Loading...
003415 (SFD)V • �� t171 ry P.O. BOX 1504 No. .003415 Building 78-105 CALLE ESTADO Address 51-885 Herrera LA QUINTA, CALIFORNIA 92253 Owner Michael C. Head BUILDING: TYPE CONST.- OCC: GRP. Mailing Address A.P. Number 771-172--019 City Zip Tel. Palm Desert • 92260 Legal Description Contractor Project Descriptions xaRx� �+ p's+xs�.� "N esret+i 1 i s+rr Address City .JZip Tela State Lic. City & Classif. 44801$ Lic. # Sq. Ft. '13' No. No. Dw. { Size •• Stories Units Arch., Engr:, - Designer New ❑ Add ❑ Alter ❑. Repair ❑• Demolition ❑ Address Tel. i GAR 4RO' City Zip State Parch 2169 . .. ... Lic. # - LICENSED CONTRACTOR'S DECLARATION 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 Estimated Valuation ' I hereby affirm that I am exempt from the Contractor's License Law for the following j' reason: (Sec. 7031.5,Business and Professions Code: Any -city or county which requires,a -1%79 lMr+A permit to constrict, after, improve, demolish, or repair any structure, prior to its issuance also - - requires the applicant for such permit to rile a signed statement that he is licensed pursuant to PERMIT - - AMOUNT � the provisions or the Contractor's License Laiv, Chapter 9 (commencing with Section 7000) of - Division 3 or 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 Plan Chk. Dep. .r.� subjects the applicant to a civil penalty of not more than five hundred dollars ($500). - ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. 681. do the work, and the structure is not is or offered for sale. (Sec. 7044, Buisness and Const. -- 'Dr.4 nn 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, Mech. 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 Electrical of proving that he did not build or inprove for the purpose of sale.) O I, as owner of the property, am exclusively contracting with licensed contractors to con= Plumbing 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 S.M.I. r such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - ❑ I am exempt under Sec. B. 8 P.C. for this reason Grading Driveway Enc. An Date Owner Infrastructure 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. O Certified copy is hereby furnished. _ TOTAL J , CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (5100) 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: If, after 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 agtee 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 REMARKS r 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: 7 Date 9/30/87Permit Validated by: Validation: HARD COPY T CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ FORMS Ae5sEWER OR SEPTg1 ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) EMP. POLE��_Z3—`j� DRAINAGE PIPING CAR P. SQ. FT. GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN SO. FT. ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be used as property tax valuation FRAMING 2 FLOOR DRAIN MECHANICAL FEES / O WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(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, TEMIPERM 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. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL INSULATION/SOUND SQ.FT.GAR ® 3/ac HOUSE SEWER FINISH GRADING 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 PLU BI NG UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS Ae5sEWER OR SEPTg1 ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) EMP. POLE��_Z3—`j� GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. plus x$ _$ LUMBER GR. FINAL INSP. t,� FRAMING 2 INAL INSP. _ ROOFINGr �d7 / O REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING t MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS. GARDEN WALL FINAL :d Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES TO: City of La Quinta DATE: 7 Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 � � cp"401 �0 , u .® This is to certify th&%Ekj developer of which is located at /- ,_6— within this District, has paid school facilA y fees imposed pursuant to the authority generated by Government Code Section 53080 in the amount of covering a total of / 3 / / 'quare feet of (residential or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. for DESERT SANDS•UNI ED SCHOOL DISTRICT White - Building Department • Yellow - Facciilitiees, Planning Pink - Accounting • Gold - Developer (10)-37 0 Z 0 1— U LU U) CIO Z O H U LU U) U) Y Q w Cr X Z O 1-- C) LU U) COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 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 specifications required on the attached check list. A non-refundable filing fee of $3'�s required when the application is submitted. Check must be made payable to the County of Riverside. IA r . r c �� �i,r i Building Department Application Log # Name (Owner, Agent, Cont ctor, Etc.) ! ; Mailing Address �tCiry v Slate Zip Code �» ,T,e+lephone✓ / Job Property Address Ciry or Comm'uiiity� ` r� Legal Description of Property/. (Lot, PM. TR C re l lei' �1� Qla 'Assessor's Parcel No. Oft -ter Agency dr_-Wefl,. r Jl�l.�af. T ! J / Use of Permit✓fd FP t lfl :Pllanning Case # Lot Size �p SFO. MH Site Preparation Etc. AUD '" Sigriaturd of'Applicant "• ,/ �" 1 Date 'The above information must be ver#led from Building Applicatlon STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date p� Certification of Existing S.D. System required. ❑ Yes O No-�- ❑ 0/ WQCB Clearance required. Yes , 1 1 Soils fepasib'lity report r�eq,,uired. ❑ Yes L'J 6 twetalled��ng eppgr(Ye4uired. ❑ Yes ©�o Detailed contour plot plans rewired. 13 Yes No Staff Specialist approval required. ❑ Yes E) No Lot Inspection Date Soils/boring report ,by/ qProject # Date - Soils f"R r r Soils Map Page Soil TypP0 Approved by A414/111 - a-- Date 9-0 ' 7 Type of System: ❑ Existing x� ElAdditional ❑ No. of Bedrooms (1) Septic Tank Soil Rate Required 4 ` lel, New Replacement 6%t aw. Gals. (2),Leach line sq. ft. o h Sidewall allowance ft. Ft. v// Install-.- Line(s) Ft. Long, - F~tet` wide inches Leach"lied Sq. Ft o bottom,�� (Bottom -trench area) (B rock/ ,,Sq. UIN/A -with min. "'+++e., per running ft. rock below drain lines area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BIr Seepage Pit total depth Applicable - N/A Overburden factor N/A 075 ®6' / Max. allowable depth ��it'it!..L�l Y�''•`GL.if-�Y't.i( /'2�� .d�1�, .✓'�:fi�'17�..- __%�UII�i!"". �,+r�.9/I.GLP..+�._ ', e U This application 's's approved Rdenied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section B above. A building permit is necessary for the installation of the above -designed system.' from any wellsY/ ��" '" '� G�t/Zu t�d"3aQ3. ✓ '� (1) Septic tank and sewer lines must be 50 Y/ii (2) Leach lines must be 100 min. from any wells including expanslon•'area (3) Seepage pits must b6.150' min. from any wells including expansion area"///) Signature of Health Officl10* Ftp !% A�.w�a71, Datet �, �,: � ,( f/Rs•Gt,lf RECEIPT NO. V -2 -7 Issued by Sk Date %r- t7 District: ❑ Riverside ❑O'Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6186) E II t