9597 (PLBG)i
Building
Address 78-234. HACIENDA
,
JOHN FOSTER
4P.o. Box 1504 '- %' N 0.
78-105 CALLE .ESTADO
LA QUINTA, CALIFORNIA 92253 rp C
�V
r
BUILDING: TYPE CONST. HOOKUP OCC. GRP.;
Address SAME
CityTel.
LA QUI lTA,CA 9Zip2253 1
ECODO SEVER SERVICES
9
alm desert 1 92260 1 346-2793
&Classif-- 460981 ILid # 342
Address Tei.
City Zip: State
Lic. #
LICENSED COKMCTOWS.DECLARATION
I hereby affirm that I am licensed under prorisi s of Chapter 9 (commencing with Section
7000)tof Divlsion 3 of she Business4hd'Professldit Ccde, and.my license is. in
full force and
SIGNATURE ..` - DATE
1s' OWNER•BUILDER'DECLARATION
I hereby afflrin that 1 am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Br &hm and PmfessinnsOode: Arty City, or county which requbee a
permit to construct, alter,knprove, demoAeh, or repair any structure, prior to Aft 'Issuance also
mega/res -Me apparent rot aurfi.pemrit to rale a signed statement that he b Acensed puiauert -ro
die provislorns o/'the Contractors Lkerse Law, chapter 9 (commencing with section 7000) o►
Dids/on 3 of the Sushessland Profeaelon3 Cod_ e; or Mat. he Is exempt tlrershom, and the; basis
-for the alieped exert tion. Any-vbtetkin of section 7031.5 DY 'any applicant for a permit
sWeots the appAcanf to a civil penally ofnot more then five hundred.doaara.(t500).
❑•I, as'owner of the property„or my employess,with wages as their soltoompensation„will
do'the work, and the structure Is not Intended+or offered for sale. (Sec. 7044, cuteness and
Prolesslons Code: The Contradaa^a License Lew does not apply to -an owner of property, who
builds or improves thereon and who does such work hftwelf or, through his own employees,
prodded that such..gnprovemenfs are not bMwxW or offered for safe. If, however, Me b0d(rg
or bnprovamant Is said within one jriw of coqistlon, the owner- builder wN have the burden
of proft.tharhe.dkl not build or &Mrove for the purpose of sais.) .
❑ I, as owner -of the property, am exclusively contracting with licensed contractors to, con-
struct the project. (Sec. 7044, Business and Professions Code: The•Contrector's License Law
does not apply _ to, an owner of, property. -who tirade or /reproves thereon, and who Contracts for
such pro)ects with a contractors) I caned pursuanfto-the Contractors License Law.)
O I am exempt under Seo a. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or Certificate of
Worker (gglpe—"-T%—=y
ea - IDmtml— ycertltied b l theaspf (Sac,.w L.apoe�ode.)
Policy 1111 1100 11ATC5 liV�t' 1PIb •
❑ Copy ts;flled with the city. O Certified copy is hereby fumished. .
CERTIFICATEOF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed N the Pam* Is for one hundred doAws ($100) vabration
orfesa.) '
1 certlfy'tppheeat In the performance ofthp'work for 'which ;this permit'fe Issued. I shall not
laws of Califomlan In any manner so as to become subject to the Workers' Compensation
Data Owner
NOTICE` TO APPLICANT: tl, after raldg thbr CerhTlcate of Exemption you should Deco.me
airbfect ro the Workers' Carripensaaon provtrfona of the. Labor Code,,* you must forthwith .
Comply with each prom4siona or tido permit ahaAbe deemed rewked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there Is a construction lending agency for the performance of, the
work for
.which this permit is Issued. (Sec. 3087, CIO Code.)
Lender's Name
Lender's Address
TAie:{s a building permit when prapeAy.filled out signed and validated;'and Is subject'to
expiration it work thereunder Is suspended for 180 days.
I certify, that,I have read this application and, state that the above,inforrtmation 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,inspectlon'purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
P. Number
Description
:t Description SEVER HOOKUP
9597
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 •
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL 3 •
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:
4.0
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL AREA
2ND FL. SO. FT. a
YARD SPKLR SYSTEM
POR SO FT a
MOBILEHOME SVC..
BAR SINK
GAR. SO. FT. a
POWER OUTLET
ROOF DRAINS
CAR P SO FT a
DUCT WORK
DRAINAGE PIPING
WALL SO. FT. @
DRINKING FOUNTAIN.
SQ FTa
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION i
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
GARBAGEDISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
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. FT: a c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID a 1+A c
SEWAGE DISPOSAL
SO.FT.GAR a 44c
HOUSE SEWER
SPARK ARRESTOR
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH:FEE PLCK F.EE
CONST. FEE ELECT.FEE
SMI`FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING 3 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 TAN
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REIN F. STEEL
GAS (FINAL)
TEMP.,POLE
GROUT
WATER HEATER
SERVICE
FINAL:INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
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 SIONATURESIINITIALS
GARDEN WALL FINAL
ESTABLISHED IN 191.8 ASA PUBLIC, AGENCY
COACHELLA VALLEY WATER DISTRICT
POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (619) 398-2651
OIRECTORS OFFICERS'
RAYMOND R. RUMMONDS, PRESIDENT LOWELL 0. WEEKS. GENERAL MANAGER-CHIEPENGINEER
TELLIS CODEKAS; VICE PRESIDENT BERNARDINE SUTTON; SECRETARY'
JOHN P. POWELL. KEITH H.AINSWORTH, ASSISTANT GENERAL MAINAGERIAUDITOR
PAUL W. NICHOL"S REDWINEAND SHERRILL:ATTORNEYS'
THEODOREJ.FISH January 27, 1986
File: 072-1-.-1-
ACT
uNameV
VAddY,
VSalV
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 19.'85 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,,:
I. The owners of, record of the property must complete the, enclosed, application
for service card and return it to the Dist=rict 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
secu-re 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 ifrom your home.
>r
TRUE CONSERVATION
USE WATER WISELY
VNameV -2 January 27, 19,86
if you have any questions or, require additional information, please call
Jim Zimmerman at (619) 398-2651.
Yours very truly,
Lowell 0. Weeks
General Manager-Chief'Engineer
AU:lmf
Enclosures/'2/as