. ROOFING WALL SO. FT. REMARKS: DRINKING FOUNTAIN VENTILATION SO. FT. ® URINAL FIRE ZONE ROOFING ESTIMATED CONSTRUCTION VALUATION $ FIREPLACE WATER PIPING NOTE: Not to be used as property tax valuation SPARK ARRESTOR FLOOR DRAIN ECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN VAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER INSULATIONISOUND GARBAGE DISPOSAL FINISH GRADING FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY FINAL INSPECTION AIR HANDLING UNIT CFM CERT. OCC. KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM GARDEN WALL FINAL 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 s SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEEPL.CK.FEE CONST. FEE SMI FEE PLUMB. FEE a - JELECT.FEE 1't5, `l x,35- STRUCTURE PLUMBING I'LL HEATING R 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 APP./EQUIP. 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 INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS. GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF q.A SCHOOL FACILITY FEES CA. NOTICE: THIS DOCUMENT CANNOT TO: City •fB6IQ 'MWCATED, DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This isto ertif tha developer of which is located at — within this District, has paid school facility fees imposed pursuant to the a Kori y generatA by G v rnment Cod Section 5 U8�01t ou t of �P $ JV cov ring a total of square feet of ) r siden ial r ( ) industrial/commercial development and that build ng permits for this footage in this development may now be issued by your jurisdiction. UL(�� for D SER ANDS•UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer ( 10)-37 ti � ' .,. Y � w i, t 'f.;�'�R.-•'�..>��,;;p yr .f, �;n r,L� 1 .. .. -rr`+ •� r.�.1`�vr.� � � � ,.� •... . r. i . `'. 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 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. VERIFY ITEMS IN SECTION A FROM BUILDING 8 SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'* V66n � � ` Phone Address 8 Phone l i Ckvl/ lY' - A Phone Mailing Address C to Zip Jab Pro rty AddrTr, Y� Descript' . (PM, Tract, Lot) e� C Lot Size Water Ageno� /Well Use of Permit P , CO, etc . t Other DDCr'H s ij r'"pw"ellinge Prep, etc. kf kJ !:!./ k ': J Signature of Applicant Data CATEGORY: REV CODE FEE... S `SU , CATEGORY: REV CODE FEE DISPOSAL 1236' $45.00 ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 a. 1 at 4 Parcels (Each) 1238 $45.00 (Less than 1 year) b. Each Parcel 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 ❑ 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 $86.00 a INITIA,L�J t, DTE Holding Tank Agreements Completed ❑ Yes' :©No.� Certification of Existing S.D. System Required ❑ Yes po i WQCB Clearance required. (Attach Form ❑ Yes 0 No DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes Special Feasibility Boring Report Required. ❑ Yes in' Detailed Contour Plot Plans Required (1 to 5 R interval) ❑Yes Other ❑ Yes 'f Staff Specialist Lot Inspection Required U Yes a NoLot i Inspection Date Soils boring report by # Date /Project Soils Map Page l r I Sop Type Q U Approved by l �c� Date . No. of System Type of Systeri so No. Dwelling Un fs(/� (1) Septic Tank Soil Rate Grease/Sand ❑Molding Tank ❑ Existing New ❑ Replacement Bedrooms, Fixture 3 -/.,0 A- A c.2 kk 13 4 Ri Gresse Intop (2) Leach Line Sq. Ft. Sidewall allowance install �_ Lwre(3) 1 ft long 3 ft wide with Lesch•Bed sq. ft Bottom trench area R rook/ sq. It. per running ft min. ��^ inches rock below drahrrnieg or of bottom area All, ❑� Leachiines/bed special design for slope: (3) Pit Diameter No. Pita Pit Below Seepage Ph Total Depth Other. Applicable N/A Overburden factor ❑ 5 ❑' 6 Inlet.(BI) Max. Allowable Depth it02w$ystBrYf" �Cr.-e:� ._.t....,P.}�•r—_ f/✓rc4,.�,�y� �,.-. �E�f' Lr..r.a'�-,P�-�' ..r•�a . - c.tx ,, oc� /ye -t/ -Ps.% X74 L�w�+'1'r%rtXt+l,..s-'"�iVLCi �/° �-, �'c.. /�t.,q� .tom ;a..r�'�•�✓��,�G+.!oc� <.da. P"�J�✓'�. `vt.yy--'CP�t' ,ad. ,"f?r- t[ �a',;,,R(�' �.%%Y�f�.��� Ar �-!^f�7 REMARKS: �/o`.G' ���..A .,.^�/ ems/./ /l.bw �+ ,{Ai ..C..^Yf .i ...rdi�� v... f�IDk...i..�_wa.�.1 C�1 / /}�wJN/�pl7il• l• . -, J;✓r-I"� /Y.ib � L,•C.P (�E•/ ..4t.. wC• .� Jk /..%fL '�..- ' C is -.- t rP' ,.•„c.,+:ZF'14PZ rLy ih " ,<,., ct G/...t /7'P; rThis application4s,APPR D EINIED for the category 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. Septic tank and sewer lines must be 50' minimum from any wells,—/ /G * T ti r `/ (,ii"~+ I'? Ct •,� �. ,:'tea/ f/s "'*�+` Leach lines must be 100' minimum from any wells, including expansion" "' *'°'i i` Seepage 13)must be, 150' minimum from any wells, including expansion area pits U Signature of Health Offx:ial/ � RECEIPT NO. 1 C� Issued By ��_� Date DISTRICT: ❑ Riverside, O Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records Ot R oitlrE of E. LEON v A GY ?AGRICUL'I URAL CO�IMISSIONL11 ? 'r IASIES U WALLACE O rt �) d T AN MSIStANI r,�u�nacw�ta �' WEIGI I f S & MEASURES CLEMENT OEWEtvIS1E `}•"`� 49-613 Ilwy 86, Suite D-12 4 r 9, 'Cva6191342-8lg 19226 DATE Saki''IM CASE R). P, - ow -7 DEVELOPER'S N11MEt�� ADDRESS t I I (yu nII j1` 1 C l L(,6 • RCr�tn�4�/� TEL,L;PIIONEt (,t4) AMER Wt Dear Developers After reviewing your Imidscapbig plaits, all plant material listed is not in violation of quarantine laws govembig the Coachella Valley. if substitutions do occur and they differ frun plant material listed, this office nadst be notified imnediately. , Thank you for protectbig and preserving the Coachella Valley's pest -free envirolYnent. Agriefilluial Can ssioner s of tice ccs Indio and Riverside office