9592 (PLBG)i,.
78-216 HACIENDA
Owner
GREGG
Address SAME
c&t�p 4 4v 4'ab!! -
P.O. BOX 1504 I'
7&105 CALLE ESTADO U
LA OUINTA, CALIFORNIA 92253
CityZip Tel. tS I o
LA QUINTA.0 92253 1285-2752
Contractor
EC0150 SEWER SERVICES
P 0 POS 192
PALK DESERT
State Lic.
& Ciassif. 4 6 0 9 81
Arch., Engr.,
Designer
Address
LICENSED
I harof, affirm that.
ion 3.of
N0. 9592
LDING: TYPE CONST. HOOKUP OCC. GRP.
Number
Description
:t Description SEViER HOOKUP
Zip 92260 Tel.:
94353 346-2793
Cit!
Lic. # 342 Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add Q.. _ • Alter ❑ Repair ❑ Demolition ❑
Tel.
Zip State
Lic. #
CONTRACTOR'S DECLARATION
unde'r- �alons of Chapter 9 (commending with Section
and P Ione Code, and my license is In full force ands
usRrWOUILUMMULA wrwN
I hereby affinn that I am exempt from the Contractors License law for the following
ressom (Sec. 7091.5;Busb-, and Professions Code_ Any city or county whip iequbw a
permR to otrmabuct,. atter, pirprove, dotts►r; or r - - -anysbuclial . prior to,ila issuance also.
regrdes ilia eppscarrt for. such pemdt Yo . Nb a aigeed &aterrierrt that he is .licensed pursuantto
he prwieMs of Me Contractors License Law, Chapter, a (conurrerrcing with Secthn 7000) of
tYrtsien;9 of the. Business and'Piolesalons Moft or that: he Is exempt there6om, and the beefs
for the 'aaAged ezerirption. Any violation of Section '7091.5 by 'any appikard for a permn
sulleaft perratty of not more. than the hundred dollars ($500).
❑ 1; as owner of the property, or my employees with wages as their sole compensation,, will
do;,the woAt and the structure 16 nof.intended or offered for sale. (Sec: 7044; Buimess and
Ftofessiura Code: The Contractor's Lkense Law does not. appy to an owner pt property who
4r9dlr err lrprores thereon end `who does .auoA work hbnaeti a. through his own empbyees.
p'oild6d prod".such 'lnipruvemerde ;die not • lrtended of oMered rot sale. -M,. Acwsver. the bu6dhg
or hprorammrf is sold within one year o1 cooipletlon, the ownerbrrBder
will have the burden
-o/p+w8iy ttgt.he dKl not -bund or improve for time purpose of aaie.l
D I, as owner of the property, am exclusively contracting with)icensed contractorsto con-,
struct the project (Sec. 7044. Bushess',and Professions Code: The Contractors Lkense Law -
doesamappy to an owner of property who.budds or`knproves thereon, and who contracts for
such prrjecfs wBh a.contractor(s) ik ensIad pursuant to the Contractor's Lkense Law.)
❑ 1 am exempt under Sec- a_ B.P.C.,for this reason
Date owner
WORKERS' COMPENSATION DECLARATION
I herebyaHirtn that I ,have a certificate of consent to self=Insure, ora certificate of
YYprlrer ggon Ipp �pag,Ar a ceNl�ge�Aa.aeet�Lds�,e 9 Code.)
��JL L�Om�ny .7i191'lr 'L.tTP3X' ii9.7•
.❑ Copy is filed with'the city. ❑.Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM,
WORKERS'COMPENSATION INSURANCE
(rhle.aecd need not be completed If the pembT is for one hundred dollars (1100) valuation
or lass.) .
heertify'that In the performance of.thP work fo►'which this permit is issued; I shell not.
employ arty pe`toon in any manner so as to become subi Oct to the Workers' Compensation
Lairs o_ f California:
natn Owner
NOTICE TO APPLICANT: fl, after making this CertUicate of Exemption you should become
adlect to the Wbrlers' Compensation provisions of the Labor Code, you must forthwith
con%* with such provisions or title Permit ahail be deemed revoked..
CONSTRUCTION' LEN DING'AGENCY
1 hereby affirrrrthat there Is a construction lending agency for the performance of the
eruk for whin:h tills permit Is Issued. (Sec. 9087, QWZad6.)
LmWers Norte
Lenders' Addrasn'
This Is a'building permit when properly, filled out, signed and validated, and Is subjectto
expiration K 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 alRcity and county ordinances and,state.laws totaling, to building
construction, and hereby authorize representatives -of this city to enter the above-
rridador- property forinspectlon purposes.
Signature of applicant — Date'
Mailing Addrasa
City, State, zip
PERMIT
AMOUNT
Plan Chk. Dep:
Plan Chk.. Bal.
Const.
Mech.
Electrical
Plumbing
• .
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS'
A JO
4e
a tri .t ... > •, -T
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. ®. $
UNITS
COLL.,AREA
2ND FL SO. FT..®
YARD SPKLR SYSTEM
POR. SO FT ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P.. SO. FT.
DUCT WORK
DRAINAGE PIPING
WALL SO. FT. ®.
DRINKING FOUNTAIN,
SO. FT ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM. FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOXDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
: plus xi
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FINAL INSP.
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USEPERMIT 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. REBID ® 116 c
SEWAGE DISPOSAL
SO.FT.GAR ® 314c
HOUSE SEWER
LPLCCILFEE
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE TNST.
FEE JELECT.FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR GOND. 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 APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
: plus xi
=S
LUMBER GIL
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH • GRADING
FINAL INSPECTION�a r�
CERT. OCC,
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS•
GARDEN WALL FINAL
■
ESTABLISHED IN 1918 ,AS. A PUBLIC AGENCY
COACHELLA VALLEY WATER DISTRICT
POST OFFICE BOX 1058 P COACHELLA, CALIFORNIA 92236• TELEPHONE (619) 398-2651
DIRECTORS OFFICERS
RAYMOND'R. RUMMONDS, PRESIDENT LOWELLo.WEEKS. GENERAL MANAGER=CHIEF ENGINEER
TELLIS CODEKAS, VICE PRESIDENT BERNARDINESUTTON,SECRETARY
JOHN P. po1NELL KEITH,H.AINSWORTH;ASSISTANTGENERAL - AiGERIAUDITOR
PAUL W.,NICHOLS REDWINEANDSHERRILL.ATTORNEYS
THEODORE J. FISH January 27-, '1986
File: 0721.1
jiL sic -'T- :....--_..__�„�'``•-
��QQ
VNameii
VaddV
;;Sabi
Subject: Sanitation Service for Avila Drive; Hacienda
La Quinta_, Guijarro Place,, La Quinta, California
The tract in which your home is located was constructed with a dry sewer system.
This system was installed in anticipation of the extension of community trunk
.sewers. In October 1985 connection to the community trunk sewer was made,
thereby activating. the sewer system within.your tract..,
The developer of your ,tract, recognizing that the sewer system was not usable,
installed septic tanks for the purpose of providing wastewater treatment until
the sewer system could be activated. Now'that_your sewer system is in service
you may desire to connect to it.,
In order to obtain sewer service to your property'the following items must be
completed:
1. The owners of record of the property must complete the enclosed application
for service card and return it to the District in the enclosed envelope.
The physical connection of your home to the community sewer may be made by
a plumber or sewer contractor of your choice. The contractor or plumber must
secure a building permit .from the City of La Quinta and notify the District,
prior to installation of the connecting pipeline.
A monthly sewer charge which is currently $11.00 is collected to pay for
treatment of the wastewater generated from your home.
TRUE CONSERVATION
USE WATER WISELY CiTv
NName.V -2- January 27 1986
If you have any questions .or require. additional information, please call
Jim Zimmerman at (619) 398-2651.
Yours very truly,
Lowell O. Weeks
General Manager-_Chief.Engineer
AU lmf
Enclosures/2/as