9594 (PLBG)19
Ing.
3.c 78-285 HACIENDA
Owner
WOODROW HOCH
Address 78.285 HACIENDA
TilivI 4 4 Q(4
P.O. BOX 1504
7&105 CALLEESTADO
LA OUINTA, CALIFORNIA 92253
No. 9594
NG: TYPE -CONST. HOOKUP OCC: GRP.
Number
.y W
LA QUINTA,,CA 92253 Legal Description
Contractor Project Description SEWER HOOKUP
p 0 BOY 192
lilTy up 1 ei..
slm desert 92260 346-2743
State Lic. City
$ Classif. 460 981 1 Lic. # 342
Arch., Engr.,
Designer
Address TTel.
City I Zip I State
Lic:.#
LICENSED CONTRACTOR'S, DECLARATION
I hereby affirm that l am Iicensed.und6 proy)alpns of Chapter (commencing with Section
7000) of Division 3 of the Business and Professions -Code; and my license is in full force and
�t ` q'�. �✓j ~
,SIGNATURE' ~--�-, -� DATE
OWNER -BUILDER DECLARATION.
I hereby affirmthat l ani exempt. from the Contractors License Law for the following
reason: (Sec. 7031.5,8usiness and Professions Code: Any city or county which requires a'
Permit to construct, after, improve, dsmolsh,. or repair any structure, prior to Its Issuance also
requires fire applicant for such permit to 'flie a signed statementthat he. Is Bcensed- pursuant to
-Me prov%lons of"the Contractors License Lew, Chapter g (commencing with section 7000) of
DNlsion.3 of the Business and. Professions Code, or that. he /s exempt therefrom, and the baste
:for the -alleged exeriwtion. Any '.viohffon of -Section. 7031.5 by 'any ,applicant for a permit
auib/ects tAe, mippBoant to a cit! penalty of not more than 'five hundred dorlars,(t500).
❑ 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 Contractors License law does not appy to an owner of property who
builds or ,improves thereon and who does such work hbnseff .or through his own employees,
provided that' such Improvements are not Intended or offered for safe. d,- however, the building
or Inprovement is sold within one year of contol on, 'rhe owner -bunter will have the burden
of proving Mathe dkl not build; or bnprove"tor the purpose.'of sale.),- '
❑ I, as owner of the property, am exclusively contracting with licensed. contractors to con-
struct
oo-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 knproves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License taw.)
❑ 1 am,exempt under Sec, w„g P.C. for this reason- -
Date Owner
Sq. Ft.
Size
Dw.
New ❑ - Add ❑ Alter ❑ Repair ❑ `Demolition ❑
PERMIT
Plan Chk- Dep.
Plan Chk. Bal.
Const.
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure, ora certificate of
Work pgnstiotlleuraeoot, or a cogt�theLgo”. 3 �,, Code.)
Policy company .
❑ Copyas filed with the city. ❑ Certified copy is hereby fumished.
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed h Ore permit is for one hundred dollars (E100) Valuation
&i88%)
1 certify that In the performance of the work for which this permit Is issued, I shall not
employ any pereon in any manner so as to become subject to the Workers'.Compensation-
laws,of California
Date--------)Dwner
NOTICE TO APPL)CANT: M, after maklrg this Certificate of 'Exemption you should become
subyect to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or Mis'perma ahall be deemed revoked.
CONSTRUCTION LENDING AGENCY
14= _affirm that there is, a construction lending agency for the performance of the
workch this permit is issued. (Sec. 3097,.CM1 Code:)
Lenders Name
Lenders Address
This is,a building perml4 when properly filled out, signed and validated, and is subject to
expiration if work thereunder Issuspended for'180Aayss
I certify that I, have read this application and state that the above Intation Is correct.
Ionn
,agree to comply with 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
AMOUNT
$30.30
i)`��d�t=.-,.�� r�•l+ha.e.'i._..�J`"ir�yn ,t �v
ZONE BY -
Minimum Setback Distances:
Front Setback.from Center Line
Rearfrom Rear Prop. Line
Side Street`Setback from Center Line
Side Sotback,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: a i
UNITS
COLL. AREA
2ND FL SO. FT.
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT, a
POWER OUTLET
ROOFORAINS
CARP SO Fr. a
DUCT WORK
DRAINAGE PIPING
WALL SO. Ff. @
DRINKING FOUNTAIN.
SO FT a
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
GARBAGE DISPOSAL
FURNACE UNI WALL FLOOR SUSPENDED
GRADING
cu. yd.
i plus xi
LAUNDRYTRAY
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. a c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. Fr..RESID a 1'A c
SEWAGE DISPOSAL
SO.FT.GAR.a %c I
HOUSE SEWER
SPARK ARRESTOR
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCICFEE
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
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
.FORMS
SEWER OR SEPTIC TANK
OUGH 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.
i plus xi
=i
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:-
EMARKS:VENTILATION
VENTILATION
FIRE ZONE, ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION��
CERT. OCG
FENCE FINAL
INSPECTOR'S SIGNATURESANfiIALS
GARDEN WALL FINAL
.,
ESTABLISHED IN 19418 AS 'A PUBLIC AGENCY
COACHELLA VALLEY WATER DISTRICT
POST OFFICE BOX 1058—COACHELLA, CALIFORNIA 92236 • TELEPHONE i619098-2651
DIRECTORS OFFICERS
RAYMOND R. RUMMONDS. PRESIDENT LOWELL 0. WEEKS. GENERAL MANAGER -CHIEF ENGINEER
TELLIS CODEKAS. VICE PRESIDENT BERNARDINE:SUTTON, SECRETARY
JOHN P. POWELL KEITH M.AINSWORTH, ASSISTANT GENERAL MANAGERIAUOITOR
PAUL W. NICHOLS REDWINE AND SHERRILL, ATTORNEYS
'THEODORE J. FISH January 2.7, :1986:
File: 0721.1
VNameV
BAddV
VSalV
Sub'j'ect: Sanitation Service for Avila Drive, Hacienda
La Quinta., Quijarro Place, La Quinta, California
The tract in which your home is located, was construe;ted 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 theenclosed 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.
� SS
TRUE CONSERVATION
USE WATER'WISELY C F, V
4
LM
VNameV -2- January 27, 1986
If you have any questions or require additional. information, please call
Jim 'Zimmerman at (61.9) 398-2651.
AU:lmf
Enclosures/2/as
Yours very truly,.
Lowell 0. Weeks
General.Manager-Chief.Engine.er