9973 (PLBG)Bui
4 '41 QUA
6J
iP:O. BOX 1504 . • NO.
78.105 CALLE ESTADO.
78-.165 Jla&ienda LA OUINTA, CALIFORNIA 92253 C
Address SaiRe
City Zip
Ira Quinta 92253
Contractor
Econ } Sewer Services
U. Box 1.92
1:� Desert 'I�2251 Te346-2793
_jc. City
sif. 480961 Lic. # 342
Engr,
Address
City Zip State
Lic. #
LICENSED CONTRACTOWSDECLARATION
I hereby affirm, that;f em IlEensed'_ nd4r provisions of Chapter 9 (cc
70@gj of Division 3 of theBa tress a Raofessions Code, and my II'
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5;Business and Prolessions Code Any city or county which iequbes a
permit to construct, alter, improve, damofth, or repair any structure, prior to Its issuance also
repo/res me .applicant for such permit to 816 a aimed. statement that. he A; licensed pursuant to
the provisions of the Contractors License Law, Chapter 9 (comnierncing with Section 7000) of
Division ' 3 of the Business and Pyolesstons Code, or that. he Is exempt therefrom, and the basis
for the alleged exemption., Any vtofABon of Section 7031.5 by 'any appiioant for a permit
subjects, the, applicant to a cJW penaftyof not more than Ove hundred dollars (5500):
❑ 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. 7041, SuMness and
Professions Code: The Contractor's License Lew does not apply, to an owner of property who
build. or improves thereon and who does such work .himself or through his own wnloyee.,
provided that such inprovementa are .not Intended or offered for safe. h however,the bulldbng
orimprovement is sold within one year of completion, the owner -budder will have. the burden
of proving. thathe did not budd,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, Sualness and Professions Code: The Contractor's License Law
does not apply t6� an owner of property who builds or Improves thereon, and who contracts Yor
such projects wlth.a contractors) deemed pursuant to the Contracfor's.Lkense Law.)
❑ 1 am exempt under Sec 8..6 P.C. for this reason
' bate Owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that 1 have a certificate of consent to self -insure, ore certificate of
Workers Compensation Insurance, or a certified coo thereof. (Sec. 9800, Labor Code.)
Policy No Company '
Copy is flied with the city. p Certified copy is hereby fumished.
CERTIFICATE OF -EXEMPTION FROM
WORKERS' COMPENSATION' INSURANCE
(This section need not be completed If the pennit Is for .one hundred doAws (5100) valuation
or less.) .
I certify that in the performance of thp.work for which this permit is issued, I shall not
employ -any pperbon In any manner eo as'to become subject to the Workers"Compensation
laws of California
Data Owner
NOTICE TO APPLICANT: N,' alter m.Mng this Certificate of Exemption you should become
.subject to the ' Workers' Compensation provisions of ' the Labor Code, you must forthwith
cvmoy with such provisions or this permit -shall be'deamsd revoked. .
CONSTRUCTION1ENDING AGENCY
I.,hereby performance affirm that there. is a construction lending agency for the perfoance of. the
work for which this permit is Issued: (Sec. 9097, CM Code.)
Lender's Name
Lender's Address
This Is a' building permit when properly filled out signed end validated, and Is subject to
expiration It 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 .authorize representatives of this city to enter the above-
mentioned property for Inspection purposes
Signature of applicant Date
Melling Address
City, State, Zin
99.73
IG
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
,Legal Description
Project, Description
Serer Hook- Up
Sq. Ft. No: No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk: Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing 30.00
S.M.I..
Grading
Driveway Enc.
Infrastructure
TOTAL 3 -f3
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 f oPermit
Validated by -
Validation,:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL SO. FT. ®.
YARD SPKLR SYSTEM
r
POR SO FT
MOBILEHOME SVC.
BARBINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP SO FT ®
DUCT WORK
DRAINAGE PIPING
WALL SO. FT.
DRINKING FOUNTAIN.
$O FT ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property W valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM, FAN EVAP.COOL HOOD
SIGN
WASHER(AUTONDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT 'WALL FLOOR SUSPENDED
I
LAUNDRY TRAY
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.
SO. F.T. ® c
BATH TUB
SO. FT: ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. REBID ® 114 c
SEWAGE DISPOSAL
SO.FT.GAR @14c
HOUSE SEWER
SPARK ARRESTOR
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH:FEE PLCK.FEE
CONST. FEE JELECT. 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
FORMS1-0
EWER OR SEPTIC TANICj
I 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
GRADING
cu. yd.
= plus x$
cj
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 �� C L/
CERT. "OCC.
FENCE FINAL
INSPECTOR'S SIGNATURE&INITIALS
GARDEN WALL FINAL
'J. AL gg73
ESTABLISHED IN 1918 AS A PUBLIC AGENCY
CCACHELLA VALLEY WATER DISTRICT
POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (760) 398-2651 • FAX (760) 398-3711
DIRECTORS: OFFICERS:
JOHN W, McFADDEN, PRESIDENT STEVEN B. ROBBINS,
PETER NELSON, VICE PRESIDENT GENERAL MANAGER -CHIEF ENGINEER
TELLIS CODEKAS MARK BEUHLER,
RUSSELL KITAHARA ASST. GENERAL MANAGER
PATRICIA A. LARSON JULIA FERNANDEZ, SECRETARY
DAN PARKS, ASST. TO GENERAL MANAGER
February 11, 2004 REDWINE AND SHERRILL, ATTORNEYS
File: 1112.
Cheryl Ward
48-800 San Pedro Street
La Quinta, California 92253
Dear Ms. Ward:
Subject: 78-165 Hacienda
Account No. 507313.146.0.4
In response to your inquiry, this district does not have available information regarding the
completion of actual hook up to our sanitation collection system for the above -referenced
property.
In researching our records, we found that the subject property has met our sewer requirements.
It is the homeowner's responsibility to connect their pipeline to the sewer lateral.
If you have any questions please contact Rosie Anacleto, Customer Service Representative,
extension 2420.
bc: City of La Quinta
Post Office Box 1504
La Quinta, California 92253
Yours very truly,
f Grp
Richard Shonerd
Customer Service Supervisor
TRUE CONSERVATION
USE WATER WISELY