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002648 (SFD)State Lic. & Classif. 317344 Arch., Engr.,. Designer Address 4 P.O. 4 BOX 1504 No. 002648 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774W3.4"'422 . • Tel. 345-U44 Legal Description t0' Project Description Si+ 30— fly &mllim Tela ' city DM 1455 Lic. # 655 Sq. Ft. GI%R • 404 Size - .__ Jr New Add ❑ City ZipTSL tate ie. # 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.. \ f -,;T . . . SIGNATURE DATE OWNER -BUILDER DECLARATION No. No. Dw. Stories Units Alter ❑ Repair ❑ Demolition ❑ 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 permfi 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 toe. the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) oil ' 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, Buisness and - Professions Code: The Contractor's License Law does not ,apply to an owner of property who q3S Building Address 53—M AVIMUida Jbw Owner AMOUNT Plan Chk. Dep. LJtisWf Front Setback from Center Line Mailing s.Li Address 79-70 CWW1bCCk City Side Street Setback from Center Line Zip vel DIX= 32241 Contractor 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.) < - Plumbing 'D.C. CmiltruR:%tIlm A ;.0 t, as owner of the property, am exclusively contracting with licensed contractors to con- �.-.pstruct the project.,(Sec. 7044, Business and Professions Code: The Contractor's License Law -does not apply to amowner 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 Sec. B: 8 P.C. for this reason State Lic. & Classif. 317344 Arch., Engr.,. Designer Address 4 P.O. 4 BOX 1504 No. 002648 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774W3.4"'422 . • Tel. 345-U44 Legal Description t0' Project Description Si+ 30— fly &mllim Tela ' city DM 1455 Lic. # 655 Sq. Ft. GI%R • 404 Size - .__ Jr New Add ❑ City ZipTSL tate ie. # 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.. \ f -,;T . . . SIGNATURE DATE OWNER -BUILDER DECLARATION No. No. Dw. Stories Units Alter ❑ Repair ❑ Demolition ❑ 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 permfi 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 toe. the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) oil ' 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, Buisness and - Professions Code: The Contractor's License Law does not ,apply to an owner of property who Estimated Valuations� qC $ /6,151.00 subject to the' Workers' Compensation provisions of the Labor Code; you must forthwith comply with such provisions or this permit shall be deemed revoked. - .. PERMIT AMOUNT Plan Chk. Dep. LJtisWf Front Setback from Center Line Plan Chk.. BBI. - s.Li Const... J 64.00 Mech.�:. Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the 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 Electrical. work for which this permit is issued. (Sec. 3097, Civil Code.) .� rd_ (; 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.) < - Plumbing ;.0 t, as owner of the property, am exclusively contracting with licensed contractors to con- �.-.pstruct the project.,(Sec. 7044, Business and Professions Code: The Contractor's License Law -does not apply to amowner 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 Sec. B: 8 P.C. for this reason S.M,i, '••r s_ir Grading l3`at Driveway Enc.�i.( Date Owner Infrastructure Issued by: 1,1A.34 WORKERS' COMPENSATION DECLARATION construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. 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.) - Signature of applicant ? Date 7 Policy No. Company Mailing Address = Validation: --.O Copy is.filed with the city. . ❑ Certified copy is hereby furnished. TOTAL 2..044.92 1..754.92 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS (This section need not be completed if the permit is for one hundred dollars ($100) valuation _ • or less.) - - •• 1 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: If, after making this Certificate of Exemption you should become ZONE: BY: ' subject to the' Workers' Compensation provisions of the Labor Code; you must forthwith comply with such provisions or this permit shall be deemed revoked. .Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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 Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR 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 lir�ry�-$6 application and state that the above information is correct. - I Issued by: Date permit 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. Validated by: Signature of applicant ? Date 7 Mailing Address = Validation: City, State, Zip A 6 5 5 4 10 Zl i 194.92 CK HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST,FL. SQ. FT. ® $ 2ND FL. SO. FT. ® POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. Q. 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 usedas property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, 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. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL n y Tc/ Cell,, ' 9� �� w /`%O SO.FT.GAR ® 3/ec HOUSE SEWER VENTILATION 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 �� G UND M B I N ke'14A-0 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE L fitOUGH PLUMB / BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK COUGH 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. EC! FRAMING .2 ( FINAL INSP. ROOFING / t Zv i n y Tc/ Cell,, ' 9� �� w /`%O REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH //—INSULATIONISOUNDjd 940 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS. GARDEN WALL FINAL ' r�F1c0 s oy N BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS H PALM DESERT a J` LA OUINTA �O INDIO Desert Sanas Unified School District 82-879 HIGHWAY 111 • INDIO. CALIFORNIA 92201-5678 0 16191 347.8631 October 21, 1986 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,f&cilities made necessary by such new development. Sincerely, John D. Brooks Assistant Superintendent Business S, r ices By: Richard M. Beck Facilities Planner JDB/vmm 4%f IED r % o H BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS H PALM DESERT a ,P LA OUINTA ,p INDIO y� Desert Sanas Unified School District 82-879 HIGHWAY 111 • INDIO. CALIFORNIA 92 201-56 78 • 1619) 3478631 October 21, 1986 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 $628 per unit. This amount is to be applied to the cost of additional district educational,ftcilities made necessary by such new development. Sincerely, John D. Brooks Assistant Superintendent Business ,& r ices By: Richard M. Beck Facilities Planner JDB/vmm z O F -- U w C0 m Z O F_ U W rA U) Y Q W Ir X RECEIPT NO. f t 73? F Issued byJE U/� Date District: ❑ Riverside 11!1 Vdo ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) s1 [$I COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a scaledsplot plan (1-20 scale) drawn to County specifications required on the attached check list. A non-refundable filing fee of $37 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) Mailing Address City r UJ i/` /�/�L,, s y. State CCC. Zip Code �`12 0 ( Telephone (! Job Property Address c C�ity.,or$CommLnity Legal Description of Property. (Lot, PM, TR) Assessor's Parcel No. 6T Water Agency drWV * L i ¢ �� Use of Permit f� A004 1.� b olf—W ning Case N Lot Size I 5_r• ` c� x i t NtY✓' SFD, MH Site Preparation Etc. Cf / Z 9!�, Signature of Applicant Date The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date, Certification of Existing S.D. System required. ❑ Yes 2 No, / /,4 WQCB Clearance required. ❑ Yes © No r Soils feasibility report required. ❑ Yes ,C' 'No Detailed boring report required. ❑ Yes 4NO Detailed contour plot plans required. ❑ Yes Z,1\16 t Staff Specialist approval required. El Yes O No Lot Inspection Date �— Soils/boring report by; // Project # Date Soils Map Page7� i� Soil Type �Approved by l�Date Type of System: v No. of Bedrooms 3 (1) Septic Tank Soil Rate Required ❑ Existing (E New ❑ Additional ❑ Replacement Gals. (2) Leach line sq. ft. Sidewall allowance d• Install Ft. Long, Lear ch�'bed Sqe (Botto tr area) ft. rock/ Sq. Ft. �wlLine(s) Ft. d'e-w (h min. inches Ft of'bottom per running ft. ©-tA rock below drain lines area Leach lines/bed-special design for slope: (3) Pit Diame erNo. Pits Pit BI t Seepage Pit total depth Applicable /� Overburden factor �. ®6' / / % Max. allowable depth yrJf �^N/A �G+,�.�•,.1✓'� , ..,-- .-, _.. �Y ti -a-. iJ,.�:.-�-a,•t .�,n /rte'%c L� 4at�+-•4-.e„ria+ This application ispv`ed/denre'd 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 permitpis necessary for the installation of the above -designed system. IV Septic tank and sewer lines must be b0' from any wells i/ 10;/Or 0; //Or ry (2) Leach lines must be 100' from incliding min. any wells expansionrarea (3) Seepage pits must be 150' min. from any wells including expansion areas//IJ A `fir;� vy (NSG'” %�.•-�,�PPir /.,/. /c it_.:t��.+. �� .-. Signature of Health Official Date RECEIPT NO. f t 73? F Issued byJE U/� Date District: ❑ Riverside 11!1 Vdo ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) s1 [$I REMARKS: v Signature' di-As� � U r, OBuena Engineers, Unc, NE F AN EARTH SYSTEMS, INC. COMPANY 1731-A WALTER STREET May 21, 1957 Dave Grirnette 79-700 Camel back Bermuda Dunes, CA 9L201 VENTURA, CALIFORNIA 93003 Project: 53-425 L3-45 Avenida Juarez La 5uinta. Subject- Report of Field Densities House Pad (805) 642-6727 B -16569-P1 87-5-7332 On November 17, 1986, 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 results- are as follows: Soil Description USCS Brown alightly silty fine to medium sand a^pith gravel SM VENTURA (805) 642-6727 Maximum Density -Optimum Moisture 120.6 pcf 9.8ro LANCASTER (805) 948-7538 BAKERSFIELD SANTA BARBARA PALM SPRINGS SAN LUIS OBISPO (805)327-5150 (805) 966-9912 (619) 328-9131 (805) 544-6187 it May 21, 1987 WM 8-16869-P1 87-5-732 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 placed and were ready for testing. 3. The purpose of testing was to observe compliance 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 v./ith 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 wort: is made or implied. If there are any question,, please do not hesitate to contact this office. Respectfully submitted, ?,of ES BUENA ENGINEERS, INC. Revievied and Ap e MDotF`�Ey y �y c z Vb,L- m W Ha C 041210 M Phillip D. Clanton hosep h R. Venuti Exp. 3-.31-91 FDC!'JRV/th Civil Engineer civrL Copies: 4 - Dave Grimette 2 - City of La Quinta 1 - PS file 2 - VTA file BUENA ENGINEERS, INC. ;1/ REPORT OF RELATIVE COMPACTIONS Job No. 8-16069-P 1 CONTRACTOR: DATE: Nau 21, 1987 Report No. 87-5-732 ADDRESS: JOB & LOCATION: Bermuda Dunes, CA TEST NO. DATE TESTED DESCRIPTION %MOISTURE IN PLACE DRY DENSITY IN PLACE RELATIVE COMPACTION MAIN UM DENSITY ' 53-425 & 53-455 Avenida Juarez 1 1-17-87 Per Plan 1.0 BSG 11.0 114.9 95 120.6 2 1-17-87 Per Plan FSG 7.4 112.7 93 120.6 3 1-17-87 Per Plan 1.0 BSG 9.7 116.5 97 120.E 4 1-17-87 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: Y BUENA ENGINEERS, INC. c m MI