Loading...
SFD (11880)4 Building Address 81-935 Owner t icc ones., P.O. BOX 1504 No. 11980 78-105 CALLE ESTADO untain 0i Aw �T.,,LA QUINTA, CALIFORNIA 92253 Mailing Address 3480 Torrance Blvd. # Ste. 340 City Zip Tel. Torrance, CA 94503 (310)544-3394 Contractor Sam Address Zip I Tel. State Lic.I City & Classif. 223670 _ Sic.- 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 000) of Division 3 of tthe,Busin ss and Professions Code, and my license is in full force and effect:°.."" f • 27 _131 SIGNATURE i DATE (r 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 orl� 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 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 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, 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.) ❑ 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 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 (J,,Cvopy is filed with the city. ❑ Certified copy is hereby furnished. 1 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. 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 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.) 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 -of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING: TYPE CONST.. A.P. Number OCC: GRP. Legal Description mot 3, Tract 26769 L.Q. Estates Project Description SFD 8q. Ft., Size 65227 New L'J' No. Stories 2 .s p No. DIA. Units Add ❑ Alter ❑ Repair A» Demolition ❑ Permit does not include block walls or pool. t Estimated Valuation $287'838.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 821.24 Const. 1,297.50 Mech. 83.00 Electrical 287.08 Plumbing .r' r• ': 204.00 S.M.I. 28.84 Grading 20.00 Driveway Enc. Infrastructure 6,000.00 Arts in t y Pub1:. Ic Plaaes t t4 46.9.10 TOTAL 9.461.22 9.211.22 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: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SO. FT. HEATING (ROUGH) STORAGE TANK ORMS _�— MOBILEHOME SVC. BAR SINK POR. SO. FT. ® ROCK STORAGE kLFOUND. REINF. '%� `1 GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CAR P. I SO. FT. ® TEMP. POLE WALL SO. 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.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED _ LAUNDRYTRAY AIR HANDLING UNIT CFM 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR @ 3/ac HOUSE SEWER MESH GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE!!!j MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK 914SOUND PLUMBIN • UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK ORMS _�— SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE kLFOUND. REINF. '%� `1 AS (ROUGH — lj METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING Cu. yd. plus x$ =$ LUMBER GR.INAL INSP. FRAMING �INAL INSP- z ////���� - / `jL ROOFING fir_ �- � /�$ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH ` ,, ///INSULATION/SOUN _ —15!1✓ FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL COACHELLA VALLEY UNIFIED SCHOOL DISTRICT Certificate of p lance (Government Code S 53080) Project Name: La Quinta Estates Project Address: Mountain View Lane, La Quinta, CA 92253 _ Project Owners Name: JCC Homes Phone No.: --(-310) 540-399 Project Description: 2 Dwellings: 1 @ 5,226 sqft &, 1 @ 5,227 saft Building Type: (Circle One) Residential (Include No. Dwelling Units)_ 2 Industrial Commercial Tract No. 26769 Lot No. 3 & 11 (If Tract, Attach Schedule "A" of all lots by tract, square footage for each lot and total ) . Assessor's Parcel No. (If Schedule "A" is used, show Assessor's Parcel No. for each lot if one exists or Assessor's Parcel No. for parcels before sub -divided). total square feet of Building Area: 10,453 sgft Certification of Applicant/Owner. The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that be/she is authorized to sign on behalf of the owner developer. Dated: 176a Zen, 93Signature: City/County Certification _ signature OPTIONAL (title) (TO BE COMPLETED BY SCHOOL DISTRICT) School District requirements for the above project have been or will be satisfied in accordance with one of the following (circle one): Gov. Code Gov. Code Agreement Existing Not subject to fee 53080/65995 65970 Prior To requirements: (AB 181)(SB1287) (SB 201) lot:al number of sq. ft. 10,453 Amount per sq. foot Z Amount enclosed $0 �� �� Assistant Superintendent School District Official. g,,,,Q� Foch Tut Pensis Title Administrative Services Phone NUmber: (619) 399-5137 Date March 26, 1993 NOTE: AB 2926 and SB 201/128/ fees are capped at $2.65 per square fool: for residential construction. AB 2926 is capped at $0.27 per square foot for commercial and industrial projects. ro Z O U W (n C13 Z O H U W X Z O U W U) k Assessors Parcel No. COUNTY OF RIVERSIDE`HEALTH SERVICES AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH 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 speculations as indicated on the attached check list. A non-refundable filing fee (see below) 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 approval. I.6 15--93 16:050001 LOG # aA.494 ut.'* VERIFY ITEMS IN SECTION A FROM A NON -FEE BUILDING & SAFETY (goldenrod);(APPLICATION a1_; Agent, Contr# o% Contact Person '`: Phone Address City j',�L�State Zip $31[, 1I�. i i.'' 5 }14D �{ (2, M) 5c�6 ala ' D� "3r �1.t2�� G ''>�. X lJe/r[//�� f��l Phone rp/'J Address/ ` City 123EState Zip $11 1 mc Job Property Address City State Zip Legal Description ;Pir6pf-PM, Tract, Lot),',.,t; 16e I Lot Size 4 ter A enG U Use ,of Permit PIP, CU, etc. Other Dwelling, MH Site Prep etc. 06444.54J a%' y U111r l7 kq Si nature of Applicant Date F •- CATEGORY REV CODE FEE CATEGORY REV CODE FEE SUBSURFACE DISPOSAL (per system) 1238 �3O SITE EVALUATION UPON REQUEST 7349 $120.00 ❑ MULTIPLE PARCELS WITHIN SAME LAND DIVISION (NO PLOT PLAN) ❑ SEWER/SEPTIC VERIFICATION 7348 $ 58.00 a. 1st 4 Parcels (Each) 1238 $153.00 PRELIMINARY ELECTIVE EVALUATION b. Each Parcel after 4 7344. $ 55.00 (Attach DOH -SAN -53) 7352 $ 69.00 ❑ REREVIEW (2nd review same parcel) 7344 $ 55.00 ❑ HOLDING TANK 7351 $119.00 ❑ SITE EVALUATION In Conjuction with Critical Area 7346 $197.00 ❑ ALTERNATIVE EXPERIMENTAL SYSTEM 7345 $656.00 ❑ SITE EVALUATION Lot Less than 10,000 Sq. Ft. 7347 $172.00 ❑ RADING PLAN REVIEW DETAILED 1238 $104-.0.0 (GRADING PLAN REVIEW CURSORY 1238 C 55.0 ❑ SECOND FIELD VISIT (SITE EVALUATION) 7346 $ 85.00 ❑ COPIES (LAND USE) 7786-81, $ .50 arYEJ INITIAL DATE r „AA9., Holding Tank Agreements Completed ❑ Yes 0' �/No Certification of Existing S.D. System Required t ❑ Yes 0' 7 N( WOCB Clearance Required ❑ Yes L7 No (Attach Form DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required ❑ Yes 2/No, Special Feasibility Boring Report Required ❑ Yes ©,0, Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes O Ng Grading Handout Provided ❑ Yes Staff Specialist Lot Inspection Required ❑ YesQ�No Maintenance Booklet Provided ❑ Yes O' No Lot Inspection Date Initials r C/42 / Soils Percolation Boring Report by a /Project # `°`� �6o f"� Data y' d Soils Map Page Soil Type Approved By Date No. of Systems Type.of System(s) ❑ Fblolding Tank Replacement No. Dwelling Units / (1) Septic Tank Soil Rate Megse/sand Greasentcp%—Ga { ❑ Addition Bedrooms, 1 ew ❑ ❑ Existing QAMFuftmesMnits 3 Yzwweq Gal. .C Sq. Ft. Bottom Area Total Linear Ft. Sidewall Allowance �,,. t e.44a nswl Lines) ft. long 3 ft. Leach Bed sq. ft. ft. rock/ sq. ft. per running It. wide with t mm. / o inches rock below drainlines or of BOttO Q© 00 Inlet Tested Depth BIRIVA tW l�I o1Af uri aA1 f30, Proposed Bottom Tested Depth �� Leachlines/bed special design for slope: pe g p (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth Other: Applicable ❑5 6 Inlet (BI) (TD) Max. tow le Depth N/A Overburden Factor Well Review Approved: Signature Date Well Drilling Permit # //4 Grading Plan Approved: Signature fc6 �� ��£!�' Date REMARKS: %!^RAe✓i /�!/ `y5<`iRw -4�F/j r"^+'Y'A ""MGvGJ ,l':f^Gif'./L/c.•C.Y i / />!-'lam 4> ^'r�'1rf!/'C. f/F.�4�' J' /wrTl7/1 V YL.rC+ACf This application i ESU for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated sn the temacco a 'e an usi a requ r m�er�tsset�fortta C abw building permit is necessary for the installation of the above -designed J Ys Septic tank must be 100' minimum from any wells1 �Y,• Leach lines must be 100' minimum from any wells, including pansion area r/ / y� �, - a -.'t (3) Seepage pits must be 150' minimum from any wells, including expansion area / /-�s? 7� !/ (/4/ �/4,!' ' 4*� /�- rte/ Signature of Health Official Date 1057 L 00 >. 00 �?-b0 1.00 30 p ❑ CASH DZ -HECK NO. M4rf r7 yier RECEIPT NO. )yS I Issued By Date DISTRICT ❑ Riverside Ci ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH-SAN-122(Revl/92) DISTRIBUTION: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Plans/Records 1 = : 15,= Lt-::iNDr1"F:K F:EiL4L E== To-aTE F' _ 4-,2 MEMORANDUM DATE: March 15, 1993 TO: Steve Speer, City of La Quinta FROM: kris Ro 9t;hulze SUBJECT! Tract 26769, Lots 3 & 11, Precise Grading Plans (J.N. 11319.00) We have completed the review of the Precise Grading Plans for Tract 26769, Lots 3 & 11 as prepared by Lloyd Watson, and find them to be in substantial conformance with the issued Conditions of .Approval, general ellglneerihq pract1ce, and the requirements of the City of La Quinta and recommend it for approval subject to items as noted below. This recommendation is based solely upon the technical completeness of the documents provided. Final approval may be subject to review and/or revision required by other applicable governing agencies. Items/action required prior to approval: 1. 'None. By: BSI CONSULTANTS, INC. KRS ccs Lloyd Watson ' J\report\tracis\tr27031=1.Iq DATE 41-865 8oardwaik, Suite 103, Palm Desert, CA 92260 a (619) 324-1111 o FALX: (619) 779-1304 IU: J.C.G. DEVELOPMCNT Via Facsimile & U.S. Mail City of La Quinta Dept. of Building & Safety P.O. Box 1504 La Quinta, CA 92253 Attn: Kelly Tropple Dear Ms. Tropple, FEB 2W01 '23:19 No .005 F.01 3480 TORRANCE BLVD., THIRD FLOOR TORRANCE, CALIFORNIA 90503 PHONE (310) 540.3990 FAX (310) 316-7133 Please be advised that Timothy Racisz is hereby authorized to sign any and all documentation necessary to process building permits for our projects within La Quinta. Feel free to call me if you have any questions. S i ncer-e I -y, Kurt -Nelson Vice President J.C.C. Homes