002681 (BLCK)T4'ht 4 4 Qum&
Building
Address
Mailing
Address 1Z�1R
City Zip Tel.
Contractor
City _,_ ` lZip . Tel.
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. 002681
BUILDING: TYPE CONST. OCC: GRP.-
A.P. Number
Legal Description
Project Description P.G.A.
TRST
State Lic. City
& Classif.�� Lic. # Sq. Ft.
133 Size
Arch., Engr.,
Designer New
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full fforce and
effect:>,. f r t#. i. /,
SIGNATURE X -1 " DATE
r \ 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, alter, 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 that. he 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 (5500).
❑ 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.) - .
❑ 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 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. O 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.
r
j
Signature of applicant " ! Date
Mailing Address t r i
City, State, Zip t
HARD COPY
No.
Stories
Add ❑ Alter ❑
Estimated Valuation
No. Dw.
VI
Repair ❑
Demolition ❑
FINAL DATE INSPECTOR
Issued by: DatePermit _
Validated by:
Validation:
Ab 149 11 14 73.92 U
._ -PERMIT
t
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
28.92
Const.
".50
Mech.
Electrical
Plumbing
S.M.I.
w50
Grading
Driveway Enc.
Infrastructure
TOTAL
73.92
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: DatePermit _
Validated by:
Validation:
Ab 149 11 14 73.92 U
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APP.IEOUIP.
DRAINAGE PIPING
CAR P. SO. FT. ®
TEMP. POLE
WALL SO. FT.
GROUT
DRINKING FOUNTAIN
SO. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
_$
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L 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.
SO. FT. ® c
BATH TUB
GAR. FIREWALL
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL,
MESH
SO.FT.GAR ® 3/ac
HOUSE SEWER
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
GROUND PLUMBING
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.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS_
GARDEN WALL FINAL
79-811 COUNTRY CLUB DRIVE, SUITE *4 • BERMUDA DUNES, CALIFORNIA 92201 • (619) 345-1588
November 19, 1987
Landmark Land Co.
P.O. Box 1000
La Quinta, CA 92253
Project: PGA Maintenance Building Avenue 58
P.O. 28301
La Quinta, CA
Subject: Report of Field Densities
Parking Lot Entrance Subgrade
B -14413-P12
87-11-763
On October 27, 1987, a representative of our firm performed density tests in the
subgrade for the entrance to the parking lot at the above referenced project. Tests
were performed at random locations in accordance with ASTM D 2922-81 and ASTM D
3017-78 Nuclear Density Test Procedure. Tests were performed as per authorization
of Rueben of Landmark Land.
The estimated locations of the tests are presented on the attached plan with their
results being summarized on the attached test report sheet. A total of two (2) density
tests were performed. Test results indicate that a minimum of ninety (90) percent of
relative compaction has been obtained within the areas tested. The maximum 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 Maximum Density -Optimum Moisture
Brown silty fine sand SM 119.2 pcf 10.8%
VENTURA LANCASTER
(805)642-6727 (805) 948-7538
BAKERSFIELD SANTA BARBARA BERMUDA DUNES SAN LUIS OBISPO
(805) 327-5150 (805) 966-9912 (619) 345-1588 (805) 544-6187
November :19; 1987 . - B -14413-P12
_ 87-11=763
l.. The project is located north of Avenue 58 and west of Madison Street, in the
City of La Quinta.
2. Prior to our arrival at the site subgrade. was cut and compacted.
3. The purpose of testing was to observe compliance with the minimum
requirements of the City of La Quinta, California.
The test results summarized in this report present the moisture and density only at the
locations and depths tested on the specified date. The summarized field and
laboratory tests were performed in accordance with engineering principles generally
accepted at this time and location. No opinion is expressed as to the uniformity of the
material or compaction. No guarantee or warranty of the contractor's work is made or
implied.
If there are any questionsi please do not hesitate to contact this office.
Respectfully submitted,
BUENA ENGINEERS, INC.
Phillip D. Clanton
PDC/FR/ms
X-22 COMP
Copies: 4 Landmark Land Co.
2 - City of La Quinta
2 - PS file
1 - VTA file
41R,evied and ApprovedMWH,c
WZ� `�C 6�`
GE 128
Richard M. Beard Exp. 12/31/89
Geotechnical Engineer �'�` P�
g 9� CH
Vi
OF CAV F�%
BUENA ENGINEERS, INC.
CONTRACTOR:
ADDRESS
REPORT OF RELATIVE COMPACTIONS
DATE: 11/19/87
JOB & LOCATION:
.lob No. g_14413 -P12
Report No. 87-11-763
PGA 58th Ave. Maint. Bldg.
TEST NO.
DATE
DESCRIPTION
% MOISTURE
DRY DENSITY
RELATIVE
MAXIMUM
TESTED
IN PLACE
IN PLACE
COMPACTION
DENSITY
Subgrade
1
10/27/87
Per Plan
8.0
113.9
96
119.2
2
10/27/87_
Per Plan
9.9
112.5
94
119.2
WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH
COPIES:
1
NC.
BUENA ENGINEERS, I
E- 101-
9/1/87
- - i r- -rr< i a^=a^y' .�` : -.-•di - . s...r.-a .-a-•-•--- r - � _ - r._
4 i _
•=r�_.t.«.r $ i;?k--'r Ku-� i�c :.',"�_-�'.�`.,}�.. r',�i �5+�rj... r�rr °.,f i.`�'�•rh..-,a. c:—y-� •_.y. f a- 1�7 -o .--•+� r ---
��u At 1 _ _ .e•.x y--�"�, �� .a.+r �+.E� ,� ,f��,+� ,..r -a-�F 3�rtT-� 1„ � - "_� r't�+- — --.� � �_ - -. ¢^"' z -
��—
ui
tQ W �J
W
\-.1 Ilk W