001663 (SFD)Building
Address
Owner
9? 4
Qawa
P.O. BOX 1504
78-105 CALLE ESTADO
Yarin LA QUINTA, CALIFORNIA 92253
Mailing
Address
CityZip Tel.
' . . .
Contractor
ress ,
City
State Lic.
& Classif.
-Arch., Engr.,
Designer
Address
I City
Lic. #
No. 001663
BUILDING: TYPE CONST. OCC: GRP. R 3
A.P. Number M-281-003
Legal Description 21
Project Description+3y. i
Sq. Ft. MIG 1491 No.
Size MR 505 Stories
New ®S Add ❑ Alter ❑
City Zip State
Lic. # . . ...
d LICENSED CONTRACTOR'S DECLARATION
I -hereby affirm that I am licensed under provisions of Chapter 9 (commencing with'Section
70 00) of Division 3 of the Business and Professions Code; and.my license is in full force and
.effect.
SIGNATURE DATE
OWNEWBUILDER DECLARATION E
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 thaLBe 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 ($500). ' ^ -
❑ I,_as owner of the property,.or my employees with wages as their sole compensation, will .
do the work,- -and the structure is not intended or' offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License -Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided .that' such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.) ,
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-.
-struct the project. (Seca 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor'sLicense Law.) -
❑ 1 am exempt under Sec.. B. & P.C. for this reason .
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent io self=insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
O Copy is filed with.the city. , ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS', COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($ 100) valuation
or less.) .
I certify that in the performance of thg work for which this permit is issued, I shall not f
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
Ihereby affirm that there is a cohstruction 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. J
i
Signature of applican ) r �•� K + • r..: f L. Date k 11i , A!
Mailing Address 1
City, State, Zip
/ HARD COPY
No. Dw
Units
Repair ❑
Demolition ❑
At &1w iwluidied220 sq• fitw of patAo.
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 2 3 0 7 8.14 185&36 CK
stimated Valuation
S 76.916.4€3
-.-PERMIT
AMOUNT
Plan Chk. Dep.
M.00
Plan Chk. Bal..55
Const.
"'336.50
Mech.
37.010
Electrical
67..35
Plumbing
93.00
S.M.I.
Grading
Driveway Enc.
20.00
Infrastructure
1.352.70
TOTAL
. 1.014 16
1.858.36
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 2 3 0 7 8.14 185&36 CK
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. p $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SO. FT. ®
CARP. SQ. 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
G ,/
ROUGH PLUMB. 119 a S ►i
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE ' DRYER
94*
ORK/,q/f g1
DUCT WORK/,q//f/g1'
a
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAS (ROUGH)
LAUNDRYTRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSP.
ROOFING
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
OUND PLUMBING a 0
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
G ,/
ROUGH PLUMB. 119 a S ►i
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS O.�
O SE ER OR SEPTIC TANK
DOUGH WIRING !'� �Y
94*
ORK/,q/f g1
DUCT WORK/,q//f/g1'
a
ROCK STORAGE
FOUND. REINF. V �` Z2� Ox
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
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 D
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
AR. FIREWALL
LATHING
MESH
r t INSULATIONISOUND 'D
1
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
'
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
r` � 0 it IV LL- i0� of ; 646
~J��fIE0 S
r. =o
y BERMUDA DUNES r
RANCHO MIRAGE
INDIAN WELLS ti
PALM DESERT '
%P LA OUINTA
INDIO y�
e
r
Dese# Sands Uniked School District
82-879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5878 • (819) 347-8831
July 1, 1985
City of La Quinta
Department of Community Development
78-105 Calle Estado
La Qui.nta, CA 92253
Re: Lot 21, Block 166, Unit No. 17, Santa Carmelita at Vale
Gentlemen:
The developer of the above referenced* lot
t.t
has mitigated i.ts impacts . on. our overcrowded schools by payment
Of the amount of $628 per unit to be applied to•th.e cost of
`district educati*ona-1 faci-li.ties made necessary by such new
development.
Since r ly,
John D. Brooks
Assistant Superintendent
Business Services
JDB/crm
9
RUE'RO Ehniniers,ine.
1731-A WALTER STREET •
October 2, 1985
Joe Martin
P.O. Box 53
Palm Desert, CA 92261
VENTURA, CALIFORNIA 93003 •
Project: 52-540 Avenue Juarez
( La Quinta, CA
Subject: Report of Field Densities
RECEIVE®
OCT 2 11985
ITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPT
PHONE (805) 642-6727
B -15667-P1
85-10-41
On September 26, 1985 a representative of our firm performed density tests on the fill
placed in the building area 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. Tests performed as per authorization of Joe Martin.
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 a minimum of ninety (90) percent of
relative compaction has been obtained within the areas tested. The maximum density -
optimum moisture was determined in the laboratory in accordance with ASTM D 1557-
78, Method A, five layer curve. Test results are as follows:
Soil Description Maximum Density Optimum Moisture
Light brown fine sand
and silt 110.1 pcf 13.4%
VENTURA LANCASTER
(805) 642.6727 (805) 948.7538
BAKERSFIELD SANTA BARBARA PALM SPRINGS SAN LUIS OBISPO
(805) 327.5150 (805) 966.9912 (619) 328.9131 (8051544-6187
0
October 2, 1985
Limitations:
B -15667-P1
85-10-41
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 locations and depths tested on the specified
dates. 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. Reviewed and Approved
C,5- 2¢652,
Norm Jackson, Jr. Raymond E. Brannen
SCE 28966
NJ/JTD/ms U
X-4 COMP.
Copies:. .4 - Joe Martin
2 - City of La Quinta
2 -PS file
1 - VTA File
BUENA ENGINEERS. INC
REPORT OF RELATIVE COMPACTIONS
.lob No. 13=15667-P1
CONTRACTOR: DATE: IO/3/SS Report No. 85-10-41
ADDRESS: JOB & LOCATION:
52540 Juarez
TEST NO.
' DATE
DESCRIPTION
Y MOISTURE
DRY DENSITY
RELATIVE
MAXIMUM
TESTED
IN PLACE
IN PLACE
COMPACTION
DENSITY
1
9/26/85
Per Plan 1.51 From Grade
7.9
109.8
100
110.1
2
9;26/85
Per Plan FG
10.6
102.6
93
110.1
FG = Finished Grade
e
WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH
COPIES
BUENA ENGINEERS, INC.
gvus�
i
RKE
V19e�9T
G.6 T
5Z -,f 4o A; UL SUA/le Z
BUENA ENGINEERS, INC.
DATE: /O- ZFILE NO. ?-/Ja;%-J'I
�~ it
A-1 SURVEYING CO., INC.
73-400 HIGHWAY 111
PALM DESERT, CALIFORNIA 92260
TELEPHONE.(619) 346-0335- (714) 780-0414
RECEIVED
SEP 2 51985
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPT
September 24, 1985
City of La Quinta
/ Building & Safety
La Quinta, CA.
Re: Elevation Certification
'�4 div Rough Grade Pad
Lot #21 Block 166
�a� Unit # 17, Santa Carmelita @ Vale
La Quinta MB 19/19,20
Dear Sir:"
This letter is to certify that on September 24, 1985, A-1 Surveying Co. Inc.
did perform a field survey for, elevation on siad property.
We found the elevation of the rough grade pad to be witty n 0.10 of a
.foot plus or minus. This we feel is in substanial conplianceeto the
request of the City of La Quinta.
The rough grade elevation of said pad was determined to be 124.01 when
measured at the crown of Avenida Juarez" on the prolongation of the lot
line of the high side of said lot.
it
incerely,
eo
y
erry Denning 'n
E
I
�4
CIVIL ENGINEERING • LAND SURVEYING • PARCEL MAPS • SUBDIVISIONS • MASTER PLANNING
MEMBER SOUTHERN CALIFORNIA ASSOCIATION OF CIVIL ENGINEERS AND LAND SURVEYORS
BUENA ENGINEER S'. INC.
1731-A Wafter Street
VEWL RA, CALIFORNIA 93003
(803) 642-6727
TO
THE FOLLOWING WAS NOTED:
DATE
..
JOB NO.
PROJECT
LOCATION
CONTRACTOR
OWNER
WEATHER
TEMP.
O at
° at
AM
PM
PRESENT AT SITE
COPIES TO J UA
SIGNED ✓ - X'% �.s'`'-' ,,i