12377 (SFD)54700 Avenida Alvarado
_.- 1lIIIIIIIIIIIIIIIIIIIIIII 79
IE
Building
Address
54-700 Alvarado
4aditrad
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Owner
Donald G. Hamilton
Mailing
Address
P.O. i opx1201.
Lei Quinti, CA
Zi
92253
Tel.
Contractor_ valley Construction
Address
P.Q. Box 1281
No. 12377
BUILDING: TYPE CONST. OCC: GRP.
774-273-010
A.P. Number
Legal Description ,Lot 15 Block 268
.SPD
Project Description
4 Quints, CA
zip2253
e564-4844
State Lic.
& Classif. S 296566
City
Lic. # 1961
- Arch., Engr.,
Designer
Sq. Ft. 1573
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter 0
Repair 0
Demolition 0
Address
Tel.
Permit does not include block walls
. City
Zip
State
Lic. #
ar pool.
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
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 or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to 11s 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).
D 1, 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
Pro(essions,lCode: The Contractor's License Law does not apply to an owner of property who
builds; or ('nproves thereon and who does such work himself or through his own employees,
provided, that such improvements are not intended or offered for sale. It, however, the building
or improvement is soldwithin 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.)
D 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.)
D I am exempt under Sec. 8 & P.C. for this reason
DATE
•
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. 0 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 ($100) valuation
or less.)
I certify that in the performance of thg 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
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.
1 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
Estimated Valuation $92 998 00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
140 ..00
Mech.
Electrical
Plumbing
S.M.I.
9.3u
Grading
Driveway Enc.
s'. .0u
Infrastructure
TOTAL
REMARKS
3,270.5
ZONE• BY'
Minimum Setback Distances:
•
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street -Setback from Center Line
Side Setback fry - Line
FINAL DATE
Issued by'
Validated by:
Validation:
1
.44
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES ,
1ST FL.
SO. FT.
SO. FT.
SO FT
SQ. FT.
SQ. FT.
SQ. FT.
SQ FT
VALUATION
®
$
STORAGE TANK
FORMS (A /
J'
UNITS
WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. t
GAS (ROUGH)
METER LOOP
2ND FL.
0
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
YARD SPKLR SYSTEM
FINAL INSP.
POR
@
GRADING
co cu. yd.
$ plus x$ -$
LUMBER GR.
MOBILEHOME SVC.
FINAL INSP./2-27.4j
[
FRAMING f/s —310
/
FINAL INSP. /2_�7sf34)
BAR SINK
ROOFING
I (—ZZ—(I; Ln
GAR.
®
VENTILATION
POWER OUTLET
FIREPLACE
ROOF DRAINS
SPARK ARRESTOR
CAR P.
LATHING /2.-/ _C, 3 4_0
MESH
INSULATION/SOUND // —2Y --931,.D
DRAINAGE PIPING
WALL
®
C.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
DRINKING FOUNTAIN
®
URINAL
ESTIMATED CONSTRUCTION
$
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 10/a c
SEWAGE DISPOSAL
SO.FT.GAR ® Jac
HOUSE SEWER
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 1 1 _Z'413 L4
OUND PLUMBINGIIt_Z.3
I
Lo UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE //
1�
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS (A /
J'
r h SEWER 09 At1I / 2.,93ROUGH
�I J
WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. t
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
co cu. yd.
$ plus x$ -$
LUMBER GR.
FINAL INSP./2-27.4j
[
FRAMING f/s —310
/
FINAL INSP. /2_�7sf34)
ROOFING
I (—ZZ—(I; Ln
JJ
t
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL/1-2f ..,:i3
LATHING /2.-/ _C, 3 4_0
MESH
INSULATION/SOUND // —2Y --931,.D
FINISH GRADING
��
FINAL INSPECTION)f_/(.G�L/
1 ` i
C.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
Indio, CA 92201
619-775-3500
NOTICE:
Document Cannot Be Duplicated
Date
No. 112483
10/18/93
Owner Name Donald G. Hamilton
APN #
Type of Permit
No. 54-700 Street Alvarado
11111111IIIIIIII11111Ift 80
IE
La Quinta
City La Quinta Zip 92253
774-273-010
Type of Development
Comments
Tract #
Lot #
Permit #I
Log 44
Study Area
Square Footage
110
Single Family Residence
No. of units
1573
1
At the present time, the Desert Sands Unified School District does not collect fees on
garages/carports, covered patios/walkways, residential additions under 500 square feet,
detached accessory structures or replacement mobilehomes. It has been determined
the above-named owner is exempt from paying school fees at this time due to the
following reason:
EXEMPTION NOT APPLICABLE \.1..,..,,-
,-
VJ f
This certifies that school facility fees imposed pursuant to Government Code .53080 • _
in the amount of 1.65 X 1,573 or $ 2,595.45 have beet paid to D.SfU.S.D:-for
the property listed above and that building permits and/or Certificaesof Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By Donald G. & Terry J. Hamilton
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Marcia J. Ewart
Signature /UM (1,A,
Telephone
•
Payment Received
Check No. 1977
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
elm
IE
111111111
Professional Service Industries, Inc.
American Engineering Division
TESTED FOR: Ra(Y1
DATE: .iO-I2.-C1.
REPORT OF FIELD COMPACTION TESTS
PROJECT: <z .r R . 6 4 - 'I 00 ; iVgfZ0.Au
,- 5 `t - 4 70 ,_ ti.1- VFX 1kad v
OUR REPORT NO.: 30 J "1 !3 ._ v
TEST
NO.
' TEST LOCATION
•
ELEVATION
IN
FEET
COMP
CURVE
NO.
TEST
MOISTURE
`Yo
TEST
DRY
DENSITY
LBS./CU. FT.
RELATIVE
COMP. PEI _IS
;.O.
NOTES
1•
Ste -7o-7 ALvAxn-.1v
res
1
2--1
/_ 6
12.7v 451 -
).)-6 q g, II
4.
2.3
126.1 1G,3
Q, (P
5
/4 -04s -e ?4 J A/t4a
10
0..'"?_a q5,43
�,f
1
I-5
O
i zq .O cu, 43
11-1.3 4'5.1 --
I z. b_ 9 q5,,-(
Y
5L/-tr7n
9e.
4" c/ -A-'....
A i 1144.
1. FILL MATE 1 L, A. TT R
ESESULTS COMPLY WIT; S:r"=CIFICATIONS
CKF LL
BASE COURSE
SUBBASE •
SOIL CEMENT
OTHER
NOTES: , DENSITIES SHOWN: Lbs. per cubic foot ' .
WATER CONTENT: Per Cent of dry weight
PERCENT COMPACTION: Based on maximum 3.
'dry density obtained on sample indicated by 4.
soil ID number pip / — 133.D 5.
1 6.
L SD. '0 COM
WITH SPECIFICATIONS
C. TEST IS AFTER RECOMPACTIK:
•
`► T\1 it r -zy—
Respectfully submittac..
Professional Servic . h.-iustries, Inc.
42-240 Green Way, Suite C • Palm Desert, CA 92260 • Phone: 619/341-5790 • FAX: 619/3'-3794
PSI A-1042 (#1)
TESTED FOR:: ' •
•
•
DATE: I — ) 2. -Q 3
Professional . Service Industries, Inc.
American Engineering Division
.REPORT OF MOISTURE DENSITY RELATIONSHIP OF SOIL
54/-6;;"20 fr s o�
PROJECT: F% 3 /A LUQ Acac7
•
OUR REPORT NO.: 30.1 LI 8
illl.lii. ii
ii
t !�
Ii±III
lili
li
r
!ti j7.;;i
1 r iFt{ .: :.r -
t f1 ' =• ; rt -I' i;Liquid ' Li Limit: ,Plastic Limit: • ,PI:
.....—.rte........,...•••••.:. .o ..........:..: ...111.••:
:p• .•••••••:••• Off• i{` l4.11: i. A ww.•.•� .•�•A•.••• •... y- • • •r•� • �.
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.......... •'. •• .......:�...•11 MIIL ' •••••••4.....”••••••••••••14.111•. : • :•II ID '
•
.+a+ :1111 RImelpr•r1.'ENE ..''=":
•
Nimumnlniumun1ninsinumuu �eml ulnare m n inr inti .". ii:'•
�w• ;�, _� r~—
MIN liniffliWyMi".'
F9:7.Z.. Ilia, =IN
.m.�.a..l.ram
� .•J'....- ••••Q•.m••.rias.\•.•.i.•�....•�.••��.1.Y1F..•..i...•.>.\•NIIIIIIIIIIMILVNII
n'
I
:IF
TEST DATA
Visual Classification:
Sample Source: L� 8voi J Cc1c.� s�Nd
Method of Test
Test Results:
. Maximum Dry Density: j 3 3 ; ZJ
Optimum Moisture Content: '"7,x.5
Atterberg Limits:
lbs/ft.3
warm wi1•..nr:•
tr
1�Miloliidlii
Y,1
M••••
1 •
_•
L.. .
•
'1
mouth
'42-240 Green Way, Suite C
PSI A-100.1
Y,l•i 1
•
•
•
MOISTURE CONTENT, PERCENT OF DRY WEIGHT
• Palm Desert, ,CA 92260
Respectfully submitted,
dusiries, Inc.
�f?hone:619/341-5790 • Fax: 619/341-5794
=====
38^8T
=====
CS0^0
= �OlVA-8 1V1O1
= EOlvA-O lv101
Lg^gT ES—RT
Cg0^0 =
6�^3
44.bs/ql 3^TT
:A4Tzede3 4eeH
:445TeM
(ST^0) : (i_g^ST/ T) + (g8^0) : (Eg^61/ T)
SNIWV8A HOA 1N3WlSOCOv
senleA-8 pe4snrpeuO
---
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ozzn4S ^T
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