SFD (9546)Building 53-745 Mendoza
Building
Owner
Ma joatic
Mailing
Address P. p. Box 76
City Zip
La Quina 92253
Contractor
S
�r .r
P.O. BOX 1504 ^ 0.
LA QUINTACCALIFORNIA 92253
L�
Tel.
568-6014
& Classif. I Lic. #
tart 228
Arch., Engr.,
Designer
Address I Tel.
City IZip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed unifier provisions of Chapter 9 (commencing with Section
7000) ofr.Division 3 of the Business and.Professions Code, -and. my,license is in full force and
t effect.
WGNATURE V a DATE
f
( OWNER -BU ILDER,DECLARATION
I hereby affirm that I am exempt fro he Contractor's License Law for the following
reason: (Sec. 7031.5,Buslness and Professions Code: Any city or county which requires 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 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).
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 did not build or 'reprove for the purpose of sale.)
O 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
r such projects with a contractor(s) licensed 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. (Sec. 3800, Labor Code.)
R`Qligya10- Company •• ••
bb Copy s il�ty. ❑ Certiffed'copy is hereby Furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(This section need not be completed if the permit Is for one hundred dollars ($700) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: ff, 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= affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration If work thereunder is suspended for 180 days.
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: TYPE CONST. SETA OCC. GRP.
A.P. Number 774-132-032
9546
,Legal Description
Project Description
Lot 12 Block 243
SFD
Sq. Ft.
Size 1600
No.
Stories 1
No. Dw.
Units 1
New ❑ Add ❑
Alter ❑
Repair ❑ 'Demolition ❑
Permit does
not include
block walls or
pool
Estimated Valuation
88,499.20
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
253.37
Const.
590.00
Mech.
Electrical
129.58
Plumbing
141.00
S.M.I.
9.00
Grading
20.00
Driveway Enc.
20.00
Infrastructure
1952.98
TOTAL
3421.43A
3171.43
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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CARP. SQ. 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 APPJEOUIP.
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
FRAMING % q
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 31st
HOUSE SEWER
R
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE FPLUMB.FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK 6 1//!/ I#A
GROUND PLUMBING
RGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 6 /
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
S
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
o
FOUND. REINF. i� /
UUU
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP. /0//-37 `37
GRADING
cu. yd.
$ -Plus-X$-=$
LUMBER GR.
FRAMING % q
ROOFING 9�AL
REMARKS:
VENTILATION
R
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
,./
LATHINGtpim 7 r
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION /Q / J
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATUREWINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 6/4/91
No. 110634
Owner Name
Type of Permit
Majestic
No. 53-745 street Mendoza
City La Quinta zip 92253
La Quinta
Permit #
Log #
Study Area 111
APN # 774-132-032 Tract # Lot # Square Footage 116W
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 11.58 1 X Fi—.65-5-1 or $ 2,528.00 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 General Escrow Co.
Name on the check
Telephone 56&`i627
By Richard M. Beck ,�,
Director, Facilities Planning & Development ° N —
„ ' ya_
ted b r ;�
Fee collected /exempted
p y Shelley D. Bennett f ,
Payment Received''
Signature Ch ck No.oi7":266
Collector: Attach a copy of county or city plan check application form to distri t'copy for ail wa vi ere.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accountiirg�'+'�'"
1
t�
T
r-
RCCORt :NG RctauurLC MY
AND WHUN ACCORD= MAIL To
N.Al ice Tipton
Aon-a.a 48; N. Palm Canyon Dr.
c.T, b Palm Springs, Ca., 92262
.rA.YL J
MAIL TAX aTATataa NTa TO
N►ra
Aoaaaoa SAME AS ABOVE
-`_L-
. Iqj_
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a fY' QQACi
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tTrAC[ AtaOVt T LIN[ FOR R[CORD Uro
Documentary transfer U, S...2.� 50
..............................
Computed on full value of property c-onveyed, or
❑ Computed on full value les lien. d encamhranres
remoininpr thereon at time of -ale.
.........................................................................................
Signature of declarant or aarnt determining taa • Arm name
❑ Uninrnrltnrated area City of .... City of La Quinta
F►ARCtL NO 774-132-023
Grant Deed
This form furnished by Orange Coast TlUe Company
FOR A VALUABLE CONSIDERATION. receipt of which is hereby acknowledged,
GREG M. BURKHART and CAROL L. BURKHART, Husband and Wife as Community Property
hereby GRANT(S) to',.
ALICE TIPTON, an Unmarried Woman
the following described real property in the City of LaQuinta
county of Riverside state of California:
Lot 12 of Block 243 of Santa Carmelita at Vale La uulr,i_a,
map recorded in Book 20, page 25 of Maps, in the office of. the County
Recorder of said County.
a A TRUE AND CORRr_CT
c IGINAL.
EN -RAL ESCROW CO,
7
Dalrrl--October 26, 19.90
STATE OF rALIFORNiA
Riverside SS.
October 26, 1990
On—'- - -- ' under.before me. the unJe------
—
signed, a Notary Public in s:•d for said County and State. personelly
appeared- -__-GREG_ M, BURY_HART AND
CAROL L. BURKHART _
— -- _--_— known to me -
to Le the person S_.. whose name ARE subscribed to the within
inorument and acknowledged that TliEYetecutrd the some.
Signature of Notary
Nem, ITyrad or f'nntrdi of Sett'?
�r
G M SUftKHART
rt' OX BUR F:AR I }
FOR NOTARY SEAL OR i,'rAMT
BETTY L. CSMAL
O14A-,%
xl.:�a7c'?>;y r7'•��:.�•a:rti � Cftr-::A>::rt
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL
Received From:
Address:
Account No. '/' Lot(s
\Serrvice Address
p� Meter(s) /"�
❑ Backflow(s)
❑ House Lateral(s)
❑ Detector Check(s)
❑Meter Surcharge
y� Sanitation Capacity Charge
/❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account- Name
❑ InspectionFee- Tract -
a.
Fee -
❑ Plan Check Fees Water 1 Sewer -
Tract -
❑ Bond Payment - A.D. -.Bond
■ Customer e..
Other -
❑Copy to:
Cashier
'_CVN/D-438 (11189)
CALVIN C. KAMINSKAS
Assistant Commissioner
(714) 275-3000
OFFICE OF
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Commissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619) 342-8291
DAN RILEY
Sealer, Weights & Measures
(714) 275-3030
DATE S�/A?CASE
NO.
C�GOSQ� l/
DEVELOPER'S NAME:
> ot Ps
ADDRESS: TO Box RD
CPA -
TELEPHONE: (61? - � �� 7Z
Dear Developer:
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine laws governing the Coachella Valley. If substitutions
do occur and they differ from plant material listed, this office must be notified
immediately.
Thank.you for protecting and preserving the Coachella Valley's pest -free environment.
Agricultural Commiss' er's Office
cc: Indio and Riverside
4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012
7 1 N--- -I'm "T "W, -!;Pr 4W
opt,
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OF Ti�9wS � s 1 �
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TiN. of Ka Ouinta %
o`Safet� 43 t I*
This Certificate issued pursuant to the requirements of Section 306 of thi Uniform Building.
Code certifying that at the time of issuance this structure was in compliance with thy` various
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 53-745 Mendoza
SFD 9546
Use Classification Bldg. Permit No.
Group R3 Type Construction VN Fire Zone Use Zone SR
Building Majestic- Address . P-4'70. Box 76
Owner of Build d .....
City La Quinta, CA 92253
By, mark Harold
10/15/91
bate;
Building Official
POST IN A WNWIPICUOUS PLACt
7 ig
Buena- Engineers, Inc.
rIZOW AN EARTH SYSTEMS, INC COMPANY
79-811 B COUNTRY CLUB DRIVE - BERMUDA DUNES, CALIFORNIA 92201 • PHONE (619) 345-1588 • FAX (619) 345-7315
June 11, 1991
Sunnybrite Trust
P. O. Box 76
La Quinta, California 92253
Attention: Stewart Podell
Project: 53-745 Avenida Mendoza
La Quinta, California
Subject: Report of Field Densities
Building Pad
B7-3261 -P 1
91-06-734
Submitted herewith are the results of the .compaction tests performed on
June 3,199-1.
Compaction tests were performed in accordance with ASTM D 2922-81
Method A or B and ASTM D 3017-88 Nuclear Density Test Procedure.
Maximum density -optimum moisture tests were performed in
accordance with ASTM D 1557-78 Method A or C.
The scope of our, services consisted of compaction tests on a graded
building pad.
Respectfully submitted,
BUENA ENGINEERS, INC.
94A)_�
' sreportpresentoonl_rrandomtm esults at the specific locations
indicated, which maynotbe representative cf the entire project. No
9-" engineeringreview of the project has been performed, nor has an
Jim Stokes p , � � Y
Field Technician engineering interpretation been made of the test results. No reliance
should be placed on these results until such review has been. toad. in
p c wiffing, by a, quaUed engineer
Field Statement
Copies 4 - Sunnybrite Trust
1 - P. S. File
1 - VTA File
BERMUDA DUNES BEAUMONT BAKERSFIELD LANCASTER VENTURA
(619) 345-1588 (714) 845-9883 ( 805) 327-5150 (805) 948-7538 (805) 642-6727
REPORT OF RELATIVE COMPACTIONS
JOB NAME: 53-745 Mendoza JOB NO: B7 -3261-P1
LOCATION: La Quinta, California
REPORT NO: 91-06-734'
est No.
Date Tested
Description Elevation
%Moisture
Dry Density
Relative
Maximum
In Place
In Place
Compaction
Density
Building Pad
1
06-03-91
Per Plan 0.5 BPG
5.9
118.4
92
128.8
2
06-03-91
Per Plan PG
6.4
121.1
94
128.8
BPG = Below Pad Grade
PG = Pad Grade
DATE: June 11, 1991
BUENA ENGINEERS, INC.
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0 Buena Engineers, Inc.
-79-811 B Country Club Drive
Bermuda Dunes, CA 92201 • (619) 345-1588
Client Name
Client Address
Client Phone
DATE
b • 3 71d7-
JOB NO.
3a6�/
PROJECT
6`1 - 7
LOCATION
FIELD TESTING
CONTRACTOR
OWNER
sl/,Vv 11/'re-
WEATHER
. C I r'n
TEMP.
0 at AM
c at PM
PRESENT AT SITE
�Si�tiIA�T ocl�LC
TEST
NUMBER
TEST LOCATION
LOT
NO.
ELEVATION
FIELD TESTING
REFERENCE CURVE
MOISTURE
CONTENT
%.
DRY
DENSITY
Ibs./Cu. ft.
MAXIMUM
DRY
DENSITY
%
MAXIMUM
DRY
DENSITY
lbs./cu. ft.
OPTIMUM
MOISTURE
CONTENT
%
VAC F,sfr
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REMARKS: -:2- %'-V �u,�/�i�� �� �A• .�T�
� SiS 4'5in`6 A17JC. i 1,2 7.0 414 A.Bo v E %Q&4 "/-7// Or cf ' rlVlf-
4 '
CLIENT REPRESENTATIVE SIGNATURE
FIELD REPORT
TECHNICIANS SIGNATURE ! 5981
Y