06729 (SFD)I
P.O. BOX 1504
7&105 CALLE ESTADO
Address 51-180 Calle Palma LA QUINTA, CALIFORNIA 92253
No. 06729
Rich DePonte
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address 45 L anev Drive A.P. Number 769-134-003
City Zip Tel.
Modesto 9535Q 2A9=527-1,YI1 Legal Description
Contractor Project Description S')
Gauer/builder
Address
City Zip Tela
State Lic. City
& Classif. 546369 Lic. # Sq. Ft. 25.Q0 No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisiodits of Chapter 9 (commencing with Section
of.Division 3 of the Business and'Professidns,Code, and my license is'n full force and
M
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Busmess and Professions Code: Any city or county which requires a
permit to constrocL alter, improve, demolish , or repair any structure, prior to its issuance also
requires the applicant for such peand 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) or
Division 3 of the Business and Professions Code, or that.he is exempt therefrom, and the basis
for the ageged 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 .
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.)
❑ 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 irtproves 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. t3 P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
WorkeI hereby affirm that I have a certificate of consent to self -insure, or a certificate of
r'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 cornpleted 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: ff, 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 Mis 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, Civff Code.)
Lenders Name
Lenders 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
stimated Valuation
$13+,672
PERMIT
AMOUNT
Plan Chk. Dep.
5250.00
Plan Chk. Bal.'
340.28
Const.
758.50
Mech.
60.00
Electrical
147.50
Plumbing
181.50
S.M.I.
9.38
Grading
20.00
Driveway Enc.
20.00
Infrastructure
2,994.00
TOTAL
S4.781.16
REMARKS
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 12/8/89 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUM
IST FL. SO. FT. ® $
UNITS
SLAB GRADE / ®
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT. @
FORMS
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.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN.
WALL SO. FT.
=$
LUMBER GR.
/
FINAL INSP. /L��,O
URINAL
SO. FT.
ROOFING �(/
ESTIMATED CONSTRUCTION VALUATION $
REMARKS:
WATER PIPING
NOTE: Not to be used as property tax valuation
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
SPARK ARRESTOR
LAUNDRY TRAY
AIR HANDLING UNIT CFM
GAR. FIREWALL
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ®c
BATH TUB
FINISH GRADING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
FENCE FINAL
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 # �y
ROUND PLUMBING 9 90
4.4
UNDERGROUND
A.C. UNIT
COLL AREA
SLAB GRADE / ®
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEPTIC TA
ROUGH WIRING.
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
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. /L��,O
FRAMING i(� rCp�O
FINAL INSP.
ROOFING �(/
!/
N I r100
Q $
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING Y CC,/
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES11NITIALS i
GARDEN WALL FINAL
1
RECEIPT NO. ( C �" Issued By Date ` / O ey
DISTRICT: ❑ Riverside, Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe
DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Reoords _ _
-COUNTY OF RIVERSIDE ENVIRONMENTAL Aftessors P'fow NO.
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 IIaL
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 BUILDING DEPARTMENT APPLICATION LOG # wO7
Z
O
Agent rector, Con Pe
'�
Phone
3y'S-o1oL
Address & Firm
a) ' PC Mo -t S��
0 mANc�
U
W
Owner P,Phone
Mailing Address S �� -L
U)
City
State
Zip
Job Pro
Legal Description Prop. (PM, T
13
Lot Sizeter
�
l4o'Xiao,Xg41
Age ric
Use of Permit P/P, Cu. etc. Q -
Other -
r
wellin e y
D �
of
Signature of Applicant
- Date
CATEGORY: REV COI>ECATEGORY:
REV CODE FEE
SUBSURFACE 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 st 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)
CD'
❑ She Evaluation in Conjunction with
❑ HOLDING TANK 7351 $ 47.00
Crttkcal Area 7346 :$111.00
❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00
❑ Site Evaluation Lot Less than
SYSTEM '
10,000 Sq. Ft. 7347 $ 87.00,
Holding Tank Agreements Completed ❑ Yes(
Certification of Existing S.D. System Required ❑ Yes No
WQCB Clearance required. (Attach Form ❑ Yes No
DOH SAN 007, Santa Ana Region Only)
Solis Percolation Report Required. ❑ Yes
Special Feasibility Boring Report Required. ❑ Yes
Detailed Contour Plot Plans Required (1 to 5 it interval) ❑ Yes No
Other .. ❑ Yes 8' No
Staff Spedalist Lot Inspection Required ❑ Yes No
Lot Inspection Date
Solis boiing report by �Date
t/
Soils Map Page i ` Sort %
U
Types Approved by -- Date
Z
No. of Systems
TA of System(.)
No. Dwelling Units f
'Bedrooms,
(1) Septic Tank
Soil Rate
Oresse/Send
0
_ ❑� �d fng Tank ❑ Existing
9wNew ❑ Replaoenwnt
f�octnre v
:�BDII
G Intop
!nt 4-7H
SOt%
5_11?1/
U
Gel
(�
W
�
Line Sq. FL
Sidewall allowance
Install Lr*s) it long ft wide with
hs4e Bed sq. R
h eras
— It. rock/ sq. R
per running It. /
min. orches drainlines or
b' ow
��s
of bolt
�.
L.eachlines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below
(TD) Seepage Pit Tote) Depth
/
Applicable
—
"°PBt?
ZIA /
'
Max. AI bL� Depth
N/A Ofactor
V
D
No. 2 System /4L-
REMARKS:
This, application i APPROVED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
on' the aabm anre
p p o pan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the
O
above -designed system. No construction is permitted in the required reserved 10096 ex
q pension area. w
�
^'
�.�� Y
3) Septic tank and sewer lines must be 50' minimum from any wells(Y/Q 9 U/,? `-
ULeach
lines must be 100' minimum from any wells, including expans' area n1 arc
Seepage pits must be 1 ' minimum from any wells, incl ing expa n `O 7�.G T` 6,62
LU(3
a, p1 .Ca`
Signature of Health Official etf
RECEIPT NO. ( C �" Issued By Date ` / O ey
DISTRICT: ❑ Riverside, Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe
DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Reoords _ _
E LEcla+ SPAMY
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ilul�diatel.y. .
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it
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4u�jn t Is' _U
T -Cer of the Uniform 13 j1ding'
his, Section u
-tifiq9te issued pursuant to the requirements of S' tion
Code. certifyinq,!hot at th�, time ofissuancethis structure was in, compliance with the: various.
ordinances. of the City regulating building -construction or: use. ;-.-Forowi
be, following:
t ng:
BUILDING ADDRESS 51=180 CALLE PALOMA
i
UIS r,1941fiootion." SFD
Pldg�...Psrmit No,
3 VN," SR
Gro4p R Typo,. Constructio Fire Zone Use Zone
2105 LANCEY D R 1V MODESTO, C A
,Pv!nsrof*8uI1dih.g RICH'DEPONTE Address. E
,-Cit v, j1&BESTO,P 9 5. "'LONNIE DAY
yo
V,
Date: .
•Sui I ding �,Qfficial
,_,, 7. - " �
. ' POST IN A CONSPICUOUS' PLACE
.4
mill' 1111111111110111111111111
mt.
r.
mill' 1111111111110111111111111
. Fitch Engineers Inc.
January 9,*1990
Mr. Richard Deponte
45 255 Vista Santa Rosa
Indian Wells, Ca. 92270
SUBJECT: Report of In -Place Tests- 51 180 Calle Paloma
La Quinta, Ca. (Lot 103)
Gentlemen:
In accordance with your request, this report has been prepared
to present the results of the in-place tests performed on the
fill material at the subject site by Fitch Engineers, Inc.
These tests were performed on December 31, 1989 and January 8,
1990.
AVAILABLE PLANS
To assist in determining the locations and elevations of our field
density tests and to define the general extent of the site grading
for this phase of work, we were provided with information by the
contractor.
FIELD TESTING
Field density tests were performed by a representative of Fitch
Engineers, Inc. upon completion of site grading. The density
tests were taken according to A.S.T.M. Test D1556-82 and the
location and results of those tests are shown on the attached
plates. The locations and elevations of the in-situ tests were
determined in accordance with their importance and the accuracy
and proximity of the survey control provided by od-Er than Fitch fl-ginaxs
Inc. representatives. Unless otherwise noted, their locations and
elevations were determined.by pacing and hand level methods and
should be considered accurate only to the degree implied by the
CIVIL ENGINEERING — PLANNING — SURVEYING — DESIGN
P.O. BOX 4551 PALM DESERT, CA 92261
(619) 345-7667
-2 -
method used.
LABORATORY TESTS
A maximum dry density determination was performed on a representa-
tive sample of the soils used in the compacted fills, according to
A.S.T.M. Test 1557-78, Method A. This method specifies that a
four (4) inch diameter cylindrical mold of -1/30 cubic foot volume
be used and that the soil Lested.be placed in five (5) equal layers
with each layer compacted by twenty-five (25) blows of a 10 pound
hammer with a 18 inch drop. The results of these tests as pre-
sented on Plate No. 1 were used in conjunction with the field
density tests to determine the percent of relative compaction of
the compacted fill.
This report covers only the work performed on 12/31/89 and 1/8/90.
Our opinions presented herein.are based on our .ouservations and
the relative compaction tests results. Due to possible variations
in the uniformity of compacted fills, we only warrant that our work
was performed in accordance.with the currently accepted standards
of practice and in such a manner as to have reasonable certainty
that the mass grading complies with the job requirements. No
other warranty, express or impli-ed is given or intended.
If you should have any questions after reviewing this report,
please do not hesitate to contact this office.
This opportunity to be of professional service is sincerely
appreciated.
Respectfully submitted,
FIITJCH ENGINEERS
/ INC.
WM. 11. FITCH
R.C.E. 12571
NOTE: We recommend that the East and West foundations be set 18" deep.
m
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I� IPlate No.l
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+' % x . ''. .'. r v ;' .` afire �):)•`..
. .-
NAME 51 -18-b Cal -'le _Paloma l,a Quinta, •Ca. JOB NO,
ELEVATION, OR.. MOISTURE sORY DEN. SOIL REL. COM,
TEST NO.
DATE LOCATION .'DEPTI'L OF IE.S7; •/. Ibs /Cu f I. TYPE •/.
� 1
12/31/8
See Sketch
-1.5'
3.1"
91.0
113.1
80.5-',
2
1/8/90
Retest of #1
-1.5'
11.1
110.2
113.1
97.5
3
"
See Sketch
-0.8'
8.7- '`
99.9
110.0
90.8
r':• 4
1
"
"
F.G.
8.7. +
112:8.
113.1
99.7 .,
'
SOIL TYPE
1=.113.1 lbs'. cu./ft.
@ 12.6% Moisture
SOIL TYPE
2= 110.0 lbs... cu . /f
@ 13 .,4% ' Moil
ure
t:
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I� IPlate No.l
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