04-6144 (SFD)BUILDING & SAFETY DEPARTMENT
B0 1504
cF`�OFTt� - - (760)„7.77-7012
5 CALLS Pico
i��ann FAX (760) 777-7011
q"7” MA RNIA 92253 INSPECTION REQUESTS (76.0) 777-.7153
Cmro�LAQUIN UILDING PERMIT
FIkAtICE DEPT:
Application Number 04-00006144 Date 5/03/05
Property Address . . . . . . 77154 CASA DEL SOL
APN: 773-360=007- - -
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning.. MEDIUM DENSITY RES
Application valuation 274275
Owner Contractor
ANSCHEL HAROLD Owner
722 11 TH STREET'
HERMOSA BEACH CA
HERMONSA BEACH, CA 90254
JV
-P.O.. Box 1750444
VOICE (760) 777-70.12
78-495 CALLS TAMPICO - FAX -{760)' 7.77-4011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760): 7.77-7153
BUILDING` & SAFETY DEPARTMENT
-Application Number: G! Pate:;' S_
,Applicant: Architect&'Engineer: ,
Applicant's Mailing Address: Architect or Engineer's Address:
Uc. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Cp . and myLioans in full force and effect.
vCicense Class L' n .S "/
Loete S 1'1 Contractor
OWNER -BUILDER DECLARATION -
I hereby affirm under penalty of perjury that I am exempt from the Contractors`. State License Law for the following reason (Sec. 7031.5, Business and'Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, orrepair any structure, prior to its.issuance, also requires the applicant for the permit to fide a signed
statement.that he or sheis licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is.exempttherefrom;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);):
U 1, as owner of the property, or my employees with wages as their sole compensation, will do themork, and the structure is not Intended or offered for sale (Sec. 7044,
Business and Professions Code: The Contractors' State License Law does.notapply to an owner of. property who builds or Improves thereon, and who does the work
himself or herself or through; his or her own employees. provided that the Improvements -are nof'intended or offered for sale:.if. however, the, building or improvement is
sold within one year of completion, the•owner-builder will have the burdemof•proving that he or she.did not build or. improve for the purpose of sale. ).
U I, asowner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Businessland Professions Code: The Contractors'
State License Law does not apply to an owner of property who.builds or Improves thereon, and who contracts for the projects with a:contrector(s) licensed pursuant to -
the Contractors' State License Law:)I
U I am exempt under Sec. , BA PIC. -for this reason
Date
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following, declarations:
I havwand wili maintains certificate.of,consentto self insure for workers' compensation, asprovided for by Secti6n3700 of the Labor Code. for the performance
of thework for which this permit is issued.
have and will maintain workers' compensation insurance, as required. bySection 3700 of the Labor Code, for the performance of the work for which this permit is
My�v�orkers' com ensation:insurance cam- ej�d lic number are: ^
✓ Cartier KIM l \ Y Policy Number T V (4 b
I certify that, in the performance of the work for whir^is veimitis issued, I shall'not em ny person in any manner so as to become subject to the workers'
compensatiom laws of California, and agree th , if i s ukl come subject rkers' mpensation provisions.of Section 3700 of the Lebon Code, I shall
forthwith.comDIV with those orovisionk. w
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION.COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND'DOLLARS ($100,000), IN ADDITION TO THE COST'OF COMPENSATION, DAMAGES AS. PROVIDED FOR 1N,
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION • LENDING AGENCY
I herebyatfirm under penalty of perjury that there' is a,construction'lending .agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lenders Name 4 A
Lenders Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director -of Building and Safety for permit subject to the conditions and restrictions. set forth on this application.
T. 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
issuedas a result of this application, the owner, and the applicant, each agrees to, and'shall;;defend, indemnify and told harmless the City, of'La Quinta, its
officers, agents and employees for any act or omission related to the wo Ing performed under or following issuance of this permit.
2. Any permit issued as.a result of this application'becomes null and vol ;..--
0mmmen %*Awn 1 m date of issuance of such permit, or
71=
ti of rk for 180 days.will.subje&pernit to canceila'on.l r 06r that e d is application and state that the above inform 'on i come I.ree thal ' y a ordinances and state laws relating to building
construcd'onby uthorize representatives lof this county/to nt u n the a ed p rty ins on rposes.
Date d//� Y Signature (Applicant or Agent);;✓
r :Application Number . . . . . 04-00006144
---- Structure Information SINGLE FAMILY DWELLING =----
Construction Type . . . . . TYPE V -*NON RATED
Occupancy Type . . . . DWELLG/LODGING/CONG <=10
Flood Zone . . . . . . . . NON -AO FLOOD ZONE
Other struct info . . . . . CODE EDITION 2001
# BEDROOMS 5.00
FIRE SPRINKLERS NO
GARAGE .SQ FTG 859.00
PATIO SQ FTG 433.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 4400.00
Permit .. . . . . .
Additional desc .
Permit Fee .
Issue.Date . . . .
Expiration Date . .
BUILDING PERMIT
1126.00
1.0/30/05
Plan Check Fee 731.90
Valuation . . . . 238920
Qty Unit
Charge
Per
BASE
Extension
3.00
9.0000
BASE
.FEE
639.50
139.00
3 . 50`0',0
THOU BLDG
100,0,01-500,0.00
486.50
Permit .
. .
ELEC-NEW RESIDENTIAL
MECH
Additional desc
.
6.50,00
EA
MECH
Permit Fee
. .
201..1,8
Plan Check Fee
50.30
Issue Date . .
. .
Valuation
0
Expiration Date
10/30/0.5
Qty Unit
Charge
Per
Extension
BASE
'FEE
15.0.0
4400.00
.035.0
ELEC
NEW RES - 1 OR 2 FAMILY
154.00
859.00
.020:0
ELEC
GARAGE OR NON-RESIDENTIAL
17.18
1.00 15.0000
EA ELEC
TEMPORARY POWER POLE
15.00
Permit . . . ..
. .
GRADING PERMIT
Additional desc
.
Permit Fee . .
. .
15.00
Plan Check Fee
.00
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
10/30/0.5
Qty Unit
Charge
Per
Extension
BASE
FEE
15.0.0
Permit . . . MECHANICAL
Additional desc 3
Permit Fee 10.1.50
Issue Date
Expiration Date 10/3.0/05
Qty Unit Charge Per
Plan Check Fee .
Valuation
25.38
0
Extension
15.00
27.00
27.00
26.00
6.50
BASE
FEE
3.00
9.0000
EA
MECH
FURNACE <=100K
3.00
9.000,0
EA
MECH,B/C
<:=3HP/100K BTU
4.00
6.5000
EA
MECH
VENT FAN
1.00
6.50,00
EA
MECH
EXHAUST HOOD
25.38
0
Extension
15.00
27.00
27.00
26.00
6.50
r =Application Number .
. . .
. 04-00006144
-----------------------------------------------------------------------
Permit . . . . . .
PLUMBING
Additional. desc . .
Permit Fee . . . .
176.25 Plan Check Fee
44.06
Issue Date . . . .
Valuation
0
Expiration Date
10/30/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
16.00 6.0000
EA
PLB FIXTURE.
96.00
1.00 1.5.0000
EA
PLB BUILDING SEWER
15.00
2.00 7.5000
EA
PLB WATER HEATER/VENT
15.00
1.00 3.0000
EA
PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA
PLB LAWN SPRINKLER SYSTEM
9.00
1.1.00 .7500
EA
PLB GAS PIPE >=5
8:.25
1.00 15.0000
EA
PLB GAS METER
15.00
Special Notes and Comments
SFD -- (4,4:00 sgft) Permit does not
include block wall., pool or
driveway
approach. (RM.17/1).
--------------------------------------------------------------------------------
Other Fees . . . . .
. . .
. ART IN'PUBLIC PLACES -RES
97.30
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
73:19
DIF FIRE PROTECTION=RES
97.00
GRADING PLAN CHECK FEE
.00
DHF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG ,MOTION (SMI) - RES
23.89
DIF STREET MAINT FAC --RES
15.00
DIF TRANSPORTATION = RES
10198.00
Fee summary Charged
Permit Fee Total 1.619.93
Plan Check Total 851.64
Other Fee Total 2599.38
Grand Total 5070.95
Paid Credited Due
-------------- - - - - - - ----------
.0'0 .00 16.19.93
250.0.0 .00 601.64
.00 .,00 25:99.38
2:50.00 .00 4820.95
Building 7_71,541 li/+�
Address
P.O. BOX 1504 APPLICATION ONLY
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
owner /A'/` .-,
p dL� BUILDING: TYPE CONST. OCC,. GRP.
Mailing 7�2
r Address A.P.mber
p Legal Description
God 7 rR
I 0 Tel. 3/ —106,
Coritractor A Project Description ,
ate Lic. 4 City Sq. Ft. No. / No. Dw.
Classif. t.(1 T �"(� h Lic. # Size dG Stories ! Units
Designer
New g/ Add ❑ Alter ❑ Repair ❑ Demolition ❑
citvip State �����
#
11 CEN D NTDEC R I
I hereby afii t 1 11 c ed derArt.
f C pt 9 ( mmencing with Section
7000) of Divisf of: a i' s d odm (cense is in full force and
affect.
SIGNATURE DATE aO 1
OWNER -BUILD R DECLARATION Estimated Valuation'
I hereby affirm that I am exempt from 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, alter, Improve, demolish, or repair anystiucture, prior to its issuance also PERMIT AMOUNT
requires the applicant forsuch•permit to file a signed'statemant that he is licensed pursuant to
theprovisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the.Business and Professions Code, or that he isexempt therefrom, and the basis Plan Chk. Dep. 7A %or
for the alleged exemption. My.violation of Section 7031.5 by any applicant for a permit subjects
Mie applicantto a civil penalty of not more than five hundred dollars ($500): Plan Chk. Bal'. ,
0 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 and Profes- Const.
sions 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 empplo s, provided Mech.
that such. improvements are'notintended or offered for sale. If, however, the building or im-
provement Is sold within one year of completion, the owner -builder will have the burden of Electrical
proving that he did not build or improve for the purpose of sale). PlUmbing
01, as owner of the property: am exclusively contracting with licensed contractors to construct
the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does S.M.I. O
no oppty to an owner of property who builds or Improves thereon, and.who contracts, for such
projects with a contractor(s) licensed pursuant.todhe Contractor's License Law.) Grading
0 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc. 7Y OF LA QUINTA
Date owner Infrastructure FINANgEDEPT.
WORKER'S COMPENSATION DECLARATION
I herebyy affirm that) 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. D, Certified copy is hereby furnished.
CERTIFICATE. OFMXEIAPTION FROM TOTAL , py
WORKERS'COMP INSURANC
(This section d not be compered it t6f1be,
pe is r one h d (1 velu n REMARKS
or less .
I certi th in the perfo, a e of w fo which Is i us i sh not.
employe 'pe on in any manirio as t bject er Co ens tion s of
after making this Certificate of'Exer7ljftiom you ,
Tipensation provisions of the Labor Code, you
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 permitls Issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This Is a building permit when pr o , sig ail v Idated, and Is subject
expiration If work thereunder, is sus fo 8 ys.
I certify that I have read- his a 11 o n to t t bo a Informatio Is orrept.
I agree to comply with all an c r nces ante aws relating to lding
construction; and hereby au onz re a 0 of s ter the;abov me Honed
property for inspection ptgp as,
Signature of applicantf�Vif— Date4� J
Mailing Address
City; State, Zip �—
WHITE = BUILDING DEPARTMENT
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 Permit
Validated by:
Validation:
YELLOW = APPLICANT PINK = FINANCE
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District 9
4' O
47950 Dune Palms Road BERMUDA DUNES O
'U RANCHO MIRAGE �
Date 5/2/05 La Quinta, CA 92253 ,r. INDIAN WELLS
PALM LA GUINT
No. 27148 DESERT y
(760) 771-8515 1QINDIO y7�
Owner
Harold Anschel
APN # 773-360-007
Address
Permit #
Tract. #
Study Area
Type
Single Family Residence
No. of Units 1
Lot # No. street S.F. Lot # No. Street S.F.
Unit 1 77154 Casa Del Sol 4400 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
At the present time, the Desert Sands Unified School District does not wiled fees on ger>3geslcerports, covered pa llosMalkways, residential additions under 5
OD square fed, detorted accessory structures (spaces that do not contain fad for living, sleeping, cooking, eating or sanitation) or replacenme mobile ho
mss. It has been determined that the above-named owner Is eaent from paying.prAnn fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.24 X 4,400 S.F. or $9,856.00 have been paid for the property listed .above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By O/C, Washington Mutual Bank, H. Anschel, Check No. 001601871
Name on the check Telephone
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /ex pted by Pa icia Barbuzza Payment Recd
$9,856:00 Over/Under
Signature
NOTICE: Pursuant to Government Code Section OWMd)(1), Oft will serve to notify you fist the t>4day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this pr*ctis issued, or from the.date on which
those amounts are paid to.the District(s) or to another public entity authorfined to polled them an the DWzk;t(%) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting
JHA ENGINEERING, INCORPORATED
CIVIL ENGINEERING D E :SIG N •. LAND PLANNING • SURVEYING
ENVIRONMENTAL SERVICES
May 19, 2005
City of La Quinta
78-495 Calle Tampico
La Quinta, CA. 92253-1504
Building Department
ATTN: Building Inspection Supervisor
RE: Lot 7 —Tract _No..28409
Site Address 77-154 Casa Del Sol
Builder: HBA eve opment
Gentlemen,
This shall serve as a pad certification letter stating that the grading for said lot has
been done for the abovementioned property. A field inspection has been done and shows that
the pad elevation has been graded as noted;
Pad Elevation
As -Built Elevation
72.0
Approved Elevation
72.0
These elevations fall within the standards for grading practice and tolerances.
Sincerely,
Joh Hacker R.C.E. 14614
Exp. 3/31/07
Q�of ESS/ON
,AHAS �Fyc
CO m
C 14614rn
* EXP. 03-31-07 t�
srq�
OF
41921 BEACON HILL • SUITE A • PALM DE&ERT., CA. 92211
(760) 779-0657 FAX (760) 779-5143
4 W--�1'5e� Wim - I
aj (�p �44
jpR%qhjFFjInfbnnafion
r .To Build On
iiM�I�AAI'�M � i�J�I�Q/1iNM � �iSQ�M
�(-VA-V—� -V D � — (do 14-4
PROCTOR INFORMATION
SOIL I'D #
REPORT
OF FIELD
COMPACTION TESTS
1
OUR REPORT NO.: 073-50008
130.5
7.8%
IENT: en ore
DATE: 01-17-05
COMPACTION REQUIREMENTS,
90%
PROJE 154 Casa Del Sol, L Qunita, Ca.
NUCLEAR.GAUGE
TEST
NO.
DAILY STANDARD
CALIBRATION
VARIANT,
GAUGE
% VARIATION
INFORMATIOMAND
WET
DENSITY
PCF
COUNTS
NUMBERS FROM
PERCENT, + / -
ADJUSTMENT
FROM.LAST USE
CALIBRATION
1.
8"
SHEETS
3.7%
140.1
135.0
103%
GAUGE TYPE:
D-
MOISTURE:
MOISTURE:
East Corner
MOISTURE:
MOISTURE:
TROXLER
8"
F.G.
4.2%
137.6
132.0
10.1%
1
MODEL No.:
DENSITY:
DENSITY:
M-
DENSITY:
DENSITY:
3430
D-
PROCTOR INFORMATION
SOIL I'D #
VISUAL CLASSIFICATION OF SOIL
MAX. DRY DENSITY, PCF
OPTIMUM MOISTURE, %
1
Course Sandy Soil
130.5
7.8%
COMPACTION REQUIREMENTS,
90%
MOISTURE REQUIREMENTS,
1 1
-
GENERAL LOCATION: House Pad
TEST
NO.
READING
QUOTIENT
/ PCF
SOIL
ID
NO
TEST
DEPTH,
IN
ELEVATION
OF TEST
MOISTURE
CONTENT,
%
WET
DENSITY
PCF
DRY
DENSITY
PCF
PERCENT
COMPACTION
COMMENTS
1
M-
1.
8"
F. G:
3.7%
140.1
135.0
103%
1
D-
North
East Corner
2
M-
1
8"
F.G.
4.2%
137.6
132.0
10.1%
1
D-
South West Comer
M-
D-
M_
D-
M-
D-
M-
D-
TECHNICIAN: Glenn Meek Jr.
COMMENTS:
I = FILL MATERIAL
2 = BACKFILL
3 =BASE COURSE
4=SUBBASE
5 = SOIL: CEMENT
6 =OTHER
A = TEST RESULTS "COMPLY WITH SPECIFICATIONS
B = COMPACTION PERCENTAGE DOES NOT COMPLY WITH SPECIFICATIONS
C ="RETEST OF PREVIOUS TEST
D = MOISTURE IN EXCESS OF SPECIFICATIONS
E = MOISTURE BELOW SPECIFICATIONS
Professional Service Industries, Inc. • 42=240 Green Way, Suite C • Palm Desert, CA 92211 • Phone 760/341-5790 • Fax 760/341-5794
,4
Information
.ToBuild on
Eng►needr a - Consa/fiing - 7baUng
.Report of Moisture Density Relationship of Soil
ASTM D 1557
Tested For: Ben Gilmore Date: 01/18/05
Project: 073-50008 77154, Casa Del Sol
LA Quinta, Ca.
Test Data
Visual Classification: Course Sandy Soil
Sample Source: Onsite
Test Results
Maximum Dry Density: 130.5 lbs/fe
Optimum Moisture Content: 7.8%
Specific Gravity: 2.6'5 (estimate)
S
Report No.: 1
Lab Report No.: 267
Lab Tech.: Karen
Remarks: To Be Used in House Pad
Moisture Density Relationship of Soil
ASTM D1557
Moisture. Content (%)
cc: RespectfullySub ' d,
essi al Se irustries,lnc.
Rick Ford
Branch Manager
REPORTS MAY NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT WRrrTEN PERMISSION BY PROFESSIONAL SERVICE INDUSTRIES, INC,
Professional Service Industries, 'Inc. - 42-240 Green Way, Suite C - Palm Desert, CA 92211 - Phone 760/341-5790. Fax 760/341-5794
.0