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BLDG (0311-034)52253 Avenida Madero 0311-034 9917 002727 LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date Date Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: 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, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). () I am exempt under Section , B&P. . for this- reason late 11/t r. Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ( ) I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ( ) I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Cartier Policy No. (This section need not be completed if the permit valuation is for $100.00 or less). (iu 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, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ---. , Date: % . > ✓ r Applicant - ✓ Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property f/or inspection purposes. Signature (Owner/Agent) f -- • d, + .+ ., Date BUILDING PERMIT ... • PERMIT# DATE VALUATION LOT .8 1=CIS -TRACT 4 di "?R'Y"fi 0 ?4u lFwfY JOB SITE APN ADDRESS a_C'Y "1RC A 'lR `. k"iR4. 'ftN'li7life i?c"i "' _ OWNER 111111111111r, CONTRACTOR/DESIGNER/ENGINEER RTA Jou` K a:.OVA. ' 'Bi:nminz.52-253 Al;!;`RIDAMARMO f LA QXr 7 >. CA 92253 s z y 1031 USE OF PERMIT GPM MA.11:; 211JILDWO 6' Cll,': E4E§J1 I:L:3 , CITY S 6 ,0146ARY) 6 .ALL 01% r9f U EII?T MXVED cogs 0r gg yyer,,,yy pp • - // yg yy Jp p 84M-0 Sofia ..,. ,,. . ,.. Y.I. /.F.,:ir dXW .`i91) P.1.;.A.t@. ;..4 .c!. rSw NOVI 2 2003 CITY OF LA QUiNTA FINANCE DEPT. - RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions., There may be financial risks for you if you do not carry out these obligations, and.these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a.licensed contractor or subcontractor, only under limited conditions: A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder'! building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. . Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 AX 7 777-70 OWNER'S SIGNATURE/DATE PROPERTY ADDRESS o 3/ / - PERMIT NUMBER(s) �o..�-awvc .. �.y�..-..-..-- "- ... .. .... q� _.._,q.....::--..�„•...�,,..-ro.n......1�,. :ew`.9/�,'}f'�I•.v;•..,d,'IT�•'�Yti 4,+ats•[Pt'd�p�'�`�F" COACH ELLA VALLEY WATER DISTRICT: ' CASH RECEIPT DETAILI Recei4ed•FrOrri: Datet� G ( Y t I--Add ress �vr,.S ':/V� Iti/ • f� p u.` IV ► (` PV/ Account.No �,5 c� 'r (� "E t.lLot(s) �..: Tract+ M: Service Address n } ' Code t` r0; houseLateral(s) r o Detector CheckOs • D ' MeterSurol arge F` t anitation Capacity Charge ❑• W S B F:C: 1 O `Temporary Construction Meter. Turn on Charge 'O Uncollected Account- Name O Inspection Fee:'- Fee - 4 "❑ Plan Check Fees Water•/ Sewer - ' = Tr act'- r ❑. Bond. Payment =,A D. - ` Borid' Assmt: _ O„.Cu§tomer Deposft' TOTAL $? Femarks j ` �� -f l 1 Q/V t c- ?• . r _ IV Cashm rl ;lu"xrC1 *� r ty Water SerVid r A Check 1' �r:°( df'�i x'.'49 „"�r, .i,•.; 'J r a:,tfd � ..., � F• ';' F { r� . rt Money e t ' ; ; c htF Cashier ` K. ”! cvwo�-a3s.liiie§t. �. TA P.O: BOX 1504�+ ' No. 9917 A7&105 CALLE ESTADO • MADEROBuilding 52-253 i LA QUINTA, CALIFORNIA 92253' Address . Owner : �rf $RJkD NELSON � it Mailing BUILDING: TYPE CONST. POOiL . SPCC: GRP.- Address, SAME _ _ A.P. Number .' City Zip Tel: :, j• ' LA ,QuiNTA 92253 564-2973 Legal Description r ContractorPOIiL AND SPA bODSON CONSTRUCTION Project Description _ Address �F 68805 A PERE ' CityZIP Tel.: CATHEDRAL CITRi 324-1232 State Lic. City & Classif. 574127' Lic. # 1044 Sq. Ft. No. NO. DW.' Arch.; Engr., Size Stories Units Designer-. New ❑ - Add ❑ Alter ❑ Repair ❑ ^ Demolition -0 Address Tel. City r Zip State f <'� Lic. # - LICENSED �pONTRACTOR'S DECLARATION. I herebyy affirm that I am licensed under provisions of,Chapter 9 (commencing with Section t, 7000) of%Divisidn,3 of the Business and Professions Code, and my license is in full force and r • effect. '..I✓� SIGNATURE' / •' '� YC OWNER -BUILDER DECLARATION Estimated Valuation' I hereby affirm that I am exempt from,the Contractor's License Law for the following,. $ 15000 reason: (Sec. 7031.5,Business and Professions Code: Any city or 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 rile a signed statement that he is. licensed pursuant to. .. PERMIT -• AMOUNT - t the' provisions o/ 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 e. 'for the - alleged exemption. Any violation of • Section '7031.5 s by,any applicant for a permit •_Plan Chk. Dep: - -isubjects the applicant to a civil penalty of not more than five hundred dollars.($500). �c .0 I, as owner of the property, or my employees with wages as their sole compensation;.will Plan Chk. Bal.. 105.30 _ do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and _ Const. : 0 0 _ 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, Mech. - 2 y e O 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 Electrical 45.00 of proving that he did not build or Improve for the purpose of sale.): 0 I, as owner of the property, am exclusively contractingwith licensed contractors to con- Plumbing .27.00_ ,. slruct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property -who �bullds or improves thereon, and who contracts, for S.M.I: ' - such projects with a contractor(s) licensed pursuant to4he Contractor's License Law.) - 0 I am exempt under Sec. B. 8 P.C. for this reason Grading Driveway Enc. Date ` Owner Infrastructure WORKERS' COMPENSATION DECLARATION f (whereby affirm that I have a.certificate of consent to self -insure, or.a certificate of , r, Worker Compensation Insurance, or a certified �p y ereof-(Sac:��33�800,'Labor'Code.) Policy No. Company •� af33L k ULV IJ 1 Copy is filed with the city. 0 Certified copy is hereby furnished. TOTAL $393.30 f CERTIFICATE OF EXEMPTION FROM �t REMARKS - WORKERS! COMPENSATION INSURANCE '.(This section need not be completed.if the permit is for one hundred dollars ($ 100) valuation- or less.) C� I certify that in the performance of thg work for which this permit is issued, I shall not :zayf employ any erson in any manner so as to become subject to the Workers' Compensation Laws of California. Date, - Owner NOTICETO 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 Minimum Setback DlStaflC@S: ' comply with such provisions or this permit shall be deemed revoked. . - 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.Llne Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR-. 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: Issued by: Date Pefmit"- 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: ,.. } SValidated by: Signature of applicant Date ' Mailing Address Validation:- ' t City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. ® POR. SQ, FT, ® GAR. SQ, FT. ® CARP. SO. FT. WALL SQ. FT. ® SQ, 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 APP./EQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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% c SEWAGE DISPOSAL P / / / A64 G ` ! _` / G/i/ ` SO.FT.GAR ® 3/ac HOUSE SEWER VENTILATION 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 GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH 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 P / / / A64 G ` ! _` / G/i/ ` REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR241— GAR. FIREWALL LATHINGL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL t ' Tdy/ P.O. BOX 1504 N O.' .02T,27 Building_ 78-105 CALLE ESTADO Address X253 Avwida LA QUINTA; CALIFORNIA 92253 _.. 4-_ Owner y' - BUILDING:' TYPE CONST. r' OCC: GRP. - w .. Mailing ._ .. .. � ... ..... , Address P.Q. Box 346 City Zip L to 92253 Contractor ' Address_, a+' „ .City :. Ilia A.P. Number Y 773-241-018 Tel. Legal. Description 564,.40 Project Description S familm dwelLiMµ mitnIt L4 T. Tel:. r (7I4f.925 554 State Lica & Classif. •. City Lic. #� VM 1.3n, Fencie 318 Sq Ft. " No. No. Dw.- Size- Stories Units Arch: ;•Engr.;AJK Designer New ® Add ❑t .Alter ❑ ..: Repair ❑ • 'Demolition ❑.• , Address Tel: City .Zip State _ :... ,. .. Lic. LICENSED CONTRACTOR'S DEC6ARATION -;. I hereby affirm that I am licensed under provisions oLChapler9 (commencing with Section .• 7000) of Division'3 of the Business and Professions'Code and my license is, in full force and, . "effect. . \ _ . 4c r 1 + r ... . . .... _. - .- .. .. "... SIGNATURE N 1_..•.' ,-i' IF/ r - r -DATE OWNER -BUILDER DECLARATION ... 1 -hereby affirm that I am exempt from the Contractors 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,'.pnor 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 3 of the Business and Professions Code, or that,he is exempt. theiefrom, • 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 ofnot more thari 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?' 764 4, 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,'-Mech. •, provided. that' such improvements are, not intended or offered.-for,sale. ,If, however, the building •. Estimated Valuation $ r`Y4,�.52A0 ' - - - - PERMIT - �• •• "'AMOUNT' 1. - N. _-AMOUNT -- Plan,Chk De " p-: - : i3,.,,, .. „ : ; •• ...• - - -•,. • - Plan Chk. Bal.. ; �• ±' ��_ Const.„ •, �. �;'� -' -- _ - `Ar; •- ' Electricals - 1114 - - - 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.) .. = Plumbing 1417. ilf - 0.1, as owner of the property, am exclusively contracting with licensed contractors to con- slruct the project. (Sec. 7044, Business and Professions Code:,The Contractor's License Law does not apply to an°owner of property who buildsorimproves thereon, and who contracts for such projects with a -contractors) licensed pursuant•to the Contractor's License Law.) - ❑ I am exempt under Sec. B. & P.C. for this reason -• S.M.I.Z'i. Awa ' r. �. Grading M 2 "�00 Driveway Enc. Date Owner Infrastructure ,;' 3:.01.6.74 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. Corppany ❑ Copy is filed with. the city. ,'-,p Certified copy is hereby furnished - z . TOTAL 1". 1197 87 1.747.87 ' :. CERTIFICATE OF EXEMPTION FROMREMARKS 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. .. - s - a - " 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` forth with comply with such provisions or this permit shall be deemed revoked. - ZONE:'- '- BY: " , M.inimum Setback Distances: - - - - - Fro.W..Setback from Center Line Rear Setback from.Rear Prop. Line CONSTRUCTION LENDING AGENCr. •': ' ' , . ' Ihereby affirm that there is a construction lending agency for'the performance of the -workfor which this permit is issued; (Sec. 3097, Civil Code:) " Side Street Setback f.. Cerlter Line Side Setback from Property Line ' Lender's Name ' Lenders Address FINAL DATE INSPECTOR i� Issued by: Date A Permit . Validated by: Validation: A6802' 1121,... -a /a7,8� Ch.. :.. +.^ ' 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 i`n�spection Qurpo�ses.f (' ate% , r Signature of applican I ��'� / + ?r - r •'f +.• +iiDate Mailing Address City, State, Zip r HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. ® POR. 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 ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRYTRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/<c HOUSE SEWER FINAL INSP. ROOFING ' �9 /� �� �G /fin y (( �n l/b� V" GAS PIPING PERMIT FEE REMARKS: PERMIT FEE PERMIT FEE EE 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 @ v G UND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS EWER OR SEPTIC lY�� ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) 2�fj i 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 ' �9 /� �� �G /fin y (( �n l/b� V" , L d T A gtil� 00 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL !L9.LATHING�- MESH �4 1 I Ug/ FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Building Address City Owner Tel.: Mailing Address — O O City n- u �>� I Zip Contractor ' iw4Address Sq. Ft. Size Tay/ 4,4 a" P.O. BOX 1504 1 UINT CALLS CALIFORNIAESTAD9 ' � LA QUINTA, ORNIA 92253 1 ' V_ e: d APPLICATION.ONLY I BUILDING: TYP/EyCONvS§T. /� /1 /OCpGRP. C. Q A.P. Number' / ��J _,AlY "Tl 4 (5 / 0y 7 5-3 Legal Description Project Description City Zip Tel.: . State Lic. City, " & Classif. Lic. # Sq. Ft. Size No. No. Dw. Stories Units Arch., Engr-- New Add ❑ • Alter ❑ Repair ❑ Demolition 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 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE - 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 the, a " permit to construct, atter, 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 violatlon,of Section 7031.5 by'any applicant for a permit subjects the applicant to a civil penalty of not more than rive 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, Bufsness and 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 or proving that he did not build or Improve for the purpose of sale.) ,r•-� - Estimated Valuation ' PERMIT AMOUNT Plan Chk. Dep.. - , , U , O Plan Chk. Bal. Const. Mech. Electrical Plumbing ' ❑ I, as owner of the property, am exclusively -contra ting with licensed- contract ol to con. struct the project. (Sec: 7044, Business and Profession ode: The Contractor's Lice a Law does not apply to an owner ofpi'operty-who builds or )mpro s thereon, and who cont is for such projects with a contractors) licensed ursuant to e Contra tor's License Law.) ❑ I am exempt u 6 P. or 'rea S.M.I. Grading Driveway Enc. Dat Infrastructure' PEN TION DECLARATION "YVORKE S�cerMti I hereb Irm that I have a ' to of consent to self•insure, or a certificate' of Worker's Compensation Insurancecertified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS, (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. r - ` 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. _ ZONE: - BY: Minimum Setback Distances: Front Setback from Center -Line Rear Setback from Rear Prop. Line 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 Side Street Setback from Center Line Side Setback from Property Line Lender's Address ' This is a byyil ding permit when properly fi out, signed and validated, )ns "subject toexpiration it vV ther s ended�o 180Icertify hat I have ead this apple tuido s e that the above inforn is correct. I agree o I with all cit oust state mow. ating to building con'% au or zepre tatives_io s_ o enter the above-. mentione e o I n•gyc ' Signature o i ate .Mailing Addr, mr, �' City, S to Zip FINAL DATE Issued by:. Validated by: ' Validation: INSPECTOR Date Permit" FINANCE ��F1Ep • I � oy ���� j yo 2 =Desert r Sands Unified School. District N BERMUDA DUNES ' RANCHO MIRAGE _� .82-879 HIGHWAY 11 1,0 INDIO. CALIFORNIA 92201-508'e'(619)''347-8631 INDIAN WELLS - 4^ � PALM DESERT aLA OUINTA J` � November 21 1986 e ' INDIO.�� - .. City of La Quin ta Department of -Community Development 78-1.05 Calle Estado . La Quinta,.CA. 92253 Re: 52-253 Avenida Madero, La Quinta, CA - 1 unit` Gentlemen: The developer of the above referenced project has mitigated -its' impacts on. our overcrowded schools by payment of the amount of $628 per unit. This amount is, to be`applied to the cost.of additional district educational facilities made necessary by such new development.... Sincerely, John D.:..Brooks Assistant Superintendent Business S ces By: Richard. .-Beck Facilities Planner JDB/vmm' 00 z O F�- U LU W m Z O H U LU rn U) Y Q 2 W U z O U LU CO COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION_ �� �/� 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 specifications required on the attached check list. A non-refundable filing fee of $37 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # Name (Owner, Agent, Contractor,, EEEttc.),�,/ {/1� Mailing Address NM8QhA 23/30 City Sttw 4 Zip C e Telephone 'Job.p ooGrty = ress�./�Ci oyta mmundy—io 'Legal Description of Property. (Lot, PM, TR) 'Assessor's Parcel No. _Yvafer Agency D.�r#,ryW�ell. ,y;, � ! Lob Size -C. Use of Permit_ �L.t/�+%k Manning Case # SFO, MH f� Preparation Etc.Ah (Site �N. � � oaf'• ��.�'^-F �./ --�✓— /T �//� �' i. \r � • / ire ..: � r��• S Sigratu�e plicant [ `" Date The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Date /}Initial Certification of Existing S.D. System required. ❑ Yes O' WQCB Clearance required. ❑ Yes 2->N,9,,-- NgrSoils Soilsfeasibility report required. ❑ Yes ❑"ol j Detailed boring report required. ❑ Yes DIN, / Detailed contour plot plans required. ❑Yes NO �� Staff Specialist approval required. ❑ Yes LTJ No Lot Inspection Date Soils/boring report by[*+ Project # Dater Soils Map Page i# fie>j % r Soil Type �" Approved by /.(/A-- Date /- )l.2 -O Type of System: ❑ © ❑ ❑ No. of Bedrooms (1) Septic Tank Soil Rate Required Existing New Additional Replacement �G�(•Gals. (2) Leach line sq. ft. Sidewall allowance & Instal Line(s)—Ft. Long, r r 7 Leach"/bed Sq. (Botto trench area) ft. rock/ Sq. Ft. Ft. wi a witkl iLn n. inches Ft. Dbo,om '" per running ft. ❑.N/A' rock below drain lines area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth Applicable -- s N/A_ .''�Overburden factor � r 1[1,6''� Max. allowable depth SSD �] �" /%/^.�..-� ' l.n. rr , M�1t,..,.., /'..rte? -a,. ///iia /,.��-... ...�• -.• . Ne, /Yl 11 /S r.,.: /o. This application iss app o d/denied.for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section B above. A building permit is necessary for the installation of the above -designed system. � (1) Septic tank and sewer i lines must be�S'O�from any wells -//0 '' � h� Gf%RtG. Yy-/Lt,� rO/ c�J� � V A L. (2)a Leach lines must be 100' min. from any wells including expansion area F f U `_e (3) Seepage pits must be/1500' min. from any wells including a pansion area //a �'�'� �j� !�' '`iA•-e Signalureof Health Official `--L'%"Date XC. RECEIPT NO. 06 U O Issued by f��t Date District: ❑ Riverside 19"'Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) Mh i .X5 -o owl Sam - lJOt Escrow Number Escrow InstructionsC7�C�`PC(i �-t�nY�Pr 1 , 19f1Fi Jackie Phillips SAN PABLO AVENUE Date Escrow Officer PALM DESERT, CA 92260 3595 (619) 568-3627 We will deposit with escrow holder the sum of $5,000.00 for deposit herein and will further include, just prior to the Paid outside of Escrow 5,000 0 sufficient funds needed for closing costs. Cash through Escrow close of escrow', 1. Encumbrances of re'cor shall be executed by me, all of which you are New Encumbrances 7 , 000 0 and will deliver to you any instruments which this escrow requires October. 31, 1956 * you hold a -policy of title insurance 12 instructed to use provided on or before liability equal to the total considerations herein covering Total Consideration with the usual title company's exceptions, with a .Lot-9-,.--Blo,ck-40_;, ,Santa Cartnelita at Vale La�Quinta, Unit 3, Calif w_ . .>CountV, of the County Recorder of Riverside As per map recorded in book 18. page(s) 59 of maps in the office (Memo: Property Address: Vacant Land - refer to legal description above ')except any oil or, mineral reservation of record snowing title vested in: Bruce Y. Cathcart Jr. and Lora M. Cathcart, husband and wife; as Joint Tenants, 31 as to an undivided ;i interest, and Karen Sue London, a single woman, as to an undivided interest , Free from encumbrances except: 2nd half (1) General and Special taxes for the fiscal year 1986 .19 87 which are not delinquent as of close of escrow (2) The Ilan of supplemental taxes, It any, assessed pursantto Chapter 498, Statutes of 1983, of the State of California (3) Covenants, conditions, restrictions, reservatlona,rights, rights of way and easements of record, If any 000 .00 (4) Purchase Money First Deed of -Trust to file, securing a Note, in the amount -of $7, d, bearing no interest,.with a maturity to be in favor of the Seller, as her name appears of recor date to be on -or before nine (9) months from the close of escrow. INSTRUCTIONS: (A) Buyer and Seller agree to execute a Subordination .Clause, for recordation at close of escrow, stating that the holder of said note, at the request of the maker/borrower, shall tion loan for the purpose of building a single family agree to subordinate to a new construc residence on the subject property. ***** correct .ed tobeatruea0116"al. � si ned �y oY the Escrow Co. General RECEIVED OCT ms COMMUNITY DEVEL8PMENT DEPT RECEIVE® OCT CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPT All parties signing this agreement hereby acknowledge receipt of a copy of these instructions. N/A Prorate taxes based on latest available taz.bill as of Close of Escrow Prorate insurance handed you as of or buyer will hand you new insurance at his option. Prorate Homeowner's Association•dues as of N/A Prorate interest on loans of record as of . N/A Prorate rents and adjust deposits as of N/A based on rent statements handed you. Any rents in arrears are to be disregarded in your prorations. Credit seller and debit buyer the amount of impounds, if any, as disclosed by beneficiary statement from the holder of the loan of record. 1/We agree to pay escrow fees and charges as charged. ITIONS AND IONS ON TkIE F—EACH PARTY SIGNING THESE INSTRUCTIONS HS READ THE ADDITIONAL ESCROW CON REVERSE SIDE HEREOF AND APPROVES, ACCEPTSAAND AGREES TO BE BOUND THEREBY AS THOUGH THE REVE SETSIDE HEREOF .—.— ^%IrD TUCIw SIGNATURES. Buyers Signature! Buyer Signature _,Lor-a� Ma Cathcart, Bruce Y. Cathcart Jr., Phone /4644 K G T� ,��,n The foregoth �t�r�ris, p orre isroRsnMitiuns and instructions, and those on the reverse side hereof are hereby approved and accepted in their entirety and hold or ha, in a me. I will hand you necessary documents called for on my part to cause title to be shown as above, which you are authorized to deliver when you hold or ha caused to be applied funds set forth above within the time as above provided. Pay y es our whether or not this escrow is consummated, except those the buyer agreed to pay. Youescrow are herebygesrecording fees, lle authorized topaybondsa'9sses�evidence taxesr title and anyaliensf ' record, including prepayment penalties,.if any, to show title as called for. Pay Documentary Transfer Tax on deed as required. Pay commission as follows $ —0 to $ to er's Signature _ Seller's Signature Margie J. Vithen Add PDE 1 Phone PAGE 2 ADDITIONAL ESCROW CONDITIONS AND INSTRUCTIONS 1. Your duty to act as escrow holder does not commence until the "Opening of Escrow" which is defined as the receipt by escrow holder of these instructions, signed by all parties. Until such time either party may unilaterally cancel and upon written request delivered to you, the party may withdraw funds and documents he previously handed to you. 2. All funds in this escrow shall be deposited with a State or National bank with other escrow funds. Make disbursements by your check; checks not presented for payment within six months after date are subject to service charges in accordance with your schedule in effect from time to time. Make all adjustments and prorations on the basis of a 30 day month. "Close of Escrow" is the day instruments are recorded. All documents and funds due the respective parties herein are to be mailed to the addresses set out below their respective signatures, unless otherwise instructed. Our signatures on any documents and instructions pertaining to this escrow indicate our unconditional approval of same. Whenever provision is made herein for the payment of any sum, the delivery of any instrument or the performance of any act "outside of escrow," you as escrow holder shall have no responsibility therefor, shall not be concerned therewith and are specifically relieved of any obligation relative thereto. 3. You shall not be responsible or liable in any manner whatsoever for the sufficiency or correctness as to form, manner of execution or validity of any documents deposited in escrow, nor as to the identity, authority or rights of any person executing the same, either as to documents of record or those handled in this escrow. Your duties hereunder shall be limited to the safekeeping of such money and documents received by you as escrow holder, and for the disposition of the same in accordance with the written instructions accepted by you in this escrow. You shall not be required to take any action in connection with the collection, maturity or apparent outlaw of any obligations deposited in this escrow, unless otherwise instructed. 4. Seller guarantees, and you shall be fully protected in assuming, that as to anv insurance policy handed you each policy is in force, has not been hypothecated, and that all necessary premiums therefore have been paid. You will transmit for assignment any insurance policy handed you for use in this escrow, but you shall not be responsible for verifying the acceptance of the assignment and policy by the insurance company. ESCROW HOLDER WILL MAKE NO ATTEMPT TO VERIFY THE RECEIPT OF THE REQUEST FOR ASSIGNMENT BY THE ISSUING COMPANY. You are hereby placed on notice that if the insurance company should fail to receive said assignment, the issuing company may deny coverage for any loss suffered by Buyer. IT IS THE OBLIGATION OF THE INSURED OR HIS REPRESENTATIVE TO VERIFY THE ACCEPTANCE OF THE ASSIGNMENT OF THE POLICY BY THE ISSUING COMPANY. 5. The adjustments and prorations called for, shall be computed as set forth below, or as otherwise amended in writing. (a) Taxes, including all tax bill items, except taxes on personal property not conveyed through this escrow, based on current year's taxes, or, between July 1 st and November 1 st of each year based on immediately preceding year's taxes. In each case, use the figures from the tax bill handed you by the seller or figures furnished you by the title company, without liability on your part as to their correctness. Seller agrees to pay prior to delinquency, any taxes on real and personal property not being sold herein, which is a lien on the real property being conveyed. You are not to be concerned with same. (b) Interest on Mortgages and/or Trust Deeds of record, mortgage insurance premiums, funds accrued in Impound Account for future payment of taxes, fire or mortgage insurance as disclosed by any beneficiary statement received in escrow. If any beneficiary statement discloses that the unpaid PRINCIPAL AMOUNT DUE ON ANY TRUST DEED OF RECORD IS MORE OR LESS THAN THE AMOUNT HEREIN SET FORTH, adjust the difference in cash through this escrow, unless otherwise provided for herein. 6. Deliver assurances of title, and insurance policies, if any, to holder of senior encumbrance or his order, or if there be no encumbrances, then to the buyer or his order. 7. If the conditions of this escrow have not been complied with prior to the expiration of time provided for herein, or any extension thereof, you are nevertheless to complete the escrow as soon as the conditions, except as to time, have been complied with unless written demand shall have been made upon you not to complete it. Following receipt of such written demand not to complete the escrow, you are to promptly mail a copy of said demand, by regular mail, to the other party as specified in paragraph 2 hereof. Unless written objection thereto from such other party is received by you no later than 5:00 O'Clock P.M. on the seventh (7th) business day following your mailing a copy of said demand, you are instructed to: (a) comply with the written demand to not complete this escrow; and b return all monies and documents upon payment of your cancellation fees, costs and expenses, to the party or parties depositing the same with you; and (c) you may cancel this escrow and be relieved of any further duties or obligations with respect hereto. If written objection is received within the time stated, you shall proceed in accordance with the provisions of paragraph 8 hereof. 8. NO NOTICE, DEMAND OR CHANGE OF INSTRUCTIONS SHALL BE OF ANY EFFECT IN THIS ESCROW UNLESS GIVEN IN WRITING BY ALL PARTIES AFFECTED THEREBY. In the event conflicting demands or notices are made or served upon you or any controversy arises between the parties hereto or with a third person growing out of or relating to this escrow, you shall have the absolute right to withhold and stop all further proceedings in, and performance of, this escrow, until you receive written notification satisfactory to you of the settlement of the controversy by agreement of the parties thereto, or by final judgement of a court of competent jurisdiction. All of the parties to this escrow hereby jointly and severally promise and agree to pay promptly on demand, as well as to indemnify you and to hold you harmless from and againt all -lifigTJion a d interpiegAr costs, damages, judgements, attorney's fees, expenses, obligations and liabilities of every kind which, in good faith, you L•- -•Ineur!r°suffer"^in connection with or arising out of this escrow, whether said litigation, interpleader, obligations, liabilities or expenses arise during the performance of this escrow, or subsequent thereto, directly or indirectly. 9. You are hereby authorized to deposit any funds or documents handed you under these escrow instructions, or cause the same to be deposited, with any duly authorized sub -escrow agent, subject to your order at or prior to close of escrow, in the event such deposit shall be necessary or convenient for the consummation of this escrow. 10. All partjes agree,that as., far as your rights and liabilities are involved, this transaction is an escrow and not nay other legal relation and you are an escrow holder only on the within expressed terms, and you shall have no responsibility of notifying me or any of the parties to this escrow of any sale, resale, loan, exchange, or other transaction involving any property herein described or of any profit realized by any person, firm or corpora- tion (broker, agent and parties to this and/or any other escrow included) in connection therewith, regardless of the fact that such transaction(s) may be handled py.you,ip this escrow or in another escrow. 11. You are not to be coticerned with the giving of any disclosures required by Federal or State law, specifically but not exclusively, RESPA (Real Estate Settlement Procedures Act). Regulation Z (Truth in Lending disclosures) or other warnings, or any warranties, expressed or implied. Neither are you to be croncerned with the effect of zoning ordinances, land division regulations, or building restrictions which may pertain to or affect the land or improvdrnents that are the subject of this escrow. 12. The parties to this escrow have satisfied themselves outside of escrow that the transaction covered by this escrow is not in violation of the Subdi- vision Map Act or any other law regulating land division, and you as escrow holder are relieved of all responsibility and/or liability in connection therewith,' and are not to be, concerned with the enforcement of said laws. 13. In the event any Offer to Purchase, Deposit Receipt or any other form of Purchase Agreement is deposited in this escrow, it is understood that such document shall be effective only as between the parties signing said document. You as escrow holder are not to be concerned with the terms of such document and are relieved of all responsibility and/or liability for the enforcement of such terms and your only duty being to comply with the instructions set out in this escrow. In connection with any loan transaction involving an FHA, or VA loan, you are authorized to deliver a copy of any such document to FHA, VA or lender as the case may be. 14. Time is of the essence of these escrow instructions. In the event of failure to pay fees or expenses due you hereunder, on demand, I agree to pay a reasonable fee for any attorney's services which may be required to collect such fees or expenses. 15. If a party to this escrow unilaterally assigns or orders the proceeds of this escrow to be paid to other than the original parties to this escrow, such assignment or order shall be subordinated to the expenses of this escrow, liens of record on the subject property, and payments directed to be made by original parties together. If the results of such assignment or order would be to leave the escrow without sufficient funds to close, then you are directed to close nevertheless, and to pay such assignments or orders only out of the net proceeds due except for such assignments or orders, and to pay them in the order in which such assignments or orders are received by you. You are to furnish a copy of these instructions, amendments thereto, closing statements and/or any other documents deposited in this escrow to the lender or lenders and/or the real estate broker or brokers involved in this transaction upon request of such lenders or brokers. In the event of an assignment or transfer of interest by operation of law, with or without the approval or consent of any or all of the parties hereto, you shall retain the right to deduct any and all escrow costs, fees and expenses provided for herein from said assigned or transferred funds, properties or rights, said assignment or transfer notwithstanding. 16. These instructions may be executed in counterparts, each of which shall be deemed an original regardless of the date of its execution and delivery. All such counterparts together shall constitute one and the same document. 17. The parties to these escrow instructions authorize you to destroy these Instructions and all other instructions and records in this escrow at any time after seven (7) years from date of close of escrow. ESCROW COMPANIES ARE NOT AUTHORIZED TO GIVE LEGAL ADVICE. IF YOU DESIRE LEGAL ADVICE, CONSULT YOUR ATTORNEY BEFORE SIGNING. Y ,. RE i ��', } k ... f JAN 12 1987 CIT Y OP LA QUI.%, A COMMUNITY DEVELOPMENT DEPT , TESTING • INSPECTION - 1731-A WALTER STREET VENTURA, CALIFORNIA 93003 PHONE (805.) 642-6727 December 29, 1986 8-16930-P 1 66=12-352 Pomona Valley Equipment P.O. Box 457 La Qluinta, CA 92253 Project: ` 55-125 Avenida Madero/Lot #9 La � �aC Subject: ReportDensities' House Pad On December 1, 1986, a representative of our firm performed density tests on the residential. house Gad 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 Bob Cullen. 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 (2) density tests were. performed. Tests results indicate that a minimum of ninety percent (90%) relative compaction has been obtained within the areas tested. The maximum -density-optimum moisture dere determined in the laboratory in accordance with ASTM D. 1557-78, Method A or C. Test results are as follows: Soil Description USCS Maximum Densitu--Optimum Moisture Brown slightly silty fide sand SM --SF 107.7 pcf 11.6% VENTURA LANCASTER (805) 642.6727 (8.05) 948.7538 BAKERSFIELD SANTA BARBARA PALM SPRINGS SAN LUIS OBISPO (805) 327.5150 (805) 966.9912 (714) 328.9131 (805) 5446187 December 29, 1955 -2- I 2-i. The project is located at 55-125 Avenida Madero in the city of La Qui nta, CA. 2. Prior to our arrival at the site, grading and compaction procedures had been completed. 3. The purpose of testing was to observe compliance with the requirements of the City of. La Quinta., CA. The test results summarized in this report present the moisture' and densi.ty.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. Reviewed and Approve QOf ESSin S. George J. Hideg Craig S. Hill Soil Engineer g CE 38234 GJH/CSH/td Exp. 3/31/89 Copies: 2 - Pomona Valley Equipment C F���\P 2 - City of La Quints OF CA�� 2-PSfile 1 - VTA file BUENA ENGINEERS, INC. -RUM-RUM110 RFPnRT nF RFI ATIVE COMPACTION$ CONTRACTOR:. ADDRESS: Job No. P -16930-P1 DATE: December 29, 1956 Report No. 86-12-352 JOB & LOCATION: La Quante, CA TEST NO. DATE 'TESTED DESCRIPTION %MOISTURE, DRY DENSITY RELATIVE MAXIMUM IN PLACE IN PLACE COMPACTION DENSITY 55-125 Avenida Medero 1 12-01-86 Per Plan 1.5 BFG 22.4 99.1 92 107.7 2 12-01-86 Per Plan 0.5 BFG 20:2 98.2 91 107.7 BFG = Below Finish Grade WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH COPIES: CALLE SONORA ' 55-1Z5 Aven;cta.MoAero AVEN IDA BUENA ENGINEERS, INC. F I E.D DENS rrY TEST ixc 4TIov DATE: IZ-Z(O-$(o FILE N0.B-16930-A 058:10 R2 3/29/84 714/dr Form Q (Revised 3/34) Climate Zones 2, 4, 6, -end 3-15 COMPLIANCE CMECKLiST For Low -Rise Residential Buildings (except hotels and motels) Step 1: Enter on the form the values 'for each oeasure from your building plan . and specifications sheet. Step 2: Enter points on this page while working through the Point system 3uildino Shell—Measure Points *Total Floor, Area . . . . , . , , ft2 Slab -on -Ground; Perimeter )(,�7f; , Depth 0 in, , , 2- 2. Raised Floor R -Value. . . . ..2- J. Ceiling Insulation•or Construction Assembly Attic, Percent of Roof Over Conditioned Space,)* TB�l�.3 -;C ft' .+ 4. Wall Insulation or Construction Assembly. . ... . . . . Glazing; Total S Floor Area. Single Double - 'Triple S. North -facing. . . 5: ft2 '78,01 2 ft2 ,. Z 6. East -Facing . 0 5 ft2 D `ft • ft 1..• •South -facing.. : ft2 isp.0ft2 ft2 8. West -Facing �_S ft2 0 �ft2 ftp 9. 'Skylight. ft /f, ft7 i :0. Shading• Coefficient (excluding overhang) a. East . . . . . . . . . . . . . . SC . . . . . . O b. South. . . . . . ;�.SC . . -3 c. 'lest . . . . . . . . . . . . . . . SC . . . . . . . . . . G d. North. . . . . . -3i:: SC e. Skylight . . . . SC 11. Horizontal South Overhang Length.. . . . C)_ 12. Movable Insulation, S Floor area, S 13. Infiltration (indicate Standard, Medium or-7ignt)- 14, Thermal Mass Exterior Wail Thermal Mass 2 Area, Heat.CapaCity, R -Value . . . . ft2, HC, R - Interior Thermal Mass Area, Meat Capacity, R -Value . . . . . ;? 6 2 Sft', 5 HC, R- S -A- 4VAC.System•• !S. Gas.=urnace without Refrigeration. Cool ing (Seasonal Efficiency) , . SE !6. seat Pump (Energy Efficiency .Ratio) . . . . . . . . . . ccs. 17, Gas =urnace wish Refrigeration C3oling Seasonal Efficiency and.Seasonal Energy Efficiency Ratio . . . . . . ..7l :E 9• t3 SE=lt .9. Active Solar (vet Solar Fraction, S) , , . , , , , , , , :y SF 19. Zonally Controlled Electric Resistance Space 1heatin9, (Yes/No) Domestic Water Heating• 20. Solar With Gas Backup (Net Solar Fraction, :) 1-:1SF 21. Other 'later Heating (Oescribe type) Point System Compliance Total. . . . • neck est Items; not a point system measure. —Attach documentation for efficiencies' and !ASF. , 1. FORM J-1T (Transparent) Copyright by the ..Air Conditioning Contractors Plan No. of Ame: ica" Date 07-0.9-55 1228 17th Street N.W.•e Washington, D.C. 20036 Calculated by /1;1,9 Printed in U.S.A. January. 19G7 WORKSHEET FOR MANUAL J (Third Edition) .LOAD CALCULATIONS FOR RESIDENTIAL AIR CONDITIONING For: Name PAe-iFic L.yri&y MA.sZL�/ts — Address— _ Ilo7o9 Gy. ,4.c�en�J City and State or ProvinceBy: Contractor— Address Syo S. X,7,v,ro — Clty --- L1n1TON, 64. 9 3 tJ Winter Design Conditions 0--pAi.0 Oil tsid F Inside_.__ ._—F Temperature D1fference.--y_3 ___Dcgr' (Insert data below only after all heat loss calculations have been completed) Total Heat Loss (Btuh).(From Line No. 15)) TvIodelSerial No. No. -- — Manufactured-- Rating Data: Input—_— Output at Bonnet— 3200— Btuh . Description of Controls---ZV16-81 IRE oex -- Summer Design Conditions Outside 101 _F Inside— 70 --F North Latitude— 33, g Degrees Daily Range_31__ (Insert data below only after all heat gain calculations have been completed) Total Heat Gain (Btuh)-(From Line No. 20 or 21, if used) Equipment Capacity Multiplier —Model No. Serial No. — Manufactured by— Rating Data: Cooling Capacity— . -2Qlo 0-0— —__ Btuh ',Air Volume--l-0010=— --Cf to Description of Controls--AL-16,e v_r °�_ntt _,2i_arn,- Winter Construction Data (See Table 2) Summer Construction .Data (See Table 5 ) Walls and Partitions—F"tet wtT%i�--- Direction House Faces_ �urN _-- Windows and Doors_6- 1ns s Windows and Doors �r�'�.%�� GL►_i�— — --- —_—_— -- _--- «'alls and Partitions —AA�rb-J'' Floors — __ Floorsd SA,4 DO HIOT WRITE IN SHA I Name of Room Entire Fiouse 1 2 v 1 134-3-1-/e2-11 • d %?_ -.2 5 /-f 4 2 Running Ft Exposed Wall / 7(o S- 3 3 ! Room Dimensions, Ft eiling Ht, Ft Directions Room Faces 8 /D x /� 8 S /' x �' S• 'y/ S /x/z/ g S O•Sy/= ..5��/•S_/_8_•S_�13•S��sx4/_�_, B S 8 Al TYPE OF EXPOSURE Const. No. HTK Arca or Length Btuh Arca or Length Btuh Arca or Leo th Btuh Arca or Len;;th Btuh Arca or Length Btuh `.re' it 11=�gth Btuh Htg Clg 1ItF Clg Fitg Clg ]3tg Clg ]itg Clg Htg Clg Iitg Clg 5 Gross a /0,_71�l08 /42 ' 80 / 28 /Sly 3 3 L ! Exposed b Walls and c I Partitions d '6 windows a/ 19 42 72SO -211/392 ,2 /392 /G 8 /0 2G .?4f I 1 2 I and Glass b Doors(Htg) c7 -73 33 a4o� 1 7 Windows North 3o 1 72 23 o and Glass E &W or NE & NW SDI i Doors (Clg) South or SE & SW 3(e 80 J90 a2 8l0 �!e I / (o 57�, / S7/a -- s Other Doors 9r3 10q 10 S-2 15y09 7.2 (3 3S 417(0 9 Net a /OD 3-(— 1 /9 8 359Y y3/3 168 c/ 605 121 36 44319 117— 336 2•!D 3 /y0 YZ SD Exposed b Walls and c Partitions d 10 Ceilings a 4/r /, , 0 /570 70 1,570 /y0 1y0 2' 18Z 194 182- 1/07 //.07 /C,7; 2R8 b I f Floors a 1 q 3 - 17(0 7,5708 — 2 /032 — >2• S -7 s — / 692 — _yJ b 12 Ventilation 13 Sub Total Btuh Loss 2 77W 3Gto 9 (p S/9 Z/ 3 -23 S y 3 b9 14 Duct Btuh Loss .2 720 ` 3 Z '-z/3 3� 4139 15 Total Btuh Loss 30S 3 375 _<o / 27 3 8 1-1 92-9 16 People a 300 and Appliances 1200 l�1 30 - - 3 900 — — -- — — — 17 Sensible Btuh Gairt (Structure) cf83 /609 2 12Y ] 2Z / Is Duct Btuh Gain 1 cf83161 .i /1(0 -2,5 • Z 19 Sum of Lines 17 and 18 (Clg) /(03);0 11770 13.2.30 /077 _ 2329 20 Total Btuh Gain (Line 19 x 1.3) 1.3 /Zpg .230/ 21 Btuh for Air Quantities 9S6 /2 SB(o 23gal1 ar4f 1000 //0 200 80 .YS /go c c cArea Btuh= i GENERAL 110Ti.5 7) tn;=on is the resptinst" d pie enmdn cwitraaor. See TPI 141, aneciuoaa shad be IAN to unsure uut ine oxnent ano use d (unless 011lerwt;e specified) puttkahm..Hardlei0 6 Ereeong Wood Trussefttatest eatunl. this Inas CoraWns Willi ee dcsrgn, 1) Luim wed be d smm aro grace soetxtea, apprwmO equal or 8) Pared scum Iodro u) - Not to omr in anter 1/3 01 panel. � 15) RemoNe memoer henang values are use0 as soeahee in NaMW Slat d gmw sum value. 9) Sofas in top and bmtm, aero rO m *= dClaly Design Spwb=ian ler Wow Caww*n iWw e0nenl. 2) Teas oui:s to to 20 ga.apore one arches. 16) Rating is to axial stresses My. Addilb-im dating for tunwa q d 3) Urine= tratm ase a toInstalled rym miaN m De prom 10) Provide wooer lateral St om of a0 curds. Catloressen mads are trusses is the resoorrdtiMy of the laSriaror.. ' Saco face d truss. at 3-O'rrtates on amei maL JIM teriseri chords are at ten Ida 171 Truss oesign cmWm to tie arrrtmt TR design spedfratiom for 4) Clary Corp. is nuc resDwamb b ftem+a 0 0r IelwYy W3cifV, on anter riaiL - tigtn metal date wnreaed wood trusses and is based on de supports, oreralt rod or flow splen or drainage d Sam. 11) ® 'Irl ates 2 It a bearing due (try dlosl.. bwirmar bllwmig tie iemmenOed practim as set Iorm in De S) Rwidt amoer as rimessary min = L / 72D 12) ® • IMLs mi6ral0us.{attral h'adry at toatron quality coldrd rtanual fmm TA. 3) Appraal nuima UBC IP3Z$ PM TCB /20.01. ^ ::r afewrt IW calm )• 16) Rae suns are oeYneate0 vermes by m ucrrel. SBCC 07251-74. BOCA 7524. 131 No rnerom d Dtis Iran may be ad. is *•).`�•y .'•.' .. .PITCH s 4e 9 A 112 MIN BRG SPAN .. . , 3.5 140-9- 4X41 24 0 5X4 30'0' 5X5 40'9• • 0 SPLI 3X4 40'0' 4X4 40.9. SPLICE X4 40'9' - x4 26'0•' % 3X5 1346' 3X6 40'9':' STARTING HEIGHT a Sy�y As# efx'6 PL L p tanto 2X3 40'0' 3X7 40'0' 2X4 40'9' 4X7 40'9' # �1-17- * foF c -SPLI E IC 4 40'S 7 40'9 U `dirr u a(a -ML PRIid LONT11a Ras TO = taxa. Dt wic"'mmom ' LOItz THE fOirC. -Ott TO THR 8M 0I TMD TRW, ROTI La Art/0 RD= I/POIrrnwx -TOP CHORD IeBT aE LRTER Lly alvllcID[I KM FINIP LT frrr11OED R.'MOOD YwlayTHING(MIN 7A•I ..,. WEBS CALLED CUT AS A GRADE OTHER THAN 03 SPP ARE TO BE THE GRADE SHOWN OR BETTER. SPECIES STRENGTH FROM WEAKEST TO STRONGEST IS: '.SPPtHPR. DPL. - .FORCES RT MAX SPRN(L-R) TOP DOT NM -2630 2312 -IDD -1792 2717 -966 , -1762 2913 one -26702718 -BOB 1X4 CONT. LATERAL BRACING(03 SP) ATTACH CLB TO EACH WEB Wit 8d NAILS WEB BRACE$ I ONE CLB I :TWO CLB *11* OVER 31'6' SPRNS TO 40.190. OVERALL SPANS X4 TIC 2X4 H 02 SPF 28'81• 40'9' 02 HEIR 31'10'' 40'9' 01 SPF 32'8' ' 40'9' 01 HEIR 35'3'•' 40'9' t2 DFL 35'9'. 40'9' SS. SPF 35'8' 40'9' SS HEIR 37'0' 40'9' 01 DFL 39'2' 40'9' SS DFL 40'9' 1 40'9' V 2000 T081584D �'�' �V SPACING LOADING NON -TILE LORDING 2-0-0 TC Ll is PSF TC LUMBER Pro TDP UCSCRIPfl�rA • CLAfAV CORPORATION r TC DL 7 PSF ��17a y 320 west Clary Avenue. D.C. 41AX BC LL 0 PSF BC (UMBER �x4 ROT Em' FOR om: a San Gabriel. CA 91776 25% 0 3%z - �i sAL (010) 286-4180 !: Iq FOR BC Dl 5 PSF WEBS 2X3 03 SPE EXCEPT 08 NOTED Rg (0100) 038-4551 DURATI0'1 DF LOAD IOTA -PSF ' @RY , ay• DATE 12-11-64 twc