SFD (15500)Building -905
Address Mountain Vielf Ln.
Ownes4RD Develbpment Co. Inc.
Mailin
Address 75-594 Vista Del. Rey
City lZip Tel.
Indian Wells,92210 (619) 773-3783 `Legal Descript
Contractor
Same
P.O. BOX 1504
78-495 CALLE TAMPICO
LA OUINTA, CALIFORNIA 92253
No. 15500
BUILDING: TYPE CONST. VIS OCC. GRP. R3
A.P. Number 767-480-004
City
State Lic. I City .�
& Classif. g 579905 Lic. # '3
Arch., Engr., Ln Nobel
Designer
Ind :s Box 16606 11.24) 559-w4305
City Zip State
IrvineL CA 1 92713 1 Lic. #
LICFESED CONTRACTOR'S DECLARATION
I hereby aff' that I am licensed under rovisions of Chapter 9 (commencing with Section
)00) of Divi po of the Busin ro e s Code, and my license is in full force and
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sea. 7031.5,Business 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 or 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 civa penalty of not more than 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. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or knproves 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.)
O 1, 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 contractor(s) pcensed 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 1 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.
(This section need not be a
or less.)
I certify that in the pert,
epmployany I.y.5anyLaw
n
I NOT E T� O A;PU neT.•r B,
subject to the Workers' G
comply with such provisions or
:ATE OF EXEMPTION FROM
COMPENSATION INSURANCE
If the permit is for one hundred dollars ($100) valuation
o the work for which this permit is issued, I shall not
as to beg ,e.subjeL b30e Workers' Compensation
making this Certificate of Exemption you should become
a8on provisions of the Labor Code, you must forthwith
mrif shall be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND 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 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 Dale
Mailing Address
City, State, Zip
Lot 4 Tract 26769
Project Description SFD Plans 2
The Estates at La Quinta
Sq. Ft. No. No. Dw.
Size 3833 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does not include block galls or
pool..
Estimated Valuation $2281,102.00
PERMIT
AMOUNT
Plan Chk. Dep. 250.00
Plan Chk. Bal.
916.02
Const.
i,091.00
Mech.
102.50
Electrical
220.74
Plumbing
220.58
S.M.I.
22.81
Grading
20.00
Driveway Enc.
00
Infrastructure
4,993.43
Arts in Public Places
320.26
TOTAL 8,157.26
7,907.26
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Reay P op. Line
Side Street Setback from Center Line
Side Setback fro/miPrgperty�L ni 6
FINAL DATE /INSPECTOR
Issued by: Date ` Permit
Validated by:
Validation: �✓ .
e CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIWj FEES
1ST FL..' SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. S0. FT.
WALL S0. 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
STORAGE TANK
FLOOR DRAIN
MECHANICAL FEES
UGH WIRING �'/� DUCT WORK
V !!!!
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REINF. STEEL
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
SERVICE — Z 4011le FINAL INSP. �Q
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 ® 1 Va c
SEWAGE DISPOSAL
FIREPLACE
SO.FT.GAR ® 3/ac
HOUSE SEWER
SPARK ARRESTOR
GAS PIPING
PERMIT FEE
GAR. FIREWALL
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
1&9ROUND PLUMBINV'— V
UNDERGROUND A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING HEATING (ROUGH)
STORAGE TANK
FORMS
EPT
SEWER OR I
UGH WIRING �'/� DUCT WORK
V !!!!
ROCK STORAGE
/�
FOUND. REINF.�A/
ffffff��� !!!///
GAS (ROUGH)
METER LOOP HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE — Z 4011le FINAL INSP. �Q
BOND BEAM
WATER SYSTEM
FINAL INSP. -26.
GRADING
INAL INSPI� cu. yd.
$ plus x$
_$
LUMBER GR.
ROOFING t
f I � � _ ^ l�
�/ /✓ �j l �^ /%�v
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
QLATHING
MESH
41
PfS
ULATIONISOUND (2'/�
FINISH GRADING
{NAL INSPECTION %-111Al
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
CITY OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
777-7012
INSPECTION REQUEST LINE
777 -JR OF 1A OOINTA
Owner NRB Development Co ._ LjLn(Z 1
Contractor Same
FINAVET Pf
Permit Number 15550 -
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 81-905 Mountain View Ln.
SFD Permit does not include
block wall or pool.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALLABOVEJAtAS EEN IGNED
CONCRETE SLAB _
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL A L ABO E HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT- A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION (�
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FEN E & GATE
SEWE EPTIt TANK
i
FINALS
ELECTRICAL
PLUMBING
'` FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
1/95 TURN ON UTILITIES OR OCCUPY BUILDING
4
P.O. BOX 1504 APPLICATION ONLY
7&105 CALLE ESTADO
Building
\ 'O, O5 1MOM�fa) O iQ V \£W LO. LA OUINTA, CALIFORNIA 92253
Owner
Address-7S"CD-9-t V\S;TP%, p%L_ -F_E'
City Zip el.
\W)1 UWT-.),LS IC, Iv)- \ 0
Contractor
Address /
State Lic.I silty
& Classif. Lic. N
Arch.,,Engr.,'
Des—�ner
Address Tel.
.0 .s O)L ` (a to 0 11.4 S' -A 3>05
City Zip 81tate
1 Q -V t W' . Ll 2. 1 Y Lic. #
IWCENW CONTRACTORS DECLAIIATIDN
I affirm t I Chapter 9 lcernmencing with Seetron
7"
of dvision o end iignee ie In fwl face avid
offset. —Z
011111NE1AlulLo A DECLARA
I hereby affirm that 1 am exempt from the Contraetofs License Law for it* following
reason: (Sec. 7031.5.afarnwa and ProHea10nw cods: Any esy W cowity ~ requires a
permit to construct. ager. I won, demollef, or repay arty strucawe, pion to ib I Mnncs asc
repuYw the RAWkA nt for such pwms to ea a alRgid M"9(
Mlwwa t Mer l is S, a p rsu" b
me provisions of Me ConGnctors Lk4mw Law=: 9 (oonnNnrip rill section 7000) al
Drwsw 3 of the BUONW" ad HoNeabns Coda or Met. he Is exsapr Menhom, and Me Hest
for the aspect exemption. Any violre10n of Section 7031.3 by arty tips- I b a pines
suoiects the applicant to a ctW pansy of not mon Mar am hurrded I (1600)•
!': I, as owner of the property, or my employees with wage es atlon
their sol* compena, will
do the wont, and the structure is not intended or offered sa
d for l*. (See. 7044, Bins nand
Proressrons Code: The Contractor's License Law dose not sooty to na
an ow of propMy wflo
..W. w improves thereon and who dose swn wort flafReft a: dvorfpn fw own arrF!,l!"!
provided that such improwrwrta we not amended or offend for sale. 9 howew. Me busing
or improvement a said within one yew of conp10tion, the ownerbulder w/ here Me burdM
of proving that he did not Wild or improve for the purpose of $410.)
1-
1, as owner of the property, am exclusively, contracting with licensed contractors to earl.
struel the project. (Sec. 7044. BusMss and Professions Code: The Contrector's Lkense Law
does nor appy to -owner of property who Writes or I 1provse Memn. ane who oorrmsets b
such protects with a confractor(s) licensed pursued to do CorntiaObr's Licence Law.)
I am exempt under See. B. a P.C. for this reason
Date Owner
WORKERS COMPENW1101I OECLARATWN
hereby affirm that I have a certificate of c6hosm�Insrs, er a canif c" d
Workers Compenaatlon Insurance, or a certified copy ( . 3800. labor, Cods.)
Policy No Company
Copy is filed with the city. ❑ Certified copy is hereby flrlNdM&
CEIITIFICATE OF EXIMPTION POW
WORKERS COMPBISATM 1lgURANf
(rW section need not be completed it Me poxes M for ore hurWred doers (SfOO) vallmdon
or loss.)
I certify that in the performance of fly was for wMah this permit Is Issued, 1 shall not
employ any person in any manner so as to beeonw subject to the Workers' Compensation
Laws of California
Date owner
NOTICE TO APPLICANT: It. after nWing OW COWCOO of Esarpfbn you $ W"V beeonN
subpct to the Nbrkas' Conpensalim provisions of tea Labs Cods. you must brMdW
comply weh awn ProvNIMM of M10 POP W $nae be downed revoked.
CONSTWUCTION LENDING AGENCY
I hereby affirm that then is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097. COW Cade.)
Lender's Name
Lender's Address
This is a building permit when property filled out, signed and validated, and is subject to
expiration It work thereunder is suspended for 180 days:
I certify that 1 have read this application erne state that the above information is correct.
I agree to comply with all city and county ordinances and state hews relating to building
construction, and hereby authorize repieeentalives 4f this eft to enter the abovw
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
nI 111 11161/2 r111LfI0Ir%&A
BUILDING: TYPE CONST. GRP. A •3 -
A.P. Number
Legal Description "t'2A�/''►' �,/2C�p-� �` /L o/i�' �+
Project Description
9b I (:;k OS A A 0 0 W LfJ V \SUV L -N
Size t �O OJ�J Stories
Newer Add O Alter O
No. Dw. I
Units
Demolition 0
itimated Valuation
PERMIT _ AMOUNT
Plan Chk. Dep.
Plan Chk. Bal. v
Const.
Mach.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from "ILine �
Side Street Setback from Center L'ne
Side Setback from Property LinJ
•�
FINAL DATE qV INSPECTOR J
Issued
Validated by:
Validation:
CN$*AUC'ION ES-'MA'E NO.1. ELECTRICAL EEIES r VO
•S"=- Qj��
iNu °'_
FAQ
GAP `, GIA
::.%R °
WAL'_
cS" MA -Er' -CVS-PUCTION
3„ _- S
UNI-$ I
i --- -- --- _.
SO FT 4p I
I -ARC SPK* -o SfSTc!•A
_r MOBILEHOME SVC
qAP Z.NK
SO FT .41 POWER OUTLET
ROOF DRAINS
SO. FT -n
DRAINAGE PIPING
S0. FT -a
DRINKING FOUN-AIN
SG rT .d
URINAL
VALUATION S
WATER PIPING
wGTE. Nq °u =e _sea as pro:ery !ax :aluanOn
OTHER APPJEOUIP.
FLOOR DRAIN
MECHANICAL FEES
TEMP. POLE
WATER SOFTENER
SENT SYSTEM 14N _"AA __-CL -OCD
SIGN
WASH ERIAUTCwDISH)
AP -LANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
='uRNACE UNIT WALL FLUOR SUSPENDED
WATER SYSTEM
-
FINAL INSP. _
LAUNDRY TRAY
AIR HANDLING UNIT CFM
-' -
a_
KITCHEN SINK
ABSORPTION SYSTEM B.T U
TEMP USE PERMIT SVC
WATER CLOSET
COMPQESSGR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T U.
SO. FT. @ c
BATH TUB
FENCE FINAL
SO. FT D c
WATER HEATER
MAX HEATER OUTPUT. B.T U.
SU. FT. RESIO a t+a c _
SEWAGE DISPOSAL
SO.FT.GAR @ 4c
HOUSE SEWER
-
GAs'P!PMG
PERMIT FEE
PERMIT FEE
PERMIT FEE '
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR GOND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL AREA
SLAB GRADE
ROUGH PLUMB.
BONGING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
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 NSA "
QRJIOINO
_ " Ar
-' -
a_
LUMBER GR.
FRAMING
ROOFING
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIOWSOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INBSECToIrs SIONATU11EtnNITIALs
GARDEN WALL FINAL
COACHELLA VALLEY UNIFIED SCHOOL DISTRICT
CERTIFICATE OF COMPLIANCE
(Government Code 53080)
Project Name: The Estates at la Qui nta
Project Address: Monroe Street and Avenue 54
Project Owner's Name: NRB Developoment Co. - Bob Gibbs Phone No.(619)773-3783
Project Description: 3Dwellings: 1 a 3818 and 2 @ 3,833 SaFt
Building Type (Check o esidential XX (Include No. of Dwellings)
Commercial - ustrial
Tract No.: 26769 Lot No.: 4, 5, 6
(If tract attach Schedule "A" of all lots by tract, square footage for each lot and total.)
Assessor's Parcel No.: 767-480-004-2, 3, 4
(If Schedule "A" is used show Assessor's Parcel No. for each lot if one exists or Assessor's Parcel
No. for parcels before subdivided.)
Total square feet of Building Area: 11,484 Sq.Ft.
Certification of Applicant/Owners. The person signing certifies that the above information is
correct and makes this statement under penalty of perjury and further represents that he/she is
authorized to sign on behalf of the owner/developer.
Dated: JUNE 16, 1995 Signatur
(/
City/County Certification:
(Signature) Optional
(Title)
SCHOOL DISTRICT REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN
OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING:
(CIRCLE ONE)
ov. Code Gov. Code Agreement Existing Not subject to
53080/65995 65970 prior to 1/1/87 fee requirements
(AB 181, SB 1 ) (SB 201) Note: FEES WILL BE PAID UPON CLOSE
OF ESCR0W WITH COMMONWEALTH LAND TITLE
COM ANY, PALM DESERT, CA 619-341-2229
Total Nuber of Sq./Ft. 11,484
Amount per Sq/Ft. $ 1.72
Amount Collected $ 19,752.A8
School District Officia . itle: Asst. Superintendent, Admin. Serv.
Foch "Tu ' Pensis ate: JUNE 16, 1995
Phone: (619) 399-5137 Ext. 235
Note: AB 2926 and SB 201 fees are capped at $1.72 per square foot for all residential
Construction, and at $0.28 per square foot for commercial/industrial projects.
JUN 21 '95 05:39PriCOMMONWEALTH TITLE .
RECORDING REQUESTED BY:
FIDELITY TITLE COMPANY
95.5089DT 252888
WHEN RECORDED MAIL THIS DEED AND,
UNLESS OTHERWISE SHOWN BELOW,
MAIL TAR STATEMENTS TO:
NRB DEVELOPMENT CO., INC.
75594 VISTA DEL REY
INDIAN WELLS, CA 92210
P. 1/1
ABOVE -THIS LINE FOR RECORDER'S US
APN:
GRANT DEED
The undersigned grantor(s)'deciare :
i:
Documentary transfer'tali <. $343. 5
�XXX� Computed on full value: -of property conveyed, or
Computed on.full value less liens and encumbrances remaining at time of sale.
Unincorporated area:'( ) City of and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
PALM SPRINGS SAVINGS BANK, F.S.B.
hereby GRANT(S) to
NRB DEVELOPMENT CO., INC.', a California Corporation
the real property in the City of.LA QUINTA, County of RIVERSIDE, State of California,
described as:
Lot 4, 5 and 6, Tract 26769, as p'er map recorded in Book 235, Page(s) 40 and 41 inclusive
of maps, in the office of the County Recorder of said County.
Dated April 26, 1995
State of California
County of Riverside ) S.S.
On June _6, 1995
before me, Tina M. C=. Notary nihlic-
_'peKsonally appeared
Stephen G. Hoffmann _& .S.ue Batts
personally known to me (-vrvrvvud tv
-tim bixsisto be
the person(s) whose name(s) W/are subscribed
to the within instrument and acknowledged to
me that d*ho/they executed the same in
& r/their authorized capacity(ies), and
that by er/their signature(s) on the
instrument the person(s), or the entity upon
'behalf of which the person(s) acted, executed
the instrument.
WITNESS my hand and official seal.
,Signature"f %2 (;z"
MAIL TAR STATEMENTS TO:
PALM SPRINGS SAVINGS BANK, F.S.B.
BY
N,4mKe/T1
_Pree/C . E p
By et :�ZtW y
7
Name/Title Sue Batts
Senior Vice President
4 •�' • ' TINA M. CRUZ
COMM. ♦ 986173 =
• �� Notory Public -- Colifotnio S
RIVERSIDE COUNTY
W Comm. Expires FEB 28, 1997
(This area for official notarial seal)
��:��v.,-r*.•-`-ax.:,�....Y'Sr'-.��-+tib A�Fiia::.'7�.�{7:,ftA;4o�,""�. ".,,�,•:+��5�i+u__�+��a�dl'}},�:�'4...rj���S�A"�,yr"�ti.�,.,.....1J,�1.Je..•wr-.,y�.t,,;f.-.r^-'Ctr:
i ASSESSOR'S PARCEL NUMBER
_ -fWSG _
COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY 1'70
DEPARTMENT OF ENVIRONMENTAL HEALTH
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 as indicated on the attached,check list.
A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this applica-
tion shall remain valid for a period not to exceed one'vear from date of payment.
LOG #
Agent, Contractor, Contact Person
Address City State Zip
Telephone/v
Owner
Address City Stat Zip
Telephone
Z
Job Property Address
City
Zip
E
/�
IU
Lot Size
Water Agency/Well
Use o Permit, PIP, SUP, PUP, etc.
gat Description
'� ®�
_4
Dwelling, M)l Site Prep., etc.
Signature of Applicant/
�
Date
'9S
✓ `I�
fG — � �f
CHECK BOX REQ IREO
❑ Holding Tank Agreements Completed
❑ Detailed Contour Plot Plans Required (1 to 5 foot interval)
❑ Certification of Existing S.D. System Required
❑ Grading Handout Provided
m
❑ WQCB Clearance Required
❑ Staff Specialist Lot Inspection Required
Z
0
(Attach For DOH -SAN -007, Santa Ana Region Only
❑ Lot Inspection
U❑
Soils Percolation Report Required
W
❑ Date Lot Inspection Completed: Initials
rn
❑ Special Feasibility Boring Report Required
Remarks:
❑ Maintenance Booklet Provided
Initials Date
❑ Final Inspection by Department of Environmental Health is required.
S!/ S i �N�`y
C/42 / Soils Percolation Boring Report by !fid r 1 UgProject # Date
T
Soils Map Page Soil Type Approved By t ( Date
r .
No of Systems
Type of System(i)
❑ Holding Tank O Replacement
ONew 0 Addition
No. Dwelling Units
Bedrooms, Fixture nits(+Z/
(1) Septic Tank
f. av
Soil Rate
Grease/Sand
Grease Intcp/tint Tr
Existing
Y,, y O "r5
Gal,
Sq. Ft.
Bottom Area
Total Linear
Ft.
Sidewall Allowance
-Leach
�-�)
Bed sq. ft. of
Bottom Area
ft. rock/ sq. ft. running ft.
Install Lines) tl ft. long ft. wide with
300 �f
^t
Inlet Tested Depth 09 NA
min. t2- inches rock below drainlines or
U
Proposed Bottom Tested Depth
Y
Z
Leach lines/bad special design for slope:
(3) Pit Diameter
No. Pits
Pit Below Inlet (BI)
Seepage Pit
Maximum
Other:
Q
Total Depth
Allowable
H
Applicable
.��
Depth
_
U
W
N/AOverburden Factor
0 6'
TD
U
Well Review Approved: Date: Well Drilling Permit #
SIGNATURE
Grading Plan Approved: Date:
SIGNATURE
Sewer Verification Date:
/ 1
it -ft
REMARKS: [.-CLQ 61N 1 n P 5 k" I a< !/� a / in 6 I/r'
�lJl-�d►v. .�� ��'1Arin ��ha %►�IuSf h�if he l,.• a �/art.. 1p�t�
This application is APPROVE I,DENIED for the category checked in SECTION B
FOR OFFICE USE ONLY
above, regarding the.de_sJgn-of''a subsurface disposal system as Indicated on the
acompanied plot plan, using the requirements set forth in SECTION C above. A build-
ing is for Installation
2
permit necessary the of the above -designed system. No construc-
Revenue code - ! _Fee $
Is permitted in the required reserved 100% expansion area,
�tion
(1) Septic Tank must be 100' minimum from any wells.
/j
Cheek # ` lJ 5
(`)L ach lines must be 100' minimum from any wells, including expansion area.
Data l / Initial �.
(3) Sewer lines •must be 50' minimum from any wells.
CRT ( j p "T (� ! Q A
Z
O_
(4) Seepage pits must be 150' minimum from any wells, Including expansion area.
U
W
U)
Signature of Health Official
1 �l9i
Date
,
DOWSAN 122 (Rev 9/93) `Distribution: WHITE—Office File; YELLOW—Applicant; PINK—Bldg. Dept.; GOLDENROL—Plans/Records
ESI/FME, Inc.
STRUCTURAL ENGINEERS & CONSULTANTS
SINCE 1974
October 13th, 1995.
Attn: Jim Dumas
A & M Construction
P. O. Box 366
La Quinta, CA. 92253
Ph. (619) 564-4832
Faz ( 619) 564-0406
RE: Field meeting of October 6th, 1905.
Dear Jim :
As requested by The City Of La Quinta, enclosed are the comments on the various
lots that encompassed our structural walk. The purpose of this visit was to observe the
level of compliance to the approved set of construction documents.
PLAN 1: LOT 5.
1. ADD shear wall SW 12 at the rear "firewall" of the Garage and change opposite
end of wall to SW 12 also ( see item 8 below) .
2. ADD A35's @ 8" o.c. at DR / Guest Bed per R-4 / D3.
3. Master Bath ADD 2x shims at top with (8) 16d's .
4. ADD 2 x 4 short cripple over diagonal header at rear of MASTER SUITE.
5. At wall between NOOK and KITCHEN, ADD two bays of 1/2' plywood blocks with
a 2 x 4 drag strut nailed to blocks and 6x10 LIV. RM. header.
6. REPLACE 4 x 10 header at rear of FAMILY ROOM.
7. ADD detail Q1 / D3 at rear of Family Room fireplace.
8. Due to the 32—inch "electrical panel" at BED 3, ADD six Simp. A35's at the top
plates of the POWDER/Hall wall.
9. ADD shim over 4 x 12 header at rear of BED2 for full bearing .
PLAN 2: LOT 4.
1. At garage girder truss ADD 2 x 6 ledger to .support jack—hips. Nail with
three 16d's / web .
2. ADD A35's @ 48" o.c. at Garage rear wall per provided detail Q / D2.
3. ADD SW12 over header at rear of Garage.
4. ADD horizontal diaphragm at WET BAR / GARAGE corner.
5. ADD A35's @ 8" o.c. per R -4/D2 at DEN/GUEST Bed.
6. At rear of MASTER SUITE, shim bottom of header and ADD 3/8" plywood,
24"x5.5' with 8d's @ 4" o.c. at edges and 12" o.c. @ field.
7. At rear of LIVING ROOM ADD NEW 2 x blocking per detail 11 / D3.
8. ADD A35's @ 8" o.c. at D.R./KITCHEN per detail R -4/D2.
9. Over the NOOK ADD 2x and plywood per detail R1 / D3.
1921 EAST CARNEGIE AVENUE, SUITE 3J • SANTA ANA, CALIFORNIA 92705 • (714) 261-1811 • FAX (714) 261-8506
0__% Earth Systems Consultants
\�4r Southern Califomia
October 6, 1995._
NRB Development Company
75-594 Vista Del Rey
Indian Wells, California 92210
Project: Tract 26769 -_ Lots 4, 5 & 6
La Quints, California
Subject: Report of Field Densities
Building Pad Grading
Busm EnElnssrs Dlvlslon
79-811 B Country Club Drive
Bermuda Dunes, CA 92201
(619) 345-1588
(619) 328-9131
FAX (619) 345-7315
B7 -2960-P3
95-10-707
From July 19 through July 25, 1995, a representative of our firm performed density
tests at the above referenced project. Tests were performed at random locations, in
accordance with ASTM D 2922-81 Method A or B and ASTM D 3017-88 Nuclear Density
Test Procedure. Tests were performed as per authorization of Bob Gibbs with NRB
Development Company.
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 fourteen (14)
density tests were performed.
Test results indicate that a minimum of ninety (90) percent relative compaction has
been obtained within the areas tested.
The maximum density -optimum moisture were determined in the laboratory in
accordance with ASTM D 1557-78, Method A or C.
Test results are as follows:
Soil Description USCS
Gray brown slightly
clayey slightly silty
fine grained sand SM
Gray brown slightly
clayey silty fine
grained sand SM
Maximum Density -Optimum Moisture
106.1 pcf 14.2%
109.0 pcf 13.9%
October 6, 1995 -2- B7 -2960-P3
95-10-707
DISCUSSION:
1. The project is located on the west side of Monroe Street between Avenue 54 and
56 in the City of La Quinta, California.
2. Pads were overexcavated to a depth of three (3) feet below pad grade. The
exposed surface was processed by scarification, moisture conditioning and
recompaction. The previously removed soils were replaced in thin lifts and
compacted into place.
3. The purpose of testing was to observe compliance with the minimum
requirements of the City of La Quinta, California.
The test results summarized in this report present the moisture and density only at
the locations and depths tested on the specified dates. 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 or compaction. No guaranty or warranty of the
contractor's work is made or implied. The test locations are approximate and were
determined by pacing and sighting from prominent field features. In our work, we
have relied on topographic and surveying information provided by others.
With any manufactured product there are statistical variations in its uniformity and
in the accuracy of tests used to measure its quality. As compared with other
manufactured products, field construction usually presents large statistical
variations in its uniformity and accuracy of test results used to measure its quality.
Thus, even with very careful observation and testing, it cannot be said that all parts
of the product comply with the job requirements although the degree of certainty is
greater with full-time observation and testing than it is with testing only.
Therefore, our opinion, based on testing the work means that there is only a
statistically -based probability that the densities obtained comply with the job
requirements.
This report is issued with the understanding that it is the responsibility
of the owner, or of tris representative to insure that this report is
submitted to the appropriate governing agencies.
If there are any questions, please do not hesitate to contact this office.
Respectfully submitted,
EARTH SYSTEMS CONSULTANTS
Z
GdL "
Philli D. Clanton
Field Technician
pc/Compaction
Copies: 4/NRB Development Company
1/VTA File
EARTH SYSTEMS CONSULTANTS
Reviewed and Approved,
Brett L.
Y No. C041 19
EXp 9 30 98
C
N9T L'IV1,
F n 1 \F0
REPORT OF RELATIVE COMPACTIONS
JOB NAME: Tract 26769 Lots 4, 5 & 6
LOCATION: La Quinta, California
JOB NO: B7 -2960-P3
REPORT NO: 95-10-707
Test No.
Date Tested
Description Elevation
%Moisture
Dry Densit
Relative
Maximum
In Place
In .Place
Compaction
Density
Building Pad Grading
1
07-19-95
Per Plan 3.0 BPG
10.9
10.9
93
106.1
2
07-19-95
Per Plan 3.0 BPG
14.0
96.9
91
106.1
3
07-20-95
Per Plan 2.0 BPG
14.8
102.7
94
109.0
4
07-20-95
Per Plan 1.5 BPG
15.1
99.9
92
109.0
5
07-20-95
Per Plan 2.0 BPG
16.1
100.8
93
109:0
6
07-20-95
Per Plan 1.5 BPG
16.6
103.0
95
109.0
7
07-21-95
Per Plan PG
5.8
103.3
95
109.0
8
07-21-95
Per Plan PG
10.0
99.8
92
109.0
9
07-24-95
Per Plan PG
9.0
101.1
93
109.0
10
07-24-95
Per Plan PG
11.4
102.3
94
109.0
11
07-24-95
Per Plan 3.5 BPG
12.7
104.1
96
109.0
12
07-24-95
Per Plan 3.5 BPG
13.1
103.0
95
109.0
13
07-25-95
Per Plan PG
13.7
100.2
92
109.0
14
07-25-95
Per Plan PG
12.5
101.4
93
109.0
PG = Pad Grade
BPG = Below Pad Grade
DATE: October 6, 1995
EARTH SYSTEMS CONSULTANTS
1.31 AC.
A.P.N. 767-320-007
-TRACT. BOUNDARY
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96
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3'.
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LIMIT!
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1.25 AC.
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1.25 AC
13 = 14
1.25 AC.
S75.
LOT B 1.06 AC.
!!e(PRIVATE STREET)
-------------
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A.P.N. 767-330-011..
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