06730 (SFD)4
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 51-169 CaUe Pa&ama ' " LA QUINTA, CALIFORNIA 92253
Owner
Mailing
Address 2105 Laney Drive
City Zip Tel.
Modesty 1 7535€ 1 209-527-1111
Contractor
City lZip JTeL
State Lic.I City
& Classif. Lic. #
Designer
Address Tel.
City I
Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with
7000) of Division 3 of the Business and �Professio�s Code, and my license is in full fi
OWNEWBUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason_ (Sec. 7031.5,8rsiness 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 live applicant for such permit to We 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 Basis 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
suNects the applicant to a chd penalty of not more than five hundred dollars ($500).
❑ 1, as owner of the properly, 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 appy to an owner of property who
builds or sWmves thereon and who does such work himself or through his own employees,
provided that such orprovements are not intended or offered for safe. 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 did or irpmve 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 appy to an owner of property who builds or improves thereon, and who contracts for
such projects with a comractor(s) licensed pursuant to the Contractor's License Law.)
❑ 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. 0 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
N077CE TO APPLICANT: fl, after making this Certificate of Exemption you should become
subject to the Workers' Coupensalion provisions of the Labor Code, you must forthwith
comply with such provisions or this peril 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 property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days. '
I certify that 1 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.. 06730
JILDING: TYPE CONST. OCC: GRP.
P. Number 769`194-002
gal Description
oject Description SFD
REMARKS a
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. 2500
Size
No.
Stories,
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
S134,672
PERMIT
AMOUNT
Plan Chk. Dep.
$250.00
Plan Chk. Bal.
340.2$
Const.
758.50
Mech.
60.00
Electrical
147.50
Plumbing
184.50
S.M.I.
9.35
Grading '`
20.00
Driveway Enc.
20.00
Infrastructure
2,994.00
TOTAL
194.781.16
REMARKS a
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 FEES
1ST FL. SO. FT. ® $
UNITS
I
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT.
FORMS
E� SEPTIC TA
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SO. FT. ®
FINAL INSP.
WALL SO. FT.
WATER SYSTEM
DRINKING FOUNTAIN.
GRADING
cu. yd.
$ plus x$
=$
URINAL
SO FT ®
FINAL INSP. r2
l
FRAMING Ir /of
ESTIMATED CONSTRUCTION VALUATION $
��i
WATER PIPING
NOTE: Not to be used as property tax valuation
TCk
S'
/
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
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.
5 SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSPECTION
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 GOND. SOLAR
SETBACK f% Aw
ND PLUMBING{ 9Q
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE ' '
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
E� SEPTIC TA
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. �' $ /2 ��/J ,(�
(/ �v
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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. r2
l
FRAMING Ir /of
FINAL INSP.
��i
ROOFING / ZY
a
TCk
S'
/
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIOWSOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
'
GARDEN WALL FINAL
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
o��c�• SCHOOL FACILITY FEES
&,p
NIS DO
T0: City `L'ayQ��� DATE:
Department of Got) n�u '�D,�;g p m e n t
78-105 Calle Estado V, ^99 ,Vo
La Quinta, CA 92253 71
�I
�(iJSI
This is to Vertify that C,41 \4 • kJX
developer of which is
located at _LUQ, within
this District, has paid school facility fees imposed pursuant to the
authority generate by Gove ent Code ctiolt 5.1081) i the amoun g�
$ / CR 2( GCJ
covLaring a total of—
squar feet of ( ) residential,or
( ) industrial/commercial development and that buil i g permits for
this footage in this development may now be issued by your jurisdiction.
J��- - 1\10ktL nD �
CIS �� I
White - Building Department
Jka� 0
for DESERT SAN S UNIFIED SCHOOL DISTRICT
• Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
Y•yOrAf -`r y'c i+f ,f'.R� {.,�,�_ v^`U'�lih�-,+=�zr •r'%f'Y4,� �.'!a" yC.'w-'.e�.+r ..is '��i "+7'A'l,'
f /
RECEIPT NO. A 10 K� l Issued By Date , 0�
DISTRICT: ❑ Riverside, O" Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe
L
DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK -'Bldg. Dept GOLDENROD - Plans/Records -
COUNTY OF"RIVERSIDE ENVIRONMENTAL
HEALTH SERVICES DIVISION
PERMIT -APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Applicant: _Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County speculations as indicated on the attached check list
A non-refundable filing fee (see below) -is required when the application is submitted. Check must be made payable to the County of
Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval.
Q
VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUIL'DINWDEPARTMENT APPLICATION LOG #
Z
O
Agent rector, Con d P, on
i (�
Phone
3 9 3- V
Address & Fir
J ^- -�-
U
W
Owner
5 i. •.
Phone
Mailing Address
. �. /o ,� ��, "' C /'\ ,
f h ,fir
City
State
Zip
Job roperty Add
Leg�,al Dription Prop.`(P ,Tract Lot)
LotSizemer
Agency"I .
Use of Permit P/P, CU, etc.. :`O LYr
Other
f 00
C�C�I c�
v
-
welling e P et eAP 2- JeCo
r -
Signature of Applicant
Date
"CATEGORY: REV CODE FEE-
CATEGORY: REV CODE FEE
SUB RFACE DISPOSAL. 1238 _ $ 57.00
❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00
m
❑ MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN) _ -
LAND DIVISION
❑ SEWER/SEPTIC VERIFICATION 7348• $.17.00
Z
O
a. 1 at 4 Parcels (Each) 1238 $ 57.00
(Less than 1 year)
b. Each Parcel after 4 7344 $ 24.00
❑ PRELIMINARY ELECTIVE 7352 $ 23.00 _
W
❑ Rereview (2nd review same parcel) 7344 $ 24.00
EVALUATION (Attach DOH SAN 53)
UY
❑ Site Evaluation in Conjunction with
❑ HOLDING TANK 7351 $ 47.00
Critical Area 7346 $111.00
❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00
❑ Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft. 7347 $ 87.00
/ INITIAL DA
Holding Tank Agreements Completed ❑ Yes Gl�'fJo�4 "
Certs ication of Existing S.D. System Required ❑ Yes ❑'Nom
//
WOCB Clearance required. (Attach Form ❑ Yes q.�l�lo f -
DOH SAN 007, Santa Ana Region Only) ,//
Solis Percolation Report Required. ❑ Yes r No
Special Feasibility Boring Report Required. ❑ Yes "
Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑Yes ❑' No
^
Other ❑ Yes
Staff Specialist Lot Inspection Required ❑ Yes P- "/
Lot Ins ion Date
Solis boring report by Prood,8 Date
7
T
Q ��
�`^'r " - �1
U
Soils Map Page Sal Type - Approved by Date u
+
No. of Systems
TypW of System(s)
No. Dwelling Units 0)
(1) Septic Tank
Sal Rate
Greeserand
'Z
❑ I Tank ❑ Existing
� ❑ Replacenkmt
``Bedrooms, Fixtare+drtMs
G Intcp
0
L
c� 8 O A✓t^� „-O7f� t fL 1
C
w+t��
/ (�C$ 1-0 /
{
U
((
�
/ O� /
Gal
U)
L's h Line Sq. Ft.
Sidewall allowance
Instal Lwie(s) tt long ft wide with
_
Bed sq. tL
trench arae
ft rock/ sq• ft
min. below drainlines or
of bolto
Per cunning It.
Leachlines/bed special design for slope:
(3) Pit Diameter' ` ^
No. Pits
Pit Betio
'ir�'fBfi
(TD) Seepagg h Total Depth
Other
Applicabler
1 �''
N/A �" Overburden factor
Max. ljlbr�ble Depth
y-
No. 2 System IVIA
REMARKS:
n
11 ..i- �• .
ROVED
0
This applicationi N€ I for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
on the accompanied plot plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the
JZ
above -designed system. No construction is permitted in the required reserved 100% expansion area.
,0
f/(]a'�/ Septic tank and sewer lines must be 50' minimum from any wells ly Irarea fit.2Q/J V
U)
W
Leach lines must be 100' minimum from any wells, including expansio
! 3Seepage pits must be 501 mi imum from i/ncluding
expansion are/a'��
//any /wells,
"
— /� L�i/�
Si nature of Health Official1 ✓ • "' Date
RECEIPT NO. A 10 K� l Issued By Date , 0�
DISTRICT: ❑ Riverside, O" Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe
L
DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK -'Bldg. Dept GOLDENROD - Plans/Records -
J, -V JC4V TIC
'41
OF
C�'Y o --(Out
f .4,
b dz-
z i
This Certificate issued, Pursuantlo the requirer�ents of Section 306 of the Uniform Building!,
CqOe',Fortifying ,thqt at the time of issuance this struqturp'Was'jqcqmpljqncq. with the various.
prOiqanceq,,of the - q6 regulating building. -Construction, or use.., For. 'the' following:
OVILD1146 ADDRESS 51--160 -'CALL E 'PALOMA,,
Use Cidssification SFDBldq.. Parmlit No.. - 06130
Group Type Construction VN-' Fire Zone Use Zone SR
RICH DEPONTE 210$,LA14CET DRIVE
Owner Of Buil4ihg Address
7.7.
City MODESTO, CA 95350
LONNIE DAY
By;
Dote:MARCH''27,. 1990
Building 0 fficio
. MT IN A CONOICUOUS PLACE
Stan and Denise Long
52=703.1 Velasco
La 'Qu.'nta, .:CA 92253
May 1,.1989
ITty
City of La Quinta Dept.`of-Building and Safe':
78-105 Calle': .,Estado
La Quinta, CA 92253
Subject: Request for waiver of`conditions,.:relativ.e to existing flood
hazard. classification, .Lot .7, ibe'sert Club, Tract "Unit No. 1.
Dear Mr. Hartung,
Pursuant to our application to construct, a single f amly"home
se
on the above mentioned site,.we, respectfully
request a waiver of the current A03 flood zone restrictions. We understand
that.the,-CoAcMlla Valley Water District is processing_a classification
change through the_Federal Environmental, Management Agency. The reduction
in flood hazar.,d is attributable oto 'the; recently completed East= La Quinta
Stormwater System, This;"s.ystem now intercepts formerly tributar-y canyon
f lows '.on . the ;perimeter "hof the. developed «cove .area.
Since -it may. be a;consider.able period>of time before any official. change
is made;" please consider our. appeal' in 'order 'that?
Fftch-En'ineerslnc.
December 2 6, 1989
Mr. Richard Deponte.'
45 255.Vista., Santa.'Rosa
Indian Wells, Ca. 92270
SUBJECT: "Report of I:n-'Place Tests- 51 160,. Cb -l -le '.Paloma
LA Qqinta', Ca. L o't' 10'
277 -
Gentlemen:
In accordance with your, re.qpes t- this r,,e . pp'rt -has been -prepared
to present the results,of 1n -place e 1n e
the stsp erfor ed on the
fill material at the subject S
ite byFiteh Engineers, Inc.
These tests were. performed on e r .23 -1989.
AVAILABLE -PLANS
To assist in determining 'the, -locations and�;elevati-qlns of our field
density tests and to define�'ri
-.the'..gleera'l,,-,e,xt:ent of the site grading
for this phase of work, we were provided -with. infor.m6:tion by the
contractor.
FIELD TESTING
Field density tests were performed by -a reVr6isentat"i'e-of Fitch
Engineers,'Inc. upon ,comp'letion*.bf-Is i 1t`e,, gra'd in g The density
tests were taken according to- A.S.T.M... Test Dl ---556-82` and the
location and result's of.-those.t.e; . sts are shown on the attached
plates. The locations and elevations.'of'the in-situ tests were
determined in accordance with the',irimportance and the accuracy
and proximity of the. survey control PT.ovid. I ecl lj%- offioer than Fitch R-ginea�s
Inc. represen.tative,s. Unless 'o.therw1se'.'hot'ed,, their locations and
elevations were determined by,'pacing and hand level methods and
should be considered accurate oln'ly to .the degree implied by the
CIVIL ENGINEERING PLANNING ="SUR.VEYING DESIGN
P.O.'BOX 4551 PALM DESERT, CA 92261
(619) 345--'-7667
-2 -
method used.'
LABORATORY TESTS
A maximum dry .density determ.i.na>tion was performed on a representa,-
tive spinple'of. the woi1's,.us'ed"tn,..the compac-ted fills, according to
A.S.T, iH ,Tast ,1557-78, .Method .A: This method speci.Eies that a
foLr ('4), inch .d ame'ter cyli:nAlrica V mo<ld''of 1./`3.0rcu6ic foot volume
be weed%and that the soil tested. Abe pi'aced in f. i:ve` "(5) equal layers
With* ea`cl , layer ,.COM* pact
ed b' twenty five. (25:) >blows of a 10 pound
hammer with a 18 inch drop Tlie 'results ,•o G, t4d§e tests as pre-
senCed. on Plate No. 1 were u'se l .ln eonyu' ct`i`o'n with the field
density, tests to determine the p.,6,rc:eria of rel
ative'"compaction of
the compacted f.U1.
i This re.por.t covers only the wox,k- perfornied on December 23, 1989.
Our opinions preseri'ted herein a,re based o'ii our gouservations and
the relative co.mpac-t,ion, teil3ts res.uLts.. Doe t'oossible variations'
i in the uniformity of compacCed fills, we ori 1' warrant that our work
was performed in-accordafice faith the currently accepted standards
of practice anti; in. such a, manner as ;to -have r�,easanable certainty
i
that the mass grading complies with ahe job .requirements. No
other warranty, express or implied is given or intended.
If you should have any quest_i:on.s'after re.viewin;g this report,
please do not hesitate to co:naact this office.`=
This oppor,.unity.to be of professional service Is sincerely
appreciated.
Res pet tfu•hly subini.tted
,
FITCH . ENG14CCi''S' INC.
WM. 11. .FITCH
R.C.E. 1'2571
A
Plate,No.1
r
�
JOB
NAME 51
160 Calle-Paloma,
La` Quinta, Ca.`
JOB
NO.
44
EI_E:VAll'OFJ OR. MOIST:l1FlE
htZl' UE=tJ..
50 LL
REL. COM
TEST NO.
1'i
bATE_
LOCATION,
bEPTILOF LEST' •/, .
Itis/cU'•ft..
,V
TYPE
•/o
ty`s �1 '12/23/89
'SEE
SKETCH
`-1.5'
.9.9 g
t
101•.6
112.8
,*
90.1
-0.81
11 ''1 `
108.3
112.8
96.0 r
3
►'
F.G.
-l:l 1
104.5
112.8
92.7
`
SOIL TYPE
#1=
1.12.8 1bs-. cu./
t. @ 12 .4z;-Moi;'
ture
�y
f4•
4�'
III
1
�
.
I
Plate,No.1
r
�
Plate,No.1
!
DENSITY TEST
51 160: Call ' Paloma,
U
La Qu nt - Ca.
k. .n
t
Bv` Krause-
JOB = MO <'. NTS
>
r k ,
DATE 12/23/89
Plate No. 2