06102 (SFD)Ell
Building -
Address 51-540
TAtyl 4
P.O. BOX 1504 N o .
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address 46--301 Roudei lane
City Zip Tel.
Lt QI8inta 1922,53 342--3521
Contractor
0w-ar/Builder
City
State Lic_ City
& Classif- Lic. #
Arch_, Engr_,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOWS DECLARATION
1 often that I am licensed under provisions of Chapter 9 (commencing with Section
7UQ� W Division 3 of the Business and Professions Code, and my license is in full force and
effect
SniQlATtmE DATE
OWNER -BUILDER DECLARATION
1 hereby affirm that I am awrnpt from the Contractor's License Law for the following
reascr[ (Sec., 7031-5,Btrsness and Plrofession Code: Any dry or county which requires a
ie 5 to cosblet after, irnyvwe, demolish. or repairany structure, prior to its issuance also
rerpdres the appiftaid for such pemxT to lie a signed statement that hes licensed pursuant to
Ore pravdorrs of Me Contractors license Law. Chapter 9 (commencing with Section 7000) of
Lurision 3 of the Business and Professions Cade, or that. he is exempt therefrom, and the basis
far the amaged exemption. Any violWon of Section 7031.5 by any applicant for a permit
seeds Me appacaht to a civil penalty of not moire than five hundred dollars (5500). -
® 1, as owner W the property, or my employees with wages as their sole compensation, will
do the worts and the structure is not intended or offered for sale. (Sec. 7044, Suisness and
Prafesslmrs Code: The Cmmratlar's License Law does not apply to an owner of property who
brxhs or f axaves thereon acrd who does such work himself or through his own employees,
parvidled fent such 6rmrovarmns are not blended or offered for sale. N, however, the building
or Ilmpmmemet is soli -lobe arra year of completion, the owner-bur7der w711 have the burden
ur/praysmg flet he did neat brdi a r invrove for the purpose of sate.)
I, as owner W the properly, am exclusively contracting with licensed contractors to con-
-the proiecL (Sec. 7044, Bshess and Professions Code: The Contractor's License Law
does not apply to an owner of property who brdlds or improves thereon, and who contracts for
such prco cs with a otmtractm(s) licensed pursuant to the Contractor's License Law.)
® 1 am exempt under Sec a. & P.C. for this reason
Date
WORKERS' COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to self -insure, or a certificate of
4ltookeds Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy Nn -company
® Copy is filed with the city. ❑ Certified copy is hereby fumished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
Oft cacumen need not be cmrpleted if the pemnit s for one hundred dollars (S 100) valuation
err Aess) .. ,
I cerfity that in the performance W 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 W California
_ Mete .Owner
A10710E 70 APPIICANr: f, after rnaldrg this Certificate of Exemption you should become
srobyect to the Ulvroers' Compensation provisions of the Labor Code, you must forthwith
cm'WY wr7h such Provisions or this penrrrl shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
II hereby affirm that there is a construction lending agency for the performance of the
work for which permit 6 issued (Sec. 3097, Crog Code.)
Leaders Name
Lenders Address
This is abuilding Permit who properly filled out, signed and validated, and is subject to
expiration ff wank thereunder is suspended for 180 days.
I certify that I have reed 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 W applicant Date
lfa0iog Addnss .
City. Staten. zip.
BUILDING: TYPE CONST. OCC: GRP._
A.P.-Number 773-124-tM
Legal Description
Project Description'
Sq. Ft. No. No. Dw.
Size 1385 Stories Units
New ❑ .. Add ❑ Alter ❑ Repair ❑, Demolition ❑
Estimated Valuation $799385
PERMIT , ,
AMOUNT
Plan Chk. Dep.
$250.00
Plan Chk. Bal
$ 227.40 �
Const.
5119.59
Mech.
55.5
Electrical
110.84
Plumbing
172.50
S.M.I.
5..60
Grading
20.00
Driveway Enc.
2..fla
Infrastructure
1,750-78-
,750.78"TOTAL
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
7119189
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
DUCT WORK
ROCK STORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
REINF. STEEL
GAS (FINAL) TEMP. POLE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
WATER HEATER SERVICE
FINAL INSP.
DRAINAGE PIPING
CAR P. SO. FT.
WATER SYSTEM
GRADING
cu. yd.
plus x$
WALL SO. FT.
LUMBER GR.
DRINKING FOUNTAIN.
G�FRAMIN -
FINAL INSP./y /�
URINAL
SOFT ®
REMARKS:
ESTIMATED CONSTRUCTION VALUATION $
VENTILATION
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, 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
CERT. OCC.
SO.FT.GAR ® 3/ac
HOUSE SEWER
FENCE FINAL
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
OUND PLUMBIN7 UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS f
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) 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.
FINAL INSP.$—plus—x$_=$
G�FRAMIN -
FINAL INSP./y /�
ROOFING^ �2 '�
o'er
-/ ( /Q�✓`j
(V L✓• �/ • ! !/ 4 -/"zSPARK
%��. // /�� /.� •%,p '/f,� �•
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
ARRESTOR
GAR. FIREWALL
LATHING
MESH
fill
INSULATION/SOUN916. - 0 01
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF L4
SCHOOL FACILITY FEES
rill
D()
TO: Cit oar 3nta�U
Department 0 yClamayr it Reve'9( itiJ k0
78-105 Calle EstadoVc
La Quinta, CA 92253
This is to certifv that _ M G" A 0 PAI M ,
developer of " which is
located at , within
this District, has paid school facility es im osed pur'suaIK to the
au or ty ge erat d by einment C de Sec ion 53 n the amount of
S o �(
covering a total of square feet of (,I resi ential or
( ) industrial/commercia development and that building permits for
this footage in this development may now be issued by your jurisdiction.
0/r,
for DESERT SAND -UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
,;Ae-es'r '�� � �-�.-..-,.,-y :� :c �gaxa. �.R'ac�-pij�^��`;'_'�'+'�. '�' �w<�r.x °��;� ;�-f�'4`"aS ai'�•�;Y6t . r�r^' ,..E ,� t. �°J�r,-`xc' ._���.,�
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CO
- COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH ' �t°'°Of° �'� NO.
ENVIRONMENTAL HEALTH SERVICES
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,
VERIFY ITEMS IN SECTION A FROM BUILDING d SAFETY,,APPLICATION BUILDING DEPARTMENT APPLICATION LOG' * '
Agent. Contractor, Contact PersonI� Phone
Address 8 Phone
Owner Phone
Mailing Address '
_ 3o,4;14
City
SZip
Job Properly Address//
t egel/Descriphon Prop..(PM, T "Lot)
S.-CJ`yv .d
a0
Lot Size
r ter Agenc
Use of Permit P/P, CU, etc. "
'Other
O
M
Owellin 1/SR rep, etc."
Signature of Applicant
' z Date .
CATEGORY: REV CODE '-, E_ ;,
CATEGORY: REV CODE FEE` `
t7 -r SUBSURFACE DISPOSAL 1236 $4500
❑ SITE EVALUATION UPON REQUEST 7349. '- $42.00
❑ MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
LAND DIVISION t
O SEWER/SEPTIC VERIFICATION 7348 $11.00
a. 1 st 4 Parcels (Each) 1238 t $45:00
(Less than 1 year) •• ,
b: Each. Parcel after 4 7344 1 $16.00
❑ PRELIMINARY ELECTIVE 7352 $45.00-
45.00.❑
0Rereview`(2nd review same parcel) 7344$16.00
'EVALUATION (Attach DOH SAN 53) ,
wi.
❑ Site Evaluation in Conjunction with ' '
❑ HOLDING TANK 7351 ..$45.00
-
Critical Area 7346 • ° $86:00
❑ ALTERNATIVE/EXPERIMENTAL 7345. $13200
❑ Site Evaluation Lot Less than :.
SYSTEM ,
10,000 Sq. Ft. 7347 $86.00
DATE
Holding Tank Agreements Completedt O Yes' No
r
Certification of Existing S.D. System Required ' ` ❑ Yes 1 No
WOCB Clearance required. (Attach Form ❑ Yes No
DOH SAN 007, Santa Ana Region Only) t
Sills Percolation Report Required. ❑ YesNo,
Special Feasiblllty Boring Report Required. ' O Yes
- Detailed Contour Plot Plans -Required _(1,to 5.R.intervw T ` .- ❑_,lies 4_ No _
Otfter ❑ Yes
Staff Specialist Lot Inspection Required. r ❑ "Yes `
Lot Inspection Date
Sills boring report by Date
Sills Map Page �(�il Sol Type • ` C" Approved by .2- K
A 11
No. of System
T4 of Systems)
No. Dwelling Unils(l
(1) Sepik Tank
Soil Rate
GRN --/S"
=Ing Tank OO Existi • '
Bedrooms,
3
rea�dntop
Replacerrient
P
Gel
Gal
'(2) Leach Line Sq. FL
Sidewall allowanoe
Install,_ s) R long it wide with
Leach Bed sq. ff.
trench area
R rock/ Sq-%-
per running n
" min. below drabrlines or
of `awa
,o,•„�
Leachlinea/bed special design for slope: (3) Pit Dia�er W. Pita Pit Below Seepa� Pit ToJ Depth,
Applicable Inlet (BI) cel
.Mex.
+ 5' / ► Allowab�e Depth
N/A Overtwrden factor
i
No. 2 System 11114 -
REMARKS:
This application i APPROVE _'for the category checked in SECTION B above, regarding the design.of a subsurface disposal. indicted .
on the accompan pot pp an, using the requirements set forth in SECTION C above'. A building permit is, necessary for the installation of• the -'
above -designed system. No construction is permitted in the, required, reserved 100% expansion area.,
(1 Septic tank and sewer lines must be 50' minimum from any wells /Q
Leach lines must be too' minimum.from any wells, including expansion area
(3 Seepage pits must be 150' miniim/u�m from any wells .incllluuuding expanse n ar �rjV
Signature of Heahh Official civ • .- L . Date
RECEIPT•NO.f Issued By 54 Date
DISTRICT: '0, Riverside, [Indio ❑ Hemet q Perris ❑ Rancho Calif.` . ❑ Blythe
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE -Office file YELLOW Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records i
0
E.. EES7t� SPnI;r;Y
T.0' IN11"MY
ti{ ►rleiAn ar•F'�WOOU v;nAll
l.l�l:F.
n�itic:Ut_`i URAL c>U, I II551u "Ut
,,, � �) /�ilt) CEE�IErI (IF.WEMSIE
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st.,«n
Ilay 116; ga'lte 1► -12
• C���cl�e 1 In Ck 9436
619-)1i2-O'l91'
�Iro, ie
ICAS.0
Vivir,
DEV 5 MAGI
ICS U n ��
elf �
• AUUhES5� .
To
�►r,��I'I WWC t l GI � 3 y 2 : 3
Dear Develuperl
ewill VUC 1�11�I$Ctall�.11c� 11�U11!3� f1�L Ilif�llf' IIyfV Lle 1i5 substilufllull9
Atter re i y Y
V101"tivll or: yuarnlit1i-pi 1Cm`lni`-rl�tlt�`iiF�lelcl llsled� lllls oL'<tic;e litust be Ilot'itied
do occur.old they dlf[er !
�ula?diately. '
iiil tt�esetvllty llle l�scllelia ,Ye'lleyI,s pest -[gee ellvirvin�nt.
'1'lleulk you for �tcolectLly .� !
Agricul ural Uiiitlss� l►eiIs:ULL'�ce
i
cct ludio 011d' Ilivei:side tit [Ice
4
Fitch Engineers :1h11c.
July 2.2, 1989 �+
Mr. Mike.-McIntyre
46 301 Rondel
La Quintal Ca. 9.2253
SUBJECT: Rep.or,t of I.n-,.Place.Tests- 51 -S70 Avenida Obregon
'La Quinta, Ca.
Gentlemen:
In accordance wi-.th your re-que:st, this_ te'po�rt has :been prepared
to present the: results of the°'Jn-place tests -performed. on the
fill material'. at the subject; site.-by` Fitch. Engine,ers., Inc.
These tests were performed"on..7/22/89.
AVAILABLE PLANS
To assistin determining the °,locations . and elevat' ons; of our field
density tests. and to _define- the .g.eneral- extent of the site-grading
for this phase of work,-we were provided wi;tl"information by the
contractor.
FIELD TESTING
Field density. tests were. per.formed.b.y .a-:representative of Fitch
Engineers., Inc. upon'•comp-let,on'of. site. grading. The. density
tests were taken accorAing:'to. A S:;T.M. Test :1,556-74 and the
location, and r-esults of those tests are shown on the attached
plates., The location's- and. elevations 'of-. the in-situ tests were
determined in.;accordance w-'Lth ,their importance and the accuracy
and proximity. of the survey:. control provided'-by other than Fitch Engineers
Inc. representatives. Unless otherwise not`ed;;.their location's and
elevations were ddiermined by.pacirng. and hand level methods and
should be consider ed'accurate.:6nly to the degree implied by the
CIVIL ENGINEERING = PLANNING — SURVEYING — DESIGN
P.O. BOX 455" /PALM DESERT, CA 92261
(619) :345-7667
-2 -
method used.
LABORATORY TESTS
A maximum dry density determination.was performed on a representa-
tive sample of the soils used in the .compacted fills, according to
A.S.T.M. Test 1557-78, Method A. This method specifies that a
four (4) inch diameter cylindrical mold of 1/30 cubic foot volume
be used and that the soil tested be placed in five (5) equal layers
with each layer compacted by twenty-five (25) blows of a 10 pound
hammer with a 18 inch drop* The results of these tests as pre-
sented on Plate No. l were used in conjunction with the field
density tests to determine the percent of relative compaction of
the compacted fill.
iThis report covers only the work performed on7/22/89.
Our opinions presented herein are based on our observations and
the relative compaction tests results. Due to possible variations
in the uniformity of compacted fills, we only warrant that our work
was performed in accordance with the currently accepted standards
of practice and in such a manner as to have reasonable certainty
that the mass grading complies with the job requirements. No
other warranty, express or implied is given or intended.
If you should have any questions after reviewing this report,
please do not hesitate to con -tact this office.
This opportunity to be of professional service is sincerely
appreciated.
Respectfully submitted,
FITCH ENGINEERS INC.
WM. H. FITCH
R.C.E. 12571
I
JOg
NAME 51 570 ;Avenida Obregon, . La Quinta, 'Ca.
JOB
►alp,
.-�
,
ELEVATION. OR
MOISTURE
DRY D:EN.
SOIL
REL. COM;
TEST NO.
DATE: LOCATION.. '.
DEPTH OF TEST
_ 4%e,
Fb5/c'u Q.-
TYPE
•/t
7/22./89
See Sketch
-1''
2'.0i
110.4.
119.6
92.3
Imo_
-0'.5'
9.9
101.7
112.2
93.2 ^�
3
"
".
•F.G.
14.9
104.6
112.2
93.2 41'
k
I'
SOIL TYPE
#1= 119-.6 lbs.
cti./
. @ 11.7%' Moi
tures:.
SOIL TYPE
#2= 112.2 lbs:
cu:/
t. @ 13:0% Moi
ture'
Plate No.l
''
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e
J
DENSITY TEST 51 570 Avenida Obregon
La Quinta, Ca.
BY G. Krause DATE 7/22/89
JOB NO.
NTS Plate No.2