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001925 (SFD)P.O. BOX 1504 Building r 78-105 CALLE ESTADO Address 52--1-40 Avinxida.raw— - LA QUINTA, CALIFORNIA 92253 Owner A. ell. Address P.O. Nil= 1 1" CityZip Tel. I Palm This 92263 325-1944 Contractor ress. saw City . Zip - ITe.l. ' - State Lic. I City & Classif. Lic. # M -7R. Arch:, Engr., Designer Address Tel. City Zip State Palm 4xilve 92-62 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I -am licensed under.provisions of Chapter 9 (commencing with Section 70 OO) of Division 3.ofthe Business and Professions Code, and my license is, in full force and effect. / i # Z _/ .l I SIGNATURE / it ,e DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for thefollowing 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 or 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 pena8y 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 ❑ Copy is filed with the city. ❑ Certified.copy is hereby furnished. T 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. No. 001925 BUILDING: TYPE CONST. IIAN OCC: GRP. R 3 A.P. Number 773-2007 Legal Description UA 7 Project Description d �� Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become DINIG ?368 Sq. Ft. 0 No. Size �Stories 1' No. Dw. 1- Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from. Center- Line I hereby affirm that there is a construction lending agency for the performance of the Estimated Valuation 6 72,$20.80 PERMIT AMOUNT Plan Chk. Dep. Lender's Name Plan Chk. Bal. 70.22 Const. 384.50 Mech.. 34.50 Electrical 63.72 Plumbing 93.00 S.M.I. 4.94 Grading 29.00 Driveway Enc. 20.00 Infrastructure 1,n,58.57 mentioned property for inspection purposes. .Validated by: Signature of applicant Date , TOTAL 2,000.45 1„758.45 REMARKS City, State, Zip Gnat irziCludes mtamuiq wall. Pe=t i'f eS. Wt iomie 1 raice. A 3 5 7 8 12 13 1758.45 CK Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY: ' subject to the Workers' Compensation provisions of the. Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from. Center- Line 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.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR This is a building'permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. Issued by: Date •s 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 A 3 5 7 8 12 13 1758.45 CK HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINP FEES. s 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. FOR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. SO FT ® ESTIMATED CONSTRUCTION VALUATION; $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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. 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 REMARKS: LEI 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 ROUND PLUMBING Z //,* UNDERGROUND A.C. UNIT COLL. AREA �- LAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 1 / 14WER OR S !/ 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. F AL INSP. % �6 '.kI&RAMING ` FINAL INSP. ROOFING �� I S(/ �// R [O/ ZD1lF/ - REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR e97GAR. FIREWALL If LATHING MESH NSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL q{ O;NFIE s • Desert ` Sins Un ,.e Sc oo District H BERMUDA.DUNES:'. RANCHO•MIRAGE•"P 82879, HIGHWAY'1A) O'INDIO. CALIFORNIA 92201-5678 0 16.19) 347-8631 a r `INDIAN•WELLS to PAL'M'DE. RT'a November,,25', 1,985 ttt P LA OUINTA ' INDIO )) -• City of La Qui ntFa ' Department o:f Community Development 78--105 Cal 1,0 Esaado La Quinta, CA 92253 Re: 'Lot 7, BI ock_'1, 'Santa Car mel ita-,.:Ca1le:,0bre-on, Lia Quanta Gentlemen: ,..:. The deve1dper'of the :above 'reference -,d' lot has mi tiate i ts-.i:mpacts on ;our oVerc:rowde.d schools 6y'. payment of the •°amount- of $628 per unix to`'be a'ppl ied`to, th.e cost of distri ctl 6ducati oral fa;ci l i:ti es ";made. necessary. by.. sucl new . development.. Sincerely, •: John D': Brooks Asslstant.SUP eri.ntendent • -' �' Busi Hess ' Se;rvic2s _ . JDB/crm` 0 Z 2 H U W N U Z O U w Cn COUNTY OF RIVERSIDE, DEPARTMENT OF HEALTH PERMIT APPLICATION FOR A SUBSURFACE DISPOSAL SYSTEM Applicant: Submit this form with three copies of a scaled plot plan drawn to county specifications required on the attached check list. A non refundable filing fee of $1"5' is required when the application is submitted. Check must be made payable to County of Riverside. 30 Name /) Mailing Address U. C. �r-� z t - % - City r State �/ ` Zip Code Phone / `Property Address Cit Oo,zCemmunity- 'Legal Description of Property (Lot, Parcel Map, Tract) 'Assessors Parcel No. Water Serving Property From / Lot size 111-ww 4" Signature of Applicant V U Date / 'The above information must be verified from Building Application Staff Use — Do Not Write Below This Line Initial Date WQCB Clearance required Yes ❑ No © I 1 ?.,r -.f Soils feasibility report required Yes ❑ No ❑ Detailed boring report required Yes No 10 Detailed contour plot required Yes ❑ No [P Comments: Soils or -boring report by Date Approved by /`r �n Date ���� %� �� ^��`� Of her��'���J`�`" Soils Map Page Soil Type 1. - Tract File No: Number of Bedrooms l am; : Septic Tank Size (gallons) © �v (i'� %` - Rate Required /%� , �y� (4 r'Af'/ rj i/1 '/"' '!.� Type of System New Addition Replacement ❑-" ❑ ❑ Leach line sq. ft. of bottom area trench (/ Leachttied (sq. W6f bottom area bed) Seepage Pit Diameter Number of Pits Seepage Pit Depth B.I. Total Depth of Pit Location of System Additional Requirements,(�l1[, A permit is approved/denied-forthe design of a subsurface disposa system as indicated on the accompanied plot plan using the requi ents set forth in Section B above. A building permit is necessary for the installation of the above designed system. j Signature of Health Official Date° Receipt No. A(��1� 6 Issued By p District: Riverside ❑ Indio.❑ ------Hemet ❑ Date DISTRIBUTION: WHITE - Office File YELLOW - Applicant PINK - Building Dept. GOLDENROD - Pending File DOH SAN 122 (Rev 10/84) I h 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 (619) 564-2246 December 11, 19'85 Mr. A. C. Hipp P. O.Box 149.9. Palm Springs;:;CA• 922'63 > RE: PLOT PLAN NO. 85--,238, Approval to cons:tr.uct.a;single-family dwelling on the east ` side sof Avenida Obregori, '20'0' north of Calle Sonora. Dear Mr. Hipp 1 This letter is to report approval:'.of your application to build a single-family house.At'the location, described above.• This approval is subject to the conditions listed on the4ttached'sheet. Now that you have Planning Commission approvdl' for construction of your single family home, the next step`p_to submit plans to the Community Development Department; Building Division; for plan checking. An instruction sheet is 'attache`d ,expla ri •ng the require- ments that must be.completed prior .to acceptance of.'the plans for consideration of approval. Please contact`` -the Building Division if you have any 'further questions regarding fees, etc. Very truly yours, COMMUNITY DEVELOPMENT DEPARTMENT PLANNING -DIVISION Wallace H. Nesbit Planning Assistant WHN:dmv Encls: 1. Conditions.of Approval 2. '-.Instruct'ions for Submitting Plans for Plan Check' MAILING ADDRESS P.O:"::BOX: ,1504 LA QUINTA, CALIFORNIA 92253 THIS APPROVAL IS SUBJECT TO'THE FOLLOWING CONDITIONS: 1. The development of the site-shall be in conformance with the Exhibits A', .B and C contained in'- the f ile. for . Plot Plan No.. 85-238, unless otherwise amended by ahe following conditions.. 2. The approved plot plan shall be .used with=in two years of the approval date;.otherwise, it.`shall become null—and void and of no effect whatsoever: By " use" is. meant- the beginning of substantial.construction, not including grading, contem- plated by this`'approval:1which is begun with the two-year period and is thereafter diligently pursued to completion. 3. Water and sewage disposal facilities shall be.installed in accordance with the requirements of the Riverside County Health Department. 4. Fire protection.shall be provided in accordance`Iwith the standards of the.'Uniform Fire :Code `as adopted by the City of La Quinta. 5. Prior to*the issuance of a building permit, the develIpper shall submit and have.approved., a detailed landscape plan for the: front yard showing the .species, size,-location and spacing'of all planting materials, including a minimum of two (2), 15-4allon,.street-,,tiees.- The plan shall in the irrigation system and -'the location of the required three (3) outdoor water spigots. 'Prior to the issuance of "a Certificate of Occupancy, the Applicant-shall install landscaping,in accordance'.with the approved landscape plan. All trees and plants shall-be'maintained in viable condition for the life of the approved use. 6. The heating and cooling mechanical equipment shall be ground mounted, or screened eritirely'by the.'roof structure. 7. Refuse containers and bottled gas containers shall be concealed by fencing or landscaping. 8.. The driveway shall be surfaced with concrete rand have asphaltic`concrete connecting pavement (a 2" x 4" header) to the existing street,,pavement. 9. The Applicant shall obtain clearances,:,and/or permits from the following agencies prior to.submt.ting these plans to the Building Department for plan check': *Riverside County Health Department *City F.ire Marshal *Community Development Department, Planning Division *.Desert Sands Unified School ;District CONDITIONS (Cont'd) 10. The:Applicant shall. -pay -.a school development fee as determined by the Desert -.Sands School District in accordance with the achoollmtigation agreement as approved by the City Council and in effect at .the time"of ssuanceof..a building permit,. A etter from Desertx:Sand's :Unifie.'d;.Sch 'ol District stating �thats .these fees lave leen; paid shall be' presented to the Community ;Development: "D'epartment,„ Burl"ding Division, prior to issuance -of a -building permit. 11. The structure `shall have a Class "A'!'` roof covering. 12. The, garage shall :measure . 20':•. �x :2,0' clear, from interior wall to interior wall. 13. The. facing of the garage door shall incorporate. exterior treatments, such as ,p antons br similar trim, in-rder�to provide a more aest'hetc'and'uniqueappearance: Fitch Engineers Inc. August 18, 1986 City of La Quinta 78 105 Calle Estado La Quinta, Ca. 92253 R EL ED Er I \1 El AUG 211? 3 CITY OF LA gUINTA CommuCITY DEVELOPMENT DEPT Attn: Building and Safety Dept. Subject: 52 140 Avenida Juarez - Lot 16 Block 5 Santa ;3r_:nelita at Vale La Quinta Unit No. 1 Gentlemen: The elevation of the canter line of Aw nida Juarez and the south property line of Lot 16 is 100.00. I hereby- certify this day _Eia� 'ze F.F. is set at 10123. The approved plan established the F.F. at elevation 101.0. The swabs have not been fine graded. Respectfully, WM. H. FITCH R.C.E. 12571 C G CIVIL ENGINEERING — PLANNING —SURVEYING — DESIGN P.O. BOX 455`/ PALM DESERT, CA 92261 (61"9) 345-7667 TESTING • 'INSPECTION 1731-A WALTER STREET VENTU.RA, CALIFORNIA 93003 February 11, 1986 Marion Mason P.O. Box 1499 Palm Springs, CA 92263 Project: 52-140 Obregon -La Quinta, CA Subject: Report of Field Densities -House Pad • PHONE (805) 642-6727 B -15997-P1 66-2-108 On January 21, 1986 a representative of our firm performed density tests on the fill placed in the building area on the above referenced project. Tests were performed. at random locations in accordance with ASTM D 2922-81 and ASTM D 3017-78 Nuclear Density Test Procedure. Tests were performed as per authorization of Marion Mason. The estimated locations of the tests are presented on the attached plan with their results being summarized on the attached test report sheet. A total of two t2) density tests were Performed. Test results indicate that a minimum.of ninety percent'(90%) relative compaction hes been obtained within the areas tested in the subgrade and 'base respectively. The maximum density -optimum moisture were determined in the laboratory in accordance with- ASTM D 1557-78, Method A. Test results are as follows: Soil Descriotion USCS Maximum Density-Ootimum.Moisture Light tan fine to coarse sand with gravel SW 124.1 pcf 8.5X Dark brown silty fine to medium sand SM 115.5 pcf 12.6% VENTURA (805) 642-6727 BAKERSFIELD SANTA BARBARA (805) 327-5150 (805) 966-9912 LANCASTER (805) 948-7538 PALM SPRINGS SAN LUIS OBISPO (619) 328-9131 (805) 544-6187 February 11, 1986 -2- 8-15997-P 1 86-2-108 1. The project is located on.Obregon in La, Qui nte, CA. 2. Prior to our arrival at the site, the pad. had been graded. 3. The purpose of testing was to observe compliance with the project specifications of as well as those ;of the City of La Qunta. The test results summarized :in this reportpresent the moisture and density only at the locations and depths tested on the specified date. The summarized field. and laboratory 'tests were ,performed in accordance with 'engineering principles generally -accepted at this time. and location. No opinion is expressed as to the: uniformity of the material,. compaction, nor adequacy of the material to perform its intended function. No guarantee or warranty of the contractor's work is made or implied. If there are any questions, please do not hesitate to contact this office. Respectfully, submitted, BUENA ENGINEERS, INC. /\J 6"T Norman 6. Jackson, Jr. NGJ/CSH/kis F5 Copies: 2 - Marion Mason 2 - City of La Quinta 2- PS file 1 - VTA file Reviewed and Approved 4 Craig S. Hill ofESSIp CE 38234 IQQ G S. C-3 < �� W U CE 38234 7D Exp. 3/31/89 JI�jE F' C BUENA ENGINEERS, INC. ' m. REPORT'OF RELATIVECOMPACTIONS Job No. 0-15997-P 1 CONTRACTOR: DATE:. febrUarty 11, 1986 Report No. 86-2-108 ADDRESS: JOB & LOCATION: La QUtnta, CA TEST NO. DATE DESCRIPTION % MOISTURE DRY DENSITY RELATIVE MAXIMUM TESTED IN PLACE IN PLACE COMPACTION DENSITY 1 1-21-86 Per Plan 1.5 NG 8.4 111.3 90 124.1 2 1-21-86 Per Plan FG 10.8 111.6 97 115.5 FG = Finish Grade BFG = Below finish Grade WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH COPIES: BUENA ENGINEERS, INC. l- r F.' i7i� �'t�. .. M COPIES TO IT- -ij DD �)7v SIGNED SPATE, . l F RICAT G . g p , ` E.s � Ca t IN .STkIC.t ACCCRDA NOE AB`R-.J-CATED Tri. r z.. `I 5515 S95581 OWENS LARRY CONSTRUCTION C EXPIRATION DATE 6/86 r /L 0117 L *105 CALLE E.STADO LA QUINTA. CALIFORNIA 92253. (619) 564-2246 1 1 nt. August 11, 1986 Aurora Dawn Harris' 2855 East-•C'oast Wi;ghwa;y.;. 'Su A.e 228 Corona Del • Mar:, CA`, ` 9262'5 Dear Ms:..Harris; ChecKing ou:r files `I find that one permit"`was:,issued;to AC Hipp using the license number•.381506'. A. C*. Hipp is no monger t'he'contrctor on that specific.job nor afe they engaged in'`a°ny oth'e;r• projects in the City at this time. Enclosed please find:.,a copy of 'the .a;forementi,oned'.pe.rm'iti If you have any other questions regar'di'ng,: t,h.is matter please feel --free to contact our office.. Ver trul Y Y Yours, COMMUNITY DEVELOPMENT'DEPARTMENT BUILDING• D"IV:I:SI-'.0N •: Tom Hartung Chief Building -Insp,ector TH;psn MAILING 'ADDRESS-- K&: BOX. 1504 - LA QOINTA; CALJ:FORNIA 92253 REC.E1VE® AURORA DAWN HARRIS LAWN ERAI I r 1� ;0 �, J., 2855 EAST COAST HIGHWAY, SUITE 228 CORONA DEL. MAR, CALIFORNIA 92625 CITY OF LA QUINTA 714675-4271 COMMUNITY DEVELOPMENT OPT August 6, 1986 Mr. Thomas Hartung Chief Building Inspector CITY OF LA QUINTA DEPARTMENT OF BUILDING & SAFETY 78105 Calle Estado LaQuinta, CA 92253 RE: -PACIFIC BUILDERS (INACTIVE) LICENSE #381506 Dear Mr. Hartung: I represent Wi:lliam'R. Hipp .and=.his corporate fictitious business name, Pacific Builders. We have been advised that A. C. Hipp and Miriam Mason,-urider the business. name of Sundance Industries, Inc., have been utilizing Pacific -Builders' inactive contractor's li- cense number -#381506, to obtain permits for construction in La Quinta. Be advised that such was without the authorization.or knowledge'of William R. Hipp. and Westport Industries, Inc., dba Pacific Builders. It is my understanding that a search can be made.by your department to iocate permits issued without authorization under .my'.clientIs names or license number, to Hipp/Mason/Sundance Industries, and that these unauthorized individuals would then be required to -pro- vide a substitute RMO and license.number on all such permits. - The affected property, as far as is known to us, is as follows: Bear.Valley Lot 47 Div. Obregon Loan #954809 which comes under.the jurisdiction o.f the City of LaQuinta. Please be kind enough.to forward to me as quickly.as possible, a copy of the.permit`issued to.this property., and.should you discover any'other.permits issued:-under'the above'inactive.license number, or to parties-Hipp/Mason/Sundance; we would greatly.appreciate copies.of those permits as well. If-.youhave any questions regarding this matter'I will be more than happy to speak.with you. Thank you for your attention and ant,cipated:cooperation. [i r ArORA A orne H:mba .� -71