002808 (SFD)4
V
P.O. BOX 1504 N o .
Building-025Avenida � 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
+Ek'3
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address = DriveA.P. Number 774-204-012
City Zip Tel. -
. Legal Description Lot 1
ContractorProject Description DI le �y �
Estill, ' crm"�*
Address
ty Zip ., Tel.._ .... -
omme
State Lic.
& Classif.
" Lit LI L, C71
Designer
Lic. #
Sq. Ft.��R 5� No. No. Dw.
Size Stories Units
New utl A d C3Alter El Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
W
_ 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. r a%r -7 r !..r , .
.
SGNATURE� DATE
' OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
(Sec. 7031.5,Business 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 to a civil penalty or not more'than five hundred dollars ($500). '
❑ 1, 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, Suisness 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. di(t not build or improve for the purpose or sale.)
❑ 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 or property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under -Sec. -.B.-& P.C. for this reason
Estimated ValUatlOp
, �dd�0
75,505.00reason:
-
PERMIT
AMOUNT
Plari Chk. Dep.
Plan Chk. Bal.
Const.
)� �
Mech.
ern
Electrical
Plumbing
S.M.I.
-
GradingQ
Driveway Enc.
20.00
Date Owner
Infrastructure
1,U3.45
WORKERS' COMPENSATION DECLARATION
Ihereby 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. O Certified copy is hereby furnished.
-
TOTAL 1 2.037«50
1 1.787.50
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.)
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 Owrier
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
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-,f
Mailing Address
City, Stale, Zip
HARD COPY
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 22-3()'86Permit
Validated by:
Validation:_
A7.020
1Z 31
787.5b Cl
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
011L000H PLUMB. 3-3�-j��
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. Qa
SE R ROR(
(ROUGH WIRING 3 b�
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL) Am
EMP. POLE
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
WATER HEATER
WALL SO. FT. ®
FINAL INSP.
DRINKING FOUNTAIN
SQ. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
-$
WATER -PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
--
IvAA• N&YTION/SOUND 3 /O
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINISH GRADING
GAS PIPING
PERMIT FEE
FINAL INSPECTION
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
011L000H PLUMB. 3-3�-j��
BONDING
HEATING (ROUGH)
STORAGE TANK
SE R ROR(
(ROUGH WIRING 3 b�
DUCT WORK
ROCK STORAGE
//--FORMS
2U.&OUND. REINF// i1
oC
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL) Am
EMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
-$
LUMBER GR.
FINAL INSP.
FRAMING �'��—�
FINAL INSP.
OFING �3 �'1
�
Dom( �.� « �A � c- � � �2. �
P,
/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
Of
--
IvAA• N&YTION/SOUND 3 /O
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS,
GARDEN WALL FINAL :d
T4'yl 4,4 Qulkm
P.O. BOX 1504
APPLICATION ONLY
Building �/ Q2�A�2 �, 78-105 CALLE ESTADO
�
�
Address 7 LA QUINTA,
CALIFORNIA 92253
Owner
'I Byron Radaker
WD frame .GRP.
BUILDING: TYPE CONZ2.0.7—
Mailing
Address
A.P. Number 774—OMR-012
City
Zip+
Tel.
Legal Description
Lot 1, Block 286, Unit 26
Contractor
Project Description
Si nr_rla Fami 1v RP.qiclP.ncP
Starr Construction Company
Address
Plan B
5 N_ Pa1m Canyon Drive
City
Zip
Tel..
Palm Springs,Ca.
92262
322-1020
State Lic.
City
& Classif. A - 387934
Lic. #
Sq. Ft. 1363
Size
No.1 No. Dw. 1
Arch., Engr.,
Stories Units
Designer
NewXX Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
/;kA,/J6-
/
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
S CAAJ
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.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
Estimated Valuation
S O 5
reason: (Sec. 7031.5,Buslness and Professions Code: Any city or county which requires a
/ . J
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
PERMIT .
_ AMOUNT
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
Plan Chk. Dep.
^
• subjects the applicant to a civil penalty of not more than five hundred.dollars (5500).
I,
Plan Chk. Bal.
�� g
❑ 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: Contractor's
Const.
The 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,
Mech.
OGi
provided that such Improvements are not Intended or offered for sale. If, however, the building
or Improvement Is sold within one year or completion, the owner -builder will have the burden
Electrical
•
-75.9-7
of proving that he did not build or Improve for the purpose of sale.).
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
9 ,�
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to who builds improves thereon,•and for
S.M.I.
S
an owner of property or who contracts
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
Grading
-
Zd ��
O I am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
, �p
Date owner
Infrastructure
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
0 Copy is filed with the city. ❑ Certified copy is hereby furnished.
•
TOTAL
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if 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
ZONE:
BY:
subject to the Workers' Compensation provisions �of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
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.)
Side Setback from Property Line
Lender's 'Name
Lender's Address
FINAL DATE
INSPECTOR
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.
Issued by:
Date Permit
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 by:
Signature of applicant Date
.Mailing Address
Validation:
City, State, Zip
A 6 9 1 1
12 12 275,00 iL
BUILDING DIVISION
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEQUIP.
DRAINAGE PIPING
CAR P. I SQ. FT.
TEMP. POLE
WALL SQ. FT.
GROUT
DRINKING FOUNTAIN
SQ FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
_$
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SQ. FT. ® c
BATH TUB
GAR. FIREWALL
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
MESH
SQ.FT.GAR ® 3/ac
HOUSE SEWER
INSULATION/SOUND
GAS PIPING
PERMIT FEE
FINISH GRADING
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 SEPTIC TANK
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.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
%k%FIEp
C%
o 0
_ 0
W BERMUDA DUNES r
RANCHO MIRAGE
r INDIAN WELLS H
d, PALM DESERT a
%PLA QUINTA
''gyp INDIO
Desert Sands Unified School District
82-879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5678 • (619) 347-8631
December 12, 1986
* City of La Quinta
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
Re: Lot 1, Block 286, Unit 26, La Quinta, CA - 1 unit
Gentlemen:
The developer of the above referenced project has
mitigated its impacts on our overcrowded schools by
payment of the amount of $628 per.unit. This amount is
to be applied to the cost of additional district
educational facilities made necessary by such new.
development:
Sincerely,
John D: Brooks
Assistant Su erintendent
Business S es
By: .0 ee
Richard M. -Beck
Facilities Planner
JDB/vmm
* This certification of payment of developer fees is valid
for issuance of building permits only up to and including
December 31, 1986.
i
OFFICE OF
AGRICULTURAL COMMISSIONER
4080 LEMON STREET. ROOM 19
RIVERSIDE. CALIFORNIA 92501
(714) 787.2561
qY9, 18q
Dear Developer/Landscaper:
46-209 Oasis Street, Room 14
Indio, CA 92201
(619) 342-8291
E. LEON SPAUGY
COMMISS1014R
JAMES O. WALLACE
ASSISTANT COMMISSIONER
Thank you for inquiring with the Agricultural Commissioner's Office regarding
local quarantine laws.
Any diseases or insects associated with the plants/landscaping material presented
on your landscaping plans do not pose a threat to the Coachella Valley Citrus,
Date, Grape, Vegetable, or Field Crop industry. We therefore approve your
landscaping plans.
If houever, any substitutions of plants/landscaping materials within your plans
occurs between now and the actual planting date, you must contact this office
within 48 hours before delivery into the Coachella Valley. Also, the substituted
plantshandscaping material must be held for inspection upon arrival. Any sub-
stituted landscaping material found infected/infested with quarantine pests will
be immediately treated or shipped out of the Coachella Valley at the discretion
of the Agricultural Commissioner's Office.
Under penalty of perjury, I.the undersigned will comply with the above.
Authorized Agent:
NameC C.L Date /2--/-5
ti c s1,JAG
Signature
Permit Number`(s)
Developer Address
AGRICULTURAL COMNISSIONER' S APPROVAL Date 1 Z
Authority cited: Agricultural Code; Sections 6301, 6461, P�+" 6521-
6524 APPROVED 1
cc: 2 Plan Check, Indio Office, Riverside Office
BY:cc
DATE:/2 s 6 2
Forri A - 10/84
,
M
Z
O_
1--
C) U
W
U)
M
Z
O
U
LU
U)
U)
Y
CC
Q
W
121:
U
Z
O
P:
U
W
U)
COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 1� _ Jy _ t
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 required on the attached check list.
A non-refundable filing fee of $37 is required when the application is submitted. Check must be made payable to the County of Riverside.
J► Building Department Application Log #
Name (Owner, Agent, Contractor, Etc.)
Mailing Address
1405r
AlA✓J
City
State
Zip Code
Telephone
I'
1;,z z /#. Z
2 z
Job Property Address r
'City or Community
Ila "glAR
Legal Description of Property. (Lot, PM, TR)
'Assessor's Parcel No. Water Agency or Well
Lot Size
Use of Permit Planning Case N
r`�' ,1 �/ ,,.,f
��` _ �V dil �`'�E�•L u /�((X,%
SFD, MH Site Preparation Etc.
Si- ature of Applicant F Date
The above information must be verified from Building Application
STAFF USE — DO NOT WRITE BELOW THIS LINE
Initial \ Date
Certification of Existing S.D. System required.❑Yes No�
WQCB Clearance required. ❑ Yes No
Soils feasibility report required. ❑Yes No
Detailed boring report required. ❑ Yes No
Detailed contour plot plans required. ❑ Yes ❑ o
Staff Specialist approval required.t� ❑ Yes ED No Lot Inspection Date
\
Soils/boring report by G fi \ 4 Project # Date
Soils Map Page Soil Type Approved by Date
Type of System:
No. of Bedrooms
(1) Septic Tank
Soil Rate Required
El Existing New El Additional ❑Replacement
�� L� ►UaX
�00D Gals.
tr{ S a +�
(2) Leach line sq. ft./
Sidewall allowance /
Install Line(s�Ft. Long,
Leach bed Sq.
(Bottom trench r )
ft. rock/ Sq. Ft.
Ft. wide with min. inches
Ft. of bolt m
per running ft. ❑ N/A
rock below drain lines
area
Leach lines/bed-special design Ig/Slope:
(3) Pit Diameter
No. Pits
Pit BI
Seepage Pit total depth
Applicable
❑ 5' .6'
'
1 y I
Max. allowable depth
N/A Overburden factor
This application is a pr,2rc ved denied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements
set in Section B above. A building permit is necessary for the installation of the above -designed system.
`iqth
`{T Septic tank and sewer lines must be 50' from any wells - vt,, %, \ O' ;Z0 c,---• Q
(2) Leach lines must be 100' min. from any wells including expansion area _
t U �c 4, P
3 Seepage pi s must a 150' min. front any wells including expansion area " k ^
C(�J
�2S � I t 7
Signature of Health Official Date
RECEIPT NO. /a 9 0
District: ❑ Riverside O Indio ❑ Hemet ❑
Distribution: WHITE—Office file YELLOW—Applican
DOH -SAN -122 (Rev. 6/86)
Issued by !I Da
Perris ❑ Rancho Calif. ❑ Blythe
t PINK—Bldg. Dept. GOLDENROD—Pending File
to / ;�- -1.2- - 0e
M
Z
O
P:
U
W
W
Y
Q
2
LL1
cr
U
Z
O
FZ
U
W
CO
a,
C+
.y
1+ r
RECEIPT NO. 10 l P
District: ❑ Riverside Indio
Distribution: WHITE—Office file
DOH -SAN -122 (Rev. 6186)
Issued by/06 Date
❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File
r.`.
a
awli
COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION _ 1 Li v Cat
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
a
Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County specifications required on the attached check list.
'A non-refundable filing fee of $37 is requird11111 hen the application is submitted. Check must be made payable to the County of Riverside.
Bui ding Department Application Log #
Name (Owner, Agent, Contractor, Etc.)
,MlailingyA�ddress
City
State
Zip Code
Te ephone '
'Job Propertyy AFddress t )P/° f C. `4-� r�i'� cy -
C
*City
, or Community
.-yf
��M
�f'Legal Description
/ ooff Propprertsyy. (Lot, yPM, TR) �q
t efw@+i :i 400 •'P�i /% ;+(a
-a . `- £fi �r/.�rN-�
!^T'� P'I�
[4�rwti�/
'Assessor's Parcel No. Water Agency or Well
Lot Size
Use of Permit Planning Case #
�'/,r+
c " F P —
SFD, MH Site Preparation Etc.
Signature of Applicant Date
The above information must be verified from Building Application
STAFF USE — DO NOT WRITE BELOW THIS LINE
Initial Date
Certification of Existing S.D. System required. ❑ YesNo t / f 2 ! t..
WOCB Clearance required. ❑ Yes No I ,
Soils feasibility report required. ❑ Yes No E*
No l l
Detailed boring report required. ❑ YesAONo
Detailed contour plot plans required. ❑ Yes
Staff Specialist approval required. ❑ Yes ❑ No Lot Inspection Date
Soils/boring report by IN ` Project # Date `
Soils Map -Page Soil Type Approved by Date
Type of System: `x.
No. of Bedrooms
(1) Septic Tank
Soil Rate Required
❑ Existing New ❑ Additional ❑ Replacement
'C X14 C' t � ��
� Q�� Gals.
LA se,
(2) Leach line sq. ft. /
Sidewall allowancef
Install Line(s)/ Ft. Long,
Leach bed Sq.
(Bottom trench area)ft.
rock/ Sq. Ft.
Ft. wide with min. inches
Ft. of bottom
per running ft. ❑ N/A
rock below drain lines
area
Leach. lines/bed-special design for slope:
(3) Pit Diameter
No. Pits
Pit BI
Seepage Pit total depth
Aplicable %
N/A Overburden factor
❑ 5' @l 6'
t[ y i
Max. allowable depth
t o n+ �, t UIQ r"a rte. S ,� 0
This application is approvedl�denied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements
set forth in Section B above. A building permit is necessary for the installation of the above -designed system.
((1� Septic tank and sewer lines must be 50' from any wells —• v"%;
(2) Leach lines must be 100' min. from any wells including expansion area
Seepage be 150' from including t��, IGY rte`"`
(37 pits must min. any wells expansion area
-�� ,>.- C",� �
G H`� � 1_ t � ,
Signature of Health Official r Date '
RECEIPT NO. 10 l P
District: ❑ Riverside Indio
Distribution: WHITE—Office file
DOH -SAN -122 (Rev. 6186)
Issued by/06 Date
❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File
r.`.
a
awli
BUENA ENGINEERS, INC. l �-] /7vV- z
1731-A Walter Street V
VENTURA, CALIFORNIA 93003 /;7
(805) 642-6727
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL 48106
1 as
Received From:
��/� rt�l ^ / _I Date: - y
Address: l ( Ci �) C 4 (,-jTjF
//n ��.. i'l i <.• / �`1 r?' ���t�>���C TI• �'=
—s -
Account No.Lots) l Tract
Service Address �T p �,1. CAI) f? A Il 2i.4 G.A. Code
❑ Meter(s) $
❑ Service(s)
❑ Backflow(s)
❑ House Lateral(s)
❑ DetectorCheck(s)
❑ Meter Surcharge
itationCapacity Charge 61 t,� ®'L�',
❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account - Name
❑ Inspection Fee -Tract -
Fee -
❑ Plan Check Fees Water / Sewer -
t Tract -
t
❑ 'Bond Payment - A.D. - Bond
3
Assmt.
I'
❑ Customer Deposit
❑ Other
i"
TOTAL $1 .
Remarks:
❑Copy to:
Cash Water Service
Check Q J?� 79
Money Cashier.
Order
CVWD-438 (it
e-d�
Buena Engineers, Inc.
AN EARTH SYSTEMS, INC. COMPANY
1731-A WALTER STREET
March 18, 1987
Starr Construction
655 N. Palm Canyon
Palm Springs, CA 92262
VENTURA, CALIFORNIA 93003
RECEIVED APR 4 tyt!i
(805) 642-6727
B -17052-P1
87-3-757
Project: 53-755 & 53-775 Avenida Alverado, 52-641 & 52-661
Avenida Bermudas,�;�02554-'045 Avenida Carranz`a;�
54-225 & 54-245 Avenida Herrera, 54-365 & 54-765
Avenida Ramirez
La Guinta, CA
Subject: Report of Field Densities
House Pads
Between January 12 through January 23, 1987, . a representative of our
firm performed density tests on the various residential building pads on
the above referenced project. Tests were performed at random locations in
accordance with ASTM D 2922-81 and ASTM D 3017-78 Nuclear Density
Test Procedure. Tests were performed as per authorization of Starr
Construction.
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 twenty-one (2 1 ) density tests were performed.. Tests results
indicate that a minimum of ninety percent'(900) relative compaction has
been obtained within the areas tested, with the exception of test No. 17.
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 Maximum Density -Optimum Moisture
Tan fine to medium sand SM 110.4 pcf 12.6/0
Light brown fine to
coarse sand with gravel SP/SM 123.3 pcf 10.1 0
Light brown fine to
coarse sand with gravel
and stones SP/SM 128.7 pcf 11.070
VENTURA LANCASTER
(805) 642-6727 (805) 948-7538
BAKERSFIELD SANTA BARBARA PALM SPRINGS SAN LUIS OBISPO
(805)327-5150 (805)966-9912 (619)328-9131 (805)544-6187
Narch 18, 1987
-2- ' .
B -17052-P1
87-s-757
I. The house pads are located at various locations i n the City of La
Quinta, CA. I .
2. Prior to our arrival at the sites, they were brought to grade and
compacted.
3. The contractor was informed by the City of La Quinta that the building
pad at 54-225 Avenida Herrera was not required to have compaction
test. $
4. On January 27, 1987 this information was passed onto Buena
Engineers, Inc. therefore we did not retest No. 17 (54-225 Avenida
Herrera).
S. The purpose of testing was to observe compliance with the minimum
requirements of the City of La Quinta, CA.
The test results summarized in this report present the moisture and
den^ity only at the leent.ien� and depths tested on the specified dates. The
surrrrnavited 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, compaction, nor
adequacy of the material to perform its intended function. No guarantee
or warranty of the contractor's work is made or implied.
If there are any questions, please do not hesitate to contact this office.
Respectfully submitted,
BUENA ENGINEERS, INC.
jo ,Z
Brett L. Anderson
BLA/JRV/th
Copies: 2 - Starr Construction
2 - City of La Quinta
2 - PS File
2 - VTA File
Reviewed and Ap
�joseph R. Venuti
Civil Engineer
BUENA ENGINEERS, INC.
�oQVpF ESS/oi*
� �,pNDO(Fp��G FSC
No. C 041210 i
W �
EXP. 3-31-11
s c1v1� �Q
�9rF OF
guem Engineers,im,
REPORT OF RELATIVE COMPACTIONS
h p Job No. 8-17052-P 1
CONTRACTOR: DATE: March 18, 1987 Report No. 87-3-757
-----ADDRESS: - JOB & LOCATION:
-I A OUinta (.A
TEST NO.
DATE
TESTED
DESCRIPTION
% MOISTURE
IN PLACE
DRY DENSITY
IN PLACE
RELATIVE
COMPACTION
MAXIMUM
DENSITY
52-641 & 52-661 Avenida Bermudas
1
1-12-87
Per Plan 1.0 BFG
16.8
105.9
96
110.4
2
1-12-87
Per Plan FG
12.5
.102.0
92
110.4
3
1-12-87
Per Plan 0.5 BFG
7.0
103.3
95
110.4
4
1-12-87
Per Plan FG
17.3
107.9
98
110.4
53-755 & 53-775 Avenida Alverado
5
1-13-87
Per Plan 0.5 BFG
11.9
100.1
91
110.4
6
1-13-87
Per Plan 1.0 BFG
12.4
100.3
95
1 10.4
7
1-13-87
Per Plan 0.5 BFG
5.5
108.0
98
110.4
8
1-13-87
Per Plan 1.0 BFG
11.1
102.3
93
110.4
54-025, & 54-045jAve__n_i:daCarranza,
�
9
1-14-87
Per Plan FG
17.6
100.8
91
110.4
10
1-14-87
Per Plan 0.5 BFG
12.8
101.7
92
110.4
11
1-14-87
Per Plan FG
16.5
100.6
91
110.4
12
1-14-87
Per Plan 0.5 BFG
17.9
101.5
92
110.4
54-765 Avenida Ramirez
13
1-21-87
Per Plan 0.5 BFG
4.9
125.1
97
128.7
14
1-21-87
Per Plan FG
6.0
126.1
98
128.7
54 -365 -Avenida Ramirez
15
1-21-87
Per Plan FG
16.1
100.5
91
110.4
16
1-21-87
Per Plan 0.5 BFG
13.8
105.6
96
110.4
WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH
COPIES:
BUENA ENGINEERS, INC.