SFD (15718)53260 Avenida Madero
15718
nv . 5 •
P.O. BOX 1504
Buildings = 78-495 CALLE TAMPICO
Address '53-260 Avenida Madero LA QUINTA, CALIFORNIA 92253
Owner 1.
William J. Cox
Mailing
Address 66-900. Dillon Road
City Zip -
Deaert, Hot.,I Spri _ ga 42240
Contractor .
sari~- -ams' above "
Address ,
City r Zip
State Lic.
& Classif. 143,957
Arch., Engr,,•
'Designer. ; `
BUILDING: TYPE CONSTY—N OCC: GRP. R3
A.P. Number 774-034-001.
Tel. y Bt6ck 182 Lot 24
251-3780 Legal Description '
Project Description " bFD
Tel.:
City
Lic. #I26.ri Sq. Ftl 257 ' > No . -I. No. Dw. tir
Size .Stories Units i; •.
New:® Add ❑ <, •`Alter ❑ Repair ❑ - • -Demolition ❑
Address Tel. emit doe" . >int'" include block W 1.
cflr -Poo
City State '{' ; .e .. Zip -
Lic.#
y . LICENSED CONTRACTOR'S DECLARATION +"
I hereby affirm that 16m licensed under provisions of Chapter 9 (commencing with Section t S
7000) of Division 3 o the Business and Pro essions Code, and my licens0s.in full force and
effect \k p 2 f
URE .E ! DATE .
OWNER -BUILDER DECLARATION E
I hereby affirm that 1 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, after, 'improve, demolish, or repair any structure, prior to.its issuance also
requires the applicant for such permit to rile asigned statement that he is licensed pursuant to
the' provisions o/ 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 bast'
for the alleged exemption. Any violation of Section 7031.5 by -any applicant for a permit
subjects the applicant to's civil penalty of not more than five hundred dollars ($500).
O 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 dkf not build or improve for the purpose of sale.)
-1
01, 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 contractors) #tensed pursuant to the Contractor's License Law.)
-O 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. (Seo. 3800, Labor Code.)
• Policy No. Company
Copy Is filed with the city, ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This `section need -not be completed if the permit Is for.one hundred dollars ($400) valuation
or less: J
I certify that in the performance of thg work for which this permit is issued, I. shall not -
'employ any' person in.any mannerso as to become subject to the Workers' Compensation "
Laws of California
Date Owner '
NOTICE TO -APPLICANT.-. B; 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. - -,
WARNING: FAILURE TO SECURE WORKERS! COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER.TO CRIMINAL PENALTIES AN D'CIVIL FINES UP TO ONE.
-HUNDRED THOUSAND DOLLARS ($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. -
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 thisapplication 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
stimated Valuation
"7 -21.00'
PERMIT
Plan.Chk. Dep.'
Plan Chk. Bal.
Const.
Mech.
Electrical , _+
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
AMOUNT _
TOTAL
--REMARKS
f
ZONE:
1 ;h-
Minimum Setback
Distances:..
Front Setback from Center Line
Rear Setback from Rear. Pro . Wne
Side Street Setback from r.. 'ne
Side Setback from.Pro ine
µ
FINAL DATE
1WRPECTl3
Issued by: -
'Date P tie nit
Validated by:
,Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS6 /g
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRYTRAY
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
FINAL INSP.
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
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 1611710 S
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE j 9
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS6 /g
SEWER SE A
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. /Q /J
5'
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL t1 /
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING 3 !
FINAL INSP.
ROOFING //
.,, _ jJ/
//
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.f
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
T-�
P.O: BOX 1504 A/PPLICATION ONLY
Building S3 � / D /��* ^ g� / A' Q eco 7&105 CALLS CALIFORNIAESTAD9
Address b �} N. ter Y G LA QUINTA, ORNIA 92253
Owner rr
("AJ t II
Mailing `
Address
City N12
Tel. I
/�. 2 3-i ko
%� W rP
Address
ip
State Lic.I City
& Classif. Lic. #
_
Designer . "'M
Address Tel.
5 o "
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby a firm that I am"licensed under provisions of Chapter 9 (commencing with Section
7000) Iof Di sion 3 o`f-the business and Professions Code, and my license is//i��,, full fofcce�e++and
SIGNATORE X i 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 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 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).
[-J 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.)
I: I 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 contractors) licensed pursuant to the Contractor's License Law.)
17 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
0 Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($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.
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 it 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 inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING DIVISION
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number / 7 4 Z`-34/ O a/
Legal Description
Project Description j79� /1� q a r. m rL • I �I
"'t
Sq. Ft. No. No. Dw.
Size Stories. Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL d�
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center.,Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by: Date _ Permit _
Validated by:
Validation: IU V
�W
Ry
CONSTRUCTION ESTIMATE
NO, ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. @ $
2ND FL. SQ. FT. @
POR, SQ, FT. @
GAR. SO, FT a
CAR P, I SQ. 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 APPJEQUIP.
LAUNDRYTRAY
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
SQ. FT. @ c
WA-YER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ, FT. RESID @ 11A c
SEWAGE DISPOSAL
SO.FT.GAR @ ?Ac
HOUSE SEWER
REMARKS:
VENTILATION
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE 177
ELECT. FEE
SMI FEE PLUMB. FEE
1
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 APPJEQUIP.
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
REMARKS:
VENTILATION
—
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT, OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESANITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 9/12/95 Type of Permit I La Quinta
No. 113679 Permit #
Log
Owner Name William J. Cox
No. 53260 Street Avenida Madero
City La Quinta Zip 92253 Study Area 113
APN # 774-034-001 Tract # Lot # 24 Square Footage 1257
Type of Development Single Family Residence No. of units 0
Comments
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
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.72 X 1257 or $ 2,162.04 have been paid to D.S.U.S.D. for
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By William J. Cox & Sons Telephd.n&' -251-378C
Name on the check cti.
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Pauline Pearson
Signature �1 t �l,t_ l Wt 111 4 c 9 ,O,tAA& Y� _
Payment Recevzd�":
$2,162.04Check No.5074
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy - Accounting
-RECORDING REQUESTED BY
CHICAGO TITLE COMPANY
SAND WHEN RECORDED MAIL TO
'"WII�LIAM�'J'. COX
P.O. BOX 967
PALM DESERT, CA 92261
PAID
Doc. Transfer Tax
FRANK K. JOHNSON
NO"MM".7-T
13637
RECEIVED FOR RECORD'
_ AT 8:00 O'CLOCK
MAY 1- 1995
�l R a Cmor Reoo�a
L/
of Mow" carte C.ttomlia
L / /�
Escrow No: 85217 -23
�� `: -
Order N 8175 -
/ 3_ SPACE ABOVE THIS LINE FOR RECORDERS USE
`IAssessor's-Parcel No:
TQ !i- CI�C� -GIS GRANT DEED 77.4-034-001$ & 004
THE UNDERSIGNED GRANTOR(S) DECLARE
DOCUMENTARY TRANSFER TAX IS $ 3 8 . 5:00D
❑ unincorporated area 0 City UINTA
RI computed on the full value of the interest or property conveyed, or is �«
❑ computed on the full value less the value of liens or encumbrances remaining at time of sale, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
BRANDON CROFF and CARLA J. CROFF, HUSBAND AND WIFE, AS JOINT TENANTS, AS TO PARCEL'.1
AND i-
BRADON W. CROFF and CARLA CROFF, HUSBAND AND WIFE, AS JOINT,TENANTS; AS TO PARCEL 2��
hereby GRANT(S) to
WILLIAM.J. COX, A MARRIED MAN, AS HIS SOLE AND SEPARATE PROPERTY
the following described real property in the City of LA QUINTA
Countyof RIVERSIDE , State of California:
LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF BY REFERENCE
Dated March 14, 1995
STATE OF CALIFORNIA
COUNTY. OF ' Riverside ) Ss
On April 27, 1995 ' before me,
Jul i _ Piazza
a Notary Public in and for said County and State, personally appeared
Radon W_ Groff and Carla J Croff
personally known to me (or proved ,to me on the basis of satisfactory
evidence) to be the persbn(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that hefshe/they executed the
same in his/her/their authorized capacity(ies), and that by hisfher/their
signature�af-oTrthe instrument the person(s), or the entity upon behalf of
which tt� person(s) acted, executed the instrum nt.
WITNES my hand and ictal
Sig ure of Notary FOR NOTARY SEAL OR STAMP
MAIL TAX STA M TS TO PARTY SHOWN ON FOLLOWING LINE: IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE
SAME AS AB1937E
Name — Street Address City, State & Zip
GD1-08/07/94bk
JULIE L. PIAZZA
0
0
Comm. #975253
OTARY PUBLIC • CAUFORNIAO
LOS ANGELES COUNTY `I
Comm. Expims Oct. 12, 1998
Sig ure of Notary FOR NOTARY SEAL OR STAMP
MAIL TAX STA M TS TO PARTY SHOWN ON FOLLOWING LINE: IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE
SAME AS AB1937E
Name — Street Address City, State & Zip
GD1-08/07/94bk
October 30, 1995
Mr. William Cox
66-900 Dillon Road
Desert Hot Springs, CA 92240
SUBJECT: SETBACK ADJUSTMENT 95-349
REF: 53-260-AVEN'IDA-MAD.ERO�(AT-CALLE77 MONTEREY)
Dear Mr. Cox:
On October 16, 1995, we sent you a letter notifying you that we could not approve your
request to reduce your.side yard building setback on Calle Monterey to, less than ten feet.
This letter was mailed to your attention and transmitted to the Building and Safety
Department. However, your contractor was inadvertently allowed to pour the concrete slab
for your home although we denied your request. Therefore, based on this misunderstanding,
our department will permit you to continue work on' the home based on plans that are on
file with our Building and Safety Department.
If you. have any questions, contact me (619) 777-7067. Thank you for your continued
cooperation.
Very truly yours,
J 1t RMAN
UN TY DEVELOPMENT DIRECTOR
OUSDELL
Associ to Planner
GT.
'_ c Danny Cra ford+;'Bujldngf�r�spe. torte
MAILING ADDRESS P.O., BOX 1504 - LA QUINTA, CALIFORNIA 92253 �(�
78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 . - (619) 777-7000
FAX (619). 777-7161
October 16, 1995
Mr. William Cox
66-9.00 Dillon Road k
Desert Hot Springs, CA 92240
SUBJECT: SETBACK ADJUSTMENT 95-349
REF: 53-260. AVENIDA MADERO (AT CALLE MONTEREY)
Dear Mr. Cox:
Our department has reviewed your application request to 'adjust the exterior sideyard
building setback on Calle Monterey for your house. In the application you explain that the
Building Department approved the plans although the parkway dimension was shown
incorrectly (i.e., 104eet instead of 12 -feet). Therefore, your house is being built too close
to, the exterior side property line. Mr. Danny Crawford, Building Inspector, issued a .
correction notice concerning this problem -on October 16th.
Pursuant to Chapter 9.188 (Setback Adjustments and Temporary Use of Land) of the
Zoning Code, the City 'can consider adjustments in front, side and rear setbacks if special
circumstances to the property exist and the health, safety and general welfare of the
community can be met.. Consequently, we find that:
1.. It is the applicant's responsibility to insure that all City requirements are being
met during any on-site construction work. This includes both building and
safety concerns; and engineering related improvements. during any on-site
construction;
2. Financial considerations cannot be used as a reason to justify approval of an
adjustment request;
3. Adjustments are allowed if there are problems with the lot that do not
provide the same development advantages as abutting sites. This includes lots
that are irregular in size or have topographic problems. This site is
rectangular and is not impacted by any unusual problems; and,
4. The approved site plan did show correct setbacks as measured from the
property lines. ry `
MAILING ADDRESS P.O. BOX 1504 LA QUINTA, CALIFORNIA 92253 ��(J
R
We find that no special circumstances eadst to warrant approval and we are sorry for the
misunderstanding that occurred with your plan check application.
If you have any questions, contact me (619) 777-7067. Thank you for your continued
cooperation.
Very truly yours,
JE Y H
C U DEVELOPMENT DIRECTOR
USDELL
Associ to Planner
GT.
Enclosure
C—Dana;Crawford--Building Inspector
Mark Harold, Building and Safety Manager
+
CALLS MONTEREY
J 1
Lu
app
RESIDENCE
•C�.aC A� •
AREA:1257
I
a Al*A
I C
�
.
I sARAGEFINISED F100RO= 12" ABOVE -15�
AREA: 504 TOP OF CURB,OF
CENTER
4 8
AVENIDAMADERO
\
ti 2j:o
q o;_ c,
•k)+'A S•(,J�� �
t
I I
OWNER:
LEGAL DESCRIPTION:
EN
:Hz=
-tit
a4t,
�
of
ftt� of Ila t
Wu*uta
1111H.biu dltb �SdfP JR,t,lit!Mon
This Certificate issued pursuant to the -requirements of Section 306 of. the Uniform Building
Code certifying that at the time, of issuance this structure was in compliance with the various
ordinances of the City regulating building .construction or use. For the following: -
BUILDING ADDRESS X53-260. Avenida Madero
Use Classificotion Single Family Dwelling Bldg. Permit No. 15718
Group R-3Type Construction_ VN Fire Zone Use Zone -SR
William J. Cox 66-900 Dillon Road
Owner. of +Building Address
City Desert Hot Springs, CA., 92240 Daniel P. Crawford -Jr.
By.
`7� Date. February 1,-1996
Building Official
• 10lT IN A OONe?ICUOU! PLACt "
� E/1V11'IOfllflental +
M
AAj,Geotechnical
Construction
Consulting • Engineering • Testing
- REPORT OF FIELD COMPACTION TESTS
TESTED FOR: ATTN: MIKE PROJECT: 53-`-260 AVENIDA MADERO+
WILLIAM J. COX AND SONS, INC LA QUINTA, CA
66-900 DILLON ROAD -
DESERT HOT SPRI, CA 92240
DATE: October 11, 1995 OUR REPORT NO.: 073-50169-00002
TEST DATA: (00001) Silty.Sand OPT. MOIST. 11.7%
TES(—
TEST
i
corner of pad
MAXIMUM
South east
�,
3
i
COMMENTS'
NO.
DEPTH 1 ELEVATION
SOIL ID
NUMBER
LAB DRY *
DENSITY
WATER
CONTENT
WET
DENSITY
DRY PERCENT
DENSITY COMPACTION
Spec.90% Min
1
611 F. G. **
1
118.4
12.8
'123. 0
109.0 92.1
1 - A
2
611-F. G. **
1
118.4
13:2 -.
120.9
106.8 1 90.2
1 - A
i 3
— 6 1 F. G. **
1
118.4
14.0 t.
122.0
107. 0, 90.4 —I
I.
1 - A ---
4
611 1 F. G.
1
118.4
13.9
123.0
108.0 91 2
i1 = A
TEST LOCATION: Pad Fill '�� '
I
I. 1
North east
i
corner of pad
.2
South east
i
corner of pad -
3
i
North west
corner of pad
i 4
Center
—f
I
.�I'll rcR . O 11v1 vtacc-v I a r+O I m USU1 t-ee(as) 'COMMENTS: 1. FILL MATERIAL A. TEST RESULTS COMPLY WITH SPECIFICATIONS
DENSITIES SHOWN: Lbs. per cubic foot 2. BACKFILL B. PERCENT COMPACTION DOES NOT COMPLY
WATER CONTENT: Percent of dry weight3. BASE COURSE WITH SPECIFICATIONS
PERCENT COMPACTION: Based on maximum dry 4. SUBBASE C. RETEST OF PREVIOUS TEST
density obtained on sample indicated by 5. SOIL CEMENT D. MOISTURE IN EXCESS OF SPECIFICATIONS
soil ID number. 6. OTHER E. MOISTURE BELOW SPECIFICATIONS
* (00001) ASTM D-1557, Procedure A
TEST INSTRUMENT: _ STANDARD COUNT M: D:
REMARKS: PSI DID NOT MONITOR THE FILL PLACEMENT.. ADJUSTMENTDATA M: 00 D: 00
**F.G. = Finsh grade*-*
Respectfully submitted,
TECHNICIAN: Marshal Hislop Professional Service Industries, Inc.
• THESE TEST RESULTS RELATE ONLY TO THE SPECIFIC TEST LOCATIONS NOTED. PSI IS NOT RESPONSIBLE FOR ANY OTHER LOCATION OR ELEVATION.
REPORTS MAY NOT BE REPRODUCED. EXCEPT IN FULL. WITHOUT WRITTEN PERMISSION BY PROFESSIONAL SERVICE INDUSTRIES. INC. ' r
PSI A.1002 (3)F PSI •42-240 Green Way, Suite C • Palm Desert, CA 92211 • Phone 619/341-5790 • Fax 619/341-5794 " - -