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003323 (SFD)6 4 �\(4.% P.O. BOX 1504 No. 003323 Building, y 78-105 CALLE ESTADO Address 54- -a � Eisenhvw "r LA QUINTA, CALIFORNIA 92253 Owner Mailing Address Um -w CityZip Tel. ..., .. Address -- - - - - - City lZip State Lic. I City & Classif. 335932 Lic. # 1047 Arch., Engr., Designer Address Tel. City Zip State 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 SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that l am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5:Business and Professions Code: Any, city_ or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of 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 subjects the applicant to a civil penalty ofnotmore than five hundred dollars ($500). ❑ 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 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, 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 of proving that he did not build 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, 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 such projects, with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am.exempt under Sec. B. & P.C. for this reason Date Owner 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 O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) - - I certify that in the performance of thg 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. BUILDING: TYPE CONST. OCC. GRP. A.P. Number 77A-252-013 Legal Description Project Description 9zi tnerl A ValMi 1 T1r X4.0 14 +ter PERMIT AMOUNT Plan Chk. Dep.xt�. Sq. Ft. 1$14 Size - I . No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 367.00 Mech. 3F DA Electrical 70; A5 Plumbing 11)3.00 S.M.I. S-60 Grading stimated Valuation e PERMIT AMOUNT Plan Chk. Dep.xt�. Plan Chk. Bal. Const. 367.00 Mech. 3F DA Electrical 70; A5 Plumbing 11)3.00 S.M.I. S-60 Grading 2n. Qii Driveway Enc. 20.00 Infrastructure 1.169.00 TOTAL S? 1135 S1 RK3:15._</ REMARKStsar t ��.:>t+a c Ct�`i L►9-(}1 -8,07:_'tr ig ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line .. CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line ' Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to R expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. -all Issued by: Dates j.r2�S%Fermit I agree to comply with city and county ordinances and state laws relating to building construction, and hereby authorize representatives sof . this city to enter the above- mentioned property for inspection purposes. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS COLL. AREA S B GRADE A 2 �%10A UGH PLUMB// -,25' YARD SPKLR SYSTEM 2ND FL. SQ. FT. ® HEATING (ROUGH) STORAGE TANK S Q Z ?� /� % MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® WORK ROCK STORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. SO. FT. ® GAS (FINAL) TEMP. POLE WALL SQ. FT. DRINKING FOUNTAIN SO. FT. ® WATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER ��ROOFING //-/Z_ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM VENTILATION 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. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 SETBACKGROUND PLUMBIN - UNDERGROUND A.C. UNIT COLL. AREA S B GRADE A 2 �%10A UGH PLUMB// -,25' '1 BONDING HEATING (ROUGH) STORAGE TANK S Q Z ?� /� % SEWER OR OUGH WIRINGDUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH/) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. 3 a / FRAMING //� 5/ FINAL INSP. ��ROOFING //-/Z_ /// /Q �vv" '/ S �% REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH V, NSULATION1SOUNDl _ZXE' FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL is Building Addre§s 542 Ei senhower Owner' ANTHONY SESTICH %Of W C�) P.O. BOX 1504 . APPLICATION ONLY 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address P.O. Box 837. - -1- City Zip Tel. La Quinta CA 92253 Contractor ANTHONY_SESTICH,- A.M.S. Construction Address P.O. Box 837 La Quinta CAI 92253 564-1067 State Lic. �� 1 Contractor city & Classif.Lic. # 1047 Arch., Engr., Designer Architect - John Robert Bund Address P.O.Box 1575. - Tel' _R36 Mantezurria 564-3363 City Zip State La Quinta CA 1 92253 Lic. # C13625 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 site". 8/14/87 SIGNATURE - DATE OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions 'Code: Any city or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to Pile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500). O 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 Contractor's License Lew does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, 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 of proving that he did not build or krmprove for the purpose of sale.) O I, as owner of the property, am exclusively contracting with licensed contractors to con- 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 such projects wfth a confractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt der Sec. . 8 P.C. r this reason Dat caner WORKERS' COMPEN ION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's 9n Insurance, or a ce Iogy t reof(Sec. 3800, Labor Code.) Policy No Company f u n d ❑ Copy is filed with the city. ❑ Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any California person in any manner so as to become subject to the Workers' Compensation Laws of Date Owner NOTICE TO APPLICANT: M, 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 1hereby 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 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives sof this city to enter the above. mentioned property for inspection purposes. Signature of applicant— —Date— Mailing ateMailing Address City, State, Zip FINANCE BUILDING: TYPE CONST. R-1 OCC. GRP. Single I A.P. Number 1 Ilgaj e �l�l�fiWtbCfiMi ia29 nitProject Description Single Family Residence 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: Sq. Ft. Size 1514 No. No. Dw. Stories 1 Units New RX Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $55,000 PERMIT AMOUNT Plan Chk. Dep. 7ifp, o a Plan Chk. Bal Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure - Gr o v TOTAL , 0 0 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: Desert Sands Unified School District CERTIFICATION OF PAYMENT OF Ctrl SCHOOL FACILITY FEES QA -44 TO: City of La Quinta DATE: �� O % Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 NOTICEC: THIS DOCUMENT CANNOT „BE DUPLICATED. This is to certify t at developer of which is located at - / / within this District, has paid school facility fees imposed ursuant to the authorit generated by Gov rnment Code Sect' tt 53080 in he am unt of covering a total of j s �L square feet of ( resi ntia or ( ) industrial/commerciW] development and that building permits for this footage in this development may now be issued by your jurisdiction. for DESERT SANDS UNIFI D'SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer V 1 1 (10)-37 NO Z O F— U W U) m Z O F_ U W U) (J7 Y Q W Ir X Z O U W U) 19h. Ah, 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 $37 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # Name ( wner, Agent, Contractor, Etc.) Mail' Address ty state Zip Code Telephone ,41,1 724 'Job Property Address - City 8ab>tnRnhy�+•-- 17,4 Legal Description of Property. qtO, .A 'Assessor's Parcel No. ater Ag en or Welli �7„/� Use of Perm' �- Planning Case # Lot Size 4/DH SF Site a`eparation a +•yc ;10 x /cl0 Etc. Signature of Applicant Date 'The above information must be verified from Building Application v STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date ate El of Existing S.D. System required. Yes C1//-(��� WQCB Clearance required. ❑ Yes Soils ffe1as' slit report required. ❑ Yes / boring r port required. ❑ Yes Nca' Detailed contour plot plans required. ❑ Yes No Staff Specialist approval required. ❑ Yes AL1 No Lot Iffspection Date Soils/boring report by Project # Date Soils Map Page Soil Type (VCApproved by t.��l..- Dat Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing O'New ❑ Additional ❑ Replacement I't/tOil<' AM Gals. (2) each line sq. ft. (Bo rench area) Sidewall allowance ft. rock/ �' -Sq. Ft. I all Lines) Ft. Long, ide with min. inches Leacfibed Sq. . Ft. o f*bWQm ft. 9</A below drain ., per running rock I area Leach lines/bed-special design for slope: Applicable (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth --,/8 N/ Overburden factor Max. allowable depth�� This application a rove red*Fvr the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set fo h in Section a ove. A building permit is necessary for the installation of the above-des;Wnedsystem, y® L1 Septictank and sewer lines must be50' from any wellsN ach lines must be 100' min. from any wells including expanse n area A,pSeepaa pits must be 150' minjrom a y wells including expansion area -//6 Signature of Health Official Jr, / RECEIPT NO. 3 % Issued by Date—��_ % District: ❑ Riverside 0lndio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) .IcIr 4 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564.2246 T0: All Permit Applicants FROM: City of Le Quint+, DATE: February 9, 1987 SUBJECT: PROTECTION OF UNDERGROUND INSTALLATIONS AS MANDATED BY AB 3020 Prior to the issuance of a permit which involves any type of excavation, the Applicant must provide the City of La Quinta with an "Inquiry Identification No." issued by a regional notification center. The notificat on center for this area is: UNDERGROUND SERVICE ALERT 3 l 1-800-422-4133 Excavation is defined as any movement of earth by grading, trenching, digging, ditching, drilling, augering, tunneling, scraping, cable or pipe plowing and driving, or -any other way. TH:dmv cc: File, Underground Installations (Alpha) MEMOTH6 MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 co) 0 Dear Developer/Landscaper: u OFFICE OF AGRICULTURAL COMMISSIONER 4080 LEMON STREET, ROOM 19 RIVERSIDE. CALIFORNIA 92501 (714) 787.2561 49-613 Hwy 86, Suite B-12 Coachella, CA 92236 (619) 342-8291 E. LEON SPAUGY COMMISSIONER JAMES 0. WALLACE ASSISTANT COMMISSIONER Thank you for inquiring with the Agricultural Commissioner's Office regarding local quarantine laws. Any diseases or insects associated with the plants/landscaping material presented on your landscaping plans do not pose a threat to the Coachella Valley Citrus, Date, Grape, Vegetable, or Field Crop industry. We therefore approve your landscaping plans. If however, any substitutions of plants/landscaping materials within your plans occurs between now and the actual planting date, you must contact this office within 48 hours before delivery into the Coachella Valley. Also, the substituted plants/landscaping material must be held for inspection upon arrival. Any sub- stituted landscaping material found infected/infested with quarantine pests will be immediately treated or shipped out of the Coachella Valley at the discretion of the Agricultural Commissioner's Office. Under penalty of perjury, I the undersigned will comply with the above. Authorized Age Name Sign Permit Number( C.o U e . Develope. .. AGRICULTURAL COMMISSIONER'S APPROVAL Date ( �� Authority cited: Agricultural Code; Sections 6301, 6461, 6462, 6464, 6501, 6521- 6524 cc: 2 Plan Check, Indio Office, Riverside Office