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002000 (SFD)Building U0 A�� c�t3 Address Owner DaCIm. Address P.O. B= 20U City lZip Tel. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Contractor' J/1 Address r rti , t f -J -City `. _ -Tip ' '. TeL State Lia�'} City & Classif. R r1 Is Lic. #y )rf Arch EnEngr., _ Designer Address Tel. City Zip State Lic. # . LICENSED CONTRACTOR'S 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 force and effect, , SIGNATURE DATE 1 OWNER -BUILDER DECLARATION • y. .i I hereby ;affirm that I am exempt from the Contractor's License Law for the -following A reason: (Sec." 7031.5,Business and Professions Code:'ny city or county, which requires- a. permit to construct,- after, 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 fivehundred 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.) O 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 O 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 for one hundred dollars (5100) 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: It, 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. 1 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 ��l <` . Date .+^ r• Mailing Address City, State, Zip f HARD COPY No. - 002000 BUILDING: TYPE CONST. VX OCC. GRP. R 3 A.P. Number 773-2n-023. Legal Description Lot 17 and h of 1 Project Description Sq. Ft 134 No. No. Dw. Size 448 - Stories Units New IX Add ❑ Alter ❑ Repair ❑ Demolition ❑ HtMAHKS r' 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 Estimated Valuation $10,732080 Issued by: PERMIT Validated by: AMOUNT Plan- Chk.'Dep. Validation: = Plan Chk. Bal. 2 11 2,_4,3G1 fl 42.93 :Const.. 340S. -An Mech.)� Electrical 71JA Plumbing 81*0(} S.M.I : 4.94 Grading 20.00 Driveway Enc. 20..€ 0 Infrastructure 11061.00 �1 7 n*, 1 TOTAL IMMM HtMAHKS r' 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: A4223 2 11 2,_4,3G1 fl CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. ® POR. SQ. FT. ® GAR. SQ, FT. ® CAR P. S0. FT. ® WALL SQ. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM. B.T.U. [TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP LE, TEM/PERM 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. SQ. FT. RESID Q 11/4 c SEWAGE -DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER REMARKS: 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 �QROUGH PLUMB. % tv BONDING HEATING (ROUGH) STORAGE TANK FORMS WER OR SE ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL UOAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. AL INSP. 0V 'FRAMING Q L INSP//77 /9 / PI/6ROOFING VENTILATION O� O REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL (iLATHING MESH r /. ULATIONISOUND, FINISH GRADING FINAL INSPECTION�• / 1 R CERT. OCC. FENCE FINAL I INb!`M,IVM-J JMaMAI UMWIN I IALJ, GARDEN WALL FINAL Building 11�L�jljvJ Address Owner Mailing y� Address / 2.6y o-Zof I P.O. BOX 1504 APPLICATION ONLY —r` 78-105 CALLE ESTADO reZ LA QUINTA, CALIFORNIA 92253 City Zip PRIM Dir ss&r Contractor/' C IVl rr Address JILDING: TYPE CONST. OCC. GRP. P. Number 773- ZJ 1 -006 -'- 0.23 1. Legal Description To* /,7:� e' ''A ./z OF' /$ Project Description 6; D1, -4e -4 t4 Zip I Tel.. State Lic.I City & Classif. t Lic. # Arch., Engr., Designer Address Tel. City (Zip ( State I Lic. # LICENSED CONTRACTOR'S 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 force and effect. SIGNATURE DATE 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 !t.n issuance also requires the applicant for such permit to file a signed statement that he is licenced 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 ($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, Bulsness 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.) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner ��"►/�� WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificite of consent to self -insure, 0- a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ' O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed i1 the permit is for one hundred dollar_ ($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 Worke's' Compensation Laws of California. G14 Date%2'�f+�Owner � NOTICE TO APPLICANT: It, alter making this Certificate of Exemption you should become subject to the Workers' Compensation provisions or 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. Signature of applicant Dne .Mailing Address City, State, Zip BUILDING DIVISION Sq. Ft. Size No. No. No. Dw. / Stories Units New)O Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. tl g y at 3 Const. 3 cj (, 6 Mech. Electrical 3 I Plumbing 4 l S.M.I. L 4. Grading a0 -� Driveway Enc. 1;L C) Infrastructure t(p �. TOTAL 1JQ Y(o. d 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 Permit Validated by: Validation: A 3 6 0 4 12 18 25Q00 CK CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES A.C. UNIT NO. PLUMBING FEES IST FL. < < SQ. FT. ® T� 6 $ 2N0 FL. SQ. FT. POR. 2' � SQ. FT. GAR. LA ("k SO. FT. ® CAR P. SO. FT. WALL SQ. FT. @ . P• SQ. FT. ESTIMATED CONSTRUCTION VALUATION $ p O % 7 Q % 8Z UNITS MOBILEHOME SVC. POWER OUTLET HEATING (ROUGH) & YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING �— + NOTE: Not to be used as property tax valuation DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) FLOOR DRAIN HEATING (FINAL) MECHANICAL FEES REINF. STEEL GAS (FINAL) TEMP. POLE WATER SOFTENER GROUT VENT SYSTEM FAN EVAP.000L HOOD— SERVICE SIGN BOND BEAM WASHER(AUTO)(DISH) APPLIANCE DRYER =$ LUMBER GR. FINAL INSP. GARBAGE DISPOSAL FINAL INSP. FURNACE UNIT WALL FLOOR SUSPENDED ROOFING LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM. B.T.U. FIREPLACE TEMP USE PERMIT SVC SPARK ARRESTOR WATER CLOSET' COMPRESSOR HP '� POLE, TEM/PERM l LAVATORY HEATING SYSTEM FORCED GRAVITY MESH AMPERES SERV ENT ' S d SHOWER INSULATIONISOUND BOILER B.T.U. SQ. FT. ® c BATH TUB FINAL INSPECTION SQ. FT. ® c CERT. OCC. WATER HEATER S �— MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL GARDEN WALL FINAL SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING + PERMIT FEE LU PERMIT FEE V �— PERMIT FEE d DBL TOTAL FEES MICRO FEE MECH.FEE � � PL.CK.FEE CONST. FEE ELECT.FEE 'F "A SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING R 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./EQUIP. 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 SIGNATURESANITIALS GARDEN WALL FINAL tk%fIEO i=\ % o H BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS W PALM DESERT a J` LA OUINTA �p INDIO y� Desert Sands Un&d School District 82.879 HIGHWAY 111 • INDIO, CALIFORNIA 92 201-56 78 • (619) 347-8631 February 11, 1986 City of. La Qui'nta Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 Re: 52120 Avenida Juarez Gentlemen: The developer of the above referenced lot has mitigated its i=mpacts on our overcrowded schools by payment of the amount of $628 per unit to be applied to the cost of district educational faci"li.ties made necessary by such new development. Sincerely, '..'I k.. -o 4 John D. Brooks Assistant Superintendent Business Services JDB/crm J Fitch Engineers Inc. March 13, 1986 City of La Quinta 78 105 Calle Estado La Quinta,, Ca. 92253 Attention: Building and Safety Dept. SUBJECT: 52.120 Avenida Juarez- Lot 17 and 1/2 of Lot 18 Block -5 San-ta'Carmeli'ta at Vale La Quinta Unit No. 1 Geri tlemen: t The elevation of the center line of Avenida Juarez and the south property line of Lot 16 is 100.00. I hereby certify this day that.the F.F. is set at 99.5. The approved plan established the F.F. at elevation 99.5. The swales have not been fine graded. Respectfully, lop WM. H..FITCH R.C.E. 12571 CIVIL ENGINEERING — PLANNING — SURVEYING — DESIGN P.O. BOX 455`1 PALM DESERT, CA 92261 (61'9) 345-7667 Fitch- Engineers - Inc.- March nc. March 11,1986 .Mr. Chris Dvorak c/6D & C Inc. P. 0. Box 2011 Palm Desert, Ca. 92261 SUBJECT: Report of In -Place Density Tests- 52 120 Avenida Juarez, Lot 17.and 1/2 of Lot 18 Block 5 Santa Carmelita-at Vale La Quinta Unit No. 1 52 140 Avenida Juarez- Lot 16 Block 5 Santa Carmelita at Vale La Quinta Unit No. 1. Gentlemen: In accordance with your request, this report has been prepared to present the results of the in-place density tests performed on the fill material at the subject site by Fitch Engineers Inc.. These tests were performed on 3/1/86 and 3/8/86. 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 a grading plan by Fitch Engineers Inc. 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 1556-74.and the loca- tion 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 other than Fitch Engineers 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 method used. CIVIL ENGINEERING PLANNING — SURVEYING — DESIGN P.O. BOX 4551 PALM DESERT, CA 92261 (619) 345-7667 -2 - 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 tested be placed in five (5) e4ual 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 presented on Plate Number 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 3/1/86 and 3/8/86. Our opinions presented herein are based on our observations and the relative compaction tests results. Due to possible variations in the uniformity of compacted fills, we onlyiaar.rant 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 implied 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, FITCH ENGINEERS INC. WM. H. FITCH R.C.E. 12571 JOB NAME52 120 Avenida Juarez- Lot 17 and 1/2 of Lot 18 .JOB NO, r Block 5 Santa Catmelita at Vale LaQuinta Units No. 1 52 140 Avenida Juarez- Lot 16 of same above. ELEVATION OR MOISTURE DRY DEN. SOIL REL. COM EST, NO. DATE LOCATION DEPTH OF TEST .0/0 Ibs/cu.ft•. TYPE 0/0 1 3/1/86 See Sketch -1' 8.7 93.5 109.2 85.7 2 w. -0.5' 9.9 104.1 109.2 95.4 3 " F.G. 9.3 107.3 109.2 98.3 4. ". -1.3' .7.5 115.6 128.1 90.3 5 '.' -0.8' 8.7 111.4. 109.2 100+ 6 " F.G. 11.1 100.8 109.2 .92.3 7 3/8/86 Retest of#1 -1' 8.1 100.5 109.2 92.0 Soil TYPI #1 = 109.2 lbs. cu. ft. @ 13.1% M isture Soil Type #2 = 128.1 lbs. cu. ft. @ 10.2% Moisture Plate No.l I{ 52 120 Avenida Juarez Lot 17 and 1/2 -of Lot 18 52 140 Avenida Juare - L t 16 DENSITYTEST BY G. Krause DATE 3/1/86 3/8/86 1... JOB NO. NTS