9911-029 (RER)1.
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LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
377776 Bt 091301201
}Date/�A `' �" Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
() I am exempt under Section B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
(yS• I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 37.00. of the Labor Code," for .the
performance of the work for which this permit is issued.
( ) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit'is issued. My workers' compensation insurance carrier & policy no. are:
Carrier Policy No.
STATIUF-W-0
(This section need not be completed if the permit valuation is for $100.00 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, and agree that if I should become
subject to the workers' corrtpensatio 'pr vision hof Section 3700 of the Labor
Code, I shall forthwith comply withttiosie,pro� �
ns.
�!r -�j' Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees. .
IMPORTANT. Application is hereby made to the Director of Building and Safety
for a permit subject .,to the. conditions and restrictions set :forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I. agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
`, /
Signature (Owner/Agent)Date / r
RMIT#
BUILDING PERMIT PEI
DATE i I ffi4 f'f)9VALLIATION is,lt t�.$D4� LOT TRACT
JOB SITE
ADDRESS 76-91t0AV�.�IDAF ERN ittlNtDO
OWNER
CONTRACTOR/DESIGNER/ENGINEER
76-910 ilk ENIDA FERNANDO
+977,5 GAV ND #E
f.A. Q11rNTA CK 92253
PALiNT DESERT CA 92211
17601 .1; c37) .) C814 AX)
USE OF PERMIT
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ESTIMATED WS -111, OFCONSTRUMON'T
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PERMIT WE SUMMARY
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RECEIPT
DATE
� i
BY ..1
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing i. ' (
Compressor
Insulation 4
Vents
Fireplace P.L.
Grills
Fireplace T.O. 11 tFans
& Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final (��� O� e-
(�
BLOCKWALL APPROVALS
POOLS - SPAS
POOLS -SPAS
Steel
Set Hacks
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
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1C:/25/99 MON 10:20 FAX 760 346 9916 D R M _ 1j001 •
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October 25, 1999
Stark Construction Company.
Attn: Gary Stark
39-725 Garand, Suite #E
Palm Desert, CA 92260
Re: Architectural Request
Clive Lonsdale, 76-910 Avenida Fernando
Los Estados @ Santa Rosa Cove H.O.A
Dear Mr. Stark,
This letter is to inform you that the Architectural Review Committee for
Los Estados Homeovmers Association approved your request to add a fireplace to
the master bedroom as peer the submitted plans dated 10/15/99.
Note: Any damages to the common area property, i.e. landscape, lights, streets
will be replaced at the contracts? expense.
Th� `nk you for your cooperation during the review process. If you have any
questions please call meat (760) 346-i 161. Good luck with your project.
Sine rely,
a� 4
Carol Calhoun
Property Manager
For the Architectural Committee
Lvs Estados Homeowners Association
Professional Community Management/ Desert Resort Management
Post Office Box 4772 • Palm Desert, CA 9261-4772
73-550 Alessandro, Suite 3. - Palm Desert, California - (760) 346-1161 - PAX(760)346-9919
W11
ADDITIONAL OFFICES
SAN DIEGO
BAKERSFIELD
VENTURA COUNTY
M O O R E & 1 M 8 E R GROUTING SERVICES
1290 NORTH HANCOCK STREET • P.O. BOX 19079 • ANAHEIM, CA 92817
TELEPHONE: (714) 779-0681 • FAX: (714) 779-1459
October 25; 1996
Job No. 6-210-0032
Mr. Stephen R. Smith
2249 Via Guadalana .
Palos Verdes Estates, California 90274
REPORT OF COMPACTION GROUTING
SMITH RESIDENCE
76910 AVENIDA FERNANDO
LA QUINTA, CALIFORNIA
------------------------------------------------------------
INTRODUCTION
This report presents a summary and the results of a remedial compaction grouting program
performed at the subject property by Moore & Taber during August and .September, 1996.
The work was undertaken to treat. potentially problematic foundation soils underlying
portions of the subject residence. Information concerning the local soil conditions and
recommended scope of work was provided in the geotechnical information and
recommendations provided by Earth Systems Consultants (ESC) and discussions with Mr.
Brett Anderson of ESC. Additional pertinent information used to develop the scope of
work required was obtained from the Ninyo & Moore Geotechnical and Environmental
Sciences Consultants "Subsurface Evaluation" dated January 18, 1994 (Project
No. 102709-01). Grouting was conducted as described in the "Remedial Compaction
Grouting" proposal by Moore .& Taber dated March 21, 1995 (Revised July 18, 1996 -
Proposal. No. A95-069).
® Recycled Pop
Mr. Stephen R. Smith
GROUTING
Page 2
Low slump sand -cement grout was injected at 33 points in the area to be treated as shown
on the attached plan, entitled "Grout Injection Point Locations" (Page A-1). The location
of these points may have been slightly adjusted in some cases from the originally planned
program due to subsurface impediments, underground utilities and soil or structure response
as grout emplacement progressed.
Due to a common area of distress mirrored on adjacent property to the north, grouting was
performed concurrently on both properties to treat common laterally supporting soils.
The general method used consisted of first or driving casing at each point shown. on the plan
to firm soil, based on correlation between driving resistance and geotechnical information
provided by previous. reports. The casing was then withdrawn in short stages and low -slump
grout (-2.0 - inch slump) was pumped into the resulting open liole. The maximum depth of
soil treated was 25 feet below existing grade. Grout was injected in a sequence beginning
at the deepest stage and progressing to the shallowest stagein intervals ranging from two
to five feet. Pumping was generally terminated on each interval upon achieving excessive
pumping pressure (400+. psi) or lift of the overlying ground surface, either of which were
considered indicative of adequate compactive effort. Surface motion was monitored by
conventional surveying equipment and water. manometers stationed over the area of grout
emplacement.
Records of casing installation,.injection pressures, emplaced grout volumes, lift, and other
aspects of the operations were maintained during the course of work. The pressure at which
each stage accepted grout was monitored by a gauge at the injection point, and the volume
of grout was measured to the nearest two cubic feet. Most injection pressures ranged from
100 to 400 psi, and dr total grout volume of 5,738 cubic feet (212 cubic yards) was pumped
into the soil. The attached table (Pages A72 through A-5) shows the emplaced grout volume
per stage for each grout point.
CONCLUSIONS
Compaction
We believe that the completed grouting program accomplished densification of compressible
soils and reduced the potential for future settlement in the area treated. As noted above,
excessive pumping pressures, ground or structure lift, or indications of incipient distress were
Job No. 6-210-0032 - October 25, 1996
Mr. Stephen R. Smith
Page 3
the criteria used in the field to determine. completion of the injections. Subsequent analyses
using the grout volume and lift figures were also undertaken to evaluate the work's
effectiveness in terms of increased soil.density.
For this project, holes were spaced on approximate ten -foot centers and a hypothetical five
foot radius of influence was assumed around each grout point. Therefore, the total area
affected by the grouting computes to approximately 2,590 square feet. For this assumed
area of influence, the 5,738 cubic feet of emplaced grout yields a calculated average layer
of grout 2.2 feet thick.
The grout volumes and assumed area of influence were also analyzed with respect to the
magnitude of soil density increase. achieved. An average increase in soil densification of
approximately 10 percent over the area treated was calculated.
Verification
One additional grout injection point was installed equa-distance between four completed
injection points for ground improvement verification. Test results were positive as indicated
by increased penetration resistance and substantially lower grout volume emplacement than
the surrounding points.
Lift
The house was raised substantially by the grout injection process. Relative elevation surveys
of the structures before and after completion of the work indicate as much as 4.0 inches of
lift occurred. The pre- and post -grout relative floor elevations are shown on the attached
plans (Page A-6), and reveal considerable improvement over pre -grouting conditions.
RECOMMENDATIONS
Repairs
Some minor, adjustments of stress and strain may occur subsequent to grouting, especially
if the soil moisture content increases. As a precautionary measure, we normally suggest
several weeks delay before undertaking cosmetic repairs. Flexible patching materials should
be utilized wherever, possible to protect against minor damage from any future movement.
Cracks in concrete should be filled with high bond strength, non -shrink epoxy or mineral
grout.
Job No. 6-210-0032 - October 25, 1996
Mr. Stephen R. Smith
Soil Moisture Control
Page 4
Good surface drainage is essential to help minimize the effects of, and to protect against
local settlement problems. Gutters and downspouts should be installed or maintained to
capture and direct roof discharge water (rain) into swales or pipes. Areas adjacent to the
buildings should be graded to eliminate ponding and low drainage gradients. All water
should be directed away from the structures in unpaved areas by establishing a flow gradient
of six percent for a distance of five feet from footings (about a 3.5 -inch fall in this distance).
All water runoff should be collected in positive drainage devices (e.g. graded swales or catch
basins and pipe drains) and conveyed off of the lot. Broken or deflected concrete should
be repaired and/or replaced. Obstructions to the free flow of water from the site should
be removed.
If you have any questions concerning this project, please call us at your convenience.
MOORE & TABER
Joe Winter t Frank Nonamaker
General Foreman Operations Manager
JW/FN/ljo
Attachments: Grout Injection Point Locations - (Page A-1)
Grout Quantity vs. Depth - (Pages A-2 through A-3)
Comparative Floor Level Surveys Plan
Distribution: (2) Addressee
Attention: Mr. Stephen R. Smith
(1) Mr. Robert Kirsten
(1) Earth Systems
Attention: Mr. Craig S. Hill
(1) La Quinta
Attention: Mr. Mark Harold
Job No. 6-210-0032 - October 25, 1996
fRE• 6-010.72
PLOT a7E• 7-18-M
KIRSTEN RESIDENCE
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76920 AVENIDA FERNANDO
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I SMITH RESIDENCE
76010. AVENIDA FERNANDO
76910 AVENIDA FERNANDO
I LA QUINTA, CALIFORNIA
REMEDIAL COMPACTION GROUTING PROGRAM
�® MOORE & TABER
FIELD DRAFT A PROVED DATE JOB No.
FN JM 7-18-96 6-210-0032
-
A-1