003326 (SFD)Building
Address
Owner
Mailing
Address
City
Contractor
. . J
Address
275 Rlsmhe�la .
hnnw Sealrir_h
Zip Tel.
X2253 -
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. 003326,
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 774-252-014
Legal -Des , cription
Project Description Single Family DueUlag
-City
Zip
Tel:.. .
3-E�.. - L:t";•J!•f ] t��tff_ 17'i'i:r. [O
ZONE:
State Lic.
City
Front Setback from Center Line
& Classif. 335932
Lic. # 1047
Sq. Ft. 1650
No. No. Dw.
Side Setback from Property Line
Size-•
Stories Units
Arch.,' Engr.; - -
Designer
New (9, Add ❑
Alter ❑. Repair ❑ Demolition ❑
Address
Tel.
Validation:
City
Zip
State
Lic..#
S LICENSED, CONTRACTOR'S DECLARATION _
I hereby affirm that I am licensed under provisions of Chapter 9 (comm ?encing'with Section
7000) of Division 3 of the Business,and Professions Code,-and'my IiceAse is in full force and
effect.
'! SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exemptffrom the Contractor's License Law for the followingYD
reason: (Sec. 703.1.5,Business and Professions Code: Any city or 'county which ,requires a
permit to construct, atter, 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
Estimated Valuation
Qa
Y
PERMIT
AMOUNT
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, and4he'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, is owner of the property, or my employees with wages as their sole compensation, will
Plan Chk. Dept
.
Plan Chk. Bal.
Const.
- law*� t! %
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
Mech.
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
Electrical
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.) . -
Plumbing
WA ��
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044• Business and Professions Coder 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.) -
N
❑ 1 am exempt under Sec. B. & P.C. for this reason
I
S.M.1-•
��
Grading
Driveway Enc.
IrM
w1. Date, Owner
Infrastructure
1 .�
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.
TOTAL
,•rn �1CK �G !t7 11AK X� w
REMARKS
CERTIFICATE OF EXEMPTION FROM
WORKERS'. COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
I _
Of ess.)
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.
I
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 agree to comply with all ciy 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
HARD COPY
Si:4c ! ewn 4 A. r izA A 1r)- 64 ._0.7 a �f
3-E�.. - L:t";•J!•f ] t��tff_ 17'i'i:r. [O
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
1ST FL. SQ. FT. @ $
UNITS
COLL. AREA
SLAB GRADE
OUGH PLUMB. e 5� O j
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
STORAGE TANK
FORMSy ,
SEWER OR SE IC A
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
ROCK STORAGE
FOUND. REINF.
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APP./EQUIP.
DRAINAGE PIPING
CAR P. S0. FT. @
TEMP. POLE
WALL SQ. FT. @
DRINKING FOUNTAIN
SO. FT. @
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.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
REMARKS:
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
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
SQ.FT.GAR @ 3/4c
HOUSE SEWER
MESH
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
ROUND PLUMBIN
P�
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
OUGH PLUMB. e 5� O j
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMSy ,
SEWER OR SE IC A
OUGH WIRING/ �
DUCT 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/Z
I FRAMING j _ / 0
FINAL INSP.
P`
/LROOFING /% .�0
c
/ /G
lP 7
,^ g ),�Q , b /�
REMARKS:
VENTILATION/
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING OL✓
MESH
VINSULATION/SOUND /- v►, �P .
��vv Vv
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS.
GARDEN WALL FINAL
Ur *r W"Me
P.O. BOX 1504 APPLICATION ONLY
Building78-105 CALLE ESTADO
Address 54-275 Eisenhower LA QUINTA, CALIFORNIA 92253
Owner
ANTHONY SESTI CH
BUILDING: TYPE CONST.
R-1 OCC. GRP.. Single
Mailing
Address P.O. Box 837
A.P. Number
Legal Description
Project Description
Lot 2, Block 299
nl # .#27MB19/82
City
La Quinta CA
Zip
92253
Tel.
Contractor
ANTHONY SESTICH - A.M.S. Construction
Address
Single Family Residence
P.O. Box 837
City
Zip
Tel. -
CA
92253
564-1067
& Cla Lif. General Contractor
335932
Lic. #
1047
Sq. Ft.
size 1650
No. No. Dw.
Stories 1 Units
, Arch., Engr.,
Designer Architect - John Robert Bund
New QXX Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address P.O. Box 1575
Tel,
77-836 Montezuma
564-3363
City Zip
State
La Quinta CA 1 92253
L10• If C13625
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Divislon 3 of the Business and Professions Code, and my license is In full force and
effect. .
.SIGNATURE DATE
O*NEWBUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (sec. 7031.5,Buslness 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 @e a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Dlvlshm 3 of the Business and Professions Code, or thathe 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 cht penalty of not more than five hundred dollars ($500).
❑ 1, 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.)
Estimated Valuation
$55 000
PERMIT
,
AMOUNT
Plan Chk. Dep.
Z >-0 . 0 a
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
❑ 1, 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 amex mph der Sec. B. R P. for this reaso
S.M,I,
Grading
Driveway Enc.
Infrastructure
oat owner
2- r irr
WORKERS' COMPEN TION DECLARATION
I hereby affirm that I have a certificate of consent to self -Insure, or a certificate of
Worker's Co Insurance, or a cerl}{IgLc�gy th�rft ec. 3800, Labor Code.)
lfdyg �
f" U 11
Policy No. / V L U / 1 Company
O Copy Is filed with the city. O Certified copy Is hereby furnished.
TOTAL
-L- 7 5- e C>
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
`
(This section need not be completed H the permft 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 ppeerson in any manner so as to become subject to the Workers' Compensation
laws of Calllornia_
Date Owner
NOTICE TO APPLICANT: H, 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.
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
FINAL DATE
Issued by:
Validated by:
INSPECTOR
Date Permit
Lender's Address
This Is a building permit when properly filled out, signed and validated, and Is subject to
expiration It work thereunder Is suspended for 180 days.
I certify that 1 have read this application and state that the above information Is correct.
1 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 Inspection purposes.
Signature of applicant Date
Melling Address
Validation:
City, State, Zip
FINANCE
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
SCHOOL FACILITY FEES
T0: City of La Quinta DATE:
Department of Community Development
78-105 Calle Estado NOTICE:
La Quinta, CA 92253
iuQ
FAF 7 .40.
THISDOCUMENT CANNON'
BE DUPLICA !TED6
This is to certify thaJl`_
developer of which is
located at 7 J within
this District, has paid school facility fees imposed pur uant to the
authorit nerated by G vernment Code.Section 53 80 in the amount of
S -
covering a total of � square feet of eesidential or
( ) industrial/commercia development and that building permits for
this footage in this development may now be issued by your jurisdiction.
for DESSERT SANDS•UNIFI D SCHOOL DISTRICT
White - Building Department • Yellow -- )Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
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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 #
Namer(Owner, Agent, Contractor, Etc.)
Mailin ,Address
6.2�
f/T o�,5r% /G ,y
City
State
Zip Code </
Telephone
'Job Property Address
t C---Mu-.LY—
om_ munity�
Legal Description of Property. (Lot" ��Jfy���/¢%•CJ
,�
Assessor's Parcel No. -
Assessor's
�1Nafer Agericy•o?�'�NetY��
�% -
Use of Permit iv.I'��ff%?_-!//� Planning Case #
Lot Size '
'
x��
4!:�/bW.jSF�DPH
Site Preparation Etc.
f T�
5igriat6r"e of Applicant Date
✓ 'The above information must be verified from Building Application
STAFF USE — DO NOT WRITE BELOW THIS LINE
Initial Q' Date p
Certification Existing S.D. System }aAteo— O '..11"0
� Yes ❑����
of required.
❑
WOCB Clearance required. Yes ❑�/N�.o
Soils feasibility report required. ❑ Yes lLf Nom
S^ saftal -:e��sFalt,' �?
etalled bonng repdrt required. ❑Yes i(�o
Detailed contour plot plans required. ❑ Yes El No
Staff Specialist approval required. ❑ Yes 2" No Lot Inspection Date
Soils/boring report by r Project # Date `
Soils Map Page•149 Soil Type( d C Approved by/ AJI�- Date r -11'f17
{J
'Type of System:
No. of Bedrooms
(1) Septic Tank
Soil Rate Required
❑ Existing VIN ❑ Additional ❑ Replacement
PyyP�e•
Gals.
(2) Leach line sq. ft.
-4t
Sidewall allowance
-ft. ` Ft.
Install. Line(s) Ft. Long,
Ft.
' / r
Leac,�i bedr Sq.
Ft. bo��om�`
(Bottom enh aa)
rock/
__11Sq.
P¢N/A
we with,-min�inches
of
/
per running„ftp:
N
rock below drain lines
area
Leach lines/bed-special design for slope:
(3) Pit Diameter
r
No. Pits
Pit BI
Seepage Pit total depth
Applicable
N/A_! Overburden factor
OR [66'
/f
f
Max. allowable depth r
`. `+�"�•.rl.'`..'�'_ �ll,il�"i�i.� , _'"-s. 1rJC.t',1.-. . .ell 1:: f,_�-t' I_a,"I i '1�
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"/
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,r�..t.�•�
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This application l7p-p7-y-p-d/; enied,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 s stem,
(1 Septic tank and sewer lines must b&50 from any wells4l
2) Leach lines must be 100' min. from any wells including expansion area
(3) Seepage pits must be 150' min. from any wells including expansion areay/U f
�w�! L /fir /• i E,/
,+K.J�/' -V • .I n .
Signature of Health Official
RECEIPT NO. cR-.3c;z Issued by ” Date `/i' A 1�
District: ❑ Riverside ® Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File
DOH -SAN -122 (Rev. 6/86)
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COUNT' 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 #
Nam Owner, Agent, Contractor, Etc.) ,.^� U
Mailin ., r�ess
City
State
Zip Code v
ZZS��
Telephone
'Jab Properly—Address
iq4f,
•Legal of Property. Ggt,Bfd, Tf1i�
•
A
}Description
ME9%
*Assessor's Parcel No.
aler Agency��Lot
Use of Perm i �� Planning Case M
Size
�� • �
D, Site Prel5aration
/
E
ignat a of Applicant Date
*The above information must be verified from Building Application
STAFF USE — DO NOT WRITE BELOW THIS LINE
�� �Initiall Q� Date p
Certification of Existing S.D. System required. C� Yes 2� N ��
,WQCB Clearance required. ❑ Yes
Soils feasity reportt required. ❑ Yes
! boring sport required. ❑ Yes �21'IN
( o
Detailed contour plot plans required. ❑ Yes U�/��
Staff Specialist approval required. 10 Yes ISNo Lot Inspection Date
Soils/boring report by Project # Datep��
/
Soils Map Pag Soil Type a C 12 Approved by4Date O— l_
,Type of System:
�
No. of Bedrooms
(1) Septic Tank
Soil Rate Required
,,
El Existing t!!'New ❑ Additional ❑ Replacement
3
Gals.
� ,()
(2) L ach line sq. ft.
Sidewall allowance
Insta Lines) Ft. Long,
Le ed Sq.
(sotto ench area)
fit:. rock/ Sq. Ft.
Ft. wide wl 'rtilf inches
Ft. of bo
.
per running`.ftf- G J N/A
rock below drain lines
area—
Leach lines/bed-special design for slope:
(3) Pit Diameter
No. Pits
Pit BI
Seepage Pit total depth����
Applicable
N/A Overbfactor
-im -/LL
T
Max. allowable depth �i
urden
_
,cam U • /LllTl'h /t9v� J
.
s�!
Y
This application efaied•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 i�ecessary for the installation of the above -designed s Ste �
„s'l ElioS” Septic tank and sewer lines must b50' from any wellsc((Q/ i2
e
Leach lines must be 100' min. from any wells including expa area
(3 Seepage pits must be 150' min. from any wells including expansion areawo 4Y-
41 x
Signature of Health Official ' v(Jj iteGj
RECEIPT NO. cR 3a 7 ,
District: ❑ Riverside Indio ❑ Hemet
Distribution: WHITE—Office file YELLOW—App
DOH -SAN -l22 (Rev. 6/86)
Issued by A.-Illoe- Date 6 —��'2
❑ Perris ❑ Rancho Calif. ❑ Blythe
;antPINK—Bldg. Dept. GOLDENROD—Pending File
G
,/jL.c1,.,►r.
7`2
14a 6494(raj
78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564.2246
TO: All Permit Applicants
FROM: City of La Quinti,
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 Cityof 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 C3!
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.
1H:dmv
cc: File, Underground Installations (Alpha)
MEMOTH6
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
(/0)
O�w
Of
OFFICE OF
AGRICULTURAL COMMISSIONER
4080 LEMON STREET, ROOM 19
RIVERSIDE. CALIFORNIA 92501
(714) 787.2561
*IoM 16%110 M�►9' �Sq 49-613 Ilwy 86, Suite B-12
Coachella, CA 92236
(619) 342-8291
Dear Developer/Landscaper:
E. LEON SPAUGY
COMMISSIONER
JAMES O. 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 Agent::
Name 4
Signatu
Permit Number(s)_
Date lJ , /
Of
Developer 1, ��/�'"✓ Address (f3 _ �/ !1�
AGRICULTURAL COMMISSIONER' S APPROVAL Jf C ` Date 7--11A"?
Authority cited: Agricultural Code; Sections 6301, 6461, 6462, 6464, 6501, 6521-
6524
cc: 2 Plan Check, Indio Office, Riverside Office