SFD (9808-164)53400 Avenida Madero
9808-164
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 # Lia Class / Exp. Date
6341)31 VMM)
" ' / i '-i A-,
,/Date Signature of Contractor
OWNER -BUILDER DECLARATION j
I hereby affirm under penalty of perjury that I am exempt from the Contractor's,"
License Law for the following reason: F9
( ) I, as owner of the property, or my employees with wages as their sold'
compensation, will do the work, and the structure is not intended or offered fob
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.C. for this reason
Date Siqnature 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.
(y) 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:
Carrier 0a1ii' 3 fAClX INS. Policy No. 111i`nE.Qc, 21%n ,.1
(7►
(This section need not be completed if the permit valuation is for $100.00 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 CalliforN&, and agree that.4if'I'should become
subject to the workers' compensa'tioniprovisions of Section 3700 of the Labor
Co6ei' hall forthwlth,comply with those provisions.
f,Date: :_Applicani .t /
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 t4
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 ayythorize representatives of this City to enter upon
the above-mentioned propefty for inspe tion purposes,_) / / ii Date
Signature (Owner/Agee) j j'
a
BUILDING PERMIT PERM' 1),W 64 CONTROL#
DATE VALUATION 'j9 ,07,01) LOT 1 TRACT
18238
py
JOB SIT '53-4441) AV ENIDA NlAlDER0
APN _
ADDRESS
a
OWNER
CONTRACTOR / DESIGNER / ENGINEER
CZ 1 tai rtf,i !`r`god smr, 1
1.of5'1 -god
t i►tla i' o 'Ii3 CG°Y'l i' : yl +(ltwi
P0 BOX 389
P10.11OX 3R4
LA tyirii.l TA CoA 922`x:1
LA Obi 6v M CA 9125 4
0 ;!,A4
USE OF PERMIT
C ➢!.E i^AMILV 1>iil/3 1.i 1N
-ii b .• i'3[s bki IT 000', 'Y.40 1 h4k.1LIDE WWC'iC JK WAI US C- 21A(K L.
0.ARACiF'lCARI-4,9.:Z`i.' 04.00 Si''
6 FT, WOt`)1) !F-qN iF 200.00 LF
.Y:;s¢.y iM!°i E211) 4'OVA' Ol.' C4ON.STRU4.110
{•i .i3J te. / Y
C O N `ti'TRII X "t 1014 FVF 101-010=41 X -OW AQ 1.30
pfewt4ti=t'% 4,I E~ 101'-fW_1430-11111 RS?5't5
NIf~CHa,NiCe\i-'lUM J00_1421-000 553 50
Pkii 401-000-410-43%44 Si J+i,vii
f LUT.NtHINcfFE 101-frN-419-000 $1+9.50)
`iTR€'iN63 Rti`YT!0V OPY . 1-11+f o ,ft
s,'l.P,WN(;1.1' ' 101, -000 011..1 000 SIN) 1110
I^lP4tA}'1`,E<,U jf16NE.h# I 125-0iWt 143..3. 2 S_I oz:i.81
e'R14 1°;i ,101oAN WIAKlW-144-315 5210u►
1114; 1V7P(111.zf`f' (M
o
F 1f"4=T'C f AT., i*9 "1'ft1 dC"1'lt )loi AND PLAN C'i E(W
q , LESS 1• REPAID FETE
I'0'.I X11, P 1+; RA11` ' FEES DUE
ti3, ` ` ao1 ►
RECEIPT
DATE
BY d
DE F E
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 a
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
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 / 9 ,(
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer LateralOR /
/J
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVAL
Temp. Power Pole p/
—
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
r
Final
Utility Notice (Perm)
4
P.O. BOX 1504
Buildingjj / 76-495 CALLE TAMPICO
Addres 3 - 0 . ; /i` t W c tr"' ') LA QUINTA, CALIFORNIA 92253
owner
Mailing
Address ice'Z.i', Lj
City JZips.. ._3 Tel.
ConSSfactor (
Address o
Ci y tf Z Tel. ? -
State Lic.City
& Classif.61/ Lic. III
/
Arch., Engr.,
Designer
Address Tel.
APPLICATION ONLY
BUILDING: TYPE'CONST. OCC. GRP.
c FIeKFo
A.P. Number
_7_14_
4/ - 03+_
00 8 _I
B
r- w`L-SGQotJ
(i rl Legal Description hf i -7 1 F . 118 2 U l -/
7^
Project Description "1
CityI Zip I State I
Lic. #
that I m licensed under provisl'.on's of Chapter 9 (commencing with
3 !h;.f Bus bss and Professions Code, and my lirVe Isin full ft
'OWNER BUILDER DECLARATION
1 her by 'affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,13usiness 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 tc a civil penalty of not more than five hundred dollars ($500).
I] 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.)
11 I, asowner of the property, am exclusively contracting with licen3ed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
1-1 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
n Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it 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
- Aoilrb,
Lender's Address IL
This is a building permit when properly filled out, signed and validated, an s to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above intRr
correcb,
I agree to comply with all city and county ordinances and state laws g to builpping
construction, and hereby authorize representatives -of this city to the 6VII
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address ,
City, State, Zips
WHITE = FINANCE
Sq. Ft.
Size
New El
L f G No. -i No. Dw. 7
f i Stories Units
Add ❑ Alter ❑ Repair ❑ Demolition O
valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
J J✓
REMARKS
ZONE: BY: 4A.
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
to. Side Setback from Property Line
4.,
FINAL DATE INSPECTOR
ISsueP§T? Date Permit
ion:
N
YELLOW = APPLICANT PINK = BUILDING DIVISION
s
0
Desert Sands Unified School District
47-950 Dune Palms. Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515',
CERTIFICATE OF COMPLIANCE
Date 9/21/98 APN # 774-034-008.,
No. 17777 Jurisdiction La Quinta
Owner NameEsequiel Coronet Permit #
No. 53-400 Street Ave. Madero Log #
City La Quinta zip 92253 Study Area
Tract # Lot # Square Footage 1489
Type' of Development Single Family Residence No. of Units
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
1.93 X 1,489 or $ 2,873.77
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 CC/Esequiel Coronel
Telephone 564-4604
Name on the check
W .
By Dr. Doris Wilson
Superintendent
17
Fee collected /exempted by Ellen Patino
Payment Received $2,873 r7s7 Y-}
Check No. ; 176819
Signature
OTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
bove will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
ollect them on the District('s)(s') behalf, whichever is earlier.
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 '
Pacific Coast 6scnow Coizponation
74-920 HIGHWAY 111 INDIAN WELLS, CA. 92210
TELEPHONE (760) 568-0344
ESCROW INSTRUCTIONS
Cindy Burgin
Escrow Officer
This escrow company holds Department of Corporations Escrow License'14o-. ._"'
1.4
963-0473.
1411
CASH THROUGH ESCROW ................................................. $ 15, 000. 0 0
TOTAL CONSIDERATION ................................................. $ 15',000{'0.0
j Vi
Buyer shall deliver to you any instruments and/or funds required from Buyer
to enable you,,;;
to comply with these instructions, all of which you are authorized to use and/or:dqki4e
on or before 09/02/98, and when you are in a position to obtain a standard Poli6y,,of'1`.
Title Insurance through CHICAGO TITLE INSURANCE COMPANY, provided that said poli&y ha.' '-s
liability of at least the amount of the above total consideration, covering the following
described property in the City of La Quinta, County of Riverside, State of California:'
LOT 17 IN BLOCK 182 OF SANTA CARMELITA AT VALE LA QUINTA, UNIT NO. 18 AS SHOWNBY lw•
ON FILE IN BOOK 19 PAGE 31 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA
J
PROPERTY ADDRESS LOT 17, BLOCK 182, La Quints, CA 92253 0 0&
.Al
SHOWING TITLE VESTED IN: Esequiel M. Coronel, a married man as his sole and' sepaialt&1.1
property ;A
FREE FROM ENCUMBRANCES EXCEPT:
4
General and Special Taxes for current'fiscal year, including any special levies:, pa-
for which are included therein and collected therewith. Covenants, conditions,
restrictions, reservations, easements; rights of way, of record, if any; also exceptonk
or reservations of oil, gas or mineral. rights, if any. Any bonds or assessments of rec6rd..
''
1). Buyer here All Cash for subject property and shall' deposit into`
prior to the close of escrow, the balance of total purchase price plus buyerl's-p6rti6n ofl.
escrow and recording fees as required in the form of a Cashier's Check or Wire Transfer; V
2). The parties herein agree that the closing of this'escrow'is' subject to the Buyer.'s'-t..
approval of Preliminary Title Report, 'CC&Rls, 'if applicable"'within 3 days of rrreceipt_46..
same. Buyer's failure to notify Escrow Holder of any disapproval, in writing
specified time limit, is deemed to be Buyer's approval of same and this contingen
cy
eliminated..
4
3). Covenants, conditions, reservations (including exception of oil, gas,'miner'
hydrocarbons, and/or lease without right of surface entry), restrictions, rights ..'of_.way.;..,
and easements for.:public utilities, districts,, water companies, alleys, and streets.
4). Buyer iB,aware.and acknowledges and accepts and hold6.Seller harmless 'for ,said '
property in regards to geological, flood hazard- seismic hazard and any speci ' aJ.studi.es,',1,1,
zones. Buyer has satisfied himself as to making any further inquiries at a
ppropi.iate
government agencies, lenders, insurance agents, or other'appropriate entities concerning
use of the Property under local building, zoning, fire health and safety codes ast.mayobe,'
applicable under the Special Studies zone act, seismic,Hazards'map act, and. local,4-..'
..geological ordinance(s).,
1 4t
N,
5). Buyer and Seller acknowledge that state laws prohibit this escrow. from clbs"
(recordation of Deed).*until buyer's funds,' 'including new - loan proceeds, have bee
collected,-as,defined by law. The undersigned Buyer (Borrower) understands that `1_1_".
their responsibility to determined from lender of their choice what type of f -'-
instrument will be used. Also per diem interest will be 'charged to buyer andseller..'
their respective lenders while Pacific Coast Escrow Corporation determines that'all funds
required,
to close have been legally collected., It is recommended tha t Buyer'ha ,re,
funds wire transferred to close escrow without delay or additional interest expense'..* ii
SPECIAL CLOSING INSTRUCTIONS AND RELEASE FROM BLANKET ENCUMBRANCE: This escrow shill
not close and funds shall not be released from impound until title to the 'lot 4iisth;een
conveyed to the,purchaser free and clear'of'any;blanket encumbir
ance(s)'. -i"
7). SPECIAL CANCELLATION INSTRUCTIONS FOR NON -DEFAULTING BUYER:, N
It
If, through no fault of the Buyer herein, this escrow-shall'not-cldse within oneiyearp,,t
from the date of the Agreement to Purchase' (signedby"bother Seller -and Buyer), Buyer
shall have the right to,the return of all monies then deposited by him into escrow.... --III-."
q
L
4. e
TV
SELLER (S) INITIALS: BUYER (S) INITIALS L
-1 7
J%
Escrow No.
18073
Date: Augus t, 0 1, 19 9 8 -,-
This escrow company holds Department of Corporations Escrow License'14o-. ._"'
1.4
963-0473.
1411
CASH THROUGH ESCROW ................................................. $ 15, 000. 0 0
TOTAL CONSIDERATION ................................................. $ 15',000{'0.0
j Vi
Buyer shall deliver to you any instruments and/or funds required from Buyer
to enable you,,;;
to comply with these instructions, all of which you are authorized to use and/or:dqki4e
on or before 09/02/98, and when you are in a position to obtain a standard Poli6y,,of'1`.
Title Insurance through CHICAGO TITLE INSURANCE COMPANY, provided that said poli&y ha.' '-s
liability of at least the amount of the above total consideration, covering the following
described property in the City of La Quinta, County of Riverside, State of California:'
LOT 17 IN BLOCK 182 OF SANTA CARMELITA AT VALE LA QUINTA, UNIT NO. 18 AS SHOWNBY lw•
ON FILE IN BOOK 19 PAGE 31 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA
J
PROPERTY ADDRESS LOT 17, BLOCK 182, La Quints, CA 92253 0 0&
.Al
SHOWING TITLE VESTED IN: Esequiel M. Coronel, a married man as his sole and' sepaialt&1.1
property ;A
FREE FROM ENCUMBRANCES EXCEPT:
4
General and Special Taxes for current'fiscal year, including any special levies:, pa-
for which are included therein and collected therewith. Covenants, conditions,
restrictions, reservations, easements; rights of way, of record, if any; also exceptonk
or reservations of oil, gas or mineral. rights, if any. Any bonds or assessments of rec6rd..
''
1). Buyer here All Cash for subject property and shall' deposit into`
prior to the close of escrow, the balance of total purchase price plus buyerl's-p6rti6n ofl.
escrow and recording fees as required in the form of a Cashier's Check or Wire Transfer; V
2). The parties herein agree that the closing of this'escrow'is' subject to the Buyer.'s'-t..
approval of Preliminary Title Report, 'CC&Rls, 'if applicable"'within 3 days of rrreceipt_46..
same. Buyer's failure to notify Escrow Holder of any disapproval, in writing
specified time limit, is deemed to be Buyer's approval of same and this contingen
cy
eliminated..
4
3). Covenants, conditions, reservations (including exception of oil, gas,'miner'
hydrocarbons, and/or lease without right of surface entry), restrictions, rights ..'of_.way.;..,
and easements for.:public utilities, districts,, water companies, alleys, and streets.
4). Buyer iB,aware.and acknowledges and accepts and hold6.Seller harmless 'for ,said '
property in regards to geological, flood hazard- seismic hazard and any speci ' aJ.studi.es,',1,1,
zones. Buyer has satisfied himself as to making any further inquiries at a
ppropi.iate
government agencies, lenders, insurance agents, or other'appropriate entities concerning
use of the Property under local building, zoning, fire health and safety codes ast.mayobe,'
applicable under the Special Studies zone act, seismic,Hazards'map act, and. local,4-..'
..geological ordinance(s).,
1 4t
N,
5). Buyer and Seller acknowledge that state laws prohibit this escrow. from clbs"
(recordation of Deed).*until buyer's funds,' 'including new - loan proceeds, have bee
collected,-as,defined by law. The undersigned Buyer (Borrower) understands that `1_1_".
their responsibility to determined from lender of their choice what type of f -'-
instrument will be used. Also per diem interest will be 'charged to buyer andseller..'
their respective lenders while Pacific Coast Escrow Corporation determines that'all funds
required,
to close have been legally collected., It is recommended tha t Buyer'ha ,re,
funds wire transferred to close escrow without delay or additional interest expense'..* ii
SPECIAL CLOSING INSTRUCTIONS AND RELEASE FROM BLANKET ENCUMBRANCE: This escrow shill
not close and funds shall not be released from impound until title to the 'lot 4iisth;een
conveyed to the,purchaser free and clear'of'any;blanket encumbir
ance(s)'. -i"
7). SPECIAL CANCELLATION INSTRUCTIONS FOR NON -DEFAULTING BUYER:, N
It
If, through no fault of the Buyer herein, this escrow-shall'not-cldse within oneiyearp,,t
from the date of the Agreement to Purchase' (signedby"bother Seller -and Buyer), Buyer
shall have the right to,the return of all monies then deposited by him into escrow.... --III-."
q
L
4. e
TV
SELLER (S) INITIALS: BUYER (S) INITIALS L
-1 7
Informations{ ,
.To Build On; an
Engineering • Consulting • Testing =
s's.•`y r 'Y^; .t •: y:t_fi. ,.Y, - - .,_.. . ,r_ ,t .. .. .. .:' `, `, n;, '
et y, si • , > k4"
• t REPORT OF FIELD COMPACTION TESTS
IS 4•-x.".'A.F} i IM6 •Ktf 'F.ir-•'.,,t.4'3'. 1Yl .. ., _, r - l'Aw . ! ►'. .t . .. . . - . ♦. ..r i . . , !M._'O'li< •I{ •?tli f. ]4.k Y ,h' Y =3 -
TESTED FOR: RONICA PROJECT: 53-400 AVENIDA MADERO
{ CORONEL CONSTRUCTION LA QUINTA t4 yr
• P.O. _BOX 389
QUINT 9.2:25.3.
,DATE: October 27, 1998 OUR REPORT NO.: 073-80189-2
. is sil+r.Sv'a. , ... v •,. YT<t i •.7 a. -C'r
aj ".r .u`' .y;.,, . r 1„) .tie. r . • IroY r•+.- ?.,.... - ♦ +. t+rt 4 jt,@yty.. wd "f
TE$T,DATA '(1) Fine to medium sand with' rock OPT. MOIST. = 12.5%;-
MAXIMUM
2.50
,1
s MAXIMUM COMMENTS'
-TEST TEST SOIL ID LAB DRY i WATER WET DRY PERCENTSpec . ' 90PERCENT-Min
DEPTH ELEVATION NUMBER DENSITY CONTENT DENSITY DENSITY COMPACTION
t yr 1 't x,811 F.G.-1,.;0 1 116 5 10.1 117.1 106.4- 91.3 1 - A
,- e f 9rat
r e.2. rn 3 811 F.G.-1; 0 .1 116.5 10.7 118.9 107.4 92.2 1 A'•
3 8" F.G:-1.0 1 116.5 10.4 118.1 107.0 91.8 1 - A
k ...4 Y riYjth•:1.'•.RY.Aa.; i. ^!'f t .v .„7 .+/' f+ s ,I '' a' I... ♦ _ •r -Y- - f 1A+ 'wiKM>l iTs..\lMr ^, fir''
4 8" F.G.-1.0 1 116.5 10.4 117.8 106.7 91.6 1 A
7`' ..rr-
1 + •e...1a• fnga a* C •!'.: ♦k„- ..r-- a +-:`e. .. + r... - __--. __rf .-`... n .. ., . _- -__ ': __ ._--... i 1 _.... , < i.r.t
TPSTILO.CATIO.N. House pad
_,,
North west corner of house pad
, Y2
-'-South-west
South west corner of house •pad
' A.X Y' •+•Er , 1 -. : ,- -. ., :, ,. ,. t Y ,);, ;v a :+ra>MV n •": ?t
r x F -.. - .. r 'tel , • i,iL,.'...
'3 . ` South east corner of house pad'
4 North east corner of house pad
yw 114 . + -. _..._---__ 1 • __-- - . -_----__-
_41?_*NOTES: ''TESTS P-ERFORMED PERASTM D2922-91 &ASTM;D301,7-88(93)-*COMMENTS: 1: FILL MATERIAL - A.,
DENSITIES SHOWN: Lbs. per cubic foot 2. BACKFILL B.
I
WATER CONTENT: Percent of dry weight3. BASE COURSE
VVI I H st'tclrlcAl IUNS
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
M n• x+i',-txy*... !.cf "soil ID number:{ r: + ^: f . ' a - - 6. OTHER ...• .,E.
MOISTURE BELOW.SPECIFICATIONS(,ro, +fi#•
* (1) ASTM D -1557Y, Procedure A
• TEST INSTRUMENT: Troxler, 3411-B, 13099 STANDARD COUNT M: D: : a+
`?REMARKS:' '•PSI did not monitor the material placement. ADJUSTMENT DATA M:' ' " 'D:
**F.G.= Finish grade**
_
Respectfully submitted,
` TECHNICIAN:' Juan Nunez
Professional Service Industries, In,'
Ilk
THESE TEST RESULTS APPLY ONLY TO THE SPECIFIC LOCATIONS NOTED AND MAY NOT REPRESENT ANY OTHER LOCATIONS OR ELEVATIONS.
%'• `
-REPORTS-MAY. NOTBE REPRODUCED. EXCEPT IN FULL. WITHOUT WRITTEN PERMISSION BY PROFESSIONAL SERVICE INDUSTRIES. INC.
•?irt ,
py
Professional Service Industries, Inc. • 42-240 Green Way, Suite C • Palm Desert, CA 92211 • Phone 619/341-5790 • Fax 619/341-5794 !"•
• < PSI A-100.2 (3)F
-
Mill
r J
Yµw.r ..tR aj,t,+l r y .v%•i, irt• w .. .. - .. -.
_ .. r"+'"t
i„, S AF7 ,, w"`"'(w Yf - ir r" ..,L4 r { ; , ... <.. '' •'JCp'J a'e r. . a' M". ^ .e ... is .. -„• „r • t'. _ .'nS•
H ;jjs,, }J
+ .. •(' #d 1z jig.y i4+V}j Y}.{'t'
='9 .,
3 +(L't. J 16 p Ylel.lbil.';R.aM... A..♦ ..w , r•St., r.li,.l--.,r ,..fir. l.Py -Y .. .♦ i , 1 r
.. t..•+1.. "S.p µi Rw,ij.. 4<'f l i±1q^ 3' w
-
•f: 7 ' '4: 4. `i'..t• -,. .. .. , . f -
r . . '^Tii'.'+ (..l .f -im ,
ty!•
' i.r V 11'i • .•
u+ arJi yt i ``--'r;,.4