10777 (PLBG)T4tyl 4
P.O. BOX 1504 No. 10777
Building54—$20 CARRANEA 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
ESTEBAN
BUILDING: TYPE CONST.
OCC: GRP.
Mailing
Address SAME
A.P. Number
City
Zip
Tel.
• LA QiiINTA
192253
1
Legal Description
Project Description
SEVER HOOKUP
Contractor
ECONO SEWER
Address
P 4 BOX 192
City
PALM DESERT
Zip
92260
Tel.:
346-2793
State Lic.
& Classif. C42 48101961
City
Lic. # 342
Sq. Ft.
No. No. Dw.
Size
Stories Units
Arch., Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm' h til a licensed under provisions of Chapter 9 (commencing with Section
7000) of Divisi n 3�ihe Bu+iness and Professions Code, and my licens is in ull force and
effect.
SIGNATURE N1 DATE
WNER-BUILDER DECLARATIONEstimated
I hereby affirm that,l am exempt from the Contractor's License Law for the following
reason: _(Sec. 7031.5,Busine� and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to 8s issuance also
requires the applicant for such permit to rile 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, andthe 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 rive 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, Buisness and
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 improve for the purpose of sale.) ,.
❑ 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
Valuation
$800
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
$30.00
&M. 1.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O.I am exempt under Sec. B. 8 P.C. for this reason
Grading
Driveway Enc.
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.)
y No. Cpany
Poli om
OX
Copy is filed with the city. .❑ Certified copy is hereby furnished.
TOTAL
$30.00
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE '
REMARKS
(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.
a��:.�W.1.r�3{�`Y` 3Yiitil_ � 3U.V�)
Date" Owner
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.
ZONE: -
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
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.
FINAL DATE
Issued by:
Validated by:
INSPECTOR
Date Permit
Signature of applicant_ Date
Mailing Address
Validation:
City, State, Zip
i
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. ®
FORMS
SEWER /
t
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEQUIP.
DRAINAGE PIPING
CAR P. S0. FT. ®
TEMP. POLE
WALL SO. 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
LAUNDRYTRAY
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SO.FT.GAR ® Vbc
HOUSE SEWER
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 /
t
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
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 LIM0
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Received
Address:
Accountt
Service A
❑ Meter(s)
❑ Service(s)
❑ Backflow(s)
❑ House Lateral(s)
❑ DetectorCheck(s)
❑ Meter Surcharge
Sanitation Capacity Charge
❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account - Name
❑ _Inspection Fee - Tract -
Fee -
❑ Plan Check Fees Water I Sewer -
Tract -
❑ Bond Payment - A.D. - Bond
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL
❑ Customer Deposit
❑ Other
TOTAL $ ,/ 7 ,. S �, C� G
Remarks: 1 �r
❑Copy to:
Cash y� Water Service "ty�
rvt}
Check
Money. Cashier
Order"
yam, i �'� CVWD-438 (11/89)
Ah
fik
BUENA ENGINEERS, INC.
1731-A Walter Street
VENTURA, CALIFORNIA 93003
NW 1W
DAILY FIELD REPORT
GRADING
JOB No. or P.O. No.
PAGE
of �
PROJECT NAME
CLIENT OROWNER
DAILY FIELD REPORT SEQUENCE NO.
GENERAL LOCATION OF WORK
OWNER OR CLIENT'S REPRESENTATIVE
DATEDAY
S/ ,
/, ,r
OF WEEK
1711- -
GENERAL CONTRACTOR
GRADING CONTRACTOR
PROJECT ENGR.
TYPE OF WORK
� -
+• N 'I 1 1 -
GRADING CONTRACTOR'S SUPERINTENDENT OR FOREMAN
SUPERVISOR
SOURCE AND DESCRIPTION OF FILL MATERIAL
WEATHER
TECHNICIAN
r
L
KEY PERSONS CONTACTED (Civil Engr., Architect, Developer, etc.)
TEST TEST LOCATION,
NUMBER
FIELDTESTING REFERENCE CURVE
ELEVATION DRY MOISTURE OF COMP. MAXIMUM OPTIMUM COMMENTS
DENSITY CONTENT MAXIMUM CURVE DRY MOISTURE
Ibs.ICu. ft. % DRY NO DENSITY CONTENT
DENSITY lbs./cu. it.
DESCRIBE EQUIPMENT USED FOR HAULING, SPREADING, WATERING, CONDITIONING, AND COMPACTING.
NOTES: (Describe work completed during the day; any problems and their solution)
L ,
1
1
/
CONTINUED I I
WHITE COPY TO OUR FIELD FOLDER
CANARY COPY SENT TO CLIENT 1_I
PINK COPY TO PROJECT ENGINEER
COPY GIVEN TO:
REPORT BY:
DAILY FIELD REPORT
LEIGHTON and ASSOCIATES
INCORPORATED
O
O
GEOTECHNICAL and ENVIRONMENTAL ENGINEERING CONSULTANTS
February 29, 1988
Project No. 5880290-01
TO: Mr. Tom Dorsey
PO Box 662
La Quinta, California 92253
SUBJECT: Report of Compaction Test, Single Family Residence, 4-820 Avenida
Carra-nza La Quinta, California
At your request, we have performed five compaction tests on the near surface soils
at the subject site. The test results and approximate test locations are detailed
in the attached sheets (Plates 1 and 2). The maximum density and optimum moisture
were determined as per ASTM Test Method D1557-78. The field density tests were
performed with a nuclear densometer in accordance with ASTM Test Method D2922-78.
The scope of our work was to perform compaction tests only and not to provide soil
or foundation engineering recommendations. Our services were performed after the
building pad was completed. The scope of our work did not include observing the
grading operation during placement of fills to check for uniformity of materials
used, construction methods, etc. Therefore, we cannot make any statement about
conditions below or beyond our test locations.
Should you have any questions regarding this report, please contact us.
Respectfully submitted,
LEIGHTON AND ASSOCIATES, INC.
Paul Hoerst In Brent J. Inghram, RCE 40264
Supery soiry Te hnici an Chief Engineer
PH/BJI/mu R10 ESS/
Distribution: (3) Addressee
ti QPENT J. G�
INGO]RAM s
Enclosures: Plate 1,.Compaction Test Summary w No. 40264 m
Plate 2, Sketch o�
(2) Work Authorization and Agreement Forms Exp.
CIVIL �.
74-240 HIGHWAY 111 PALM DESERT, CALIFORNIA 92260 ,'I. (619
Telex 249208 LAGEO UR
r CAd
DAILY FIELD REPORT
No:
Job Name: -T 0% ACRS ZProject No.: S 8 0290 - O1 Date: 2-24�$a
Location: .S4 - 820 P�vEN%VA CVV-1L uZa Weather: Day: uwF p
Contractor:
Foreman:
Field Technician: Q
Miles :
Hours:
Equipment Working:
Inspection / Testing of
t3ID\NG Qr"o
Test
No.
Test
Location
Elevation
or Depth
Soil
Type
Optimum
Moisture
Field
Moisture
Maximum
Density
Field
Density
Rel.
Comp.
I
5¢E G\CXI 0A
F•G .
N
SO•40
G.�
96
3
8. I
9a
+
11 (0
101 l
9�
5
Ib.4
Xri
Summary of
Operations: �. G
F ��\S� Cn0.r.IDE
SO\L I T,
z G \ sEr3
S�\NtA 7N
LNao
C..
1
15.6 M��S ARE
Supervisor :
Engineer:
Geologist:
Todays Yardage:
Yardage to Date:
LEIGHTON and ASSOCIATES
17975 Sky Park Circle, Suite E. Irvine, California 92714
Tel: (714) 556-1421 556.1422
100 (4.77)
WHITE — File Copy YELLOW — Client Copy PINK — Field Copy GOLD — Office Copy
r®r a7 -4 '
o�y �o