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SFD (04941)Building Address 52-r r)wnur 'Mailing Address City La Pinta. Contractor ILAra -P. R� Zip ' 92253 . P.O. BOX 1504 78-105 CALLE ESTADO 'f 4V f3� LA QUINTA, CALIFORNIA RE9225AlI'VE JOB-SifE Rr.Q. OF CONSTRUCTION' BUILDING:; TYPE W. OCC: GRP.- A.P. Number 173-275-008 Tel. - ,. ,. _ .. _ ., :•� � � .. 6-,!222Legal Description Project Description $.-•• City Zip Tel.: State Lic. City . & Classif. Lic. # Sq. Ft.,-: No. No. Dw: . Arch., Engr., Size 1500 Stories Units Designer New ❑ 'Add:❑ ' Alter ❑ Repair ❑ Demolition ❑ Address Tel. . F City Zlp State - Lic. # LICENSED CONTRACTOR'S DECLARATION • I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ' j _SIGNATURE DATE '. ' ` OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec.'. 7031.5,Busf7ess 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•lor 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 two hundred dollars .($500).. - ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will r 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 kriprove for the purpose of safe.) Estimated Valuation ' J PERMIT AMOUNTI - Plan Chk. Dep..- - - 9250..0 Q _ Plan Chk. Bal.:, a �, ' Const. 385 • I� 0 ' - 16.00 Mech. ' - EI2CtrICdl Plumbing a 'Ut - ❑ 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 S.M.I.- _ - ^ 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 am exempt under Sec B.,&P.C. for this reason r �• _, Grading Driveway Enc. ". Q ) O y6r E Date ?�. f�oer �'-��� ��"%"-� f! ii - . , ur wm .00 Infrastructure Y - 1.847.47 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. TOTAL • ' CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the permit is for one hundred dollars ($100) valuation orless.).. 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 v REMARKS •.���.•� _ 1. ' -0 •10 33Y4� �':.�a:tc3 li?� - ... .. .t-...: r .'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. _ r •ZONE: '-BY: Minimum -Setback Distances: - •__- ' Front Setback from Center Line r Rear. Setback from Rear Prop. Line. ` - . CONSTRUCTION LENDING AGENCYt 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 Side Street Setback from Center.Line r r Side Setback from Property Line -r " Lenders Address This is a building -permit when:properfy 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.Validated FINAL DATE' - 'INSPECTOR Issued by: Date Permit' ' . - by: Signature of applicant Date i• w Mailing Address T za - - Validation: ta.: x.z�-r. i,, „ 4-'z ti s1' it City, State, Zip Z .#t.':". ti; r.4.L r, ( z �•.tom ,a_... CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL. SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. SO. FT. ® GAS (FINAL) WALL SQ. FT. ® DRINKING FOUNTAIN GROUT URINAL SQ FT ® FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation GRADING cu. yd. $ plus x$ FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER 1 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED REMARKS: LAUNDRY TRAY AIR HANDLING UNIT CFM 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 V4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ic HOUSE SEWER MESH 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 SEWER OR SE1 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. WE/ ND BEAM /0 i WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING `G O FINAL INSP. OFING 1 L / 1 J/ b REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH g1riki,SULATIONISOUNDG/� �(J FINISH GRADING &G FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF Ainv.,, SCHOOL FACILITY FEES TO: City o f� PLS "Q a _,%ar Department of CommunPLty Development 78-105 Calle Estado La Quinta, CA 92253 DATE: ( This is to certify that L (%/f °- Z`7 developer of which is located at a -- within this District, has paid school facility fees imposed pursuant to the authority generat d by Government C F de-Sectio. 53080 in the amount of -�r'�D ( �� $ � co ering a total of /� s re feet of ( resid tial or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. 550 J a � 1F�✓ ' for DESERT NDS•UNIFIED SCHOOL DISTRICT Whhitee- Building De artment • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer � `� 7 a? (10)-37 RECORDING REQUESTED BY P CAT. NO. NNO0582 TO 1923 CA (2-83) SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS The undersigned grantor(s) declare(s)- Documentary transfer tax is $ 9.90 computed on full value of property conveyed, or computed on full value. less value of liens and encumbrances remaining at time of sale. ( ) :.Unincorporated area: (. x ) City of La Quinta , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, STANLEY A. SMITH, Trustee of the STANLEY A. SMITH REVOCABLE INTER_VIVOS TRUST, U/D/T December 26, 1984 hereby GRANT(S) to EBERHARD P. HOELLE and THERESIA HOELLE, husband and wife as community property the following described real property in the City of La Quinta State - County :1�iverside:: :` - , Stag ofCaliferria:___: Lot -15, Block 103, Santa Carmelita at Vale La Quinta, Unit No. 11, as per map recorded in Book 18, page 75 of Maps, in the office of the County Recorder; of.Riverside County.- "tmDate- - - Stanley A. Smith, Trustee STATE.OF CALIFORNIA '` 1 COUNTY OF Q }SS. On.. ,�'. Z + bef))))))ore me, the undersigned, a Notary Public in a d far said State, ' personally appeared �j 1e�Y1 �eq I '1 personally known to me or proved to me on the basis of sat- isfactory evidence to be the person whose name subscribed to the within instrument and • acknowledged that j0j?r executed the same. WITNESS my nd d official eal. Signature N OFFICIAL SEAL e4i WINETTE GOWALEZ NOTARY PUCIIC CALIFORNIAPRINCIPALOFFICE IN ORANGE COUNTY My Commission Expires October 1, 1991 (This area for official notarial seal) Title Order No. Escrow or Loan No. RECEIPT NO Issued By y DISTRICT: O Riverside sndio = " ❑' Hemet _ . ❑ Penis ❑:''Rancho Calif ❑ Blythe ti.. • DOH SAN 122 (Rev.:5/88) DISTRIBUTION:_ WHITE 'Office file YELLOW Applicant :PINK Bldg. Debt -GOLDENROD Plans/Records , COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES — — 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 checklist 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 applicatiori'shall remain valid for a period not to exceed one year from date of approval. Q VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY'APPLICATION BUILDING..DEPARTMENT APPLICATION LOG'n Z ' O Agent, Contractor, Contact Person E` Phone Address & Phone 1 U OWW Phone iling Address City a t 9 �-� • Zip Job Property Add t HA2- a 0. -. !a uuit�2e Descript' n rop. (PM, Tract, Lot o !r 0 " Lot Size I Use of Permit P/P, CU etc. Other/ P�a�jrnce / ellin H Sit Prep, etc. SiG[Katdre of Applicant "_, c Date CATEGORY: -r "'' ~ REV CODE FEE _ CATEGORY: REV CODE FEE 0S' UBSURFACE DISPOSAL 1238$45.00 ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 M ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) Z LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 p a. 1st 4 Parcels (Each) 1238 $45.00 (Less than 1 year) F=, b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 W ❑ Rereview (2nd review same parol) 7344 $16.00 EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with `' 11 HOLDING TANK 7351 $45.00 Critical Area, 7346 `$86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $132.00 ❑ Site Evaluation Lot Less than SYSTEM ( 10,000 Sq. Ft. 7347 $86.00 DA Holding Tank Agreements Completed ❑ Yes Xv � VNo Certification of Existing S.D. System Required ❑Yes WQCB Clearance required. (Attach Fonrt ❑ Yes 0 DOH SAN 007, Santa Ana Region Only) Solis Percolation Report Required. ❑ Yes No Special Feasibility Boring ReportRequired. ❑ Yes No' Detailed Contour Plot Plans Required (1 to 5 it. interval) ❑ Yes No ❑ Yes 0 ' Staff Specialist Lot Inspection Required ❑ Yes Lot inspection Date Soils boring report by ject # Date Soils Map Page / Soil Type ` Approved by loa-� Z'­O� Date U Z� No. of Systema TU of Systems) �ing Tank 0ng No. Dwelling Units (1 (1) Septic Tank Soil Rate Grease/Sand Vitesse I O 0 Replacement /(l Gr Get Gal U (2) Leach tine Sq. Ft bottegtrench area Sidewall allowance. Install Ur e(s) R long R wide with Bed sq. ft R rock/ sq. R per running It. min.inches low dreinlines orof k5attormarea 3 Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage PTotal Depth Other. Applicableg Inlet (BI) / / Max. Allowable Depth ow N/A � Overburden factor 6 j/-- I� No. 2 System REMARKS:/oT/%d-at//.�--� L . a/liL�pC� C.CYc—i - ' This application i PROVED " NlE for,'the category checked in SECTION B above, regarding the design of a subsurface disposal system. as' indicated on .the - acoom anr. . p, plot plan, using .the requirements set 'forth in e SECTION C -.above. A bwldmg .permit is, necessary, for the. installation of the ' atx)ve designed_ system.-- No construction is permitted .in the required, reserved .100% .expansion area.' _ _ Septic. tank.aiid sewerairies must be'50' minimum from any wells " /Q J2F, Leachr lines must be' 100` minimum from any wells, including expansio aUJ r 50': minimum fro .any wells; including expansion area d - " 3) Seepage pits. be' 1A�A D 0 2�. Si 'nature of Heaft Officiai RECEIPT NO Issued By y DISTRICT: O Riverside sndio = " ❑' Hemet _ . ❑ Penis ❑:''Rancho Calif ❑ Blythe ti.. • DOH SAN 122 (Rev.:5/88) DISTRIBUTION:_ WHITE 'Office file YELLOW Applicant :PINK Bldg. Debt -GOLDENROD Plans/Records , 'P , \ iA - OFFICE OF E. LEON SPAUGY AGRICULTURAL CM MISSION,ER LAMES WALLACE 0 ANDO.' ASS;S*.A.%t COMM15SIONEP. "k rm -IGI.-ITS & MEASURES CLENIENT BENVENISTE WE SOLER Y 49-613 Ilwy 86, Suite B-12 "% Coachella , CA 92236 9 1 1 Sq 619-342-8291 - �Zg� -CASE NO DEVELOPER'S NAME - ADDRESS: TELEPHONE: -03 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 frc(*n plant material listed, this office must be notified imm-diately. Thank you for protecting and preserving the Coachella Valley's pest7free environrrent. Agricultural Cam ,iS'si6fidr's Office cc: Indiol.and Riverside Office I t To: Paul Hoelle P.O.'Box 632 La Quinta, Ca 92253 American Engineering Laboratories, Inc. 58945 Business Center Di., Unit A Yucca Valley; CA 92284 Telephone (619) 228=1754 San Diego • Modesto • Corona • Yucca Valley January 11, 1989 Subject: In Place Density Testing 52-420 Aveinda Navarro La Quinta, Ca On January 11, 1989, a representative of this company visited the above referenced.project and performed in place density tests. The results of our testing indicate that the embankment placed as compacted fill was compacted to at least 90 percent of the maximum density at the locations tested. The maximum density was setermined per ASTM Test Method D1557 and the field density tests were performed in accordance with ASTM D2922. Please call this office if you have any questions regarding the above referenced project. Res ctfully tted, Pa Hoersting Geote /Labora o Manager AMERICAN ENGINEERING LABORATORIES, INC. ❑ 7940 Arjons Drive, Suite A ❑ 1490 Rincon Street. Unit Z ❑ 515 Galaxy Way 58945 Business Center Dr.. Unit A San Diego. CA 92126 Corona. CA 91720 Modesto, CA 95356 Yucca Valley, CA 92284 (619)695-3730 (714)272-4230 (209)576-0813 (619)228-1754 CLIENT: PROJECT: DATE: I.D. NO.: P N v L J >t \ 2` A 2-o PROJECT NO.: REPORT OF FIELD COMPACTION TEST TEST 4 LOCATION OF TEST t.3.) S S\ Q F O p\ \ N Q, f• G f FIELD MOISTURE % OPTIMUM MOISTURE % FIELD MOISTURE % FIELD MOISTURE % OPTIMUM MOISTURE % FIELD DRV DENSITY P.C.F. MAXIMUM DRV DENSITY PERCENT RELATIVE COMPACTION PERCENT REL COMP. REQUIRED REMARKS: Q NSS0 B•o \3.5 \�)z.\ \0�.5 95 90 TEST 0 LOCATION OF TEST OQL ^ . S \ 1� F- FIELD MOISTURE % OPTIMUM MOISTURE % FIELD MOISTURE % FIELD OPTIMUM FIELD, MAXIMUM PERCENT PERCENT REMARKS: \ `M 6 14 {L 1\ MOISTURE MOISTURE DRY DENSITY DRY DENSITY RELATIVE REL COMP. % % P.C.F. COMPACTION REQUIRED . Q \\A- \3.5 9a•5 1(j-1.5 9Z 1)0 �ssFp TEST 0 LOCATION OF TEST (i \ N G 4 �• G - 1' { FIELD MOISTURE % OPTIMUM MOISTURE % FIELD MOISTURE % OPTIMUM MOISTURE Y. FIELD DRY DENSITY P.C.F. MAXIMUM DRY DENSITY PERCENT RELATIVE COMPACTION PERCENT REL COMP. REQUIRED REMARKS: \ m p O Q I ;s 10 REMARKS. \ .� !.l D �T . ' \3 9 l •4 � Ol • 6 C) 1 <) TEST N LOCATION OF TEST ' FIELD MOISTURE % OPTIMUM MOISTURE % FIELD DRV DENSITY P.C.F. FIELD MOISTURE % OPTIMUM MOISTURE % FIELD DRY DENSITY P.C.F. MAXIMUM DRY DENSITY PERCENT RELATIVE COMPACTION PERCENT REL COMP. REQUIRED REMARKS. \ .� !.l D �T . ' 99- TEST 4 LOCATION OF TEST ' FIELD MOISTURE % OPTIMUM MOISTURE % FIELD DRV DENSITY P.C.F. MAXIMUM DRY DENSITY PERCENT RELATIVE COMPACTION PERCENT REL COMP. REQUIRED REMARKS: - •. O pct�o�ES �ENS\�`l -CCSB Loc a��oN i