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002822 (SFD)•414 �� P.O. BOX 1504 No. 002822 Building 51-495 Avenue Jlua m 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253' Owner MilaE. DeGbar 'Mailing Address City ZipTel. � .. . 53564- Contractor A H Address. _ .51-525 AvmdAa Juaroz City'Zip - Tela •" ° QL'tin.t i 92253 State Lic. City & Classif., 407504 Lic. # Arch., Engr., Designer Address Tel. City Zip State Lic. # LICENSED.CONTRACTOR'S DECLARATtQN I hereby affirm,that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of�DiiGisio1ny3 of the B,,ussiiness_and Professions -Code, and my license is in full force and effect. A Alk 1 ! / ^.." . . . .. . . . SNGNATURE 'k %'k \ y DATE t - v ' IOWNER-BUILDER DECLARATION I hereby affirm that I am exempt 'Irom 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 exempttherefrom, 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 ofnot 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.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con strucl the project. (Sec. 704.4, Business and Professions Code: The Contractor's License Law does not apply to an ownerofproperty 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 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 773--042-009 11$0 Legal Description liiats 9 and 10 Project Description &M11UW Sq. Ft.Qp 544 No. No. Dw. Size Stories Units - 1 New O Add ❑ Alter ❑ - Repair ❑ Demolition ❑ Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Dale owner Infrastructure 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. I 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 /or one hundred dollars ($100), valuation 1.. 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, CivYCode.) Lender's Name - Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and stale 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 Vrposes Signature of applicant 1T 4 / // Date Mailing Addresst i City, State, Zip t HARD COPY TOTAL REMARKS AMOUNT 33.00 7.5_1 2n.0n 20.00 1.502.78 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 12.31 96Permit Validated by: Validation: A7033 12 31 �7.Ib1(J Ck CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. ' ' SO. FT. POR. SO. FT. ® GAR. SQ, FT. ® CAR P. SO. FT. WALL SO. FT. ® SQ, FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation OUGH PI UMB6 �/ FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WIRING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ROCK STORAGE 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. SQ. FT. ®c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL WATER SYSTEM SQ.FT.GAR ® 3/ac HOUSE SEWER GRADING cu. yd. $ plus x$ 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 ROUND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE OUGH PI UMB6 �/ BONDING HEATING (ROUGH) STORAGE TANK i FORMS SEWER OR SEPTIC TANK &j0ROUGH WIRING �/ DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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. / 024WRAMING FINAL INSP. ROOFING V �y f7� v 1 Ivt` 114 t*O O � . (' REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL \FIEO S o o = ._0 Desert Sands Unified School District yQj BERMUDA DUNES r RANCHO MIRAGE 82-879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5678 • (619) 347-8631 r INDIAN WELLS H PALM DESERT %P LA QUINTA �a 'gyp INDIO y� • December 23, 1986 * City of La Quinta Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 Re: 51500 Avenida Juarez Gentlemen: The developer of the above referenced project has mitigated its impacts on our overcrowded schools by payment of the amount of $628 per unit._ This amount is to be applied to the cost of additional district educational facilities made necessary by such new. development. Sincerely, John D. Brooks Assistant u eri ndent Business/S v'c s By: Richard M. Beck Facilities Planner JDB/vmm ' 6 This certification of payment, of developer fees is valid for issuance of building permits only up to and including December 31, 1986. J RECORDING REQUESTEI. OY i AND WHEN RECORDED MAIL THIS DEED AND. UNLESS OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO: NAME F__ ir. and Mrs. Michael DeGeer-1 STREET �y ADDR[56 r4 CITY, STATE ZIP J Title order No ......8.....2.133-11 , 4204- .............. Escrow No ........................... This space for Recorder's use Grant Deed THE UNDERSIGNED GRANTOR(s) DECLARE(s) DOCUMENTA RY �jTRANSFER TAX is S Corrected Deed a lOrccl NuUn�/ fc69X,�y of Lag tin a D computed on full value of property conveyed, or computed on full value less value of liens or encumbrances remaining at time of sale, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, PATRICIA LANE, an unmarried woman hereby GRANT(S) to MICHAEL DE GEER and PAULA ARNOTT, husband and wife as joint tenants the following described real property in the Ci ty Of La Qu i nta , county of Riverside ,state of California: Lots 9 and 10 in Block 50 of SANTA CARMELITA AT VALE LA QUINTA, UNIT NO. 4, as per Map on file in Book 18, page 62 of Maps, in the Office of the County Recorder of said County. -July 5, 1985 Dated STATE OF CALIFORNIA COUNTY OF Orange SS. On this 18th day of Jul Y' , in the year 1985 before me, the undersigned, a Notary Public in and for said County and State, personally appeared **PATRICIA LANE** personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name subscribed to the within instrLim e )nd acknowledged that exe to /the same. Signature atricia ane y OFFICIAL SEAL !AM,ES P. LYrit p,•p � ,. .�!;L' 5 i U AzZY PUBLSC - C.�LIFOFNU pRWOPAL OFFICL IN a C RAWi,E COUNTY *y Cartrn,sstoe Ew- Aar• 18.192 a LQ 0: v CO ° ¢ v I cc O c V.0 � O n �° � 0 !!J S C7LU U r � Lu LL tiCC „ O` LL Title order No ......8.....2.133-11 , 4204- .............. Escrow No ........................... This space for Recorder's use Grant Deed THE UNDERSIGNED GRANTOR(s) DECLARE(s) DOCUMENTA RY �jTRANSFER TAX is S Corrected Deed a lOrccl NuUn�/ fc69X,�y of Lag tin a D computed on full value of property conveyed, or computed on full value less value of liens or encumbrances remaining at time of sale, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, PATRICIA LANE, an unmarried woman hereby GRANT(S) to MICHAEL DE GEER and PAULA ARNOTT, husband and wife as joint tenants the following described real property in the Ci ty Of La Qu i nta , county of Riverside ,state of California: Lots 9 and 10 in Block 50 of SANTA CARMELITA AT VALE LA QUINTA, UNIT NO. 4, as per Map on file in Book 18, page 62 of Maps, in the Office of the County Recorder of said County. -July 5, 1985 Dated STATE OF CALIFORNIA COUNTY OF Orange SS. On this 18th day of Jul Y' , in the year 1985 before me, the undersigned, a Notary Public in and for said County and State, personally appeared **PATRICIA LANE** personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name subscribed to the within instrLim e )nd acknowledged that exe to /the same. Signature atricia ane Z��ames P. Lynch` -t Name (TypedPrinted) FOR NOTARY SEAL OR STAMP 1�'otary;Public in and for said County and State MAIL TAX STATEMENTS TO PARTY SHOWN ONV FOLLONVING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE Name Street Address City & State 1.101 y OFFICIAL SEAL !AM,ES P. LYrit p,•p � ,. .�!;L' 5 i U AzZY PUBLSC - C.�LIFOFNU pRWOPAL OFFICL IN a C RAWi,E COUNTY *y Cartrn,sstoe Ew- Aar• 18.192 Z��ames P. Lynch` -t Name (TypedPrinted) FOR NOTARY SEAL OR STAMP 1�'otary;Public in and for said County and State MAIL TAX STATEMENTS TO PARTY SHOWN ONV FOLLONVING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE Name Street Address City & State 1.101 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 specifications required on the attached check list. A non-refundable filing fee of $37 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # Name Owner, Agent, Contractor, Etc.) �r-�"' -� � I IA U( 7t, s ( Mailing Address � � �c :City.. 4r State Zip Code Telephone 'Job Property Address (f/ 1t (*City or Gommugi Legal Description of Property. (Lot, PM, TR) J� / r Assess`` c�l N/ Water Agenc�orWll% iPUseofPerml_fnning Case # Lot Size SFD, MH Site Preparation Etc. s � _ 23— 56 Signature of Applicant OFDate •.ry..: *The above information must be verified from Building Application ,• STAFF USE - DO,NOT WRI,TE�8EL^OW•TH1 LINE Initial Date Certification of Existing S.D. $yotem•reYes ®No i.tl -/ — 44 WOCB Clearance required. Yes AJ No f Soils feasibility report required. ❑ Yes ®�No Detailed boring ❑Yes ❑ report required. Detailed contour plotlplans required. Ev= El Yes Yes d�J-No Staff Specialist approval required. ❑ Yes ❑ No Lot Inspection Date Soils/boring report by Project �r /� � Project # Date Soils Ma Page -El / NIC' ��'� d� "� �— f Map�) / Soil Type Approved by` � Date Type of System: El Existing Existing New El, Additional ❑ Replacement No. of Bedrooms �P ditto 1 ¢fr Als �^�d c1 A + . (1) Septic Tank ( Gals. Soil Rate Required % 9WId � (2) LeachDine sq. ft. ` `6 Sidewall allowance Install � Line(s) Ft. Long, r Leach bed Sq. of (Bottom tr'e'nc area) „ .a ft. rock/ Scr running ft. (3-f17A Ft. wide wl h rnir1_, inches below drain lines ''"+ Ft. botto_ _m --� per rock area Leach lines/bed-special design for slope: Applicable (3) Pit Diameter No. Pits Pit BI ` Seepage Pit total depth N/A Overburden factor '075-1- 016<' Max. allowable depth fi A u ^'��.�a-�." !�"•'-.'�-,.��'u .n ,�;..�"�.� ria-.,. G-•'�;-^r--/�...`��'`t�'�r..�a�'��tiCratf:"Gc� �yt,.��}. �'�i- 7 �T //!,J lI G�.T Y -..MF C..s✓•. .a4, 4671 4' /� (..fr Ali �. �4� ""Ll'•�. / 6J 6 .. .�TL✓s. �,�"^'i.%'xrLr-S� �i�'�».G:.«/"/".�b/Vlr•.Z1 A�A" • -. This application is app p o d'tle ed for the design of a subsurface disposal� stem as indicated on the accompanied plot plan using the requirements set forth in Section B above. A building permitisfor the installation of the above -designed system. (1.) Septic tank and sewer lines must be�5�0' from any wells � ','/(� (2) Leach lines must be 100' min. from any wells including expansion aCea (3)) Seepage pits must be 150' min. from any wells including expansion area,/� Signature of Health Official / /� r^ ry�r• Date ar J RECEIPT NO. Issued by Date District: ❑ RiversideIndo ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) Buena Engineers, Inc. M 061 F AN EAITIN SYSTEMS, INC. COMPANY 1731-A WALTER STREET VENTURA, CALIFORNIA 93003 (805) 642-6727 July 24, 1987 B7-0001 -P 1 87-7-743 A & M Construction P. 0. Box 366 La Quinta, CA. 92253 Project: 51-495 Avenida Juarez La Quinta, California Subject: Report of Field Densities House Pad On May 27, 1987, a representative of our firm performed density tests on the house pad on 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 Rick Morris. 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. Tests results indicate that a minimum of ninety percent (90%) 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 Brown s 1 ty very fine to fine sand VENTURA (805) 642-6727 USCS BAKERSFIELD SANTA BARBARA (805)327-5150 (805)966-9912 Maximum Density -Optimum Moisture 114.7 pcf 11.4% LANCASTER ' (805) 948-7538 PALM SPRINGS SAN LUIS OBISPO f (619) 328-9131 (805) 544-6187 t� July 24, 1987 -2- 87-0001-P1 87-7-743 1. The project is located on the west side of Avenida Juarez at the given address in La Quinta, California. 2. Prior to our arrival at the site, the house pad had been brought to grade and compacted. 3. The purpose of testing was to observe compliance with the minimum requirements of the City of La Quinta. Limitations: This firm did not perform a soils investigation, did not conduct any tests to determine the general condition, adequacy or stability of soils on the property, nor did it observe the backfilling or compacting operations which were already completed at the time our personnel were called to the site. The only services performed were the specific moisture and density tests summarized in this report. These test results provide only limited information about the surface materials observed at the locations and depths tested and cannot be relied upon for information about subsurface conditions or compaction, or to determine the appropriateness of any design or construction of improvements on the site. No inspection was made of the contractor's work and no guarantee or warranty of that work in backfilling or compacting soils on the site is made or implied. Respectfully submitted, OQ?,01FESS11 BUENA ENGINEERS, INC. Reviewed and Ap e NDo,,, el l- 02 0�9 y )5'oseph C 041210 Brett L. Anderson R. Venuti Exp. 3-31-91 =� Staff Engineer Civil Engineer crv11. BLA/JRV/mea 9lF OF CAO��� MR Copies: 2 - A & M Construction 2 - City of La Quinta .2-VTAfile 1 - P. S. W BUENA ENGINEERS, INC. .z BUM Engineers,.Im. REPORT OF RELATIVE COMPACTIONS CONTRACTOR: ADDRESS DATE: July 24, 1987 JOB & LOCATION: La Quinta, CA Job No. 137-0001 -P 1 Report No. 87-7-743 TEST NO. DATE TESTED DESCRIPTION % MOISTURE DRY DENSITY RELATIVE MAXIMUM I IN PLACE IN PLACE COMPACTION DENSITY 5.1-495 Avenida Juarez 1 -27-87 Per Plan 1.0 BSG 12.0 104.3 91 114.7 2 -27-87 Per Plan FSG 13.9 109.6 96 114.7 BSG = Below Subgrade I FSG = Finish Subgrade I 1 VVt LtH I IFY I HAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH COPIES BUENA ENGINEERS, INC.