03901 (SFD)Ti4 a �/; ,
li 11�/ n.,�Pni
P.O. BOX 1504
Building 60""x,45 Vista Grande 78-105 CALLE ESTADO
Address LA QUINTA„CALIFORNIA 92253,
Owner
Tan Howard I
Mailing
Address 7 9-811 country Club i3?. ivea
City Zip fel.
Bermuda Dunesi 92201
eL"tr. kee Homes
Address
'Save
City lZip Tel.
State Lic. City
& Classif. 476007 Lic. #
Arch., Engr.,
Designer
Address Tel.
City (Zip r I
State
/e Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 herebyaffirm that, l 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. , �' . "/ .y 1
i
_SIGNATURE DATE
OWNER -BUILDER 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, 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
a 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 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.)
O 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.)
O 1 am exempt under Sec. B. 8 P.C. for this reason
Date 4 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. O 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 person in any manner so as to become subject to the Workers' Compensation
Laws of California. .�.^ Z 1
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, 617--184-*001
Legal Description
Project Description single rai ily Dwellincr
ZONE: BY:
Minimum Setback Distances:
—Front Setback .f;rom=.Center:Line - --
:xr • a �ttatal� f»..�J�i rt't kr 1
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
1 hereby affirm that there is a construction lending agency for the performance of the
Sq. Ft. 2026
Size
No.
Stories
No. Dw.
Units
New O Add ❑
Alter ❑ Repair ❑ Demolition ❑
01 =4 blMk W&11 not
i.*gCll071ded
FINAL DATE
INSSPP EC OR
J
expiration it work thereunder is suspended for 180 days.
/
� !
1 certify that I have read this application and state that the above information is correct.
Issued by:
Date Permit
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-
Estimated Valuation►Q�i�s
mentioned property for inspection purposes.
PERMIT
AMOUNT
Plan Chk. Dep.
10250 4100
Mailing Address
Plan Chk. Bal.
31.a.7w97
Const.
4 46 , OU
Mech.
;$g ,r 0
Electrical
0061, ,
Plumbing
100.00
S.M.I.
7 ®39
Grading
20.00 ,
Driveway Enc.
2().00 r
Infrastructure
" b • .,
x
€�
Frimer':g"",.�Food
LJ zar d
.Ik�98 Cr
M,590.31
TOTAL
3Y
•�l:,s+:
REMARKS
ZONE: BY:
Minimum Setback Distances:
—Front Setback .f;rom=.Center:Line - --
:xr • a �ttatal� f»..�J�i rt't kr 1
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
1 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.)
Side Setback from Property Line
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
FINAL DATE
INSSPP EC OR
J
expiration it work thereunder is suspended for 180 days.
/
� !
1 certify that I have read this application and state that the above information is correct.
Issued by:
Date Permit
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 inspection purposes.
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
�„�. WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEE*N
IST FL SO FT N Z
UNITS
COLL. AREA
SLAB GRADE r
Y
ARD SPKLR SYSTEM
2ND FL SO FT. @
BONDINGI
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR SO FT. a
4-
ROUGH WIRING
DUCT WORK
POWER OUTLET
ROOF DRAINS
GAR SO. FT. Ft
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SO FT. 9
f EINF. STEELIWAZZ �O 9
GAS (FINAL)
WALL - ISO FT. a
TEMP. POLE
DRINKING FOUNTAIN
URINAL
SO. FT. or
SERVICE
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING -
NOTE, Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
S plus
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTONDISHI
APPLIANCE -- - DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
!�
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^1p'�t,- .R.:I(C b9UCL) l.•,i.r
ILAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM g,7,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. ® c
BATH TUB
SPARK ARRESTOR-
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID 1 V. c
SEWAGE DISPOSAL
/LeLATHING — -�
SO.FT.GAR ra 3/.c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.F:EE
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 r
ROUGH PLUMB
BONDINGI
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPT
4-
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. (
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
f EINF. STEELIWAZZ �O 9
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
S plus
-
xS =$
LUMBER GR.
FINAL INSP.
FRAMING - 1- -
FINAL INSP.
ROOFING
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^1p'�t,- .R.:I(C b9UCL) l.•,i.r
REMARKS:
VENTILATION
FIRE ZONE ROOFING _
FIREPLACE
SPARK ARRESTOR-
GAR. FIREWALL
/LeLATHING — -�
MESH
I NSU LATI ONISOU N D
FINISH GRADING.+.. _ - '
e
. ..r 1 s•
FINAL MSPECTION
CERT. OCC.
—FENCE FINAL _
INSPECTOR'S SIGNATURESIINITIALS 1
GARDEN WALL FINAL
-J a; . .`SI:J L' 'kli . .p14.4U 11._YUcti• a:C:a 13` 4a .•-ti1Ui3 J":G.11'.f3 . UDR 'Y;1 .b 11�I I c ..
Desert Sands Unified School District:
CERTIFICATION OF PAYMENT
}�a
g p�'p� OF
NOTICE: THP dd�OM.MENT -,SJA00L
M0 ' YLITY FEES
BE 01UPLICATED.
TO: City of La Quinta DATE;
Department of Community Development
t5
78-105 Calle Estado
! La Quinta, CA 92253
This is to rtify that
developer of which is
located at /5� ,/wthin
this Distric•t,•has paid school facility fees imposed pursuant to the
authority generated Govern nt Code ecti it 53080 in theBU /f
$ � Z (
covering a total of �J square fee'of residential or
( ) industrial/commercial development and that building permits for
' this footage in this development may now be issued by your jurisdiction.
7/ `y
for DES RTS IFI SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink. -Accounting Y Gold - Developer
,�' (10)-37
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COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION
6/7" -/S-Y
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 $40 is required when the application is submitted. Check must be made payable to the County of Riverside.
Building Department Application Log #
Name (Owner. Agennni. Contractor.E�ct
Mai ing Address
dJ
L'yL"
���
State
Zip Code
9 o
Telephone
_cit-1-�
'Job Properly Address �1?4A Qt11C(0 A,,V�
Cit�•`.0 m nil
L gal Description of Properly. (Lot. PM. TRI
TQ
.Assessor's Parcel No
`
sN/aier Agenc o?3Welb V
Use of Permit- ! / 'C 7 Planning Case #
t?tt
Lot Size
/
SFD. MH Site Preparation Etc.
Signature of Applicant Date
'The r
above information must be verified from Building Application
STAFF USE — DO NOT WRITE BELOW THIS LINE
Initial Date
Certification of Existing S.D. System required. ❑ Yes DNom'
% L
WOCB Clearance required. ❑ Yes . 2�>�
Soils feasibility report required. E) Yes •®o^''
� ,J
Special feasibility, boring report required. ElYes O''rN�6//
Detailed contour plot plans required. ❑ Yes XI No
Staff Specialist approval required. ❑Yes ❑ No Lot Inspection Date
Soils/boring report by/ A4(7� Project # Date
Soils Map Page e /'61 Soil Typ l by � r' - Date f
pproved
Type of System: V
No. of Bedrooms
(1) Septic Tank
Soil Rate Required
❑ Existing 51slew ❑ Additional Elti/cTReplacement
h^ ' .
Gals.
lile�4,,Ve 41,1
(2�Leach line sq. ft.
�o
Sidewall allowance
r til! /�iGf
Install°°�_Line(s) Ft. Long,
inches
Y d
Leach bed Sq.
Ft. botto
(Bottom trench area)
ft. rock/ Sq. Ft.
F�de with min.
of
per running ft. 9J,,N1A
rock below drainlines
area
Leach lines/bed-special design for slope:
Applicable
(3) Pit Diameter
-M
No. Pits
Pit BI it Seepage Pit total depth
HMax. allowable depth U!
z�. N/A Overburden f�aGtor Fo
.4
4,0
'f- sCv'. C3' . - C �`Y+. - .'1-.6i" sVj'+f�.T, `"t+•�" i/`�.r,
r. [.' 1��,�.Y' 7r'".L.� .i/A'4. �Y.•✓I'i% K...a'��"1'C,!�'i.. ,e�.'�.rL,fi�_-,C.i_.._
y J�j/ �q jy /per ♦ .,/
..r.�?r'7,T"T7 ta. f? �� r. ,�.�?+i��1rc..R.r" � fJL � ,l:�rS.v .7�/`^'.`^'� Ci%�✓C�+r�-$•".- ri/ .f �t`t ..A�A „� f I I./-� � .�
.
S ' i"
A AW
zy
� � � 1'�1, f CLQ.^ / ..-4 iG' Gi��..-N7• � G'!iN'g +�� /' Jk�.+f^�� :ri i%�
!.' r
This apphcatlon is ap �ove' e1d a 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 instala ion,of the above -designed Syystem.
1) Septic tank and sewer lines must be 50' from any wellsr'!/r V .�
(2)� Leach lines must be 100' min. from any wells including exp nslon area / >J.. -
fon are
(3) Seepage pits must be 150' min. from any wells including.e pans
Py
Signature of Health Oficial Date ` .....� /
RECEIPT NO._ 3,0 G Issued by ✓/r Date
District: ❑ Riverside (211ndio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File
DOH SAN 122 (Rev 8/87( '
.a •
s
{ a;„rt R! G� ql f ir_E OF E. LEON SPAUGY
o.. �• tb.nn,;�n.cn
nGltl(:UH URAL CUNINIISSIONLII JAMES o WALUNCE
ID WEIGI ITS b.. MEASURES CLEMEvt BUIV 151E
49-613 Hwy 06, Suite 11-12
M`�•"'—°`�� t:ohcl�eJ.it►, CA 92236
q 9. 1 611 619-3112-8291
DNF 22 fee CASE.M. n 8'1eS Qy 2 2 B
DEVELOPERS N11MEe
ADDRESS e /
TELLPIIONE: 6 1 L�—O 2 2
121
.,Dear,Developer:
After .reviewing your landscaping plans, all plant material listed is liot ill
violatioI of yuarantirie laws,yciverniny the Coachella Valley. Ifs9bstitutiolls
• do occur and they differ. frun plant nv-3terial listed, this office must be notified
iinilediately.
'I'hauk you for prvtecti�iy wild pceservilig" the Coachella Valley's test-free envirotgnent.
fit" •
Agricultural Cct/nni:ssion r s OLfice
r cc: Indio and Riverside office