12048 (SFD)4
7 1 1 P.O. BOX 1504
Building 7B-105 CALLE ESTADO
Address 77-� Po`�rerF3 LA QUINTA, CALIFORNIA 92253
Owner
DoDeo Construction
Mailing
Address P.O. Box 1422
City Zip Tel.
La Quinta, CAI 92253 1 564--647$
Contractor
Same
City lZip I Tela
State Ljc. B-1 397830 (City
&1375
Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
City' I Zip I 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,Professio6 Code, and my license is in full force and
effect.
2 -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, 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 3 of the Business and Professions Code,.or thathe 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
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 did not build or improve for the purpose of sale.)
01 , as owner of the property, am exclusively contracting with licensed contractors to con-
strct 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.)
O 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
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. ❑ Certified copy is hereby furnished.
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 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.
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
No. 12048
BUILDING: TYPE CONST. OCC: GRP.-
A.P. Number 774-304-008
Legal Description Lots I & 3 Block 314
Project Description SFD
REMARKS
Fees reflect Iot merger incentive.
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:
Sq. Ft. 2223
Size
No. No. Dw.
Stories Units
New ❑Y Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$1319121.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
.S. M. L
Grading
Driveway Enc.
Infrastructure
1s418.86
Arts in Puo lc Places 11.151611
AP'YAM P I'W-Va-'i'246 n6 f 3
TOTAL
I 1,z4b.00
REMARKS
Fees reflect Iot merger incentive.
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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEE-.,
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
A
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
Z� SEWER
rift i:5
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE -/✓�p
DRAINAGE PIPING
CAR P. I SO. FT.
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN.
SO. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=$
WATER PIPING
NOTE: Not to be used as property tax valuation
FRAMING /_�� _5 a
FLOOR DRAIN
MECHANICAL FEES
7re,�y G-2�-�
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,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
INSULATION/SOUND
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINISH GRADING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
1POTAL 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 PLUMB] N �Z
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
Z� SEWER
rift i:5
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL /
GAS (FINAL)
TEMP. POLE -/✓�p
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.,//-1
FRAMING /_�� _5 a
FINAL INSP.J�-21%q`3
(
ROOFING �W a� l�-v3 ��
7re,�y G-2�-�
REMARKS:
VENTILATION
FIRE ZONE ROOFING -
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL —2 C
LATHING —�(�O 3
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTIOWI_21— j.$
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
G OT L /NE /.l0✓Z STMENT 4OTSBL OCf! ,3/4
UN/T NO ?8, S/lNTi7 C'iIRMEL /Til /JT VOLE
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NO. 125)1
Of cAUE
F/!'CN ENG/NEERs /NC.
P. O. BOX 4SS, P.A,C,y QE''SERT
•
C.el. 92?G/ P/S, 6/9 -,�45- 766 7
PARCEL A: !V
That portion of Lots 1 and 3 Block 314 Unit No. 28 Santa Carmelita at,Vale
La Quinta, as shown by map on file in book 19 pages 59 and 60 of Maps,
Riverside County Records, described as follows: -
Beginning at the southwest corner of said Lot 3; thence North 0° 00' 45"
east.34.99.feet to the true point of beginning; thence continuing North
0° 00' 45" east 30.00 feet.to the beginning of a curve concave to the
southeast and having a radius of 20.00 feet; thence along said curve through
a central angle of 900 01' 15" and a distance of 31.42 feet; thence South
89° 58' east 97.43 feet to the beginning of a curve concave to the west and
having a radius of 30.00 feet; thence along said curve througha central
angle of 131° 17' 30" and a distance of 68.74 feet; thence South 41° 19' 30"
west 30.00 feet; thence North 790 26' 42" west 122.22 feet to the true.point
of beginning.
PARCEL B:
That portion of Lots 1, 2 and 3 Block 314 Unit 28 Santa Carmelita at Vale `
La Quinta, as shown by map on file in book 19 pages 59 and 60 of Maps,
Riverside County Records, described as follows:
Beginning at the southwest corner of Lot 3; thence North 0° 00' 45" East
34.99 feet to the true point of beginning; thence South 79° 26' 42" east
122.22 feet to the southeast line of said LQt 1; thence South 41° 19' 30"
west 102.42 feet to the beginning of a curve concave to the north having a
radius of 30 feet; thence along said curve'throu2h a central angle of 1380
41' 15" a distance of 72.62 feet; thence North 0 00' 45" west 79.50 feet to
- ..the true point of beginning.
,y
No. 12571
OF C��-
de%
Professional Service Ind
REPORT OF FIELD COMPACTION TESTS
Inc.
b
TESTED FOR:, PROJECT: S r R
c o N s -c Q, Q
P• O , s3ox io IZ - '
Lig Qu��� C4.9Zz�3
DATE: OUR REPORT NO.: ,
TEST DATA:
TEST.
NO
DATE
ELEV
DEPTH
SOIL ID
NUMBER
MAXIMUM
LAB DRY
DENSITY
WATER
CONTENT
IN PLACE
DRY
DENSITY
)PER CENT
�GOMPACTION
COMMENT
n
Co.4
9
Z
a a
W9
97
13
tl,7
9
8.'7
toy 5
94.
TEST LOCATION:
NOTES: DENSITIES SHOWN: Lbs. per cubic toot
WATER CONTENT: Per Cent of dry weight
PERCENT COMPACTION: Based on maximum dry
density obtained on sample indicated by
soil ID number.
REMARKS:
��.22//1. II -L MATERIAL
BACKFILL
3. BASE COURSE
4. SUBBASE
5. SOIL CEMENT
6. OTHER
,/' .71-1 .
42-240 Green Way, Suite C • Palm Desert, CA 92260 • Phone: 619/341-5790 • Fax: 619/341-5794
PSI A`' 1002 (1)
FEST RESULTS COMPLY WITH SPECIFICATIONS
"8 RCOMPACTION REOUIRF_D
C. TEST IS AFTER RECOMPACTION
Resp
Inc.
C% UL QvU�l��R
n
NOTES: DENSITIES SHOWN: Lbs. per cubic toot
WATER CONTENT: Per Cent of dry weight
PERCENT COMPACTION: Based on maximum dry
density obtained on sample indicated by
soil ID number.
REMARKS:
��.22//1. II -L MATERIAL
BACKFILL
3. BASE COURSE
4. SUBBASE
5. SOIL CEMENT
6. OTHER
,/' .71-1 .
42-240 Green Way, Suite C • Palm Desert, CA 92260 • Phone: 619/341-5790 • Fax: 619/341-5794
PSI A`' 1002 (1)
FEST RESULTS COMPLY WITH SPECIFICATIONS
"8 RCOMPACTION REOUIRF_D
C. TEST IS AFTER RECOMPACTION
Resp
Inc.
4
78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
January 21, 1994
To Whom It May Concern:
• 'I L l
The landscaping at the dwelling located at 77-33-1 Calle Potrero conforms to the City of La
Quinta City ordinance: The home is 100 percent final at. this time, and funds in escrow for
landscaping may be released.
If you have any questions regarding this letter, please feel free to contact me.
Sincerely;
BUILDING AND SAFETY DEPARTMENT
4� 'Bayes
Building Inspector I
kt
MAILING -ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
CALVIN C. KAMINSKAS '� DAN RILEY .
Asslalanl Commissioner 1 ° Seater, Welghls & Measures
a
(714) 275-3000 (714) 275 3030
OFFICE OF
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Commissioner
83-612 Avenue 45 Suite.?
.'Indio, CA 92201
(619) 342-8291
ci
DATE (- cJ/ - (-/ CASE NO. p
-�
DEVELOPER'S NAMES pct C U �U nS� �J 104 S tf`tA-c` �
ADDRESS:
TELEPHONE: (4,(�)
-7<<
Dear Developer:
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine laws governing the Coachella Valley. If substitutions.
do occur and they differ from plant material listed, this office must be notified
immediately.
Thank you for protecting and preserving the .Coachella Valley's pest -free environment.
Agricu ural Commissioner's Office.
cc: Indio and Riverside
4080 LEMON STREET, ROOM 19, RIVERSIDE;. CALIFORNIA 92501 - FAX (714) 275.3012
9
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IT -19
o(Outnta
. • �utl�tn �n� �S�t�P� �t�t.�tun ,
f 14a
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building!,
Code certifying that at the time of issuance this structure was in compliance ' ' with the various
ordinances of the City regulating building construction or use. 'For the fol -lowing.
BUILDING ADDRESS 77-5-5-t Calle Potrero
Use Classification Single Family Dwelling, Bldg.'Permit No. 12048
Group R3 _Type Construction VN -Fire Zone Use Zone SR
Owner of Building
DoDco Construction Address P.O. Box 1022
La Quinta, CA 92253
City Lonnie Day
BY.
jrf Date; November -24, 1993
BuildTin-g —Offi—cial •
POST IN A CONSPICUOUS PLACE
J