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07-0811 (PLBG)P.O. BOX 1504- A -495 504A-495 CALLE TAMPICO . LA QUINTA, CALIFORNIA 92253 Application Number: i „_07--00000811 Property Address: 80748 VISTA-BONITA TR APN: 777 -04.0 -011 - Application description: PLUMBING Property Zoning: VERY LOW DENSITY RES Application valuation: .3500 Applicant: Architect or Engineer: • ^� VOICE (760) 777-7012 FAX (760) 777-7011 - BUILDING &.SAFETY:DEPARTMENT. INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/20/07 LICENSED CONTRACTOR'S DECLARATION- • I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C42 & p L yFensq,&o.: 576904 OWNER -BUILDER DECLARATION . I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for. the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she 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).: (_) 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, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, " and who does the work himself or herself through his or her own employees, provided that the 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 or she did not build or improve for the purpose of sale.). ' I _) 1, as owner of the property, am exclusively contracting with licensed contrjtctors,to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for. the projects with a contractor(s) licensed .. pursuant to the Contractors' State License Law.). ( -) I am -exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I. hereby affirm under penalty of perjury that there is a construction lending agency fortheperformance of the work for which this permit is issued (Sec. 3097, Civ. C.). - Lender's Name:. - Lender's Address: LQPERMIT Owner: BILL TANGHE . 80748 VISTA BONITA TRAIL LA QUINTA, CA 92253 Contractor. _ BOB'S UNDERGRO PECIAI ES P.O.•BOX 1465 !!rr �� ' THERMAL, CA 92271 D (760)393-6587 Mpt` �O 2007 LiC. No.: 876904 AR CITY Of- IA Q8UINYA WORKER'S COMPENSATION DECLARATION - hereby affirm under penalty of perjury one of the following declarations: - I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided ' for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. - I have and willmaintain workers' compensation insurance, as.required by Section" 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number EXEMPT 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, and agree that, if I should become subject to the workers' compensation provisions of Section . pp 3700 of the Labor Cogg,- I s all fo hwi ply ith t e prove io / /t{�comns. icant: pV • J WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. - 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner,'and the applicant, each agreesto, and shall defend, indemnify and hold harmless the City, of La Quinta, its officers, agents and employees for any act or omission related to the work being - performed under or following issuance of this permit. - 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject , permit to cancellation. ' 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 of thiscountyto enter upon the above-mentioned prop e for spec " n rpose , pnature (Applicant or Agent): • Application Number 07-00.000811 Permit PLUMBING Additional desc . Permit Fee. 60.00 Plan Check Fee .00 Issue Date Valuation 0 . Expiration Date 9/16/07 Qty Unit Charge Per Extension . BASE FEE 15.00 1.00 45.0000 EA PLB SEPTIC 45.00 ----------------------------------------------------------------------------- Special Notes and Comments INSTALL 750 GALLON SEPTIC TANK AND 40' OF INFILTRATOR PLASTIC CHAMBERS Fee summary. Charged- Paid Credited Due: ---- e Permit Fee Total 60.00 .00 .00- 60.00 Plan Check Total .00 .00 00' .00 Grand Total 60.00 :00 .00 60.00 ' LQPERMIT I{111 .�_ _._..{_ S' � -:.{� e«1--�.• � +.+_ ; `1 14 •t_ -.t ! 1 - 4.' r !� a �• i:r7 ♦ . I I 3, y .l NN)t\rl�i.•,_� ._._�,. .I_....1� I� �R `"JZ ra -r� + 4 COLD i' t. �l Ip^ ,,TSF{ �qLT .SERVI kE,5AGENCY Y 1 ar_._ i3z E N11 tG�v1VIE1vT HEa�,TH --I d Gall n'SephcT2 Foo � � t 4 � • i, �^r-M park ;%/ Sq..Ft..of-Leach.Ltne,C - -- Ti tin ! I�e`•" _ .1 .._ .�._! Go^nectiion to Sew6r '. _. _ .-.i_ StviConnect to xisttng S. S I N91/01 -sit re eniratinS ater soRentng d� evtce n:ay e di charbed'irito the Yr div dtYal sewage ` osal�*,: - steherew tat'approved without clearsYYce fr�nY the r✓az r QisalYty Con�rol Board -{;;r.., I - raznl ith rvgtlir�ments of eurre�Yt LJniformi'lliYrkb,ng CCl y' �`"` 1'SC) ae'd sposl_1 installation mint c n, '( x p{fir _ yl -_—_ �...._ =:.Fa util g iadinj,-O .fYLi:'' F' ]I •ctt'�a-c- lEt1,G1;.:.".�".rII.S�$tc iTi i7p`,�.�i11 y �.,�Y �,e;ICi1S OSa1 2p raV,s1 h been obtained�frcm ibe R ^iot;] ter Qu�li: ntroi Olid or: '1�;oA,'ofther • t �� 3l•Sys m.��� �i• • ��, 4 .Y 'v _ _`_ �^y.l. �•.._�^..�- ' ` +I�. ��i � I ,I. �" _t •� •ms`s .Y� t, 4-17 STA � SDN STA. _ _I _. 41 IL x � � � � - - _�—.... _ �... �1�.� Al f G �. .-.�+- . =.� � :'..• , � �, . � hh & ai�4 o '.. Vt M NT �: +�� _ I .� .�.�.._.._ — _ ��_%�".��Q•'0%� 8._ 1 _ I � w�_ ! �._�._ � !' �' 1 - � i • �, t • 171— if , , ter, ri •1 �:,"t`T` r ' 1 '1 s -�_ �- L L7— � 1 7' —��r t (- y � �1_� 4 j} 1. _�.._r.. .w.f ...,_. ..� 5 �� tF �i+et . •1. ! - _ D Y , �° 75Q ;G�l:�;�ON1••• -�3'- NT's: � ; �I +I�l +.��� `� i � _ —ii '� �r � � �,: flD Tl N L 1 P R_ TM k T 1 Ut_' e .CN rs 't'• ,I 1rtSTAL ; SEPT1 ,'Sy ;Em: IN _ d r-; ' � I -� !- - 1 - -�--•• - !- ` t-�- P!ROVIl3�-FO�R- 0(1/o�hU�'i�RE;E�4 1_ I. Q[VIPL WI I H AL�.._S1 'TOCKIR 0 IR tvi 'Tg [ ��`, I I *I ::I�STALI� APP R VD (IVS) EFL�JC1Tr1jt[T� _*, INS" AL fA Rl ERSA'� `?i • Rt{ : ,xc I ` --{{--� �"I'- _i ST'AC -6 0 .ON CiiN A ^f-IviiiT�Fr"'�«`�G�`•- '! *""{s'•1✓ F� .Slf1►�'E`�, '�ft1�I r-'R{�' 515;'VI{?iG�-pr'.,r '.1 ' COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY ASSESSOR'S PARCEL NUMBER, DEPARTMENT OF ENVIRONMENTAL HEALTH t APPLICATION FOR WASTE WATER DISPOSAL APPROVAL . w APPLICANT: Submit this form with four copies of a SCALED plot plan (1"=20' to V=40' SCALE) drawn to County specifications as indicated on the attached check list. A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of payment. LMS # Agent, Contractor, Contact Person z- b, kl oe Address City State Zip it*fx AVL' 66 S AL CA VZ2 !/ 7, Telephone 0 39.T 6 517 Ow er Address Cit State Zip 4W Telephone Q ALL NG E x-74$ VISTA � 7Rt OVAN j4 %�_5 ess Job Property AM L City ZiO// �ov �7 U UUJ)I/� Lot Size Water Agency///,wWell Use,of Permit, P/P, SUP, PUP, e4c. ljI Legal Description DBA Dw�n�Sit/7�/!!/ c. J Signat �Appl' Date 7 FOR OFFICE USE ONLY CHECK BOX IF REQUIRED F - If any box is checked",this'application shall be considered rejected until the ❑ Detailed Contour Plot Plans Required (1 to 5 foot interval) information is provided and the fee paid. Resubmittals later than 90 days after date noted below may require repayment of fees. ❑ Other ❑ Staff Specialist Lot Inspection Required 00 ❑ Holding Tank Agreements Completed Z ❑ Certification of Existing S.D. System Required Thomas Bros. Page Grid WC1WQCB Clearance Required ❑ Date Lot Inspection Completed: Initials (Attach for DOH -SAN -007, Santa Ana Region Only) Remarks: Q Soils Percolation Report Required ❑ Maintenance Booklet Provided '❑'. Special Feasibility Boring Report Required. ❑ Final Inspection by Department of Environmental Health is required. ❑ Rereview Required Initials Date Please call 24 hours PRIOR to inspection. C/42 / Soils Percolation Boring Report By Lic/Project # Date Soils Map Page Soil Type Approved By Date. No. of Systems Tyre!' of System(s) No. Dwelling Units (1) Septic Tank Soil ate/' Grease/Sand ❑ Holding Tank ❑ Replacement 'New ❑ Addition 'Bedrooms, Fixture Units Jf Grease Jntcp/Lint Trap CJ -Existing ❑ Connect to Sewer , '^ Gal. 'T . Gal. Sq. Ft. Total Linear Sidewall Allowance. Leach Bed sq. ft. Bottom.Area _ Ft.ft. rock/ sq. ft. running ft. Install Lines) long ft. wide of Bottom Area i;., "/�'�/ J Inlet Tested Depth C] N/A with ! i inc es�r/oc�k below rainlines. 0J Proposed Bottom Tested Depth Z Leach lines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below`Fnlet (131) Seepage Pit Maximum Other: O Applicable PP Total Depth Allowable P: WN/A Overburden Factor ❑ 5' ❑ 6' TD Depth Well Review Approved: Date: Well Drilling Permit# SIGNATURE Grading Plan Approved: ADDITIONAL DEPARTMENTtl&gQ1_M_M vfENT� SIGNATURE Plan Check Only Approved: * INSTALL SEPTIC- SY-S Dft ATIVE SOIL * 'PROVIDE FOR 1000/6 FUTURE EXPANSION REMARKS: COMPLY VVI I H ALL SETBACK REQUIREMENTS * . INSTALL APPROVED (NSFTEFFLUENT 7i Trtf n . * INSTALL TANK RISERS ATMEARGRADEINSTALL D-BE)X ON eONCRETE WW This application is,-APPROVED/DENIED for the category checked in SECTION B above. Zgaarpding°re design of a disposal system as indicated on the accompanied plot plan, using the requirements set forth in SECTION vy. C above. A building permit is necessary for the installation of the above- Revenue Code Fee $ designed system. No construction is permitted in the required reserved 100% expansion area. Check # Septic Tank must be 100' minimum from any wells: (2) each lines must be 100' from including Date ' Z minimum any wells, expansion Initial. 0 area.. . (~j (3) Sewer lines must be 50' minimum from any wells. W U) (4) Seepage pits must be 150' minimum from any wells, including expansion RIVERSIDE: 951-955-8980 area. INDIO: 760-863-7000 SOUTHWEST. 951-600-6180 Signature Date Bin # City of La Quino Building a Safety Division ; y -P.O. Box 1504, 78-495 Calle Tampico La' Quinta, CA 92253 '- (760) 777-7012 Building Permit Application and Tracking Sheet Permit # `` . Project Address:' d'� Owner's Name: SILL ` 041G . O A. P. Number: 772- 2 FO-Ofd- 8 Address:,70-7�# &A1171{ '77zAJL Legal Description: City, ST, Zip: 0./A /A 2�3 n Contractor: �gS UNAFRUA�%f�1 * SF 1,7%� Telephone: j Address:®�, l%�6j� Project Description: GA) City, ST, Zip:/7 M� 927 6- Vry AA1,Q YOs OF Telephone:. 1p© �J93 6 State Lic. #: City Lia #: Arch., Engr., Designer: X—P O 01C C#0B8e, Address: ,City, ST, Zip: Telephone: V as Construction Type: Occupancy: State Lic. #: Project type (circle one): New A1d'n Alter Repair Demo Sq. Ft.: #Stories: #Units: Name of Contact Person: ®Q P C _ Telephone # of Contact Person:-21W 3! j 65-97' Estimated Value of Project: 5290 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets ;�; " Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. - Plans picked up Construction Flood plain plan Plans resubmitted Mechani--al Grading,plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing. Grant Deed - Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees - Total Permit Fees