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0006-167 (BLCK)U) f - (V U) W O =) 2- d C) Z ti O o H J W W F- (L U) Z M LO N Oa) U Q It Il — Z r ¢ Cc 0 X W LL 0 J Q m U U O _Z 6 5 �0 Q J LICENSED CONTRACTOR DECLARATION PERMIT# I hereby affirm under penalty of perjury that I am licensed under provisions of % I,. `'- BUILDING PERMIT Chapter 9 (commencing with Section 7000) of Division 3 of the Business and DATE VALUATION LOT 0006-167 TRACT Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date JOB SITE APN 37.3193 B 03/31/2( ADDRESS ;570 Cr41 �ate �"' 1'��Signature of Contractor t OWNER CONTRACTOR /DESIGNER / EN INEER OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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, Business & Professionals Code). ( •) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section , B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ( ) I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ( ) I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier CLARLOIDCN 18.AT1C; Policy No. 0MR-0022-5172 (This section need not be completed if the permit valuation is for $100.00 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, and agree that if I should become sy6ject to the workers' compensation provisions of Section 3700 of the Labor Pode, I shall forthwith comply wit. those provisions .^ Date: v Applicant �L�Q 1 t\m�nn "�-Nfi ")'1 Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. MRWRB THOWSCJN 52.641 AVERT JA131~UMf7.L)AS LA. QUWA CA. 92253 USE OF PERMIT '1 ��.w ar.•r�v a rr� r��- ew,\ - ��-, .. . COMHtNA'I'ION 3I,C1C'K ':"b:"AI,L 4' STANDARD 6 FT. WALL Md7s CONS1i?'I. MON CO. 74.5040 MOYMAY 111 , dt1) S 1NDL%N'WE- .LLS CA 92240 ('760)779.8069 C51* 5105 6' I-II(fH @ 250 LF. CITY 250.'00 V +p+ P= /ry p]�`�y.4*p1�1!iATLrD COW OF COlilS'k�1;iC:xl ON P�' A d� �l�&C3 CONSTRUCTION FEE 101.000-41.8.000 $90.00 IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter"u_ pon'c the above-mentioned property for inspection purposes. RECEIPT f ,Signature (Owner/Agent) ' Yv.al � ,Date S'- C)0, MM -TO dd'.L L.6:NSTR,4a�d?ON AND ,rA.A,Lv LL'MCK, LMS PRE -PAID M743 DATE IMAL 7PXR WCdi r MEN DVEF NOW DATE FINALED I INSPECTOR 6=.00 $90.00 $0.00 INSPECTION RECORD i OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Footings �/— - N " Electric Bond Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) i 4 A I %-'\� 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 (805) 642-6727 B -17052-P1 87-3-757 Project: 53-755 & 53-775 Avenida Alverado;"52641 & 52-661 Avenid�Berr-st, 54-025 & 54-045 Avenida Carranza, 54-225 & 54-245 Avenida Herrera, 54-365 & 54-765 Avenida Ramirez La Quinta, 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 (21) 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 Tan fine to medium sand Light brown fine to coarse sand with gravel Light brown fine to coarse sand with gravel and stones VENTURA (805) 642-6727 Li Ka SM SP/SM Maximum Density -Optimum Moisture 110.4 pcf 12.60 123.3 pcf 10.1 0,70 SP/SM 128.7 pcf 11.0% LANCASTER (805) 948-7538 BAKERSFIELD SANTA BARBARA PALM SPRINGS SAN LUIS OBISPO (805)327-5150 (805)966-9912 (619)328-9131 (805)544-6187 4 19t1 March 18, 19V07 -2- B-17052-P1 87-5-757 1. The house pads are located at various locations in the City of La Quinta, CA. 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). 5. 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,;it only a±. the lm -,lions and depths tested on the specified dates. The surrlmarized 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. Brett L. Anderson BLA/JRV/th Copies: 2 - Starr Construction 2 - City of La Quinta 2-PSFile 2 - VTA File Reviewed and Ap 2. 0 o Jose h R. Venuti p Civil Engineer BUENA ENGINEERS, INC. �oQ,pF ESS/p,V � Q�RpNDO(F` F� No. C 041210 r• °G Exp. 3 - 31-11 s C1v1t. �Q �9rF OF CA1ffi��� Bum Engineersjnc. ENGINEERING 7 REPORT OF RELATIVE COMPACTIONS CONTRACTOR: ADDRESS Job No. B -17052-P 1 DATE: March 18, 1987 Report No. 87-3-757 JOB & LOCATION: I i Oiiinta (-A TEST NO. DATE TESTED DESCRIPTION %MOISTURE IN PLACE DRY DENSITY IN PLACE RELATIVE COMPACTION MAXIMUM DENSITY j52-6414 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 1 10.4 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 & 54-045 Avenida Carranza, 9 1-14-87 Per Plan FG 17.6 100.8 91 1 10.4 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 1 10.4 12 1-14-87 Per Plan 0.5 BFG 17.9 101.5 92 1 10.4 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. l�@ 52 �4 I W 5261 � ® w . DO d _D Z w 7 Q - iEST �OcA'fiDNS ri � � 52loGJ .,{��EN:(pR .:B�KTNJ'17DE5 LA 4,jionq , cA. BUENA ENGINEERS, INC. GATE: 3"lTo 87 FILE N0. 0 110 52-P1 Z O U W N M Z O U W Cn U Z O U W COUNTY OF RIVERSIDE, DEPARTMENT OF HEALTH PERMIT APPLICATION FOR A SUBSURFACE DISPOSAL SYSTEM Applicant: Submit this form with three copies of a scaled plot plan drawn to county specifications required on the attached check list. A non refundable filing fee of $15 is required when the application is submitted. Check must be made payable to County of Riverside. Name Mailing Address / too, City State Zip Code Phone '? '4 0, /ala �(-? �F'Z.R 1sp y— el 'Property Address// 'City or Community / 'Legal Description of Property (Lot, Parcel Map, Tract) ,I�Pr ♦»u des 'Assessors Parcel No. Water Serving Property From Lot size 773- 3ds-- 018 sa. e,7 wd ��s. �' a , SD x /b'�/ Signature of Applicant / Date 'The above information must be verified from Building Application Staff Use — Do Not Write Below This Line Initial Date ���' `' WQCB Clearance required Yes ❑ No ❑ --• - Soils feasibility report required Yes ❑ No C Detailed boring report required Yes ❑ No ❑ �. 1 Detailed contour plot required Yes ❑ No ❑ Comments: Soils or boring report by 7 C Date Approved by =. _. A10 10 .. ,'t ;Date ` Soils Map Page Soil Type Tract File No. Other Number of Bedrooms Septic Tank Size (gallons) Rate Required z y 1 Type of System New Addition Replacement Leach line sq. ft. of bottom area trench f , J ,4 Leach bed (sq. ft. of bottom area bed) k-. " ". % A '. 4, (� ( - Seepage Pit Diameter Number of Pits y Seepage Pit Depth B.I. Total Depth of Pit 50 ❑ 6' ❑ �. Location of System t - � L ' C\L • `� Additional Requirements r , U -_ t ��.J r - • j l 1%, A permit is approved/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. Signature of Health Official Date Receipt No District: Riverside ❑ DISTRIBUTION: WHITE - Office File DOH SAN 122 (Rev 10/84) Indio 0 Hemet ❑ YELLOW - Applicant Issued By ' Date PINK - Building Dept. GOLDENROD - Pending File TA-tV1 4 t P.O. BOX 1504 APPLICATION ONLY Building U 7&105 CALLS ' � Address Or coQ,{�n, , L-A QUINTA, CALIFORNIAORNIA 92253 , ; .3 Owner Mailing AddressP069,t1_? City Zip s;a Qv,h 1,7 [91 Tel. BUILDING: TYPE CONST.OCC. GRP. A.P. Number / Legal Description t,onuacror Project Description Adress D6 /y.2o City �d �u�ir,la Zip Z 2 ss --T Tel.. sG 7 State Lic.� & Classif. 11/ — S'� 5; — City Lic. # �% lA U-6 �6. Sq. Ft. No. No. Dw. Size 4tA GA�2 Stories Units Arch., Eng r.! � t Designer " _� New Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 700p) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER-BUILDERDECLARATION I hereby affirm that I am exemptptfrom the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, after, 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 30f 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). ❑ 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, Bulsness 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 orImprovement 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.) Estimated Valuation PERMIT AMOUNT Plan Chk. Dep.- Plan Chk. Bal. Const. ( , Mech. 3 Electrical tiro Plumbing L -- ❑ 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 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. 8 P.C. for this reason S.M.1. Grading Driveway Enc.►— Date Owner Infrastructure ` 0645 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 WORKERS' COMPENSATION INSURANCE REMARKS (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 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. 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: BY - 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 FINAL DATE INSPECTOR Lenders 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 properly for inspection purposes. Issued by: Validated by: Date Permit Signature of applicant Date Mailing Address Validation: A2154 8 1 250,00 CK City, State, Zip BUILDING DIVISION CONSTRUCTION ESTIMATE11 GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES Z{� R° $ OV UNITS BONDING HEATING (ROUGH) STORAGE TANK 1ST FL. SQ. FT. ® SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. YARD SPKLR SYSTEM GAS (FINAL) 2ND FL. SQ. FT. GROUT WATER HEATER SERVICE ` �` / MOBILEHOME SVC. WATER SYSTEM BAR SINK GRADING cu: yd. $ plus x$ POR. 0 SQ. FT. ® LUMBER GR.' FINAL INSP. FRAMING FINAL INSP. GAR. 44440 SQ. FT. ® Zo ROOFING POWER OUTLET ROOF DRAINS REMARKS: VENTILATION DRAINAGE PIPING CAR P. I SQ. FT. FIREPLACE WALL SQ. FT. SPARK ARRESTOR DRINKING FOUNTAIN GAR. FIREWALL SQ FT ® LATHING URINAL ESTIMATED CONSTRUCTION VALUATION $ �� ^ WATER PIPING *2 '— NOTE: Not to be used as property tax valuation FINISH GRADING FLOOR DRAIN MECHANICAL FEES CERT. OCC. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN INSPECTOR'S SIGNATURES/INITIALS. WASHER(AUTO)(DISH) APPLIANCE DRYER GARDEN WALL FINAL GARBAGE DISPOSAL F FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM. B.T.U. d$ 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 S' BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4.c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 3c) GAS PIPING PERMIT FEE LQ PERMIT FEE rra PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE q-L ats 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 APP.IEQUIP. 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 INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS. GARDEN WALL FINAL F P.O. BOX 1504 APPLICATION ONLY �2jn�.6,o,S Building 78-105 CALLE ESTADO Address 0 CL) it) CA LA QUINTA, CALIFORNIA 92253 Owner Byron Radaker Mailing BUILDING: TYPE CONST. SID frameOCC. GRP. Address A.P. Number 773-305-018 City Zip Tel. Legal Description Lot 6, .Block 140, Unit 15 Contractor Project Description Single Family Reaidence Starr Construction Company an .A reversed . Address I AS >a va1 ra u v t.(/Cr City Zip Tel.. —7 Palm Springs, Ca. - 92262 322-1020 A'9,46 S State Lic. City & Classif. A — 387934 Lic. # Sq. Ft. 1410 No. No. Dw. Size Stories 1 Units I Arch., Engr., Designer New dD Add ❑ Alter ❑- Repair ❑ Demolition ❑ Address Tel. City Zip 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. _SIGNATURE DATE OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Buslness 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 fide 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). ❑ 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 Code: The Contractor's License Law does not apply to an owner or property who builds or Improves thereon and who does such work himself or through his own employees, Provided that such improvements. arenot 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.) Estimated Valuation / - — PERMIT - AMOUNT Plan Chk..Dep. Plan Ch k. Bal. Const. Ti?rofessions r� • O Mech .. ® a a Electrical g Plumbing ❑ 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 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. 8 P.C. for this reason S.M.I. Grading B O 45 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.) Policy No. Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS r% (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 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: BY: 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 FINAL DATE INSPECTOR Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expirationit 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. Issued by: Date Permit Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip A6907 12 12 27500 R BUILDING DIVISION 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 OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. GROUT WATER HEATER WALL SQ. 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.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac 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 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 INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL BUENA ENGINEERS, INC. 1731-A Walter Street VENTURA, CALIFORNIA 93003 /q-7 Z /-'Y/ 805 642-6727 4 E a `r ,4 '. -: . is • t .. .. .:: r ' � � �. J ll-2r" C7 .. �' .i ,� '-r 1'� !-' �'... '.� ..1. �-1,�"_� i`!t} I i_...i I .� 11 1-1`•'r.� I, tx%f1ED c \\ /&'C"�/&'C" o _ -0 H BERMUDA DUNES r RANCHO MIRAGE r INDIAN WELLS ti PALM DESERT %$ LA OUINTA '''p INDIO y� Desert Sands Unified School District 82-879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5678 • 1619) 347-8631 December 12, 1986 * City of La Quinta Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 Re: Lot 5, Block 140, Unit 15, 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 Superintendent Business Se By: Richard K. Bec 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. 'kyr:, ,r�7• .a .s-: COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 7.3 ' PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM 't 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 requirad when the application is submitted. Check must be made payable to the County of Riverside. �- Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) f 41Ze .5 -1Z14 -71,4114i e: Mailing Address .� lam' r6l /'/)�/x4 G�/1�l�iitl pw /moi City Slate Zip Code Telephone Jab Property Address e 'City o •ommunity _ Legal Description of Property. (Lot, PM�fiTR)T (62 C vice . ' 1�'�/.t�� �'�'� >� c/%tl"'.• Vim'?' ,�9" �t+� l*�� �,lN r i" 1, z�' �`l�i 'Assessor's Parcel No. or-welF /���JJ��,yLot Use of Perm�t�A!�f/iSY.C.:Tf-�`^"�'�ela�ining Case Fi Size Lency SFD, MH Site Preparation Etc. 514 5" a u e of pplicant �_7 Date 'The above information must be verified from Bull ding Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date ,Certification of Existing S.D. System required. El Yes ©'"No WOCB Clearance required. ❑ Yes E3r1\1'o, E ❑ f F,�-0 Soils feasibility report required. Yes ,N�-o rNe Detailed boring report required. El Yes L Detailed contour plot plans required. ❑ Yes EJ No i Staff Specialist_ approval required. ❑ YesIn No Lot Inspection Date Soils/boring report by f� /I"• / Project # Date Soils Map Paged of + 9 Soil Type (� Approved by Date f - E Z 6 ?lIXAM1 / Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing 10 ew ❑ Additional ❑ Replacement aw, ,/fy Gals. (2) Leach line Sq. ft. Sidewall allowance ft. Sq. Ft. Install Line(s) Ft. Long, Leach bed Sq: o (Bo trench area) rock/ F�t�wiid`e�vvitla.,min. inches 4�`' Ft. bottom per running ft. ❑d -N'IA rock below drain lines area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth Applicabler N/A Lf5!L_ Overburden factor „ '=�� ❑� � j /� / Max. allowable depth / / //1 i.. -✓t. >�2f`l /.!<<--�G�,r,.... 9?h. � . G .�.rJ�'O.!%da�;3•.�..tct+.�1P r� This application is,approved%denied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements B-aboov"e A building is for installation set forth in Sectio permit necessary the of the above, -,designed system. /Septic tank and sewer lines must be,50' from any wells -4 la (2) Leach lines must be 100' min. from any wells including expansion area y 3). Seepage pits must be 150' min. from any wells including expansion area 1&0 r, i -A'a /Z JZ .�a,►tea / Signature of Health Official `� Date. RECEIPT NO. 1 C( Issued by �' " Date- District: ate District: ❑ Riverside ®`Indio ❑ Hemet '❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) • � t I l i I I i( /2 -/2 - /Ir8jo /e Wl.{Ossi --144,6 01,0-/eo4jei5fz j s�/112 �cle, I f ,C �/ j,,�05 iV1.Rf it% !�•i�olr�c i /�JlicJR4� Mq15 <1 9, 1 a/ OFFICE OF AGRICULTURAL COMMISSIONER 4080 LEMON STREET. ROOM 19 RIVERSIDE. CALIFORNIA 92501 (714) 787.2561 Dear Developer/Landscaper: 46-209 Oasis Indio, (619) Street, Room 14 CA 92201 342-8291 E. LEON SPAUGY COMMISSIONER 1 MIES O. WALLACE ASSISTAN7 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 ho:.ever, 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 plants/landscaping material must be held for inspection upon arrival. Any sub- stituted landscaping material found infected/infested with quarantine pests will be in-�Tediately treated or shipped out of the Coachella Valley at the discretion of the Agricultural Co=issioner's Office. Under penalty of perjury, I.the undersigned will comply with the above. Authorized Agent:: .'NameC C,L Date 12- — I Signature Permit Numb*er.(s) Developer„„ -Address 22., 49 AGRICULTURAL CO;,^fISSIOi:ER' S APPROVAL l,/ Date 1'Z Authority cited: Agricultural Code; Sections 6301, 6461 11U t t�iQ 6521- 6524 4� APPROVED cc: 2 Plan Check, Indio Office, Riverside Office BY: DATE:/? -! 1UJ L Forn A - 10/84 v�TVRACD'' Buena Engineers, Inc. M AN EATRN SYSTEMS, INC. COMPANY 1731-A WALTER STREET March 18, 1987 Starr Construction 655 N. Palm Canyon Palm Springs, CA 92262 VENTURA, CALIFORNIA 93003 VF[OTT A MAR 2 3 19�F (805) 642-6727 B -17052-P1 87-3-757 Project: 53-755 & 53-775 Avenida Alverado, 52-641 & 52-661 Avenida Bermudas, 54-025 & 54-045 Avenida Carranza, 54-225 & 54-245 Avenida Herrera, 54-365 & 54-765 Avenida Ramirez La Quinta, 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 (21) density tests were performed. Tests results indicate that a minimum of ninety percent (909) 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 Tan fine to medium sand Light brown fine to coarse sand with gravel L i ght brown f i ne to coarse sand with gravel and stones VENTURA (805) 642-6727 USCS SM SP/SM Maximum Density -Optimum Moisture 110.4 pcf 12.6ro 123.3 pcf 10.1 SP/SM 128.7 pcf 11.0% LANCASTER (805) 948-7538 BAKERSFIELD SANTA BARBARA PALM SPRINGS SAN LUIS OBIS,PO (805) 327-5150 (805) 966-9912 (619) 328-9131 (805) 544-6187 March 18, 1987 - 2 - B -170521 -PI 87-3-757 1. The house pads are located at various locations in the City of La Quinta, CA. 2. Prior to our arrival at the sites, they were brought to grad 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). 5. 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 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, 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. Brett L. Anderson BLA/JRV/th Copies: 2 - Starr Construction 2 - City of La Quinta 2 - PS File 2 - VTA File Reviewed and Approved Joseph R. Venuti Civil Engineer BUENA ENGINEERS, INC. (J Buena Engineers,inc. Mulwl =r" REPORT OF RELATIVE COMPACTIONS. CONTRACTOR: ADDRESS: Job No. B -17052-P 1 DATE: March 18, 1987 Report No. 87-3-757 JOB & LOCATION: La Quinta. CA ' TEST NO. DATE TESTED DESCRIPTION Me MOISTURE IN PLACE DRYDENSITY IN PLACE RELATIVE GOM PACTION A.I.U.M 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 95 110.4 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 & 54-045 Avenida Carranza 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. 17f, I !IN ENGIN CONTRACTOR: ADDRESS: REPORT OF RELATIVE COMPACTIONS Job No. DATE: March 18, 1987 Report No. JOB & LOCATION: La Quinta, CA B -17052-P1 87-3-757 TEST NO. DATE DESCRIPTION % MOISTURE DRY DENSITY RELATIVE MAXIMUM TESTED IN PLACE IN PLACE COMPACTION DENSITY 54-225 & 54-245 Avenida Herrera 17 1-21-87 Per Plan FG 10.2 107.7 87* 123.2 18 1-21-87 Per Plan 0.5 BFG 12.2 105.8 86* 123.2 19 1-23-87 Retest "'17 7.3 108.6 88** 123.2 20 1-23-87 Per Plan 0.5 BFG 11.1 100.1 91 ** 110.4 21 1-23-87 Per Plan FG 18.8 100.3 90 110.4 BFG = Below Finish Grade FG = Finish Grade * = Failing Test *** = Passing Retest WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH COPIES: BUENA ENGINEERS, INC. i N 52 L4 I a W 52661 � ® W DO d _D Z Q Q - (EST LOC�i�ON�i '52 Ol f- 524o4I Poldwoft BbKM UDES Lf, 4,jionq BUENA ENGINEERS, INC. DATE: 3-1f° - 07 FILE N0. 13 170 52-Pi 1`!1 n oc J Q II_ 7 W te:5'f �GATIONS 53 55 53175 POC-ObA ALVARADO BUENA ENGINEERS, INC. DATE: 3-16 -87 FILE N0.8 17052- PI AJIOft CAIMANLA -�--� 5yoty 5405 CZ 0 i2 Q r�s1 c o�anouS 0 J Z V !0 ��vt5 5}045 WC-WbA LAR.AhNZA LA ' cQ Vi U'rA, CA. BUENA ENGINEERS, INC. DATE: 3���� FILE NO. B 1105 Z• Pl A06ti IPA f:AM I REZ 19 (�t I 5'(1►JC, H o use w 0. �4 w 54745 htl"IbA ,2AMiPE:Z BUENA ENGINEERS, INC. DATE: -----7F I L E N0. 9 11052 PI hvurofl IZNM ►fZEZ