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04426 (SFD)Building Address 51-255 QUint4 Owner David catina 4 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 51-840 Cortex ` City Zip , Tel. .La. Quinta 92253 564-7047 Contractor City Zip Tel. State Lic. & Classif. City Lic. # Arch., Engr., Designer 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) t.of Division 3 of the Business and Professions Code, and my license is in full force and effec _SIGNATURE DATE OWNER -BUILDER DECLARATION 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, atter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant to the provisions o/ the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or thathe is exempt therefrom, and the basis for thealleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty o/ 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 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 e/ completion, the owner -builder will have the burden 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- 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.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date�f � � sf +• Owners' - 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. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed i/ 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. 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 Mailing Address City, State, Zip 11LDING: TYPE CONST. OCC. GRP. P. Number 769-142-007 egal Description_ roject Description 0-442S REMARKS 21`1i`AAX 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 IN-3PECTOR Issued by: Date Permit Validated by:— Validation:— WHITE y:_Validation: WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE Sq. Ft. Size 2400 No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation MIS# 192 PERMIT AMOUNT Plan Chk. Dep. 425V luk) Plan Chk. Bal. T.1 7 • V V Const. * !;lltiJ Mech. ;3b QU Electrical fir: 01) Plumbing l UQ S.M.I. 9 I► 54 Grading . U( Driveway Enc. «uf' Infrastructure Z I4fuq 0 DIV TOTAL REMARKS 21`1i`AAX 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 IN-3PECTOR Issued by: Date Permit Validated by:— Validation:— WHITE y:_Validation: WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATL NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO FT (a $' 2ND FL SO FT. sg POR SO FT. a GAR SO. FT. Or CAR P. SO FT. 0 WALL SO. FT. ra SO FT fd ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTONDISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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 FINAL INSP. SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @- 1+A c SEWAGE DISPOSAL SO.FT.GAR @ 3/� c HOUSE SEWER VENTILATION GAS PIPING PERMIT FEE FIRE ZONE ROOFING 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 8 AIR COND. SOLAR SETBACK GROUND PLUMBIN 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.IEOUIP. 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. / / LFRAMING11 FINAL INSP. - PROOFING _ o - n L1A/a� I I (� 11L 11$ I_��� I u O 6 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR, GAR. FIREWALL THING/r-L "�D� MESH NSULATIONISOUND/ -� / FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS , GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES NOTICE: THIS DOCUMENT CANNOT Q p TO: CitFo��Q�tzi�TED• DATE: U �O Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to certify that developer of which is located at - within this District, has paid school facility fees imposed pursuant to the au t ority genera ed by Gove f%in�en�t, Code S ct'os 53080 in the amou of co Bring a total of square feet of (y) residential or ( ) industrial/commercial development and that building permits for this 'footage in this development may no be issued by your jurisdiction. r ESERT SANDS UNIFIE6 SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting Y Gold - Devsloper (10)-37 Certificate of Compliance: Residential (Page 1 of 2) CF -1R CJE: Project Title Date Prof dcLAddresg 7- -7 Building Permit# Documentation Author Telephone T70 Checked By /Date Compliance Method (Package, Point System or Computer) Cllmate Zone Enforczment Agency Use Only GENERAL INFORMATION'. Total Conditioned Floor Area: Z40C> ft2 Building Type: Sipgle Family Hotel/Motel (check one or more) Multi -Family. (less than 4 stories), Addition Multi -Family (4 or more stories); Existing-Plus-Addidan Front Entry Orientation: Norp�' South West All Orientations (circle one or mom) Number of Dwelling Units! Floor Construction Type: Slab Raised Floor -(circle one or both) Infiltration Control: da _ ight (circle -one) BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, typical, ct Wall .............. t; yC Tim I 0( Wall.: ......... ***® : Roof .............. Roof..* ........... Floor .............. Floor ......... Slab Edge ..... 0 GLAZING' Glazing Orientation Front.... (E) Front.... Left...... (,S) 'Left......'.( ) Rear...... (L-3) Rear..... ( ) Right..... (1,4 :Right...,.( Skylight....... - Skylight....... Shading Devices Area Glass Type Interior Exterior OverhangFraming Type T__J r_ A ? 1! 1--'S. r,) A THERMAL MASS Type/Covering (slab/exposed, tile. etc.) Area Thickness Lo tj A t4 4 t-, tv_ 4 L- ® -Ci LJ�� C9�:J +� �{� ►� a..+` T? i �) v c,�, \ . t: t A 7 LW Certificate of Compliance: Residential (Page 2 of 2) CF -1R I_, -c 1 • a vJc1a a is Date - HVAC SYSTEMS Minimum Duct ; Type (furnace, air Efficiency Location Duct Output conditioner, heat pump) (SE, SEER,HSPF) (attic; etc.) R -Value (Btuh) ?V"P Maximum Furnace Heating Output: Btuh Manufacturer / Model # HOT. WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Featute(s) OZ -- (Cr UV_ c, -N`- SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 21Subchapter 4, Article 1 of the California Administrative code. This certifrcate.has been signed by the individual with overall design responsibility and the building -,owner, who shall retain a copy of it and transmit the.certificate to any subsequent purchaser of the building. When this certificate'of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Featuies/Remarks section. Designer `r I �. . L ► Address: Ya '�4ali �J` . " (signature) Documentation Author Name:���.''R* Title/Firm: VQ*06iZ!7S S 1 Address: LAT n U U. (date) W A L 1_Q KAti L!- V1A ca -5 46j\7 %J A Telephone: l (signature) Form Revised March 1988 r < Building Owner Name: as U 11� ��T /Ill {� Titletrum• 6WgC/L I Address: 51 -$yd PBO D A: LD t-rF-z— f_A AuIw-rA Telephone: (signature) (date) r Enforcement Agency Name: Agency: Telephone: (date) (signature or stamp) EXTERIOR WALL Material Brand Name Thickness (inches) - Thermal'Resistance (R -Value) Pi CEILING • . Batt or, Blanket Type BrandName Th ickness.(inches) 'Thermal Resistance iR-Value) 35 Loose Fill Type Brand Name Contractor's minimum installed weight/ft lb Minimum thickness. inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R?Value) ®RAISED FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) - SLAB FLOOR Material U Brand Name. Thickness. (inches) Thermal Resistance (R -Value) Width (inches) FOUNDATION WALL j) r Material u 1 Brand Name Thickness (inches) Thermal Resistance (R -Value) Declaration I hereby -certify that the above insulation was installed in the building.at the above location in conformance with. the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the . California Administrative Code. . General Contractor (Builder) License Number Signature and Title Date Sub -Contractor (Insulation Installer) License'Number . Signature and Title Date Buena. Engineers, Onc., _ - AN EARTH SYSTEMS, INC. COMPANY + 79-811 COUNTRY CLUB DRIVE, SUITE #4 • BERMUDA DUNES, CALIFORNIA 92201 (619) 345-1588 August 16, 1988 87=0736-P 1 83-08-753` A & M 'Constructi on P. 0. Box 366 La Quinta, CA 92253 Project: Calle Quinto and Avenida La Fonda Le Quinta, California Subject: Report of Field Densities Single Family Residence On August 8 and 11, 1988 a representative of our- firm performed density tests on, the house pad on the above referenced project. ;ests,"were performed at random locations, in accordance with ASTM D 2322-81 and. ASTM.D 3017-78 Nuclear Density Test Procedure. Tests we'rep,rformed as per authorization of David Cetina with A & M Construction: The, estimated locations of the -tests are presented -on the attached plan` Lt ` with their results being summarized on the attached test -.report sheet.. A' total of three (3) density tests were performed`-" .Tests . results indicate 4 that .after reworking the area of low density,, a . minimum of ninety (9.0) percent, relative compaction has been obtained within the areas tested. The maxi mum'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 Maxi mumDensity-OptimumMoisture Light brown slightly -silty Very. -fine to fine sand SM 116.5 pcf = 0.5i VENTURA LANCASTER =' (805) 642-6727, (805) 9484538 BAKERSFIELD SANTA BARBARA BERMUDA DUNES SAN LUIS OBISPO (805) 327-5150 (805) 966-9912 (619)445-1588 (805) 544-6187 f August 16, 1983 -2- E7 -0736-P 1 i 88-08-753 . 1. The project is located at the southwest corner of. Cal l el Qutnto and Avenida La Fonda in the La Quinta area of Riverside County., California. 2. Prior to our arrival at -the site, the fill had been placed .and compacted. Testing indicted an area of low density. 3. This area of' law density was reworked before our naxt arrival; ' retesting indicated that the required density has been obtained. 4. The purpose of testing was'to observe compliance with the minimum requirements of the City of La Quinta, California. LIMITATIONS This firm did not perform a soils investigation, did not conduct any tests to determine the general condition, adequacy. or stability of. Coils on the property, nor did it observe the'fiIIing or compacting operations which were already completed at the time our personnel were called to the site. The only services performed were the specific moisture and density tests summarized in this report. These test results provide anly limited information about the surface materials observed at the lccations and depths tested and cannot be relied upon for information aboua. subsurface . conditions or compaction, or to determine the appropriateness of any design or construction.of improvements on the site. No inspection was made of the contractor's work and no guaranty or warranty of that work in filling or s compacting of the soils on site is made or implied. If there are any questions, please do not hesitate to contact this office. Respectfully Submitted, QRQEESSIO& BUENA ENGINEERS, INC. Reviewed an�E9d, ��FGti�v E Jeff Lower Joseph R. 'de ` t Staff Engineer . Civil EngineEr sls (C!�'��"./` tl JL/JRV1mea Copies: 4 - A & M Construction 1 - P. S. file 1 - VTA file BUENA ENGINEERS, INC. AN EARTH SYSTEMS. INC. COMPANY s - REPORT OF RELATIVE COMPACTIONS + Job No. 87-0736-P 1 CONTRACTOR' DATE August 16, 1988'.Report No. 88-08-753 ADDRESS: . JOB & LOCATION: La QUlnta,. CA TEST NO. tI". DATE DESCRIPTION '% MOISTURE DRY CENSITY RELATIVE MAXIMUM TESTED -,,IN PLACE' IN ,F LACE COMPACTION DENSITY Calle Quinta and Aven}da La•Fonda 1 08-08-88 Per Plan = PG f: -11.4 107:8 91 110.0 27- ' 08-08-88 Per Plan _ 1,0 BPG 1 1.9 104.1- 88* 118.0 °3 08-`12-88 Retest *2 1.0 BPG .12.9- 104.3 90** 1 16.5 Failing Test = Passing Retest- BPG = Below Pad Grade PG = Pad Grade on 8-8-88 WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH COPIES: BUENA ENGINEERS, INC. �s . � - ,•� , ,.