9593 (PLBG)4 CP
P.O. BOX1504 �(� �' No. 593
Building 7_ I �} $ HACIENDA 78.105 CALLE ESTADO C
Address LA QUINTA, CALIFORNIA 92253
Owner
JOHN 11AMILTOI
BUILDING: TYPECONST_ AQ>3nL'
Mailing OCC. GRP.
Address SAME
A.P. Number
City Zip Tel.
LA UINTA A 92253 1347- Legal Description
Contractor Project Description StTUER HOOK7'
ECONO SEWER SERVICES
Aaa ress
P O BOX 192
City Zip Tel.'
'?ALM ^ESEF 92260 346-2793
State Lie. City
&Classif. 460941 Lie.# 342
Arch., Engr.,
Designer
Address I Tel.
City Zip State
Lie. #
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
effect.
SIGNATURE OA7t
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the fallowing
reason: (Sac. 7031.5,ausiness and Professions Code: Any city or county which requires a
permrel to construct, seer. Improve, demolish, OF repair any structure, prior fu its issuance also
requires The applicant tar such parmrel le file a signed statement that he is ffcensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 fcommancing with Section 7000) Of
DfvfsiDn 3 of the Business and Prolessions Cade, or thaf. he is exempt thotehnm, and the basis
for the affeged exemplion. Any violation OF Section 7031.5 by any RDPS and for a permit
subjects the applicant to a civil penaffy of not more than fly® hundred doA'ars (5500).
❑ I, as owner of the property, w my employees w}th wages as their sole compensation, will
do the work, and the structure Is not Intended or offered for sale. (Sec. 7044. Sulsness and
Professlons Code. The Cenlraefer's license Law does not apply to an owner of property who
builds or improves lherem and who does such work hhnsofl or Through his own omployaes,
provided that such improvements are not Intended or Offered tar sale. fF, however, fhe building
of Ywrovemerrf is said within one year of campietion, the owner -builder w-A Crave 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.)
❑ I 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
Workers unsVir In�urancerya ocf8tt�i goy ih¢rpvf. {t ac. 36 abor Code.)
Pulley N Com�Jpany
❑ 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 ($10o) valuation
or less.)
I certify that in the performance of thV 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.• 11, after making this Cerltfkafe of Exempban you should become
subject to fhe WO"rs' Compensation provisions of the Labor Coda, you must forthwith
comply wnh such provisfons or this permr7 shelf be deemed revoked.
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 appllcalion and state that the above Information is correct.
I agree to comply with all city and county ordinances and state laws Yeteling to building
constructlon, and hereby authorize representatives tof this city to enter the above -
mentioned property far inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
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_
Validati
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. ®
SQ. FT.
SO. FT.
SQ. FT. @
SQ. FT.
SQ. FT.
SQ. FT. @
VALUATION
$
UNITS
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
OF DRAINS
R[DRAINAGE
PIPING
DRINKING FOUNTAIN
URINAL
$
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
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
HOUSE SEWER
GAS PIPING
IT FEEPERMIT
FEE
PERMIT FEE
FEBR
TOTAL FEES
i
MICRO FEE
I
MECH.FEE
PL.CK.FEE
CONST. FEE
I
ELECT. FEE
I
SMI FEE
PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
SLAB GRADE
GROUND PLUMBING
ROUGH PLUMB.
UNDERGROUND
A.C. UNIT
COLL. AREA
I BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
WSEWER OR SEPTIC TANK
r 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.
FRAMING
FINAL INSP.
ROOFING
cb
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION j r
CERT. OCC.
FENCE FINAL
I NSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
z
ESTABLISHED IN 19.1'8 AS A PUBLIC AGENCY
COACHELLA VALLEY WATER DISTRICT
POST OFFICE BOX 1058• COACHELL'A, CALIFORNIA.. 92236 • TELEPHONE (619) 398.2651
DIRECTORS OFFICERS
RAYMOND R. RUMMONDS:.PRESIDENTLOWELL O. WEEKS; GENERAL MANAGER -CHIEF ENGINEER
TELLIS CODEKAS,VICE PRESIDENT BERNARDINE SUTTON, SECRETARY
JOHN P. POWELL KEITH 'H';AINSWORTH, ASSISTANT GENERAL MANAGERIAUDITOR
PAUL W. NICHOLS. REDWINEAND.SHERRILL-ATTORNEYS
THEODORE'J. FISH January 27, 1986
File: 072.1.1
;�ameV
VAdd]V G® 6
VSalV
Subject: Sanitation Service for Avila Drive., Hacienda.
La Quinta., Guijarro Place, La Quinta, California
The tract in which your home is located was constructed with a dry sewer system.
This system was installed in anticipation of the extension of community trunk
sewers. In October 1985 connection to the community trunk sewer was made;
thereby activating the sewer system, within your tract..
The developer of,your tract, recognizing that the sewer system was not usable,
installed septic, tanks for the purpose of providing wastewater treatment until
the sewer system could be activated. Now that your `sewer system is in service
,you may desire to connect to it.
In order to obtain sewer service to your property the following items must be
completed::
L. The. .owners of record of the property must complete the enclosed application
for service card and return it to the District .in the enclosed envelope.
'. The physical connection,of your home.to the community sewer may be made'by.
a plumber or sewer contractor of'your choice.. The contractor or plumber must.
secure a. building permit from the City of La Quints and notify the District
prior to installation, of. the connecting pipeline..
.A monthly sewer charge which .is currently $11.00 is collected to pay for
treatment of the wastewater generated from your home..
TRUE CONSERVATION
USE WATER WISELY
K
VName,V.-2- January 27, 1986
If you have any questions or require additional information, please call
Jim Zimmerman at (619) 398--2651.
AU:lmf
:Ene losures./2 /as,
Yours very truly,
Lowell 0., Weeks
General Manager -Chief Engineer