SFD (05650)54430 Avenida Martinez
05650
T4ht 4 4 Q"
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 54'430 AVETM KA LA QUINTA, CALIFORNIA 92253
Owner
GEMI GROUP
Mailing
Address P.Q. Box 1583
City. Palm Desert I Zip 92251
Contractor
Address
Gemini Group
Sam
State Lic.
& Classif. 532191
Arch., Engr.,
Designer
Address
619/325-0734
Tela
City
Lic. # 2214
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70pp) of Division 3 of the Business and Professions Code, and my license is in full force and
effect . J ( J
SIGNATURE - DATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractors License law for the following
reason: (Sec. 7031.5,8ushess 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 file a signed statement that he is licensed pursuant to
Me 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 penally o1 not more than five hundred dollars (E500).
❑ 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, euisness and
Professions Code: The Contractors 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. ff, however, the building
or improvement is sold within one year of completion, the owner -budder wig have the burden
of proving that he did not build or irprove for the purpose of sale.)
EIA 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 contacts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date owner
WORKERS' COMPENSATION DECLARATION {
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
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.)
1 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 tiecome subject to the Workers' Compensation
Laws of California _ J
Date -Owner
M017CE TO APPUCANI: if, after making this Certificate of Exemption you should become
subject to the Nbfkers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this pemtlt 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 property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
1 certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 05650
BUILDING: TYPE CONST. OCC: GRP.:
A.P. Number 774-254-M
Legal Description
Project Description GFD
TOTAL
REMARKS d_ry itit";15Ei
Y= °ti.it i. .Y♦ -ti
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
4118/85
Issued by: Date Permit
Validated by:
Validation:
Sq. Ft. 1478
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
$80,797.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
226.40
Const.
554.00
Mech.
53.50
Electrical
10,1
Plumbing
157.50
S.M.I.
5.6
Grading
20.00
Driveway Enc.
20.00
Infrastructure
TOTAL
REMARKS d_ry itit";15Ei
Y= °ti.it i. .Y♦ -ti
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
4118/85
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
S
2ND FL. SO. FT.
SLAB GRADE
YARD SPKLR SYSTEM
ROUGH PLUMB.
MOB]LEHOME SVC.
BAR SINK
POR. SO. FT. ®
STORAGE TANK
FORMS
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
DUCTWORK
DRAINAGE PIPING
CAR P. I SO. FT. ®
GAS (ROUGH)
WALL SO. FT.
DRINKING FOUNTAIN.
FT ®
REINF. STEEL
URINAL
ESTIMATED CONSTRUCTION VALUATION $
EMP. POLE
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER HEATER
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
LUMBER GR.
e
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 ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/ac
HOUSE SEWER
SPARK ARRESTOR
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
SEPTI
ROUGH WIRING
DUCTWORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) vv 4
EMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
Cu. yd.
plus x$
=$
LUMBER GR.
e
FINAL INSP. Q
99
!
AMING lv— / a
EEE/
FINAL INSP.
ROOFING i
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LGATHINl(l -If '
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL
Desert Sands Unified School District
'CERTIFICATION OF PAYMENT
OF
SCHOOL FACILITY FEES
NOTICE: THIS DOCUMENT CANNOT
T0: City BE La DUPLICATED, DATE:
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
LA
W
This is to certi y that 1
developer of which is
located at — within
this District, has paid school facility fees impo pursuant to the
au h ty gen rats d by Go ernment Co a SectOio 53080 in he a o nt of ) 3l f
15j U0923J,
covering a total of square feet of X esiden ial or
x/60
( ) industrial/commercial development and that building permits for
this footage in this development may now be issued by your jurisdiction.
Iti - J for DESERT SAN •UNIFIED SCHOOL DISTRICT
8
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
H
. „ ..:. ,}.•:i+ f'. 5 ,w, ,. }r;?;yk•»n',•.i''i -e• ; 11`!`:`,sn
'-. 'S.F. ..,Tkr -'; . ' r ,
1b
_I
- _
RECEIPT NO. - Issued By L DateT_0
4 DISTRICT: ❑ Riversides[ -"I dio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe /
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records
54,
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH d'Or° Pa's No.
t
ENVIRONMENTAL HEALTH SERVICES / % —c.
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 speculations as indicated on the attached check list
A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of
Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval.
Q
VERIFY ITEMS IN SECTION A FROM BUILDING 3 SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'*
Z
Agent Contractor, tact Person
/ /
Phone
Aresa 8 P
A dn -/0/ /0/
/
W
Owner, -
Phone ,
/
Maili Address r
o ,Scr >t
/ , 1... .• i 4- rL
3z1
iU- furl /. ,
City
/sttatte
Zip
xJob
/Property Addresg2&
1
Legal Description Prop. (PM, Tract, Lot)
Size
ter Ager c 11-
Use of Permit P/P, CU, etc__ %6t cy-_- -tt
Other lot /0 Oto k
/Lot
-.,
lot/j
I
elli , MH e Prep etc (i
lvir
jQ c ►
/ Signature of Applicant
Date-
TEGORY: REV CODE FE
CATEGORY: REV CODE, FEE
x$42.00
SUBSURFACE DISPOSAL 1236 F gay''
❑ SITE EVALUATION UPON REQUEST 7349
In
❑ MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
Z
LAND DIVISION
❑ SEWER/SEPTIC VERIFICATION ' 7348 $11.00
O
a ..1 st 4 Parcels (Each) 1238 $45.00
(Less than 1 year)
Each Parcel after 4 7344 $16.00
❑ PRELIMINARY ELECTIVE 7352 $45.00
Nb.
❑ Rereview (2nd review same parcel) 7344 $16.00
EVALUATION (Attach DOH SAN 53)r
❑ Site Evaluation in Conjunction with
❑ HOLDING TANK r '7351 $45.00
Critical Area 7346 $86.00
❑ ALTERNATIVE/EXPERIMENTAL 7345 $13200
❑ Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft. 7347 $86.00
!ANNITIIAL DATE
N
Holding Tank Agreements Completed ❑ YesiNo
Certification of Existing S.D. System Required ❑ Yes
WQCB Clearance required. (Attach Form ❑ Yes
DOH SAN 007, Santa Ana Region Only)/
Sills Percolation Report Required. ❑ Yes
Special Possibility Boring Report Required. ❑ Yes
Detailed Contour Plot Plans Required (1 to 5 It. interval) ❑ Yes N
Other ❑ Yes
Staff Specialist Lot Inspection Required ❑ Yes 7 No
Lot Inspection Date
Solis boring report by Project # Date
n /
Solis Map Page ( >' so Type 4t Approved by — _ Date _ ?
r
U
OIJd6ng
No. of Syatenre
Ty#of System(a)
Tank ❑❑ F
No. Dwelling Units 1).(1)
Bedrooms AxtaF alaam
Septic Tank
Soil Rate
Grease/Sand
geese Intcp
r`?"
n Q ALM • i i '
/ y
(f
%
Gel
/
(
U
Leach Line Sq. Ft
Sidewall allowance
install Line(s) n log k wide with
Leach Bed a% n
n r unn sq. n
per running n
min. inches rode below drainitnes or
tom area
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pita
Pit Below
Inlet
Seepage ,q Depth
011ier:
Applicable
(BI)
AllowabgDepth
N/A Overburden factor
/ I
Q
/ No. 2 System
REMARKS:
This application ' gAPPROVED MED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
r'
on the accompan' plo plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the
Oabove
-designed system. No construction is permitted in the required reserved 100% expansion area.
M W
Septic tank and sewer lines must be 50' minimum from any wellscJ'-
(2) Leach lines must be 100' minimum from any wells, including ex a 5io
1.
Seepage pits must be 150' minimum from any wells, including expion a
(6 ans
G
wR CF
Signature Health Officia&&& J "3-O p
of e
_I
- _
RECEIPT NO. - Issued By L DateT_0
4 DISTRICT: ❑ Riversides[ -"I dio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe /
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records
54,
u1(u.E U
AGIUCUL i URAl. CU 1hII5510 Ell
AND
WI:ICiI IS b. 1-ILASU11L•S
49-613 Ilwy 1160 mate 11-12
CopcheIIitt CA 92236
619-342-0191
E. IEUtj SPM;GY ,
co••nn au:.tn
)AMES U WM.IAU
ASSISIrM !'1'•1 • ISSn)`tn
CEE.\IEN1 tIENV6151E
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Miter teviewlllg your lamisct►11i.MI 1110113, (111 1110"t ImlerileylistedIf IsIlut slitu .11
vivlativll UE yuarallttlle lf)'+gs rluvei111ny ll1_ Cvac.
do occur a'lid they d1EEer Et11ll 111011t m:lterlal lisled, t111s vCElce nlusl 1,e 11vti) ied
mledlately .
'1'11au11c you Lor ptvtectLly a1►J 1liesetviny the Coachella Valley's "sl -Free ellvirumellt.
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APPROVED
By:,
f) AT E
t 0331
RAL VD
Fitch Engineers Inc.
June 16, 1989 reg,
r/
dOTY OF LA QIJIIVTA
The Gemini Group PUNNING DEVELOPMENT DEFT.
P. 0. Box 583
Palm Desert, Ca. 92261
SUBJEC Report of In -Place Tests- 54 430 Avenida Martinez
La Quinta, Ca.
Gentlemen:
In accordance with your request, this report has been prepared
to present the results of the in-place tests performed on the
fill material at the subject site by Fitch Engineers, Inc.
These tests were performed on 5/31/89, 6/8/89, 6/15/89.
AVAILABOE PLANS
To assist in determining the locations and elevations of our field
density test's and to define the general extent of the site grading
for this phase of work, we were provided with a grading plan by
Fitch Engineers, Inc.
FIELD TESTING
Field density tests were performed by a representative of Fitch
Engineers, Inc. upon completion of site grading. The density
tests were taken according to A.S.T.M. Test 1556-74 and the
location and results of those tests are shown on the attached
plates. The locations and elevations of the in-situ tests were
determined in accordance with their importance and the accuracy
and proximity of the survey control provided by Fitch Engineers
Inc. representatives. Unless otherwise noted, their locations and
elevations were determined by pacing and hand level methods and
should be considered accurate only to the degree implied by the
CIVIL ENGINEERING — PLANNING — SURVEYING — DESIGN
P.O. BOX 4551 PALM DESERT, CA 92261
(619) 345-7667
:PC
method used.
LABORATORY TESTS
A maximum dry density determination was performed on a representa-
tive sample of the soils used in the compacted fills, according to
A.S.T.M. Test 1557-78, Method A. This method' specifies that a
four (4) inch diameter cylindrical mold of 1/30 cubic foot volume
be used and that the soil tested be placed in five (5) equal layers
with each layer compacted by twenty-five (25) blows of a 10 pound
hammer with a 18 inch drop. The results of these tests as pre-
sented on Plate No. 1 were used in conjunction with the field
density tests to determine the percent of relative compaction of
the compacted fill.
This report covers only the work performed on 5/31/89, 6/8/89, 6/15/89.
Our opinions presented herein are based on our observations and
the relative compaction tests results. Due to possible variations
in the uniformity of compacted fills, we only warrant that our work
was performed in accordance with the currently accepted standards
of practice and in such.a manner as to have reasonable certainty
that the mass grading complies with the job%requirements. No
other warranty, express or implied is given or intended.
If you should have any questions after reviewing this report,
please do not hesitate to contact this office.
This opportunity to be of professional service is sincerely
appreciated.
Respectfu.11..y. submitted,
FITCH ENGINEERS INC:
WM. 11. FITCH
R.C.E. 12571
;JOB NAME 54 430 Avenida Martinez La Quinta, Ga. .OB NO.
ELEVATION OR MOISTURE DRY UEN. SOIL. REL. COM
ST NO: DATE LOCATIAN DEPTN OP TFGT u_ 1k. 1-
1
5/31/89
See Sketch
-3'
•-
7.5
•-
99.0
..mac
117.4
-I•
84.3 i
f',•:2:
6/8/89
Retest of .#1
-3'
6.4
95.6
117.4
81.5 ,
:F-3 '
See Sketch
-1.5'
7.5
102.5
117.4
87.3 .t
4
"
"
F.G.
5.3
106.3
117.4
90.5
:.5
6/15/89
Retest'of #1 & 2
-3'
7.5
105.5
117.4
90.0 tai
6.
Retest of#3
-1.5'
6.4
106.5
117.490.7
-SOIL M
E #1=•117.4 lbs: cu.
ft. @ 12.9% M
'sture.
d
• : iN:
.r.i
4
Plate No.l
'"'
C
1\
O
O
0
i DENSITY TEST
54 430 Ave.
Martinez
La Quinta,
Ga.
BY G. Krause
DATE 5/31/89,6/8/89
JOB NO.
NTS
Plate No.2
lli 1 of 14a UTli l
11juabt-H4. dub ►sdfjet r 34t'11t*rM*jau
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 54-430 Martinez
i
j Use Classification S FD Bldg. Permit No.
Group R3 Type Construction V Fire Zone Use Zone SR
i.l
Owner of Building Bruce Galvanic Address 54-440 Marr;nP7
City La Quinta, California 92253
BY; Mark Harold
Dote: JulY. 26, 1990
Building Official
..1''• POST IN A CONSPICUOUS PLACE
III
Nil®