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001703 (SFD)t 4 P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 52-354 AMA&ta%A LA QUINTA, CALIFORNIA 92253 Owner Mailing Address if CityZip Tel. laJ3 - Contractor Address . . abm City . _ .... Zip.. Aboyp State Lic. & Classif. . Arch.; Endr., Designer Address Lic. # Tel. No. 001703 BUILDING: TYPE CONST. VN OCC: GRP. R 3 A.P. Number Ti_-1---251--l"i5 Legal Description Tt+ I -A Project Description Amis fwdlv d**AUW Sq. Ft. DM 1432 No. Size -• 440. Stories - ;; Ar di New 0> dd ❑ - Alter ❑ No. Dw. Units Repair ❑ Demolitiori ❑ 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 ordinances3and state laws relating to building construction, and hereby authonzetrepresentatives of this city to enter the above- mentioned property for inspection purposes. Signature of applicant �� 7^�' Date Mailing Address Jr i, ``✓ �'� City, State, Zip d i HARD COPY 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: ` t� Date q-4—Ari Permit Validated by: Validation: A 2 5 0 6 9 4 1%34,10 R City Zip State Lic: # . LICENSED CONTRACTOR'S DECLARATION... .. I hereby affirm that I am licensed und'ei provisions of Chapter 9 (commencing with Section ifvision,3 of.tfie Business andrProfessions Code, and my license is in full force and 7000) of D)K,- effect. AK.. je .+n2��'�,....,, . .. . r!' _ i _ SIGNATUREF o 6 7 � i, DATE . . J� `f •• - ! /OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 70331. S, Business and Professions Code: Any city or county which requires- a permit•to construct, altar, 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 't Divisioh 3 of the Business and Professions Code, of 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 (3500): - ❑ 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!4.aQQ 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 I am exempt under Sec. B. & P.C. for this reason Estimated Valuation Q 74,406.00 W PERMIT - AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. - � Mech. Y Electrical Plumbing _ S.M.I.- Grading -. Driveway Enc. 20A Date Owner 1.116.00 WORKERS' COMPENSATION DECLARATION I hereby affirm'that I have a certificate of consent to self -insure, or certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city., 0 Certified copy is hereby furnished. TOTAL 1.g94_1 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 ordinances3and state laws relating to building construction, and hereby authonzetrepresentatives of this city to enter the above- mentioned property for inspection purposes. Signature of applicant �� 7^�' Date Mailing Address Jr i, ``✓ �'� City, State, Zip d i HARD COPY 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: ` t� Date q-4—Ari Permit Validated by: Validation: A 2 5 0 6 9 4 1%34,10 R CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO. 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 FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER A k GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ROCK STORAGE LAUNDRYTRAY AIR HANDLING UNIT CFM GAS (ROUGH) 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 WATER HEATER SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.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 PPL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK }ROUND PLUMBING11*1 r,) UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS J i B t y1 1 R SEPTI A k ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. O GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL �/ 1 �v 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 PO ri s ����/ . REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL rrflr=V I V R J J -N 1 -.W INI I IALQJ GARDEN WALL FINAL n (l-( w A( -L - fills'). xk1fIE0 0 2 —0 N BERMUDA DUNES r RANCHO MIRAGE ►' INDIAN WELLS H PALM DESERT a J' LA OUINTA ip INDIO Deseirt Sands Unified School District 82-879 HIGHWAY 111 6 INDIO, CALIFORNIA 92201-5678 • (619) 347-8631 August 27, 1985 City of La Quinta Department of Community Development 78-105 Calle Estado La Qui'nta, CA 92253 Re: 52-354 Avenida Juarez, La Quinta Gentlemen: r The developer of the above referenced lot has mitigated i:ts impacts 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, John D. Brooks Assistant Supe.ri.ntende.nt Business Services JDB/crm BuenatngInEers,inc. OCT 151985 ® CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPT STING • INSPECTION 11731-A WALTER STREET VENTURA, CALIFORNIA 93003 • PHONE (805) 642-6727 October 7, 1985 Pomona Valley Equipment Company P.O. Box 457 La Quinta, CA 92253 Project:. Avenida Juarez - La Quanta, CA Subject: Report of Field Densities - House Pad B -15593-P1 85-10-65 On August 28, 1985 a representative of our firm performed density tests -on the fill placed in the building pad on'the above referenced project. Tests were performed at random locations in accordance with ASTM 2922- 81 and ASTM 3017-78 Nuclear Density Test Procedure. Test performed as per authorization of Bob with Pomona Valley Equipment Company. 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 percent (90f) relative compaction has been obtained within the areas tested. The maximum density -optimum moisture was determined in the laboratory in accordance with ASTM 1557-78, Method A, five (5) layer curve. Test results are as follows: Light brown silty very fine to fine sand 107.1 pct 12.7% VENTURA (805) 642.6727 BAKERSFIELD SANTA BARBARA (805) 327.5150 (805) 966-9912 LANCASTER (805) 948.7538 PALM SPRINGS SAN LUIS OBISPO (619) 328-9131 (805) 544.6187 a ri-If r October 7, 1985 -2- Limitations: 8 -I5593 -PI 85-10-65 The compaction operations were completed at the time our personnel were called to the site. The test results summarized in this report present the moisture and density only at the location 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, compaction, nor adequacy of the material to perform its intended function. No guarantee or warranty of the contractor's work is made or implied. If there are .any questions, please do not hesitate to contact this office. Respectfully submitted, BUENA ENGINEERS, INC. Norman G. Jacson, Jr. NGJ/REB/kls F Copies: 4 - Pomona Valley Equipment 2 - City of La Quinta 2 -. P.S. file 1 - VTA file Reviewed and Approved Raym nd E. Brannen CE 28966 BUENA ENGINEERS, INC. CONTRACTOR: ADDRESS: REPORT OF RELATIVE COMPACTIONS October 7, .1985 Job NO. 8-15593-P1 '85-10-65 DATE: Report No. JOB & LOCATION: La Quinta, CA TEST NO. DATE DESCRIPTION %MOISTURE DRY DENSITY RELATIVE MAXIMUM TESTED IN PLACE IN PLACE COMPACTION DENSITY 1 8-28-85 0.5 below finish grade Per Plan 13.3 106.5 99 107.1 2 8-28-85 1.5 below finish grade Per Plan 18.4 103.4 97 107.1 WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH COPIES BUENA ENGINEERS, INC. 1 Q Madero Ensenada I r51UC1ILIUI FIUUSe Pt3U UN HVe. Madero, Le Quints, CA. Buena Engineers, 9/24/85 Job -'8-15593-P 1