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002649 (SFD)4 P.O. BOX 1504 No. 002649 Building 78-105 CALLE ESTADO Address 53-425 ASS Jum= LA QUINTA, CALIFORNIA 92253 Owner Mailing ' Address 79.700 CM61back- BUILDING: TYPE CONST. A.P. Number 774-034-021 • Legal Description Project Description - OCC. GRP. ' ZV &Mium City �.DaneS92 Zip Q� Tel. 34S^'S4t�A Contractor o D* G. omlstzuctlom .Address Sam - ' City... gay.. .. G4f►i� Zip . Tela _ L State Lic. City MG 1425 & Classif. 317340 Lic. # 655 Sq. FIL-_p +� 200 Size - • No. No. Dw. Stories - Units Arch., Engr., Designer New (a Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # K LICENSED CONTRACTOR'S DECLARATION 4:_ I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section ' 70 OO) 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 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 or not more than'ftve 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.) EStlfTlated Valuation6r - n�f nA H - 75!402-aQ - -PERMIT. -:+ AMOUNT - x Plan Chk. Dep. ' 250.00 ' Plan Chk. Bal. .01 Const. 361 M 1.00 Mech. 3'��C� Electrical - '?d. _t; Plumbing 43.UI 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.) ❑ I am exempt under Seca B. 8 P.C. for this reason S•M.I...7� - ' Grading i�l fin Driveway Enc. Date owner Infrastructure Z.30s. 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. TOTAL �,,�• i 024A,9A 1.774.S9/^Z/ _ CERTIFICATE OF EXEMPTION FROM WORKERS'. COMPENSATION INSURANCE REMARKS /\ V (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 the work for which this permit is issued, I shall not employ any peon in any manner so as to become subject to the Workers' Compensation_ Laws of Cal ifornirsa. ' 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. •ZONE: BY: 'Mlrllrl'lUm Setback Distances: - Front Setback from Center Line Rear Setback from Rear Prop. Line 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.) - Side Street Setback from Center Llne Side Setback from Property Line Lender's Name Lender's Address FINAL DATE Issued by: Validated by: Validation: Ab555 INSPECTOR_ Date 10'16"BEPermit 774,64 Ck 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 sof this city ,to enter the above- - mentioned property for inspection purposes. Signature of applicant Date Mailing Address « City, State, Zip ► HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. ® POR. SO. FT. ® GAR, SQ. FT. ® CAR P. SQ. FT. WALL SQ. 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 ROUGH PLUMB., FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE ' DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRYTRAY 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 BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1114 c SEWAGE DISPOSAL FINAL INSP. SQ.FT.GAR ® 3/ac HOUSE SEWER ROOFING J� - � 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 PLU IBIN /1 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB., BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK 4FOUND. OUGH WIRING DUCT WORK ROCK STORAGE REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) P. POLE�� GROUT WATER HEATER ERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ -,=$ LUMBER GR. FINAL INSP. FRAMING') FINAL INSP. ROOFING J� - � REMARKS:' VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND !l FINISH GRADING / FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL ,0,%f1E0 o 2 = —0 Desert Sanas Unified School District BERMUDA DUNES r RANCHO MIRAGE _� 82.879 HIGHWAY 11 1 • INDIO. CALIFORNIA 92201-5678 • (619) 3478631 INDIAN WELLS H October 21 1986 PALM DESERT a d' LA OUINTA Jp INDIO y� City of La Quinta Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 Re: Lots 9 & 10, Block 182, Tract Carmelita, La Quinta, CA 2 Units 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 Superintendent Business �S r ices By: Richard M. Beck Facilities Planner JDB/vmm 0 z O F -- U w W W �b 0 Y cr Q LU CC X z O_ l— U LU C0 COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM ' r 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.) Mailing Address City K,(.•t i. t u I Ic. ,e :' '� State 1�- Zip Code — - 'Z Z� I Telephone �- r t - y 5—.. u , Job Property Address "City Community 'Legal Description of Property. (Lot, PM, TR) ` Ag- 447 'AssessoP's Parcel No. Water AgencyoraNel6 d Use of Permi� .f/"CkL/ Plar�nmg Case H Lot Size r �O ri d0 SFD, MH Site Preparation Etc. 3X11 .. e7 2 cr A7 Signature of Applicant Date The above information must be verified from Building Application / STAFF USE — DO NOT WRITE BELOW THIS LINE InitiaallJ Date G Certification Existing ❑ of S.D. System required. Yes WOCB Clearance required. ❑ Yes 1 Soils feasibility report required. ❑ Yes /El Detailed boring report required. ❑Yes L�J No Detailed contour plot plans required. E)Yes l'1,,No" Staff Specialist approval required. ❑ Yes e❑ No Lot Inspection Date Soils/boring report by/�� Project # Date - Soils Map Page Soil Type C � Approved by / G� Date Type of System: No. of Bedrooms (1) Septic Tank Rate Required ❑ Existing (RNew ❑ Additional ❑ Replacement 3 I•` ��Gals. 'Soil (2) Leach line sq. ft. Sidewall allowance Install Line(s) Ft. Long, r �r Leach bed Sq. `(Bottom trench area) ft. rock/ Sq. Ft. Ft. wide ith„min. inches ft. © N/A Ft dPbottom per running rock below drain lines area Leach lines/bed-special design for slope: Applicable, (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth '"'`Overburden factor'l ,�P16”N/A Max. allowable depth =J �'i'I f..r.,.c.=� 1/J,-r'f• .. .`�'�..,,., /,f a ,�- /rl�/r. �,.•�G�.r...�-+es•-lf�� t� t This application,is'app o ed' , ened•for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements +... -. set forth in Section B above. A building permit its necessary for the installat on of the above -designed system. '(1 ) Septic tank and sewer lines must br50' from any wells % � Yr Ji m -� r �1 a +� " 2) Leach lines must be 100' min. from any wells including expansion ar a (3 Seepage pits must be 1/50' main. frollany wells including expansion area Signature of Health Official Dat --'S) RECEIPT N0. 0'13 7 Issued by ,AuIlle— Date /,7— 3 a _F6 District: ❑ Riverside Indio ❑ 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. AN EARTH SYSTEMS, INC. COMPANY 1731-A WALTER STREET May 21, 1457 Dave Grimette 79-700 Camelback Bermuda Dunes, CA 922D 1 VENTURA, CALIFORNIA 93003 Project:. 3-42 53-455 Avenida Juarez La 8uinta. CA Subject- Report of Field Densities House Pad (805) 642-6727 8-15569-P1 87-5-732 On November 17, 1956, a representative of our firm performed density tests in the fill for the houses 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 Dade Grimette. 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 four (4) density tests were performed. Tests results indicate that the minimums of ninety percent (90%) relative compaction have been obtained within the areas tested in the trench backfill and street subgrade respectively. The maximum density -optimum moisture were determined in the laboratory in accordance with ASTM D 1557-75, Method D. Test result are as follows: Soil Description USCS Maximum Density -Optimum Moisture Brown slightly silty fine to medium :and with gravel S11 126.6 pcf 9.8% VENTURA (805) 642-6727 LANCASTER (805) 948-7538 BAKERSFIELD SANTA BARBARA PALM SPRINGS SAN LUIS OBISPO (805)327-5150 (805) 966-9912 (619)328-9131 (805) 544-6187 May 21, 1937 -2- B-16059-P1 C7-5-732 1. The project is located at 53-425 & 53-495 Avenida Juarez in the City of La Quinta, CA. 2. Prior to our initial arrival at the site, the fills had been planed and were ready for testing. 3. The purpose of testing was to observe compiiance with the minimum requirements with the City of La Quinta, CA. 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 vrork is made or implied. If,there are any questions, please do not hesitate to contact this office. Respectfully submitted, Q?,ofESS/p�, BUENA ENGINEERS, INC. Reviewed and Ap 'e 100t,�`�Fy fog m u� C 041210 �m Phillip D. Clanton hoseph R. Venuti °C 43-31-91 Civil Engineer eivrL PDC/JRV/th Copies: 4 - Dave Grimette 2 - City of La Quinta i - PS file 2 - VTA file BUENA ENGINEERS, INC. Buena Engineers,im. REPORT OF RELATIVE COMPACTIONS CONTRACTOR: ADDRESS .7 Job No. 8-16869-P 1 DATE: Nau 21 , 198 r Report No. 87-5-732 JOB & LOCATION: Bermuda Clunes CA TEST NO. DATE TESTED DESCRIPTION MOISTURE IN PLACE DRY DENSITY IN PLACE RELATIVE COMPACTION MAXIMUM DENSITY 53-425 & 53-455 Avenida Juarez 1 1-17-87 Per Plan 1.0 BSG 11.0 114.9 95 120.6 2 1 1-17-67 Per Plan FSG 7.4 112.7 93 120.E -17-87 I Per Plan 1.0 BSG 9.7 116.5 97 120.6 4 1 1-17-S7 Per Plan FSG 7.1 113.4 94 120.6 BSG = Below Subgrade FSG = Finish Subgrade i WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH COPIES 4 BUENA ENGINEERS. INC. o o � �Q �AGG6 �L/r7�!